Insomnia and sleep apnea in midlife women: prevalence and consequences to health and functioning.
Insomnia and sleep apnea in midlife women: prevalence and consequences to health and functioning.
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DOI：
10.12703/p7-63
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Nowakowski S
中科院分区：
文献类型：
--
作者：
Hall MH;Kline CE;Nowakowski S
睡眠障碍在绝经过渡期间很常见，对健康和功能有许多下游后果，包括生活质量下降，精神健康受损，以及身体健康发病率增加。失眠影响了大约50%的中年女性，其特征是夜间出现启动或维持睡眠困难的症状(或两者兼而有之)，白天出现损害职业、社会或其他功能成分的症状。此外，大约20%的中年妇女在更年期过渡期间会出现睡眠呼吸障碍。这篇评论总结了中年女性睡眠障碍的患病率、风险因素和治疗选择，特别关注失眠(失眠的认知行为疗法)和睡眠呼吸障碍(持续正压)的一线治疗，以及治疗中年女性睡眠障碍的独特考虑。并对未来的发展方向进行了讨论。
Sleep disturbance is common during the menopausal transition, with numerous downstream consequences to health and functioning, including reduced quality of life, impaired mental health, and increased physical health morbidity. Insomnia affects approximately 50% of midlife women and is characterized by nocturnal symptoms of difficulties initiating or maintaining sleep (or both) and daytime symptoms that impair occupational, social, or other components of functioning. In addition, approximately 20% of midlife women develop sleep-disordered breathing during the menopausal transition. This commentary summarizes the prevalence, risk factors, and treatment options for each of these sleep disorders in midlife women, with specific focus on first-line treatments for insomnia (cognitive behavioral therapy for insomnia) and sleep-disordered breathing (continuous positive airway pressure) and unique considerations for treating sleep disorders in midlife women. Future directions are also discussed.