Document Detail

Sleep, rhythms and women's mood. Part II. Menopause.
MedLine Citation:
PMID:  16618548     Owner:  NLM     Status:  MEDLINE    
This review summarizes studies of sleep and other biological rhythms in menopausal women with major depression compared with healthy control subjects. Where feasible, we focused on studies in women who met DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) criteria for a major depressive episode (MDE) compared with matched normal control subjects and the Staging System for Reproductive Aging in Women (STRAW) criteria. The aim was to review supporting evidence for the hypothesis that a disruption of the normal temporal relationship between sleep and other biological rhythms, such as melatonin, cortisol, thyroid stimulating hormone (TSH) or prolactin, occur during the menopausal transition. As a result, depressive disorders occur in predisposed women. Treatment strategies, designed to correct these altered phase (timing) or amplitude abnormalities, thereby improve mood. Although there may be some common features to menopausal depression compared with other depressive disorders related to the reproductive cycle (e.g. premenstrual dysphoric disorder or postpartum major depression), such as increased morning melatonin secretion, a specific profile of sleep and biological rhythms may distinguish healthy from depressed women during menopause. Further work is needed to characterize more fully the particular abnormalities associated with well-defined menopausal depression in order to develop treatment strategies targeted more specifically to pathogenesis.
Barbara L Parry; L Fernando Martínez; Eva L Maurer; Ana M López; Diane Sorenson; Charles J Meliska
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Review     Date:  2006-04-18
Journal Detail:
Title:  Sleep medicine reviews     Volume:  10     ISSN:  1087-0792     ISO Abbreviation:  Sleep Med Rev     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-09     Completed Date:  2006-11-14     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9804678     Medline TA:  Sleep Med Rev     Country:  England    
Other Details:
Languages:  eng     Pagination:  197-208     Citation Subset:  IM    
Department of Psychiatry 0804, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0804, USA.
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MeSH Terms
Circadian Rhythm / physiology*
Hormone Replacement Therapy / methods
Hot Flashes / drug therapy,  epidemiology
Hydrocortisone / metabolism
Melatonin / metabolism
Menopause / drug effects*
Middle Aged
Mood Disorders / epidemiology*
Prolactin / metabolism
Sleep / drug effects*
Sleep Disorders, Circadian Rhythm / epidemiology,  metabolism,  physiopathology*
Thyrotropin / metabolism
Grant Support
Reg. No./Substance:
50-23-7/Hydrocortisone; 73-31-4/Melatonin; 9002-62-4/Prolactin; 9002-71-5/Thyrotropin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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