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Association between hot flashes, sleep complaints, and psychological functioning among healthy menopausal women

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Abstract

Self-report data suggest that sleep hot flashes among menopausal women are associated with sleep problems and in turn impaired psychological functioning. However, few studies have examined these relations with physiologic hot flash measures. A total of 41 perimenopausal and postmenopausal women with daily hot flashes underwent nighttime sternal skin conductance monitoring to quantify hot flashes. Participants completed sleep diaries; the Sleep-Wake Experience List (van Diest, 1990); and depression, anxiety, and daily stress measures. Participants experienced a median of 2 physiologically monitored and 1 reported sleep hot flash nightly. Although sleep complaints were significantly and positively associated with psychological functioning, neither sleep complaints nor psychological functioning was significantly related to frequency of physiologically monitored sleep hot flashes. Conversely, results indicate an association between reported sleep hot flashes and acute sleep problems. The frequency of physiologically monitored sleep hot flashes, as opposed to reported sleep hot flashes, may be independent of problems with sleep and mood among menopausal women.

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References

  • Avis, N. E., Brambilla, D., McKinlay, S. M., & Vass, K. (1994). A longitudinal analysis of the association between menopause and depression. Results from the Massachusetts Women’s Health Study. Annals of Epidemiology, 4, 214–220.

    Article  PubMed  Google Scholar 

  • Avis, N. E., Stellato, R., Crawford, S., Bromberger, J., Ganz, P., Cain, V., et al. (2001). Is there a menopausal syndrome? Menopausal status and symptoms across racial/ethnic groups. Social Science & Medicine, 52, 345–356.

    Article  Google Scholar 

  • Barsky, A. J., Goodson, J. D., Lane, R. S., & Cleary, P. D. (1988). The amplification of somatic symptoms. Psychosomatic Medicine, 50, 510–519.

    PubMed  Google Scholar 

  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory manual (2nd ed.). Orlando, FL: Psychological Corporation.

    Google Scholar 

  • Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.

    Article  Google Scholar 

  • Brantley, P., Waggoner, C., Jones, G., & Rappaport, N. (1987). A daily stress inventory: Development, reliability, and validity. Journal of Behavioral Medicine, 10, 61–74.

    Article  PubMed  Google Scholar 

  • Bromberger, J. T., Assmann, S. F., Avis, N. E., Schocken, M., Kravitz, H. M., & Cordal, A. (2003). Persistent mood symptoms in a multiethnic community cohort of pre- and perimenopausal women. American Journal of Epidemiology, 158, 347–356.

    Article  PubMed  Google Scholar 

  • Bromberger, J. T., & Matthews, K. A. (1996). A longitudinal study of the effects of pessimism, trait anxiety, and life stress on depressive symptoms in middle-aged women. Psychology and Aging, 11, 207–213.

    Article  PubMed  Google Scholar 

  • Bromberger, J. T., Meyer, P. M., Kravitz, H. M., Sommer, B., Cordal, A., Powell, L., et al. (2001). Psychologic distress and natural menopause: a multiethnic community study. American Journal of Public Health, 91, 1435–1442.

    Article  PubMed  Google Scholar 

  • Carpenter, J. S., Andrykowski, M. A., Freedman, R. R., & Munn, R. (1999). Feasibility and psychometrics of an ambulatory hot flash monitoring device. Menopause, 6, 209–215.

    PubMed  Google Scholar 

  • Carpenter, J. S., Gautam, S., Freedman, R. R., & Andrykowski, M. (2001). Circadian rhythm of objectively recorded hot flashes in postmenopausal breast cancer survivors. Menopause, 8, 181–188.

    Article  PubMed  Google Scholar 

  • Collins, A., & Landgren, B. M. (1994). Reproductive health, use of estrogen and experience of symptoms in perimenopausal women: a population-based study. Maturitas, 20, 101–111.

    Article  PubMed  Google Scholar 

  • Craig, K. D. (1994). Emotional Aspects of Pain. In P. D. Wall & R. Melzack (Eds.), Textbook of pain (pp. 261–274). New York: Edinburgh.

    Google Scholar 

  • Dennerstein, L., Dudley, E. C., Hopper, J. L., Guthrie, J. R., & Burger, H. G. (2000). A prospective population-based study of menopausal symptoms. Obstetrics and Gynecology, 96, 351–358.

    Article  PubMed  Google Scholar 

  • Dennerstein, L., Smith, A. M., Morse, C., Burger, H., Green, A., Hopper, J., et al. (1993). Menopausal symptoms in Australian women. The Medical Journal of Australia, 159, 232–236.

    PubMed  Google Scholar 

  • Erlik, Y., Tataryn, I. V., Meldrum, D. R., Lomax, P., Bajorek, J. G., & Judd, H. L. (1981). Association of waking episodes with menopausal hot flushes. Journal of the American Medical Association, 245, 1741–1744.

    Article  PubMed  Google Scholar 

  • Freedman, R. R. (1989). Laboratory and ambulatory monitoring of menopausal hot flashes. Psychophysiology, 26, 573–579.

    Article  PubMed  Google Scholar 

  • Freedman, R. R., & Roehrs, T. A. (2004). Lack of sleep disturbance from menopausal hot flashes. Fertility and Sterility, 82, 138–144.

    Article  PubMed  Google Scholar 

  • Gath, D. (1998). The assessment of depression in peri-menopausal women. Maturitas, 29, 33–39.

    Article  PubMed  Google Scholar 

  • Gold, E. B., Sternfeld, B., Kelsey, J. L., Brown, C., Mouton, C., Reame, N., et al. (2000). Relation of demographic and lifestyle factors to symptoms in a multi-racial/ethnic population of women 40-55 years of age. American Journal of Epidemiology, 152, 463–473.

