睡眠与经前综合征
Sleep and Premenstrual Syndrome.
作者信息
Jehan Shazia, Auguste Evan, Hussain Mahjabeen, Pandi-Perumal Seithikurippu R, Brzezinski Amon, Gupta Ravi, Attarian Hrayr, Jean-Louis Giradin, McFarlane Samy I
机构信息
Department of Population Health, Center for Healthful Behavior Change, Division of Health and Behavior, New York University School of Medicine, USA.
Somnogen Canada Inc., Canada.
出版信息
J Sleep Med Disord. 2016;3(5). Epub 2016 Aug 3.
Abstract
The etiology of premenstrual syndrome (PMS) is unknown; it may be due to the normal effect of hormones during the menstrual cycle as it occurs in the late luteal phase of the menstrual cycle.PMS affects women of childbearing age and remits with the onset of menstruation. The menstrual phase is known to influence stage 2 and REM sleep in women, irrespective of premenstrual dysphoric disorder (PMDD). Women with PMDD showed a decreased response to melatonin in their luteal phase as compared to the follicular phase of the menstrual cycle. However, melatonin duration or timing of offset in the morning has not been reported to correlate with the mood. Rather, improvement in mood-related symptoms of PMDD has been found to be influenced by sleep deprivation, be it sleep restrictions in early or late night. Sleep disturbance and decreased melatonin secretions due to hormonal fluctuations during the luteal phase of the menstrual cycle could explain the sleep complaints of PMDD.
摘要
经前综合征（PMS）的病因尚不清楚；它可能是由于月经周期中激素的正常作用，因为它发生在月经周期的黄体后期。经前综合征影响育龄妇女，并在月经开始时缓解。已知月经阶段会影响女性的第二阶段睡眠和快速眼动睡眠，无论是否患有经前烦躁障碍（PMDD）。与月经周期的卵泡期相比，患有经前烦躁障碍的女性在黄体期对褪黑素的反应降低。然而，尚未有报道称褪黑素的持续时间或早晨的消退时间与情绪相关。相反，已发现经前烦躁障碍与情绪相关症状的改善受睡眠剥夺的影响，无论是清晨还是深夜的睡眠限制。月经周期黄体期激素波动导致的睡眠障碍和褪黑素分泌减少可以解释经前烦躁障碍的睡眠问题。
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