Sleep Disorders and Mental Health in Menopausal Women in Tehran

Parisa Adimi Naghan, Somayeh Hassani, Makan Sadr, Majid Malekmohammad, Batoul Khoundabi, Javad Setareh, Seyed Mohammad Seyedmehdi, Sharareh Seifi, Parisa Adimi Naghan, Somayeh Hassani, Makan Sadr, Majid Malekmohammad, Batoul Khoundabi, Javad Setareh, Seyed Mohammad Seyedmehdi, Sharareh Seifi

Abstract

Background: Sleep complaints are common problems in the general population and insomnia and sleep disorders place significant economic and social burdens on the community. Postmenopausal women are 2.6 to 3.5 times more likely to develop obstructive sleep apnea (OSA) compared to non-menopausal women. In this study, we evaluated sleep disorders and mental health in postmenopausal women.

Materials and methods: This study was a descriptive cross-sectional study and the samples were selected from postmenopausal women above 50 years who had participated in a survey entitled, "Evaluation of Sleep Disorders among Adults in Tehran" in 2017. Cluster sampling method was applied with proportional allocation. A total of 4021 samples were collected, 2075 of which belonged to women. In addition, 174 out of 2075 samples were related to postmenopausal women over the age of 50. The data were analyzed using the statistical package IBM SPSS version 22.0. P-values less than 0.05 were considered significant.

Results: In this study, 118 (67.8%) women had insomnia for less than three months, and 23 (13.2%) women had insomnia for more than three months. The prevalence of STOPBANG parameters in this group of postmenopausal women was 37% and significantly related to Body mass index (BMI) and neck circumference at P < 0.001 and 0.006, respectively. There was no significant relationship between social dysfunction and insomnia. However, anxiety in General Health Questionnaire (GHQ) was significantly associated with insomnia, sleepiness, sadness, and irritability.

Conclusion: Our results indicate that the impact of insomnia symptoms, OSA comorbidity and mental disorders could extend far beyond. The use of urgent health care and quality of life issues is essential for long-term mental and physical well-being; if there is no treatment in the menopause population, there will be serious mental and physical complications.

Keywords: Menopause; Mental health; Sleep.

Copyright© 2020 National Research Institute of Tuberculosis and Lung Disease.

Figures

Figure 1.
Figure 1.
Detailed comparison between GHQ disorders based on three factors in three namely healthy, patient, and all populations