    Article  PubMed  Google Scholar 

  • Hollander, L. E., Freeman, E. W., Sammel, M. D., Berlin, J. A., Grisso, J. A., & Battistini, M. (2001). Sleep quality, estradiol levels, and behavioral factors in late reproductive age women. Obstetrics and Gynecology, 98, 391–397.

    Article  PubMed  Google Scholar 

  • Hunter, M. S. (1990). Psychological and somatic experience of the menopause: A prospective study [corrected]. Psychosomatic Medicine, 52, 357–367.

    PubMed  Google Scholar 

  • Kaufert, P. A., Gilbert, P., & Tate, R. (1992). The Manitoba Project: A re-examination of the link between menopause and depression. Maturitas, 14, 143–155.

    Article  PubMed  Google Scholar 

  • Kravitz, H. M., Ganz, P. A., Bromberger, J., Powell, L. H., Sutton-Tyrrell, K., & Meyer, P. M. (2003). Sleep difficulty in women at midlife: a community survey of sleep and the menopausal transition. Menopause, 10, 19–28.

    PubMed  Google Scholar 

  • Kronenberg, F. (1990). Hot flashes: Epidemiology and physiology. Annals of the New York Academy of Sciences, 592, 52–86, 123-133.

    Article  PubMed  Google Scholar 

  • Kuh, D. L., Wadsworth, M., & Hardy, R. (1997). Women’s health in midlife: The influence of the menopause, social factors and health in earlier life. British Journal of Obstetrics and Gynaecology, 104, 923–933.

    PubMed  Google Scholar 

  • Ledesert, B., Ringa, V., & Breart, G. (1994). Menopause and perceived health status among the women of the French GAZEL cohort. Maturitas, 20, 113–120.

    Article  PubMed  Google Scholar 

  • McKinlay, J. B., McKinlay, S. M., & Brambilla, D. (1987). The relative contributions of endocrine changes and social circumstances to depression in mid-aged women. Journal of Health and Social Behavior, 28, 345–363.

    Article  PubMed  Google Scholar 

  • McKinlay, S. M., Brambilla, D. J., & Posner, J. G. (1992). The normal menopause transition. Maturitas, 14, 103–115.

    Article  PubMed  Google Scholar 

  • Mitchell, E. S., & Woods, N. F. (1996). Symptom experiences of midlife women: Observations from the Seattle Midlife Women’s Health Study. Maturitas, 25, 1–10.

    Article  PubMed  Google Scholar 

  • Moe, K. E. (1999). Reproductive hormones, aging, and sleep. Seminars in Reproductive Endocrinology, 17, 339–348.

    PubMed  Google Scholar 

  • Neugarten, B. L., & Kraines, R. J., (1965). “Menopausal Symptoms” in Women of Various Ages. Psychosomatic Medicine, 27, 266–273.

    PubMed  Google Scholar 

  • Owens, J. F., & Matthews, K. A. (1998). Sleep disturbance in healthy middle-aged women. Maturitas, 30, 41–50.

    Article  PubMed  Google Scholar 

  • Polo-Kantola, P., Erkkola, R., Irjala, K., Helenius, H., Pullinen, S., & Polo, O. (1999). Climacteric symptoms and sleep quality. Obstetrics and Gynecology, 94, 219–224.

    Article  PubMed  Google Scholar 

  • Shaver, J. L., Johnston, S. K., Lentz, M. J., & Landis, C. A. (2002). Stress exposure, psychological distress, and physiological stress activation in midlife women with insomnia. Psychosomatic Medicine, 64, 793–802.

    Article  PubMed  Google Scholar 

  • Spielberger, C. D. (1983). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.

    Google Scholar 

  • Thurston, R. C., Blumenthal, J. A., Babyak, M. A., & Sherwood, A. (2005). Emotional antecedents of hot flashes during daily life. Psychosomatic Medicine, 67, 137–146.

    Article  PubMed  Google Scholar 

  • van Diest, R. (1990). Subjective sleep characteristics as coronary risk factors, their association with Type A behaviour and vital exhaustion. Journal of Psychosomatic Research, 34, 415–426.

    Article  PubMed  Google Scholar 

  • van Diest, R., & Snel, J. (1990). The Sleep Wake Experience List. In J. A. Home (Ed.), Sleep ‘90: Proceedings of the 10th European Congress on Sleep Research, Strasbourg (France), May 20-25. Bochum, Germany: Pontenagel Press.

    Google Scholar 

  • Woods, N. F., & Mitchell, E. S. (1997). Pathways to depressed mood for midlife women: Observations from the Seattle Midlife Women’s Health Study. Research in Nursing & Health, 20, 119–129.

    Article  Google Scholar 

  • Woodward, S., & Freedman, R. R. (1994). The thermoregulatory effects of menopausal hot flashes on sleep. Sleep, 17, 497–501.

    PubMed  Google Scholar 

  • Young, T., Rabago, D., Zgierska, A., Austin, D., & Laurel, F. (2003). Objective and subjective sleep quality in premenopausal, perimenopausal, and postmenopausal women in the Wisconsin Sleep Cohort Study. Sleep, 26, 667–672.

    PubMed  Google Scholar 

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Correspondence to Rebecca C. Thurston.

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Thurston, R.C., Blumenthal, J.A., Babyak, M.A. et al. Association between hot flashes, sleep complaints, and psychological functioning among healthy menopausal women. Int. J. Behav. Med. 13, 163–172 (2006). https://doi.org/10.1207/s15327558ijbm1302_8

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