Sexual function and distress in postmenopausal women with chronic insomnia: exploring the role of stress dysregulation

David A Kalmbach,1 Sheryl A Kingsberg,2 Thomas Roth,1 Philip Cheng,1 Cynthia Fellman-Couture,1 Christopher L Drake11Division of Sleep Medicine, Thomas Roth Sleep Disorders & Research Center, Henry Ford Health System, Detroit, MI, USA; 2Departments of Reproductive Biology and Psychiatry, Case...

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Autores principales:	Kalmbach DA, Kingsberg SA, Roth T, Cheng P, Fellman-Couture C, Drake CL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	menopause sexual function sexual distress sleep worry rumination Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/644d8da4c4d9404da166a332e636f20e
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spelling	oai:doaj.org-article:644d8da4c4d9404da166a332e636f20e2021-12-02T09:40:23ZSexual function and distress in postmenopausal women with chronic insomnia: exploring the role of stress dysregulation1179-1608https://doaj.org/article/644d8da4c4d9404da166a332e636f20e2019-08-01T00:00:00Zhttps://www.dovepress.com/sexual-function-and-distress-in-postmenopausal-women-with-chronic-inso-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608David A Kalmbach,1 Sheryl A Kingsberg,2 Thomas Roth,1 Philip Cheng,1 Cynthia Fellman-Couture,1 Christopher L Drake11Division of Sleep Medicine, Thomas Roth Sleep Disorders & Research Center, Henry Ford Health System, Detroit, MI, USA; 2Departments of Reproductive Biology and Psychiatry, Case Western Reserve University, Cleveland, OH, USACorrespondence: Christopher L Drake 39450 W 12 Mile Road, Novi, MI 48377, USATel +1 248 344 6672Fax +1 248 344 8084Email cdrake1@hfhs.orgObjective: Menopause triggers changes in sexual function and many women develop sexual problems. Insomnia is common in postmenopausal women, and disturbed sleep has been linked to poor sexual health. Thus, postmenopausal women with insomnia may be especially vulnerable to developing sexual difficulties. This study estimated rates of sexual distress in postmenopausal women with chronic insomnia and explored associations between various facets of sexual health, insomnia symptoms, and insomnia-related stress dysregulation.Design: Cross-sectional.Setting: Large multi-site health system in the US.Participants: 150 postmenopausal women diagnosed with DSM-5 chronic insomnia disorder (56.44±5.64 years) completed measures of sexual distress, sexual function, hot flashes, insomnia symptoms, depression, and stress dysregulation in the forms of cognitive-emotional arousal (worry, rumination), sleep reactivity, and somatic hyperarousal.Results: Nearly half of the sample endorsed clinically significant sexual distress (46.9%). Insomnia symptoms were largely associated with poor sexual arousal, orgasmic dysfunction, sexual distress, and sexual dissatisfaction. Insomnia-related stress dysregulation was similarly associated with these facets of sexual health but was also linked to problems with low desire and greater vaginal pain during sex. Hot flashes and depression were negatively associated with sexual health.Conclusion: Postmenopausal women with chronic insomnia endorse high rates of sexual distress. Although compromised sexual function appears directly related to poor sleep itself, our data suggest that stress dysregulation may play vital role in sexual problems endorsed by postmenopausal insomniacs, particularly regarding low desire and vaginal pain. Prospective research is needed to characterize the evolution of these co-occurring symptoms.Keywords: menopause, sexual function, sexual distress, sleep, worry, ruminationKalmbach DAKingsberg SARoth TCheng PFellman-Couture CDrake CLDove Medical Pressarticlemenopausesexual functionsexual distresssleepworryruminationPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 11, Pp 141-153 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	menopause sexual function sexual distress sleep worry rumination Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	menopause sexual function sexual distress sleep worry rumination Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Kalmbach DA Kingsberg SA Roth T Cheng P Fellman-Couture C Drake CL Sexual function and distress in postmenopausal women with chronic insomnia: exploring the role of stress dysregulation
description	David A Kalmbach,1 Sheryl A Kingsberg,2 Thomas Roth,1 Philip Cheng,1 Cynthia Fellman-Couture,1 Christopher L Drake11Division of Sleep Medicine, Thomas Roth Sleep Disorders & Research Center, Henry Ford Health System, Detroit, MI, USA; 2Departments of Reproductive Biology and Psychiatry, Case Western Reserve University, Cleveland, OH, USACorrespondence: Christopher L Drake 39450 W 12 Mile Road, Novi, MI 48377, USATel +1 248 344 6672Fax +1 248 344 8084Email cdrake1@hfhs.orgObjective: Menopause triggers changes in sexual function and many women develop sexual problems. Insomnia is common in postmenopausal women, and disturbed sleep has been linked to poor sexual health. Thus, postmenopausal women with insomnia may be especially vulnerable to developing sexual difficulties. This study estimated rates of sexual distress in postmenopausal women with chronic insomnia and explored associations between various facets of sexual health, insomnia symptoms, and insomnia-related stress dysregulation.Design: Cross-sectional.Setting: Large multi-site health system in the US.Participants: 150 postmenopausal women diagnosed with DSM-5 chronic insomnia disorder (56.44±5.64 years) completed measures of sexual distress, sexual function, hot flashes, insomnia symptoms, depression, and stress dysregulation in the forms of cognitive-emotional arousal (worry, rumination), sleep reactivity, and somatic hyperarousal.Results: Nearly half of the sample endorsed clinically significant sexual distress (46.9%). Insomnia symptoms were largely associated with poor sexual arousal, orgasmic dysfunction, sexual distress, and sexual dissatisfaction. Insomnia-related stress dysregulation was similarly associated with these facets of sexual health but was also linked to problems with low desire and greater vaginal pain during sex. Hot flashes and depression were negatively associated with sexual health.Conclusion: Postmenopausal women with chronic insomnia endorse high rates of sexual distress. Although compromised sexual function appears directly related to poor sleep itself, our data suggest that stress dysregulation may play vital role in sexual problems endorsed by postmenopausal insomniacs, particularly regarding low desire and vaginal pain. Prospective research is needed to characterize the evolution of these co-occurring symptoms.Keywords: menopause, sexual function, sexual distress, sleep, worry, rumination
format	article
author	Kalmbach DA Kingsberg SA Roth T Cheng P Fellman-Couture C Drake CL
author_facet	Kalmbach DA Kingsberg SA Roth T Cheng P Fellman-Couture C Drake CL
author_sort	Kalmbach DA
title	Sexual function and distress in postmenopausal women with chronic insomnia: exploring the role of stress dysregulation
title_short	Sexual function and distress in postmenopausal women with chronic insomnia: exploring the role of stress dysregulation
title_full	Sexual function and distress in postmenopausal women with chronic insomnia: exploring the role of stress dysregulation
title_fullStr	Sexual function and distress in postmenopausal women with chronic insomnia: exploring the role of stress dysregulation
title_full_unstemmed	Sexual function and distress in postmenopausal women with chronic insomnia: exploring the role of stress dysregulation
title_sort	sexual function and distress in postmenopausal women with chronic insomnia: exploring the role of stress dysregulation
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/644d8da4c4d9404da166a332e636f20e
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Sexual function and distress in postmenopausal women with chronic insomnia: exploring the role of stress dysregulation

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