The Prevalence and Associated Factors of Sleep Disturbance in Menopause at Menopause Clinic, King Chulalongkorn Memorial Hospital
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Abstract
Objective: This study aimed to evaluate the prevalence of insomnia at a Menopause clinic in a tertiary hospital and to identify the associated factors of insomnia.
Methods: A survey of 102 female patients aged 45 - 60 at a Menopause Clinic collected demographic data, Insomnia Severity Index (ISI) scores, and Thai Hospital Anxiety and Depression Scale scores. Descriptive statistics, univariate, and multivariate logistic regression analyses were used to identify associations.
Results: The prevalence of insomnia was 52% (ISI ≥ 8). Anxiety symptoms were significantly associated with insomnia (OR 12.57, 95% CI 1.56 - 101.50, p-value = 0.018). Multivariate logistic regression analyses revealed significant associations between insomnia and currently using hormone replacement therapy (aOR 0.36, 95% CI 0.13 - 0.97, p-value = 0.044).
Conclusion: Insomnia is highly prevalent among menopausal women, especially those with anxiety, while usage of hormone replacement therapy has been shown to alleviate symptoms. Clinicians should emphasize the assessment of anxiety and insomnia in menopausal women to provide appropriate care. A comprehensive evaluation of other mental health conditions, vasomotor symptoms, and history of hormonal therapy is crucial for determining the most effective treatment approach.
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