Sleep difficulty in women at midlife: a community survey of sleep and the menopausal transition *
Menopause The Journal of The North American Menopause SocietyPublished 1 January 2003
Howard M. Kravitz, Patricia A. Ganz, Joyce T. Bromberger, Lynda H. Powell, Kim Sutton‐Tyrrell, Peter Meyer
Citations570
SJR quartileQ1
SJR score1.14
SNIP1.12
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
To compare age-adjusted and ethnic differences in prevalences of sleep difficulty at various stages of the menopausal transition and to determine the relative contribution of other factors, including vasomotor symptoms, sociodemographics, and psychological and physical health factor.
Abstract
These results suggest that stage of the menopausal transition, independent of other potential explanatory factors, is associated with self-reported sleep difficulty. Older age per se was not significantly associated with difficulty sleeping.
Keywords
PsychologyMedicineNeuroscience
PubMedThe MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.
33,975 Citations1992John E. Ware, Cathy D. Sherbourne
A 36-item short-form survey designed for use in clinical practice and research, health policy evaluations, and general population surveys to survey health status in the Medical Outcomes Study is constructed.
Journal of Health and Social BehaviorA Global Measure of Perceived Stress
32,415 Citations1983Sheldon Cohen, Tom Kamarck +1 more
The Perceived Stress Scale showed adequate reliability and, as predicted, was correlated with life-event scores, depressive and physical symptomatology, utilization of health services, social anxiety, and smoking-reduction maintenance and was a better predictor of the outcome in question than were life- event scores.
Medical CareThe MOS 36-ltem Short-Form Health Survey (SF-36)
29,791 Citations1992John E. Ware, Cathy D. Sherbourne
A 36-item short-form survey to survey health status in the Medical Outcomes Study and designed for use in clinical practice and research, health policy evaluations, and general population surveys.
JAMAWhat's the Relative Risk?
3,993 Citations1998Jun Zhang, Kai Yu
This work proposes a simple method to approximate a risk ratio from the adjusted odds ratio and derive an estimate of an association or treatment effect that better represents the true relative risk.
JAMAEpidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?
2,453 Citations1989Daniel E. Ford
Biological PsychiatrySleep disturbance and psychiatric disorders: A longitudinal epidemiological study of young Adults
1,828 Citations1996Naomi Breslau, Thomas Roth +2 more
Prior insomnia remained a significant predictor of subsequent major depression when history of other prior depressive symptoms was controlled for, and complaints of 2 weeks or more of insomnia nearly every night might be a useful marker of subsequent onset of major depression.
American Journal of PsychiatryPrevalence of sleep disorders in the Los Angeles metropolitan area
891 Citations1979Edward O. Bixler, Anthony Kales +3 more
Insomnia, nightmares, and hypersomnia were correlated with more frequent general physical and mental health problems and were often chronic and usually started early in life.
SLEEPAn Epidemiological Study of Insomnia Among the Japanese General Population
524 Citations2000Kyuja Kim, Makoto Uchiyama +3 more
The study examined the prevalence and correlates of insomnia in a representative sample of Japan and found that older age, being unemployed, lack of habitual exercise, poor perceived health, psychological stress, and being unable to cope with stress were associated with an increased prevalence of insomnia.
Annals of EpidemiologyA longitudinal analysis of the association between menopause and depression Results from the Massachusetts women's health study
476 Citations1994Nancy E. Avis, Donald Brambilla +2 more
Results show that prior depression is the variable most predictive of subsequent depression, as measured by the Center for Epidemiologic Studies-Depression (CES-D) scale.
European Archives of Psychiatry and Clinical NeuroscienceThe Zurich Study
455 Citations1992C Ernst, Jules Angst
Among women, a diagnosis of depression was more often associated with disturbances of appetite and with phobias than among men, and when syndromes or diagnoses were controlled, women and men suffered to an equal rate from subjective impairment at work.
SLEEPEvaluation of Chronic Insomnia
449 Citations2000Michael J. Sateia, Karl Doghramji +2 more
An adequate evaluation of persistent insomnia requires detailed historical information as well as medical, psychological and psychiatric assessment, and use of a classification system for sleep disorders and familiarity with major diagnostic groups will facilitate the clinician's evaluation and treatment.
