The relationship of self-reported sleep disturbance, mood, and menopause in a community study.
OBJECTIVE
The aim of this study was to assess the relationship between sleep disturbance, mood, menopausal status, and vasomotor symptoms in middle-aged women in Kinmen.


METHODS
A community-based sample of 1,113 Taiwanese women aged 43 to 57 years who were living on the island of Kinmen were recruited in this cross-sectional study. Menopausal status was determined by menstrual history. Sleep quality was measured by self-reported sleep problems. Anxiety and depression were assessed by the Hospital Anxiety Depression Scale.


RESULTS
Forty-six percent of middle-aged women reported feeling dissatisfied with their sleep. Total sleep hours were not significantly different as a function of menopausal status. Generally, the occurrence of sleep problems or poor sleep quality was most prevalent in the postmenopausal group and least prevalent in premenopausal women. After analysis by multiple logistic regression, menopausal status was the independent factor of difficulty initiating sleep and sleep fragmentation. The Hospital Anxiety Depression Scale anxiety score was related to all sleep problems except for "excessive daytime sleepiness" and "awakening without further sleep."


CONCLUSIONS
Almost half of the Taiwanese middle-aged women felt dissatisfied with their sleep. Both menopausal status and higher anxiety score were associated with poor sleep quality of midlife women.
Cheng
Ming-Huei
MH
Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan.
Hsu
Chung-Yao
CY
Wang
Shuu-Jiun
SJ
Lee
Shin-Jung
SJ
Wang
Peng-Hui
PH
Fuh
Jong-Ling
JL
D000328:Adult; D001007:Anxiety / Q000453:epidemiology*; D015897:Comorbidity; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D016015:Logistic Models; D008593:Menopause; D008875:Middle Aged; D017698:Postmenopause; D017697:Premenopause; D012891:Sleep Apnea Syndromes / Q000453:epidemiology*; D007319:Sleep Initiation and Maintenance Disorders / Q000453:epidemiology; D013624:Taiwan / Q000453:epidemiology; D016387:Women's Health