Investigation of the relationship between hot flashes, sweating and sleep quality in perimenopausal and postmenopausal women: the mediating effect of anxiety and depression

Background To investigate the relationship between sweating from hot flashes, anxiety, depression, and sleep quality in peri- and postmenopausal women. And also the role of anxiety and depression in mediating sweating from hot flashes and sleep quality. Methods 467 women aged 40-60 years with menopa...

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Bibliographic Details
Published in:BMC women's health 2021-08, Vol.21 (1), p.1-293, Article 293
Main Authors: Zhou, Qian, Wang, Baisong, Hua, Qi, Jin, Qin, Xie, Jun, Ma, Jing, Jin, Furui
Format: Article
Language:English
Subjects:
Anxiety
Cardiovascular disease
Care and treatment
Childrens health
Complications and side effects
Correlation analysis
Demographic aspects
Depression
Depression, Mental
Diabetes
Estrogens
Hospitals
Hot flash
Hypertension
Insomnia
Investigations
Menopause
Menstruation
Mental depression
Psychological aspects
Quality standards
Risk factors
Sleep
Sleep disorders
Sleep quality
Standard deviation
Standard scores
Sweating
Womens health
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Summary:Background To investigate the relationship between sweating from hot flashes, anxiety, depression, and sleep quality in peri- and postmenopausal women. And also the role of anxiety and depression in mediating sweating from hot flashes and sleep quality. Methods 467 women aged 40-60 years with menopausal problems were enrolled. The sleep quality; hot flashes; sweating; anxiety and depression symptoms were quantitatively evaluated by Pittsburgh Sleep Quality Scale (PSQI), Kupperman Menopause Index, Self-rating Anxiety Scale and Self-rating Depression Scale. Spearman correlation analysis and mediating effect model were used to analyze the relationship between the three. Results 262 patients' PSQI score were higher than 6 (58.2%). Total scores of sleep quality were positively correlated with hot flashes, sweating and anxiety and depression symptoms. Anxiety and depression played a mediating role between hot flashes, sweating and sleep quality where the mediating effect of anxiety symptoms accounted for 17.86% (P < 0.01) and depression symptoms accounted for 5.36% (P < 0.01). Conclusions The hot flashes, sweating, anxiety and depression of peri/postmenopausal women are risk factors affecting sleep quality. By alleviating these risk factors, the sleep quality of peri- and postmenopausal women could be improved, which prevents the physical and mental diseases due to long-term severe insomnia. Keywords: Menopause, Hot flash, Sleep quality, Anxiety, Depression
ISSN:1472-6874
1472-6874
DOI:10.1186/s12905-021-01433-y