NURSING STUDY OF PERIMENOPAUSAL INSOMNIA

据说，失眠或睡眠不好会影响15-30%的普通人， 人口和主要是中年妇女，导致大量使用， 滥用催眠药 睡眠不足会损害白天的功能，可能是一种 一些精神疾病的早期迹象，并有助于心血管疾病 疾病和过早死亡。 客观睡眠模式的研究 失眠症患者的研究表明，有些人有明确的睡眠变化， 其他人则不这样做，而是在短时间内以不自然的方式进行评估。 环境（实验室）可能会导致错误的假设， 或表现出的失眠类型。 过度的压力激发和学习 与良好睡眠不相容的行为被认为是主要的 导致失眠的因素 初步研究表明， 失眠妇女有和没有客观的睡眠障碍，基于一个 夜间评估有较高的心理困扰和证据， 睡眠好的女性身体压力更大。 成品 对一般压力唤醒和对挑战的压力反应的评估 提出了与客观睡眠模式有关的情况。 支持性 结果将指导治疗处方并揭示评估 基于压力反应的指标。 本提案的具体目标 是：1）验证失眠亚型与客观睡眠和无 通过在家长时间监测干扰，2）测试阴性 环境条件作为失眠的一个促成因素，3）比较 失眠亚型的压力反应指标，4）检查 压力反应指标、心理困扰、 压力暴露和应对策略是失眠的促成因素 客观睡眠障碍，5）开始测试2种疗法 为两种失眠症的亚型量身定制 这项研究的目的是评估客观的睡眠模式超过6 晚上在家，确定消除女性失眠的效果， 实验室一夜睡眠，并评估一般压力唤醒 和对实验室应力应用的反应作为确定 亚型 初步测试2疗法失眠，环境 条件反射和压力自我管理，适用于基于 将进行评估。

Insomnia or poor sleep is said to affect from 15-30% of the general population and predominantly midlife women, leading to substantial use and misuse of hypnotics. Inadequate sleep impairs daytime function, may be an early sign of some psychiatric disorders, and contributes to cardiovascular disease and premature mortality. Studies of the objective sleep patterns of insomniacs have shown that some people have definite sleep changes and others do not but assessment over short times and in an unnatural environment (the laboratory) may lead to false assumptions about the extent or type of insomnia exhibited. Excessive stress arousal and learned behaviors incompatible with good sleep are believed to be major contributing factors to insomnia. Preliminary studies have shown that insomniac women with and without objective sleep disturbances based on one night of assessment have higher psychological distress and evidence of somatic stress arousal than women who are good sleepers. Refined assessment of general stress arousal and stress reactivity to a challenge situation in relation to objective sleep patterns is proposed. Supportive results would guide therapeutic prescriptions and reveal assessment indicators based on stress responses. The specific aims of this proposal are to: 1) validate insomnia subtypes with and without objective sleep disturbances by monitoring over longer times at home, 2) test for negative environmental conditioning as a contributing factor to insomnia, 3) compare insomnia subtypes on stress response indicators, 4) examine the relationships among stress response indicators, psychological distress, stress exposure, and coping strategies as contributing factors to insomnia with objective sleep disturbances, and 5) begin testing 2 therapies tailored for 2 of the subtypes of insomnia. The purposes of this study are to assess objective sleep patterns over 6 nights at home, determine the effect of removing women with insomnia to the laboratory for one night of sleep, and assess for general stress arousal and reaction to laboratory stress application as a basis of determining subtypes. A preliminary test of 2 therapies for insomnia, environmental conditioning and stress self-management, as applied to subtypes based on assessment will be done.