General Hospital PsychiatryThe morbidity of insomnia uncomplicated by psychiatric disorders
422 Citations1997Myrna M. Weissman, Steven Greenwald +2 more
Insomnia, even in the absence of psychiatric disorders, is associated with increased use of general medical and mental health treatment for emotional problems and for the subsequent first onset in the following year of some psychiatric disorders.
Psychosomatic Medicine"Menopausal Symptoms" in Women of Various Ages
384 Citations1965Bernice L. Neugarten, Ruth J. Kraines
Incidence of symptoms generally attributed to menopausal change was investigated across 5 age groups and between “menopausal” and “nonmenographic” women within the same age group.
Journal of the American Geriatrics SocietySleep Disturbance, Psychosocial Correlates, and Cardiovascular Disease in 5201 Older Adults: The Cardiovascular Health Study
365 Citations1997Anne B. Newman, Paul Enright +3 more
The prevalence of self reported sleep disturbances in older men and women and their relationships with health status and cardiovascular diseases (CVD) are described.
Social Science & Medicine (1967)Prevalence of sleep disturbance in a primarily urban Florida county
345 Citations1976Ismet Karacan, John I. Thornby +5 more
Patterns of socio-demographic differences were studied for each of six questionnaire items relating to sleep, finding that life-style implications were reflected in types of sleeping difficulty.
Journal of General Internal MedicineSleep problems and their correlates in a working population
338 Citations1995Miriam Kuppermann, Deborah P. Lubeck +5 more
Self-perceived sleep problems were common among the respondents and were associated with poorer health and health-related quality of life, and may serve as an effective screen for identifying primary care patients with mental health problems, as well as underlying sleep disorders.
MaturitasSleep disturbance in healthy middle-aged women
288 Citations1998Jane F. Owens, Karen A. Matthews
There is a high level of sleep disturbance in middle-aged women and transition into postmenopausal status is associated with deleterious changes in sleep patterns among women who do not take hormone replacement therapy.
American Journal of Obstetrics and GynecologyWhen does estrogen replacement therapy improve sleep quality?
240 Citations1998Päivi Polo-Kantola, Risto Erkkola +3 more
Alleviation of climacteric symptoms was the most important predictive factor for the beneficial effect of estrogen replacement therapy on sleep complaints and significantly diminished sleep complaints among postmenopausal women.
SLEEPPrevalence and Treatment of Insomnia in the Community: Results from the Upper Bavarian Field Study
236 Citations1991Siegfried Weyerer, Horst Dilling
Moderate/severe insomnia was strongly related to psychiatric diagnoses, the use of psychiatric in- and outpatient services and general hospitals, whereby the average annual consultation rate among mild and moderate/severe insomniacs was significantly higher compared to that for those without sleep disorders.
BMJEffect of oestrogen on the sleep, mood, and anxiety of menopausal women.
223 Citations1977J. Anderson Thomson, Isabelle P. Oswald
Although oestrogen did reduce the number of episodes of wakefulness in perimenopausal women complaining of insomnia, its effects on their psychological symptoms were little different to those of placebo.
SLEEPInsomnia and Health Problems in Canadians
206 Citations2001Deborah Sutton, Harvey Moldofsky +1 more
Insomnia was highly prevalent among the non-institutionalized Canadian population age 15 and older and a very stressful life, severe pain and dissatisfaction with one's health demonstrated the highest odds ratios associated with insomnia.
SLEEPInsomnia and Use of Hypnotics: Study of a French Population
200 Citations1991Maria Antonia Quera‐Salvá, A. Orluc +2 more
The largest group of insomniac subjects, and the group who most often used hypnotics "frequently and chronically", were women 45 years and older, which is a significant complainer group but use hypnotics rarely.
SLEEPSleep Patterns and Stability in Perimenopausal Women
190 Citations1988Joan Shaver, Elizabeth C. Giblin +2 more
Although an age difference existed between the menopausal status groups, it was less than a decade and a main group effect for sleep efficiency and REM latency was seen while controlling for age and/or depression.