References

    1. Tao MF, Sun DM, Shao HF, Li CB, Teng YC. Poor sleep in middle-aged women is not associated with menopause per se. Braz J Med Biol Res 2016;49(1):e4718.
    1. Bruyneel M. Sleep disturbances in menopausal women: Aetiology and practical aspects. Maturitas 2015;81(3):406–9.
    1. Jehan S, Masters-Isarilov A, Salifu I, Zizi F, Jean-Louis G, et al. Sleep Disorders in Postmenopausal Women. J Sleep Disord Ther 2015;4(5):1000212.
    1. Otte JL, Rand KL, Landis CA, Paudel ML, Newton KM, Woods N, et al. Confirmatory factor analysis of the Pittsburgh Sleep Quality Index in women with hot flashes. Menopause 2015;22(11):1190–6.
    1. Smith RL, Flaws JA, Mahoney MM. Factors associated with poor sleep during menopause: results from the Midlife Women’s Health Study. Sleep Med 2018;45:98–105.
    1. Fabbrini M, Aricà I, Tramonti F, Condurso R, Carnicelli L, De Rosa A, et al. Sleep disorders in menopause: results from an Italian Multicentric Study. Arch Ital Biol 2015;153(2–3):204–13.
    1. Ağan K, Özmerdivenli R, Değirmenci Y, Çağlar M, Başbuğ A, Balbay EG, et al. Evaluation of sleep in women with menopause: results of the Pittsburg Sleep Quality Index and polysomnography. J Turk Ger Gynecol Assoc 2015;16(3):149–52.
    1. Hsu HC, Tsao LI, Lin MH. Improving sleep quality interventions among menopausal women with sleep disturbances in Taiwan: a preliminary study. Appl Nurs Res 2015;28(4):374–80.
    1. Park YK, Cha NH, Sok SR. Relationships between menopausal syndrome and sleeping of middle-aged women. J Phys Ther Sci 2015;27(8):2537–40.
    1. Monterrosa-Castro Á, Portela-Buelvas K, Salguedo-Madrid M, Mo-Carrascal J, Duran-Méndez Leidy C. Instruments to study sleep disorders in climacteric women. Sleep Sci 2016;9(3):169–178.
    1. Indira M, Kasikrishnaraja P. Patterns of Sleep Impairments in an Epidemiological Cohort of Postmenopausal Women in Perundurai. Journal of Evolution of Medical and Dental Sciences 2018;7(16):1955–62.
    1. Naufel MF, Frange C, Andersen ML, Girão MJBC, Tufik S, Beraldi Ribeiro E, et al. Association between obesity and sleep disorders in postmenopausal women. Menopause 2018;25(2):139–144.
    1. Yazdi Z, Sadeghniiat-Haghighi K, Ziaee A, Elmizadeh K, Ziaeeha M. Influence of sleep disturbances on quality of life of Iranian menopausal women. Psychiatry J 2013;2013:907068.
    1. Theorell-Haglöw J, Miller CB, Bartlett DJ, Yee BJ, Openshaw HD, Grunstein RR. Gender differences in obstructive sleep apnoea, insomnia and restless legs syndrome in adults - What do we know? A clinical update. Sleep Med Rev 2018;38:28–38.
    1. Sagayadevan V, Abdin E, Binte Shafie S, Jeyagurunathan A, Sambasivam R, Zhang Y, et al. Prevalence and correlates of sleep problems among elderly Singaporeans. Psychogeriatrics 2017;17(1):43–51.
    1. Zhou Y, Yang R, Li C, Tao M. Sleep disorder, an independent risk associated with arterial stiffness in menopause. Sci Rep 2017;7(1):1904.
    1. Vahratian A. Sleep Duration and Quality Among Women Aged 40–59, by Menopausal Status. NCHS Data Brief 2017;(286):1–8.
    1. Moudi A, Dashtgard A, Salehiniya H, Sadat Katebi M, Reza Razmara M, Reza Jani M. The relationship between health-promoting lifestyle and sleep quality in postmenopausal women. Biomedicine (Taipei) 2018;8(2):11.
    1. Foroughi M, Malekmohammad M, Sharafkhaneh A, Emami H, Adimi P, Khoundabi B. Prevalence of Obstructive Sleep Apnea in a High-Risk Population Using the Stop-Bang Questionnaire in Tehran, Iran. Tanaffos 2017;16(3):217–224.
    1. Coelho FM, Pradella-Hallinan M, Palombini L, Tufik S, Bittencourt LR. The STOP-BANG questionnaire was a useful tool to identify OSA during epidemiological study in São Paulo (Brazil). Sleep Med 2012;13(4):450–1.
    1. Hall MH, Matthews KA, Kravitz HM, Gold EB, Buysse DJ, Bromberger JT, et al. Race and financial strain are independent correlates of sleep in midlife women: the SWAN sleep study. Sleep 2009;32(1):73–82.
    1. Kapsimalis F, Kryger MH. Gender and obstructive sleep apnea syndrome, part 2: mechanisms. Sleep 2002;25(5):499–506.
    1. Bayliss DA, Millhorn DE. Central neural mechanisms of progesterone action: application to the respiratory system. J Appl Physiol (1985) 1992;73(2):393–404.
    1. Joffe H, Massler A, Sharkey KM. Evaluation and management of sleep disturbance during the menopause transition. Semin Reprod Med 2010;28(5):404–21.
    1. Jehan S, Auguste E, Zizi F, Pandi-Perumal SR, Gupta R, Attarian H, et al. Obstructive Sleep Apnea: Women’s Perspective. J Sleep Med Disord 2016;3(6):1064.
    1. Walters JF, Hampton SM, Ferns GA, Skene DJ. Effect of menopause on melatonin and alertness rhythms investigated in constant routine conditions. Chronobiol Int 2005;22(5):859–72.
    1. Attarian H, Hachul H, Guttuso T, Phillips B. Treatment of chronic insomnia disorder in menopause: evaluation of literature. Menopause 2015;22(6):674–84.
    1. Baker FC, de Zambotti M, Colrain IM, Bei B. Sleep problems during the menopausal transition: prevalence, impact, and management challenges. Nat Sci Sleep 2018;10:73–95.
    1. Blümel JE, Cano A, Mezones-Holguín E, Barón G, Bencosme A, Benítez Z, et al. A multinational study of sleep disorders during female mid-life. Maturitas 2012;72(4):359–66.

Source: PubMed

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