Alexander Jeanne Leventhal, Neylan Thomas, Kotz Krista, Dennerstein Lorraine, Richardson Gregg, Rosenbaum Robert
Kaiser Permanente Northern California, Oakland, CA, USA.
Expert Rev Neurother. 2007 Nov;7(11 Suppl):S139-55. doi: 10.1586/14737175.7.11s.S139.
Studies and treatments for the symptomatic menopausal woman with sleep complaints have been reviewed elsewhere. This article, as part of the clinical review series on the comorbid symptomatic menopausal woman, aims to examine the evidence for diagnosis and treatment of women who present with distressing sleep symptoms that they attribute to menopause. The etiology of these symptoms may be a psychiatric disorder, a pre- or co-existing problem with sleep, or a dynamic interaction among one of these and/or a symptomatic menopause. The relationship between sleep disturbance and cognitive complaints, mood problems, fatigue and low energy will be reviewed. The new research on sleep, clinical consequences of insomnia of various types, the impact of sleep disturbance on morbidity and functioning--in the context of the midlife woman in the menopausal transition--will be explored along with the evidence for different treatment strategies for these sleep problems.
针对有睡眠问题的有症状更年期女性的研究和治疗，在其他地方已有综述。本文作为关于有共病的有症状更年期女性的临床综述系列的一部分，旨在研究那些自述因更年期而出现令人苦恼的睡眠症状的女性的诊断和治疗依据。这些症状的病因可能是精神障碍、睡眠方面的既往或并存问题，或者是其中之一与有症状的更年期之间的动态相互作用。将对睡眠障碍与认知主诉、情绪问题、疲劳和精力不足之间的关系进行综述。还将探讨关于睡眠的新研究、各类失眠的临床后果、睡眠障碍对发病率和功能的影响——在处于更年期过渡阶段的中年女性这一背景下——以及针对这些睡眠问题的不同治疗策略的依据。
