%0 Journal Article
%T Influence of Sleep Disturbances on Quality of Life of Iranian Menopausal Women
%A Zohreh Yazdi
%A Khosro Sadeghniiat-Haghighi
%A Amir Ziaee
%A Khadijeh Elmizadeh
%A Masomeh Ziaeeha
%J Psychiatry Journal
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/907068
%X Background. Subjective sleep disturbances increase during menopause. Some problems commonly encountered during menopause, such as hot flushes and sweating at night, can cause women to have difficulty in sleeping. These complaints can influence quality of life of menopausal women. Methods. This cross-sectional study was performed on menopausal women attending health centers in Qazvin for periodic assessments. We measured excessive daytime sleepiness by Epworth sleepiness scale (ESS), obstructive sleep apnea (OSA) by the Berlin questionnaire, and insomnia by the insomnia severity index (ISI). We evaluate quality of life by the Menopause specific quality of life questionnaire (MENQOL). Results. A total of 380 menopausal women entered the study. Mean age of participated women was 57.6 ¡À 6.02. Mean duration of menopause was 6.3 ¡À 4.6. The frequency of severe and moderate insomnia was 8.4% (32) and 11.8% (45). Severe daytime sleepiness (ESS£¿¡Ý£¿10) was present in 27.9% (80) of the participants. Multivariate analytic results show that insomnia and daytime sleepiness have independent negative impact on each domain and total score of MENQOL questionnaire. Conclusion. According to our findings, EDS and insomnia are frequent in menopausal women. Both EDS and insomnia have significant quality of life impairment. 1. Introduction Across the lifespan, sleep disturbances are more prevalent in women than men. Pregnancy, menstrual-related fluctuations, and the menopause may cause high prevalence of sleep disturbances in women [1¨C3]. Sleep disorders are more common during the menopausal transition as compared to premenopausal years [4]. During the menopause, progressive decline in estrogen and progesterone levels are frequently related to vasomotor symptoms, night sweats, fatigue, mood alterations, irritability, headache, palpitation, and sleep disorders [5, 6]. These symptoms may be subtle to severe and disabling. Sleeping disturbances are among the most frequent health complaints of women during menopause. They include disorders such as difficulty of falling asleep, fractioned sleep, night-time awakening, inability of resuming sleep, problems in waking up, fatigue, and daytime sleepiness [7, 8]. Insomnia is a common disorder in menopausal women with the prevalence of 28¨C63% based on different studies [9]. Many women, during the menopause, achieve less than 6£¿h of sleep on a regular basis, becoming at higher risk for short-term and long-term problems. The main effects of short-term sleep deprivation include anxiety, drowsiness, memory and cognitive impairment, and stressed
%U http://www.hindawi.com/journals/psychiatry/2013/907068/