Department of Psychiatry, University of Wisconsin, 6001 Research Park Boulevard, Madison, WI 53719, USA.
Department of Psychiatry and Behavioral Medicine, Wake Forest School of Medicine, 791 Jonestown Road, Winston-Salem, NC 27103, USA.
Psychiatr Clin North Am. 2023 Sep;46(3):527-537. doi: 10.1016/j.psc.2023.04.008. Epub 2023 May 27.
Women have increased risks for both sleep disturbances and disorders and for mental health issues throughout their lives, starting in adolescence. Women have a higher prevalence of insomnia disorder and restless legs syndrome (RLS) versus men, and obstructive sleep apnea (OSA) is more likely as women age. Hormonal transitions are important to consider in women's sleep. For women, insomnia, OSA, and RLS are predictive of depression, and insomnia and sleep-disordered breathing are predictive of Alzheimer disease. These findings underscore the importance of assessment, treatment, and future research examining sleep and mental health in women, given their unique and increased vulnerability.
女性在一生中都面临更高的睡眠障碍和精神健康问题风险,青春期开始时就已如此。与男性相比,女性更容易出现失眠障碍和不宁腿综合征(RLS),且随着年龄的增长,女性更容易出现阻塞性睡眠呼吸暂停(OSA)。在女性的睡眠中,激素变化是需要考虑的重要因素。对于女性而言,失眠、OSA 和 RLS 是抑郁的预测因素,而失眠和睡眠呼吸障碍是阿尔茨海默病的预测因素。鉴于女性的独特脆弱性及其风险增加,这些发现凸显了评估、治疗以及未来研究女性睡眠和精神健康的重要性。