Sleep Quality and the Sleep Electroencephalogram in Women with Severe Premenstrual Syndrome

Baker, Fiona C.; Kahan, Tracey L.; Trinder, John; Colrain, Ian M.

doi:10.1093/sleep/30.10.1283

Cited by 116 publications

(135 citation statements)

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“…Polysomnographic measures of sleep continuity (sleep onset, total sleep time, sleep efficiency), and percentages of slow wave sleep and REM sleep during the night were similar in both groups of women, as previously published (24). Also, both groups of women showed an increase in wakefulness and a marginal increase in the arousal index during sleep in the late-luteal phase compared with the follicular phase (24).…”

Section: Discussionsupporting

confidence: 84%

“…Also, both groups of women showed an increase in wakefulness and a marginal increase in the arousal index during sleep in the late-luteal phase compared with the follicular phase (24). Thus, disturbances in sleep during the late-luteal phase were apparent in all women regardless of whether or not they suffered from severe PMS.…”

Section: Discussionmentioning

confidence: 81%

“…Reduced parasympathetic modulation during sleep, as found in the women with PMS when symptomatic, may impact the restorative properties of sleep (28). Consequently, the perception of sleep quality may be affected; women with PMS report a poorer sleep quality, although polysomnographic-defined sleep efficiency is unchanged, when they are symptomatic in the late-luteal phase compared with the follicular phase (24). Similarly, patients with irritable bowel syndrome, who report a poorer sleep quality in the absence of objective sleep disturbances (29), have altered sympathovagal balance during REM sleep (21).…”

Section: Discussionmentioning

confidence: 99%

“…For each subject, thirty-second epochs of the polysomnogram were scored according to standard criteria (25) to determine sleep stages. Results from this analysis have been reported elsewhere (24). The ECG was recorded through Meditrace Ag/AgCl spot electrodes placed on the subject's lower left rib cage and on the right clavicula notch.…”

Section: Data Acquisition and Analysismentioning

confidence: 99%

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Reduced parasympathetic activity during sleep in the symptomatic phase of severe premenstrual syndrome

Baker

Colrain

Trinder

2008

Journal of Psychosomatic Research

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Objective-Severe premenstrual syndrome (PMS) is a common, distressing disorder in women that manifests during the premenstrual (late-luteal) phase of the ovulatory menstrual cycle. There is some evidence that altered autonomic function may be an important component of PMS but few studies have used heart rate variability (HRV), as a sensitive marker of autonomic activity, in severe PMS and findings are conflicting.Methods-We investigated HRV during sleep, a state relatively free of external disruptions, in nine women with severe PMS and twelve controls.Results-The normal-to-normal (NN) RR-interval was shorter during the sleep period in women with PMS than in controls in both the follicular and late-luteal phases of the menstrual cycle. The standard deviation of all NN intervals (SDNN), a measure of total variability in the inter-beat interval, was lower during the sleep period in the late-luteal phase than in the follicular phase in women with PMS. The square root of the mean of the sum of the squares of differences between adjacent NN intervals (rMSSD), a measure reflecting high frequency activity, showed a similar pattern. High frequency power, a marker of parasympathetic activity, was lower during non-rapid eye movement (non-REM) and REM sleep in the late-luteal phase than in the follicular phase in women with severe PMS. Controls had a shorter NN-interval, but similar HRV measures, in the late-luteal phase compared with the follicular phase.Conclusion-These results suggest that women with severe PMS have decreased parasympathetic activity during sleep in association with their premenstrual symptoms compared to when they are symptom-free.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Data Acquisition and Analysismentioning

confidence: 99%

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Reduced parasympathetic activity during sleep in the symptomatic phase of severe premenstrual syndrome

Baker

Colrain

Trinder

2008

Journal of Psychosomatic Research

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“…[8] Furthermore, sleep disturbances such as insomnia or hypersomnia are one of the DSM-IV-TR's defining criteria for the diagnosis of PMDD, [4,6] and they are present in about 70% of women with PMDD. [9] A study by Parry and colleagues did not show any difference regarding sleep EEG variables between controls and patients with PMDD, [10] but other studies showed significantly increased rapid eye movement (REM) sleep onset latency, [6] significantly increased stage-two sleep, or significantly reduced REM sleep [11] in women with PMDD when compared to healthy controls, regardless of the menstrual phase.…”

mentioning

confidence: 99%

Sleep quality in university students with premenstrual dysphoric disorder

Khazaie

Chehri

2017

Sleep Medicine

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•Original research article• Background: Up to 8% of women in their reproductive years are affected by Premenstral Dysphoric Disorder (PMDD). Sleep disturbances such as insomnia or hypersomnia are one of the DSM-IV-TR's defining criteria for the diagnosis of PMDD and are found in about 70% of women with the disorder. However, studies are lacking that specifically address the effects of PMDD on quality of sleep. Aim: This study was designed to evaluate the prevalence of Premenstrual DysphoricDisorder (PMDD) and its impact on sleep quality in female university students. Methods: We developed an 18-item PMDD scale based on The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) to diagnose PMDD in female university studentswho ranged in age from 18 to 30 years and had regular menstrual cycles.Participants were categorized into a PMDD group or a No/PMDD group and sleep quality was compared between the two groups. The evaluation tool used to measure sleep quality was the Pittsburgh Sleep Quality Index (PSQI). Results: The prevalence of PMDD in female universitystudents was 25.5%. Analysis of the PSQI demonstrated that 80.5% of those in PMDD group had a PSQI that scored >5; however, only 56.4% in the No/ PMDD grouphad a PSQI that scored >5 (χ 2 =12.459, p<0.001). The mean PSQI score was 8.2(3.4) in the PMDD group and was 6.5(3.1) in the No/PMDD group (t=3.648, p<0.001). Conclusions: Female university students who experience PMDD are deeply affected by sleep problems. Lower sleep quality, daytime dysfunction, and sleep disturbance are common sleep problems among female university students with PMDD.

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Women's Sleep Throughout the Lifespan

Kloss,

Nash

2013

Women's Health Psychology

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Sleep Quality and the Sleep Electroencephalogram in Women with Severe Premenstrual Syndrome

Abstract: Perceived poor quality sleep is a characteristic of severe PMS, but sleep composition based on polysomnographic measures and quantitative electroencephalographic analysis does not differ in association with premenstrual symptom expression in the late luteal phase.

Cited by 116 publications

References 38 publications

Reduced parasympathetic activity during sleep in the symptomatic phase of severe premenstrual syndrome

Reduced parasympathetic activity during sleep in the symptomatic phase of severe premenstrual syndrome

Sleep quality in university students with premenstrual dysphoric disorder

Women's Sleep Throughout the Lifespan

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