Journal of Psychosomatic ResearchSleep disruption and mood changes associated with menopause
173 Citations1997A. A. Baker, Sarah Simpson +1 more
Results suggest that the mood changes experienced by the perimenopausal group may be mediated by sleep disruption, which is significantly related to age and sociodemographic variables.
SLEEPA Longitudinal Study of Sleep Stages in Young Women During Pregnancy and Postpartum
170 Citations1992Helen S. Driver, Colin M. Shapiro
When compared to a group of normal ovulating women, however, REM sleep time decreased during the last two months of pregnancy and, although there was no change in sleep onset latency, the time spent awake during the first six hours of sleep was increased.
SLEEPThe Thermoregulatory Effects of Menopausal Hot Flashes on Sleep
164 Citations1994Suzanne Woodward, Robert R. Freedman
The results show that hot flashes are associated with increased Stage 4 sleep and a shortened first rapid eye movement period and the central thermoregulatory mechanism underlying hot flashes may affect hypnogenic pathways inducing sleep and heat loss in the absence of a thermal load.
Social Science & MedicinePrevalence of self-reported poor sleep in a healthy population aged 50–65
162 Citations1992Donald L. Bliwise, Abby C. King +2 more
The prevalence of disturbed sleep in a population, ages 50-65, carefully screened for physical health as part of an ongoing study of exercise and cardiovascular function was consistently lower, implying that when overall physical health factors are taken into account a decline in sleep quality is not necessarily an inevitable component of aging per se.
The Journals of Gerontology Series ASleep Complaints in Older Adults: A Racial Comparison
144 Citations1995Dan G. Blazer, Judith C. Hays +1 more
Fewer reported sleep complaints in community-dwelling Black elders compared to White elders remains unexplained, though it may be secondary to a higher threshold for Black elders reporting complaints.
SLEEPEthnic Differences in Self-Reported Sleep Problems in Older Adults
141 Citations2001Girardin Jean‐Louis, Carol Magai +5 more
The present data suggest both between-group and within-group ethnic differences in sleep complaints among urban community-dwelling older adults, but ethnicity was the most significant predictor.
SLEEPSleep Problems in Chinese Elderly in Hong Kong
130 Citations1999Helen F.K. Chiu, Tony Leung +7 more
Sleep disturbance and insomnia are two separate but overlapping constructs and should be differentiated and those with a concommitant complaint of insomnia have impaired physical and mental health and may merit more medical attention.
Sleep Medicine ReviewsSleep in peri-menopausal and post-menopausal women
120 Citations1998Andrew D. Krystal, Jack D. Edinger +2 more
Rules are provided for the proper diagnosis and treatment of peri/post-menopausal women with sleep complaints, which suggest insomnia appears to be due to night sweats caused by the hormonal changes which occur and which lead to an increase in arousals.
BJOG An International Journal of Obstetrics & GynaecologyHormone replacement therapy, sleep quality and psychological wellbeing
116 Citations1995David W Purdie, Jacob Empson +2 more
The aim is to examine the effect of hormone replacement therapy upon sleep quality and duration in postmenopausal women to find out if it improves or damages sleep quality.
Clinical TherapeuticsEffects of estrogen replacement therapy on rates of cyclic alternating patterns and hot-flush events during sleep in postmenopausal women: a pilot study
109 Citations1997Martin B. Scharf, Michael D. McDannold +3 more
Estrogen therapy resulted in a statistically significant decrease in the overall number of hot flushes and the number of Hot Flushes associated with awakenings, as well as improvement in sleep efficiency and a reduction in the rate of CAPS.
The American Journal of MedicineClinical decision-making in the evaluation and treatment of insomnia
95 Citations1990Daniel E. Everitt, Jerry Avorn +1 more
It is suggested that physicians place inadequate emphasis on history-taking in the evaluation of insomnia and resort to the use of psychoactive drugs even when non-pharmacologic approaches might be more effective.
Obstetrics and GynecologyClimacteric symptoms and sleep quality
90 Citations1999Päivi Polo‐Kantola
Impaired subjective sleep quality associated with climacteric vasomotor symptoms did not manifest as abnormalities in polysomnographic sleep recordings, and body mass index and age appeared to have the strongest effect on objective sleep quality.
