Download CHAPTER 10: Women`s Sleep Throughout the Lifespan

yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project

Document related concepts

Women's medicine in antiquity wikipedia , lookup

Fetal origins hypothesis wikipedia , lookup

Menstrual cycle wikipedia , lookup

Maternal physiological changes in pregnancy wikipedia , lookup

Menstruation wikipedia , lookup

Sleep deprivation wikipedia , lookup

Start School Later movement wikipedia , lookup

Women’s Sleep Throughout
the Lifespan
• Sleep is essential for health and well-being.
• Consequences of acute and chronic sleep
deprivation can be severe, ranging from
impaired daytime functioning to compromised
physical and emotional health.
• Sleep Primer
– REM and non-REM sleep alternate throughout the
– Average sleep cycle lasts between 90 and 110
– Average sleep need for adults is about 8 hours per
Sleep and the Menstrual Cycle
• Subjective and Objective Sleep Changes
– Sleep disruption may coincide with menstrual
• PMS, Premenstrual Dysphoric Disorder
(PMDD), Dysmenorrhea
– Sleep disruption and lower sleep quality have
been associated with these conditions.
Sleep and the Menstrual Cycle
• Treatments to Alleviate Premenstrual Sleep
– NSAIDs or antidepressants
– Napping (<30 minutes)
– Evening bright light therapy
– Partial and total sleep deprivation
• Oral Contraceptives (OCs) and Sleep
– Sleep architecture of women taking OCs appears
to differ from that of naturally ovulating women.
Sleep During Pregnancy
and Postpartum
• Sleep disturbances during pregnancy can be
due to:
– Changes in hormones
– Physical symptoms (nausea, backaches, increased
frequency of urination)
– Breathing difficulty, shortness of breath
– Leg cramps, restless leg syndrome
Sleep During Pregnancy
and Postpartum
• Sleep disturbances during postpartum period
can be due to:
– Hormonal fluctuations
– Infant care
– Breastfeeding
– Bed-sharing
Sleep During Pregnancy
and Postpartum
• Sleep Strategies for Expecting and New
– Medication (but be aware of harmful side effects)
– Prolonging hospital stay
– Attempting to sleep when baby sleeps
– Mindfulness approaches
– Dietary recommendations
– Continuous positive airway pressure (CPAP)
therapy for women with sleep apnea
Sleep and Menopause
• Insomnia is one of the foremost complaints of
peri- and postmenopausal women.
• Important factors to consider:
– Hormonal changes
– Hot flashes
– Role of cognitions
– Circadian changes
Mood and Sleep
• Depressed mood and psychological distress
are significant predictors of sleep disturbance.
Sleep and Aging
• Several factors may predispose aging women
to sleep disorders:
– Sleep architecture and circadian rhythms
– Sleep disorders and their correlates
– Polypharmacy
Sleep Challenges
• Shift work
• Chronic insomnia
• Obstructive sleep apnea
Future Directions
• Future research should address the independent
contributions of circadian, hormonal, and
psychosocial factors and their interaction.
• Socioeconmic status (SES), employment status,
and racial and ethnic identity have been relatively
• Translational research is needed to determine
efficient ways to disseminate sleep knowledge
across diverse populations of women.