Centre for Study and Treatment of Circadian Rhythms, Department of Psychiatry, Douglas Mental Health University Institute, McGill University, Montreal, QC, Canada H4H 1R3.
Int J Endocrinol. 2010;2010:259345. doi: 10.1155/2010/259345. Epub 2010 Jan 18.
A relationship exists between the sleep-wake cycle and hormone secretion, which, in women, is further modulated by the menstrual cycle. This interaction can influence sleep across the menstrual cycle in healthy women and in women with premenstrual dysphoric disorder (PMDD), who experience specific alterations of circadian rhythms during their symptomatic luteal phase along with sleep disturbances during this time. This review will address the variation of sleep at different menstrual phases in healthy and PMDD women, as well as changes in circadian rhythms, with an emphasis on their relationship with female sex hormones. It will conclude with a brief discussion on nonpharmacological treatments of PMDD which use chronotherapeutic methods to realign circadian rhythms as a means of improving sleep and mood in these women.
睡眠-觉醒周期与激素分泌之间存在关联，而女性的激素分泌还受到月经周期的进一步调节。这种相互作用会影响整个月经周期中健康女性和经前烦躁障碍（PMDD）女性的睡眠，PMDD 患者在其有症状的黄体期会出现特定的昼夜节律改变，同时在此期间还会出现睡眠障碍。本综述将讨论健康女性和 PMDD 女性在不同月经阶段的睡眠变化，以及昼夜节律的变化，并重点讨论它们与女性性激素的关系。最后将简要讨论 PMDD 的非药物治疗方法，这些方法使用时间治疗学方法来调整昼夜节律，作为改善这些女性睡眠和情绪的手段。