MaturitasMenopause and perceived health status among the women of the french GAZEL cohort
88 Citations1994Bernard Ledésert, Virginie Ringa +1 more
It is suggested that the treatment of menopausal symptoms with medication of proven efficacy may prevent lowering of quality of life due to menopause.
Journal of Women s Health & Gender-Based MedicineReview: Sleep Disturbance in Menopause
78 Citations2000Joan Shaver, Shannon N. Zenk
What is known about insomnia and physiologically assessed sleep in women according to menopausal status and the role of hypothalamic-pituitary-ovarian (HPO) hormones is critically reviewed.
Psychosomatic MedicineSomatic and Psychological Complaints and Their Correlates With Insomnia in the Japanese General Population
71 Citations2001Kyuja Kim, Makoto Uchiyama +5 more
SPCs were common and were largely associated with insomnia in the general adult population of Japan and were more prevalent in younger persons and in women.
PubMedPrevalence of insomnia: a survey of the enrollees at five managed care organizations.
67 Citations1998Hind T. Hatoum, Christopher M. Kania +3 more
Insomnia occurs in MCO enrollees at rates comparable to those found in the general population, however, few patients with insomnia are actually being treated for their condition and proper evaluation, diagnosis, and treatment of insomnia are warranted.
Endocrinology and Metabolism Clinics of North AmericaTHE MENOPAUSE TRANSITION
65 Citations1997Gail A. Greendale, MaryFran R. Sowers
The model of hormonal changes at the time of the transition has been expanded to include not only declines in estrogen but changes in a broader range of hormones, including the potential role of androgens, to increase understanding of whether symptoms, syndromes, and chronic diseases are associated with menopause.
Journal of Sleep ResearchCorrelates of sleep problems among men: The Vietnam Era Twin Registry
61 Citations1997Richard R. Fabsitz, Phyliss Sholinsky +1 more
These analyses suggest that sleep problems may be one of the mechanisms relating reduced quality of life to many physical and behavioural characteristics and a number of the risk factors associated with sleep problems are lifestyle characteristics which, if modified, may reduce sleep problems.
Clinical NeuropharmacologyInsomnia: An Epidemiological Survey
57 Citations1985Fabio Cirignotta, Susanna Mondini +3 more
SLEEPEstrogen Replacement Therapy Moderates the Sleep Disruption Associated with Nocturnal Blood Sampling
55 Citations2001Karen E. Moe, Lawrence H. Larsen +2 more
In this cross-sectional study, the use of chronic oral ERT was associated with little effect on the sleep of older postmenopausal women not experiencing hot flashes, except in the presence of a challenge to sleep.
European Archives of Psychiatry and Clinical NeuroscienceThe zurich study
53 Citations1989Jules Angst, Margarete Vollrath +2 more
The prevalence of sleep problems is stable from age 21–28, at 36%–40%, and the majority of insomniacs cope with sleep problems in various other ways.
PharmacoEconomicsImpact of Insomnia on Health-Related Quality of Life
46 Citations1996C. Idzikowski
With the increased interest in sleep disorders, the definition of insomnia has been refined and extended so that the aetiology of these disorders is considered in addition to their operational characteristics.
Journal of Contemporary PsychotherapySomatization in Chinese American clients: Implications for psychotherapeutic services
25 Citations1995George K. Hong, Bom S. Lee +1 more
Journal of Cross-Cultural PsychologyThe Sleep-Wakefulness Cycle in Mexican Adults
22 Citations1971John M. Taub
Journal of Psychosomatic ResearchSleep in women
14 Citations1996Helen S. Driver
The absence of significant changes inSleep latency and sleep efficiency indicates that the hormonal and metabolic changes during the menstrual cycle are not associated with major changes in sleep propensity or sleep continuity.
JAMAWorld Health Organization Targets Insomnia
10 Citations1997Lynne Lamberg
The insomnia project is one arm of the Worldwide Project on Sleep and Health (WPSH), a 20-year global mission to improve the treatment of sleep disorders under the aegis of the World Health Organization (WHO) and World Federation of Sleep Research Societies (WFSRS).