University Library
  • Login
A gateway to Melbourne's research publications
Minerva Access is the University's Institutional Repository. It aims to collect, preserve, and showcase the intellectual output of staff and students of the University of Melbourne for a global audience.
View Item 
  • Minerva Access
  • Medicine, Dentistry & Health Sciences
  • Melbourne School of Psychological Sciences
  • Melbourne School of Psychological Sciences - Research Publications
  • View Item
  • Minerva Access
  • Medicine, Dentistry & Health Sciences
  • Melbourne School of Psychological Sciences
  • Melbourne School of Psychological Sciences - Research Publications
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

    Sleep problems during the menopausal transition: prevalence, impact, and management challenges

    Thumbnail
    Download
    Published version (1.624Mb)

    Citations
    Scopus
    Web of Science
    Altmetric
    47
    38
    Author
    Baker, FC; de Zambotti, M; Colrain, IM; Bei, B
    Date
    2018-01-01
    Source Title
    Nature and Science of Sleep
    Publisher
    DOVE MEDICAL PRESS LTD
    University of Melbourne Author/s
    Bei, Bei; Colrain, Ian
    Affiliation
    Melbourne School of Psychological Sciences
    Psychiatry
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Baker, F. C., de Zambotti, M., Colrain, I. M. & Bei, B. (2018). Sleep problems during the menopausal transition: prevalence, impact, and management challenges. NATURE AND SCIENCE OF SLEEP, 10, pp.73-95. https://doi.org/10.2147/NSS.S125807.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/255822
    DOI
    10.2147/NSS.S125807
    Abstract
    A substantial number of women experience sleep difficulties in the approach to menopause and beyond, with 26% experiencing severe symptoms that impact daytime functioning, qualifying them for a diagnosis of insomnia. Here, we review both self-report and polysomnographic evidence for sleep difficulties in the context of the menopausal transition, considering severity of sleep complaints and links between hot flashes (HFs) and depression with poor sleep. Longitudinal population-based studies show that sleep difficulties are uniquely linked with menopausal stage and changes in follicle-stimulating hormone and estradiol, over and above the effects of age. A major contributor to sleep complaints in the context of the menopausal transition is HFs, and many, although not all, HFs are linked with polysomnographic-defined awakenings, with HF-associated wake time contributing significantly to overall wakefulness after sleep onset. Some sleep complaints may be comorbid with depressive disorders or attributed to sleep-related breathing or movement disorders, which increase in prevalence especially after menopause, and for some women, menopause, age, and environmental/behavioral factors may interact to disrupt sleep. Considering the unique and multifactorial basis for sleep difficulties in women transitioning menopause, we describe clinical assessment approaches and management options, including combination treatments, ranging from cognitive behavioral therapy for insomnia to hormonal and nonhormonal pharmacological options. Emerging studies suggest that the impact of severe insomnia symptoms could extend beyond immediate health care usage and quality of life issues to long-term mental and physical health, if left untreated in midlife women. Appropriate treatment, therefore, has immediate benefit as well as advantages for maintaining optimal health in the postmenopausal years.

    Export Reference in RIS Format     

    Endnote

    • Click on "Export Reference in RIS Format" and choose "open with... Endnote".

    Refworks

    • Click on "Export Reference in RIS Format". Login to Refworks, go to References => Import References


    Collections
    • Minerva Elements Records [45770]
    • Psychiatry - Research Publications [1103]
    • Melbourne School of Psychological Sciences - Research Publications [1051]
    Minerva AccessDepositing Your Work (for University of Melbourne Staff and Students)NewsFAQs

    BrowseCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects
    My AccountLoginRegister
    StatisticsMost Popular ItemsStatistics by CountryMost Popular Authors