Sleep and Disorders of Sleep in Women, An Issue of Sleep Medicine Clinics (Volume 3-1) (The Clinics: Internal Medicine, Volume 3-1)

This valuable resource is devoted specifically to sleep disorders in women and explores the following topics: sleep and the menstrual cycle; circadian rhythms and shiftworking women; the impact of premenstrual syndrome (LLPDD) and dysmeonorrhoea on sleep; polycyctic ovary syndrome (PCOS) and obstructive sleep apnea; sleep disturbed by pain from endometriosis, fibromylagia, and irritable bowel syndrome (IBS); breast cancer and fatigue; sleep disruption during pregnancy; pregnancy and sleep-disordered breathing; socio-cultural considerations and sleep practices in the pediatric population; practical therapeutic options for women with insomnia; menopausal sleep disturbances; the circuitous route to diagnosing sleep disorders in women; and healthcare utilization and benefits of improved awareness for sleep disorders. Cover......Page 1 Foreword......Page 2 Preface......Page 4 The Menstrual Cycle Effects on Sleep......Page 6 Subjective effects of the menstrual cycle on sleep......Page 7 Menstrual, diurnal, and sleep-associated changes in body temperature......Page 8 Methods for investigating the temporal evolution of sleep, temperature, and heart rate......Page 9 Are progesterone and/or temperature associated with sleep and heart rate changes?......Page 11 Oral contraceptives and body temperature......Page 13 References......Page 14 Circadian Rhythms and Shift Working Women......Page 17 Circadian and sleep/wake disorganization in shift work......Page 18 Fertility, pregnancy, and fetal development......Page 19 Clock genes, peripheral circadian clocks, cancer development, and shift work......Page 20 Cardiovascular disease and smoking......Page 21 Psychological effects......Page 22 Summary......Page 23 References......Page 24 Definitions and etiology......Page 29 Sleep disturbances......Page 31 Daytime sleepiness and alertness......Page 33 Sleep deprivation studies......Page 34 Sleep disturbances......Page 35 Menstrual-associated sleep disorder......Page 36 References......Page 37 Polycystic ovary syndrome: definition and pathogenesis......Page 40 Metabolic and cardiovascular abnormalities in polycystic ovary syndrome......Page 41 Prevalence of obstructive sleep apnea in polycystic ovary syndrome......Page 42 Sex steroids......Page 43 Polycystic ovary syndrome and obstructive sleep apnea: insulin resistance, glucose intolerance, and type 2 diabetes mellitus......Page 44 References......Page 46 Prevalence and somatic functional features of fibromyalgia, irritable bowel, and chronic pelvic pain......Page 50 Subjective sleep in functional somatic syndromes......Page 51 Objective sleep in functional somatic syndromes......Page 52 Linking nonrestorative sleep patterns with pain......Page 54 The central processing component of pain......Page 55 Stress as context for pain hypersensitivity in fibromyalgia, irritable bowel, and chronic pelvic pain......Page 56 Physiologic stress activation......Page 57 Linking sleep, stress and inflammatory/immune activation......Page 58 Summary......Page 59 References......Page 60 Breast Cancer and Fatigue......Page 64 Assessment of fatigue......Page 65 Fatigue before treatment......Page 66 Underlying mechanisms of fatigue......Page 67 Sleep......Page 68 Inflammation......Page 69 Physical activity......Page 70 References......Page 71 Objective changes......Page 75 Subjective changes......Page 76 Factors contributing to changes in sleep......Page 77 The potential impact of insomnia during pregnancy......Page 78 Treatment of pregnancy-related sleep disruption......Page 79 References......Page 81 Gender differences in sleep-disordered breathing......Page 83 Prevalence of sleep-disordered breathing in women......Page 84 Progesterone and estrogen......Page 85 Snoring in pregnancy......Page 86 Prevalence of sleep-disordered breathing in pre-eclampsia......Page 87 Vascular responses to sleep-disordered breathing in pregnancy......Page 88 Sleep-disordered breathing and pre-eclampsia: the ischemic placenta......Page 89 Pre-eclampsia, sleep-disordered breathing, and hemodynamic control......Page 90 Sleep-induced hemodynamics in pre-eclampsia......Page 91 Maternal sleep-disordered breathing and fetal programming......Page 92 Identifying the pregnant patient who has obstructive sleep apnea......Page 93 References......Page 94 Socio-Cultural Considerations and Sleep Practices in the Pediatric Population......Page 98 Ontogeny of sleep......Page 99 Sleep problems in childhood: cross-cultural perspectives......Page 100 Cultural issues in sleep practices: differences and similarities......Page 101 Cosleeping......Page 102 Sleeping environment......Page 103 Sleep amounts......Page 104 Summary......Page 105 References......Page 106 Acknowledgments......Page 109 Perpetuating factors......Page 110 Nonbenzodiazepines......Page 111 Herbal therapies......Page 112 Relaxation-based interventions......Page 113 Evidence base for nonpharmacologic interventions......Page 114 Clinical considerations......Page 115 References......Page 116 Characteristics of the climacterium......Page 120 Female sex hormones and the brain......Page 121 Vasomotor symptoms......Page 122 The effect of hormone therapy on sleep......Page 123 Treatment of sleep disturbances during menopause......Page 124 Other sleep disorders during menopause......Page 125 Summary......Page 126 References......Page 127 The Circuitous Route to Diagnosing Sleep Disorders in Women: Health Care Utilization and Benefits of Improved Awareness for Sleep Disorders......Page 131 Health care use in obstructive sleep apnea syndrome......Page 132 Changes in health care use before treatment and after treatment......Page 133 Insomnia......Page 134 Gender differences of insomnia and health care use in women......Page 135 References......Page 136