PATTERNS OF SLEEP IMPAIRMENTS IN AN EPIDEMIOLOGICAL COHORT OF POSTMENOPAUSAL WOMEN IN PERUNDURAI
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 16
Abstract
BACKGROUND Menopause is cessation of menstruation for one year. Postmenopausal period is an important phase in women’s life, in which many psychophysical changes occur. Insomnia is an important issue commonly encountered in the clinical setting in this subset of women in the gynaecology OPD. Variety of sleep pattern changes occur in postmenopausal women. Many women complain of difficulty in initiating and maintaining sleep, frequent sleep fragmentation and early morning awakenings, vivid dreams and nonrestorative sleep. Other sleep disruptions commonly encountered include restless leg syndrome and obstructive sleep apnoea. Aims & Objectives-The aim of this study was to identify the patterns of sleep impairments in postmenopausal women. We obtained the data by interviewing 35 postmenopausal women who were presenting to the OPD. The women gave accounts of their difficulties with sleep. A variety of dimensions were identified using the rating scale. MATERIALS AND METHODS It is a cross-sectional study, hospital-based assessment conducted at the Department of Obstetrics and Gynaecology at IRT Perundurai Medical College. A total of 37 consecutive sampling of healthy postmenopausal participants who presented in the outpatient department were included in the study. All the 37 study participants filled out the Pittsburgh Sleep Quality Index (PSQI) providing data for statistical analysis. The age of participants ranged from 37 to 55 years. Women receiving hormonal treatment, having serious medical comorbidities such as thyroid disorders, cardiovascular disorders, diabetes mellitus, serious axis 1 psychiatric morbidity receiving treatment, hypertension and those who refused to participate were not included. PSQI was used to assess the sleep pattern in postmenopausal study population producing 7 components scores and one global score. RESULTS Among 70 women screened, 37 women fulfilled the inclusion and exclusion criteria. The average global score is 4.83, which very well segregates the sleep impairment in this subgroup. Age is positively correlated with global score and parity is negatively correlated with global score. Among the individual component score, daytime dysfunction positively correlates with age and negatively correlates with parity. CONCLUSION Sleep impairments were highly prevalent, often underdiagnosed with sleep quality index well below the normal.
Authors and Affiliations
Indira M, Kasikrishnaraja P
Keywords
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- EP ID EP414623
- DOI 10.14260/jemds/2018/440
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