Schlafstörungen im Klimakterium

Tilmann Müller

doi:10.1055/s-0038-1626053

Schlaf, Inhaltsverzeichnis

Schlaf 2013; 2(02): 83-88
DOI: 10.1055/s-0038-1626053

REVIEW Schlaf & Klimakterium

Schattauer GmbH

Schlafstörungen im Klimakterium

Tilmann Müller

Abstract

Jede zwei Frau erlebt im Lebensabschnitt des Klimakteriums Symptome wie Ein- oder Durchschlaf störungen und unerholsamen Nachtschlaf. Ursächlich wird zumeist eine Störung der Schlafkontinuität durch die typischen Klimakteriumsbeschwerden wie nächtliche Hitzewallungen und Schweißausbrüche angenommen. Die genauere Sichtung der empirischen Studien zeigt jedoch, dass dieses einfache Kausalmodell zu kurz greift und von einer Vielzahl anderer relevanter Einflussgrößen überlagert wird.

Volltext

Referenzen

Literatur
1 Ortmann O. Klinik der Perimenopause, der Postmenopause und des Seniums. In: Leidenberger FA, Strowitzki T, Ortmann O. (Hrsg). Klinische Endokrinologie und Reproduktionsmedizin für Frauenärzte. Heidelberg: Springer Verlag; 2004.
2 Paul KN, Turek FW, Kryger MH. Influence of sex on sleep regulatory mechanisms. J Womens Health 2008; 17 (07) 1201-1208.
3 Wever RA. Properties of human sleep-wake-cycles. Parameters of internally synchronized free running rhythms. Sleep 1984; 7: 27-51.
4 Moline ML, Broch L, Zak R, Gross V. Sleep in women across the life cycle from adulthood through menopause. Sleep Med Rev 2003; 7 (02) 155-177.
5 Zhang B, Wing YK. Sex differences in insomnia: a meta-analysis. Sleep 2006; 29 (01) 85-93.
6 Hohagen F. et al. Prevalence and treatment of insomnia in general practice. A longitudinal study. Eur Arch Psychiatry Clin Neurosci 1993; 242 (06) 329-336.
7 Kravitz HM. et al. Sleep difficulty in women at midlife: a community survey of sleep and the menopausal transition. Menopause 2003; 10 (01) 19-28.
8 Ohayon MM. Severe hot flashes are associated with chronic insomnia. Arch Intern Med 2006; 166 (12) 1262-1268.
9 Kravitz HM. et al. Relationships between menopausal and mood symptoms and EEG sleep measures in a multi-ethnic sample of middle-aged women: the SWAN sleep study. Sleep 2011; 34 (09) 1221-1232.
10 Ellis JG. et al. The natural history of insomnia: focus on prevalence and incidence of acute insomnia. J Psychiatr Res 2012; 46 (10) 1278-1285.
11 Erlik Y. et al. Association of waking episodes with menopausal hot flushes. JAMA 1981; 245: 1741-1744.
12 Freedman RR, Roehrs TA. Menopausal sleep disturbance. Sleep 2003; 26 (Suppl): A161.
13 Antonijevic IA, Stalla GK, Steiger A. Modulation of the sleep electroencephalogram by estrogen replacement in postmenopausal women. Am J Obstet Gynecol 2000; 182: 277-282.
14 Woodward S, Freedman RR. The thermoregulatory effects of menopausal hot flashes on sleep. Sleep 1994; 17 (06) 497-501.
15 Sharkey KM. et al. Effects of menopausal status on sleep in midlife women. Behav Sleep Med 2003; 1: 69-80.
16 Shaver J. et al. Sleep patterns and stability in perimenopausal women. Sleep 1988; 11: 556-561.
17 Young T. et al. Objective and subjective sleep quality in premenopausal, perimenopausal, and postmenopausal women in the Wisconsin Sleep Cohort Study. Sleep 2003; 26: 667-672.
18 Polo-Kantola P. et al. Climacteric symptoms and sleep quality. Obstet Gynecol 1999; 94: 219-224.
19 Campbell IG. et al. Evaluation of the association of menopausal status with delta and beta EEG activity during sleep. Sleep 2011; 34 (11) 1561-1568.
20 Ameratunga D, Goldin J, Hickey M. Sleep disturbance in menopause. Intern Med J 2012; 42 (07) 742-747.
21 MacLennan AH. et al. Oral oestrogen and combined oestrogen/progestogen therapy versus placebo for hot flushes. Cochrane Database of Systematic Reviews. 2004 Issue 4.
22 Moe KE. Hot flashes and sleep in women. Sleep Med Rev 2004; 8 (06) 487-497.
23 Joffe H, Massler A, Sharkey KM. Evaluation and management of sleep disturbance during the menopause transition. Semin Reprod Med 2010; 28 (05) 404-421.
24 Mueck AO, Seeger H. Medikamentöse Therapiemöglichkeiten in der Menopause. Gynäkologische Endokrinologie 2011; 9: 151-157.
25 Pachman DR, Jones JM, Loprinzi CL. Management of menopause-associated vasomotor symptoms: Current treatment options, challenges and future directions. Int J Womens Health 2010; 2: 123-135.
26 Morin CM, Hauri PJ, Espie CA, Spielman AJ, Buysse DJ, Bootzin RR. Nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine Review. Sleep 199 22 (08) 1134-1156.
27 Savard J, Simard S, Ivers H, Morin CM. Randomized study on the efficacy of cognitive-behavioral therapy for insomnia secondary to breast cancer, part I: Sleep and psychological effects. J Clin Oncol 2005; 23 (25) 6083-6096.