College of Nursing, University of Iowa, Iowa city, USA.
College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, 567 Baekje-daero, Deokjin-gu, Jeonju-si, Jeollabuk-do, 54896, Republic of Korea.
BMC Womens Health. 2023 Sep 1;23(1):470. doi: 10.1186/s12905-023-02629-0.
Menstrual disturbances harm women's health, and general well-being. As growing evidence highlights the relationship between sleep and menstrual disturbances, it is imperative to comprehensively examine the association between sleep and menstrual disturbance considering the multiple dimensions of sleep. This systematic review aims to identify the association between sleep and menstrual disturbances by evaluating using Buysse's sleep health framework.
A comprehensive search of the literature was conducted in PubMed, EMBASE, psychINFO, and CINAHL to identify publications describing any types of menstrual disturbances, and their associations with sleep published between January 1, 1988 to June 2, 2022. Quality assessment was conducted using the Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross-Sectional Studies. The findings were iteratively evaluated menstrual disturbances and their association with sleep using Buysse's sleep health framework. This framework understands sleep as multidimensional concept and provides a holistic framing of sleep including Satisfaction, Alertness during waking hours, Timing of sleep, Efficiency, and Sleep duration. Menstrual disturbances were grouped into three categories: premenstrual syndrome, dysmenorrhea, and abnormal menstrual cycle/heavy bleeding during periods.
Thirty-five studies were reviewed to examine the association between sleep and menstrual disturbances. Premenstrual syndrome and dysmenorrhea were associated with sleep disturbances in sleep health domains of Satisfaction (e.g., poor sleep quality), Alertness during waking hours (e.g., daytime sleepiness), Efficiency (e.g., difficulty initiating/maintaining sleep), and Duration (e.g., short sleep duration). Abnormal menstrual cycle and heavy bleeding during the period were related to Satisfaction, Efficiency, and Duration. There were no studies which investigated the timing of sleep.
CONCLUSIONS/IMPLICATIONS: Sleep disturbances within most dimensions of the sleep health framework negatively impact on menstrual disturbances. Future research should longitudinally examine the effects of sleep disturbances in all dimensions of sleep health with the additional objective sleep measure on menstrual disturbances. This review gives insight in that it can be recommended to provide interventions for improving sleep disturbances in women with menstrual disturbance.
月经紊乱会损害女性的健康和整体幸福感。越来越多的证据强调了睡眠与月经紊乱之间的关系，因此，有必要综合考虑睡眠的多个维度，全面研究睡眠与月经紊乱之间的关系。本系统评价旨在通过评估 Buysse 的睡眠健康框架，确定睡眠与月经紊乱之间的关系。
系统检索了 PubMed、EMBASE、psychINFO 和 CINAHL 中的文献，以确定描述任何类型的月经紊乱及其与睡眠之间关系的文献，这些文献发表于 1988 年 1 月 1 日至 2022 年 6 月 2 日。使用 Joanna Briggs 研究所分析性横断面研究的批判性评价清单对文献进行质量评估。使用 Buysse 的睡眠健康框架，对研究结果进行迭代评估，以了解月经紊乱及其与睡眠的关系。该框架将睡眠理解为一个多维概念，为睡眠提供了一个整体框架，包括睡眠满意度、清醒时的警觉性、睡眠时间、睡眠效率和睡眠时间。月经紊乱分为三个类别：经前期综合征、痛经和月经周期异常/经期大出血。
共评价了 35 项研究，以探讨睡眠与月经紊乱之间的关系。经前期综合征和痛经与睡眠满意度（例如，睡眠质量差）、清醒时的警觉性（例如，白天嗜睡）、效率（例如，入睡困难/维持睡眠困难）和持续时间（例如，睡眠持续时间短）等睡眠健康领域的睡眠障碍有关。月经周期异常和经期大出血与睡眠满意度、效率和持续时间有关。没有研究调查睡眠的时间。
结论/意义：睡眠健康框架的大多数维度中的睡眠障碍都会对月经紊乱产生负面影响。未来的研究应纵向研究所有睡眠健康维度的睡眠障碍对月经紊乱的影响，并增加额外的客观睡眠测量。本综述提供了一些见解，建议为改善有月经紊乱的女性的睡眠障碍提供干预措施。
