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The relationship of self-reported sleep disturbance, mood, and menopause in a community study

Cheng, Ming-Huei MD1,2; Hsu, Chung-Yao MD,PhD3; Wang, Shuu-Jiun MD2,4; Lee, Shin-Jung MS, MPH5; Wang, Peng-Hui MD, PhD1,2; Fuh, Jong-Ling MD2,4

Menopause:
doi: 10.1097/gme.0b013e318160dafa
Articles
Abstract

Objective: The aim of this study was to assess the relationship between sleep disturbance, mood, menopausal status, and vasomotor symptoms in middle-aged women in Kinmen.

Design: A community-based sample of 1,113 Taiwanese women aged 43 to 57 years who were living on the island of Kinmen were recruited in this cross-sectional study. Menopausal status was determined by menstrual history. Sleep quality was measured by self-reported sleep problems. Anxiety and depression were assessed by the Hospital Anxiety Depression Scale.

Results: Forty-six percent of middle-aged women reported feeling dissatisfied with their sleep. Total sleep hours were not significantly different as a function of menopausal status. Generally, the occurrence of sleep problems or poor sleep quality was most prevalent in the postmenopausal group and least prevalent in premenopausal women. After analysis by multiple logistic regression, menopausal status was the independent factor of difficulty initiating sleep and sleep fragmentation. The Hospital Anxiety Depression Scale anxiety score was related to all sleep problems except for "excessive daytime sleepiness" and "awakening without further sleep."

Conclusions: Almost half of the Taiwanese middle-aged women felt dissatisfied with their sleep. Both menopausal status and higher anxiety score were associated with poor sleep quality of midlife women.

In Brief

In this study the occurrence of sleep problems or poor sleep quality was most prevalent in the postmenopausal group and least prevalent in premenopausal women. Both menopausal status and higher anxiety score were associated poor sleep quality of midlife women.

Author Information

From the 1Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; 2National Yang-Ming University Schools of Medicine, Taipei, Taiwan; 3Department of Neurology, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan; 4Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan; and 5Department of Biostatistics, Comprehensive Cancer Center, University of Michigan, Ann Arbor, MI.

Received September 10, 2007; revised and accepted November 1, 2007.

Funding/support: This study was supported by grants from the National Health Research Institute (NHRI-GT-EX89P923C, NHRI-GT-EX90-8923PC, and NHRI-EX91-8923PC) and National Science Council (95-2314-B-075-045-).

Financial disclosure: None reported.

Address correspondence to: Dr. Jong-Ling Fuh, Neurological Institute, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 11217, Taiwan. E-mail: jlfuh@vghtpe.gov.tw

©2008The North American Menopause Society