Thurston Rebecca C, Blumenthal James A, Babyak Michael A, Sherwood Andrew
Duke University Medical Center, Department of Psychiatry and Behavioral Sciences, Durham, North Carolina, USA.
Int J Behav Med. 2006;13(2):163-72. doi: 10.1207/s15327558ijbm1302_8.
Self-report data suggest that sleep hot flashes among menopausal women are associated with sleep problems and in turn impaired psychological functioning. However, few studies have examined these relations with physiologic hot flash measures. A total of 41 perimenopausal and postmenopausal women with daily hot flashes underwent nighttime sternal skin conductance monitoring to quantify hot flashes. Participants completed sleep diaries; the Sleep-Wake Experience List (van Diest, 1990); and depression, anxiety, and daily stress measures. Participants experienced a median of 2 physiologically monitored and 1 reported sleep hot flash nightly. Although sleep complaints were significantly and positively associated with psychological functioning, neither sleep complaints nor psychological functioning was significantly related to frequency of physiologically monitored sleep hot flashes. Conversely, results indicate an association between reported sleep hot flashes and acute sleep problems. The frequency of physiologically monitored sleep hot flashes, as opposed to reported sleep hot flashes, may be independent of problems with sleep and mood among menopausal women.
自我报告数据表明，更年期女性的睡眠潮热与睡眠问题相关，进而损害心理功能。然而，很少有研究使用生理潮热测量方法来检验这些关系。共有41名每天有潮热症状的围绝经期和绝经后女性接受了夜间胸骨皮肤电导监测以量化潮热。参与者完成了睡眠日记、《睡眠-觉醒体验清单》（范·迪斯特，1990年）以及抑郁、焦虑和日常压力测量。参与者每晚经历的经生理监测的睡眠潮热中位数为2次，自我报告的睡眠潮热为1次。尽管睡眠问题与心理功能显著正相关，但睡眠问题和心理功能与经生理监测的睡眠潮热频率均无显著关联。相反，结果表明自我报告的睡眠潮热与急性睡眠问题之间存在关联。与自我报告的睡眠潮热不同，经生理监测的睡眠潮热频率可能与更年期女性的睡眠和情绪问题无关。
