Melbourne School of Psychological Sciences, University of Melbourne, Grattan Street, Parkville, VIC 3010, Australia.
Melbourne School of Psychological Sciences, University of Melbourne, Grattan Street, Parkville, VIC 3010, Australia; North Eastern Rehabilitation Centre, Healthscope Hospitals, 134 Ford Street, Ivanhoe, VIC 3079, Australia; Academic Research Collaborative in Health, La Trobe University, Plenty Road, Bundoora, VIC 3086, Australia.
Maturitas. 2023 Jun;172:39-45. doi: 10.1016/j.maturitas.2023.04.003. Epub 2023 Apr 12.
With poor sleep highly prevalent during the menopause transition, there is a need to better understand modifiable psychological resources that may be associated with improved sleep. Hence, we investigated whether self-compassion can explain variance in self-reported sleep quality in midlife women, over and above vasomotor symptoms.
This cross-sectional study (N = 274) used questionnaire data from self-report measures of sleep, hot flushes and night sweats, hot flush interference, and self-compassion, with analyses conducted using sequential (hierarchical) regression.
Poor sleep, as measured by the Pittsburgh Sleep Quality Index, was prevalent and significantly worse in the subsample of women with hot flushes and night sweats, g = 0.28, 95 % CI [0.04, 0.53]. The interference of hot flushes in everyday life (β = 0.35, p < .01), but not their frequency, predicted self-reported sleep quality. Once self-compassion was added to the model it was the only predictor of poor sleep (β = -0.32, p < .01). When positive self-compassion and self-coldness were considered separately, the effect on sleep quality appeared to be attributable to self-coldness scores alone (β = 0.29, p < .05).
Self-compassion may have a stronger relationship with self-reported sleep quality in midlife women than vasomotor symptoms. Future intervention-based research could test the efficacy of self-compassion training for midlife women experiencing sleep disturbances, as this may be an important and modifiable psychological resilience factor.
在更年期过渡期间，睡眠质量普遍较差，因此需要更好地了解可能与改善睡眠相关的可改变的心理资源。因此，我们调查了自我同情是否可以解释中年女性自我报告的睡眠质量的差异，超过了血管舒缩症状。
这项横断面研究（N=274）使用了来自睡眠、热潮红和盗汗、热潮红干扰以及自我同情的自我报告测量的问卷数据，分析采用了顺序（分层）回归。
匹兹堡睡眠质量指数（PSQI）测量的睡眠质量较差，且在有热潮红和盗汗的女性亚组中明显更差，g=0.28，95%CI[0.04,0.53]。热潮红对日常生活的干扰（β=0.35，p<.01），而不是其频率，预测了自我报告的睡眠质量。一旦将自我同情纳入模型，它就是睡眠质量差的唯一预测因素（β=-0.32，p<.01）。当分别考虑积极的自我同情和自我冷漠时，对睡眠质量的影响似乎归因于自我冷漠得分（β=0.29，p<.05）。
自我同情与中年女性自我报告的睡眠质量的关系可能比血管舒缩症状更强。基于未来干预的研究可以测试针对经历睡眠障碍的中年女性的自我同情训练的效果，因为这可能是一个重要的和可改变的心理弹性因素。
