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vol.33 número2Transtornos psiquiátricos na gestação e no puerpério: classificação, diagnóstico e tratamento índice de autoresíndice de assuntospesquisa de artigos
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Archives of Clinical Psychiatry (São Paulo)

versão impressa ISSN 0101-6083versão On-line ISSN 1806-938X


SOARES, Claudio N.. Insomnia during menopause and perimenopause: clinical characteristics and therapeutic options. Rev. psiquiatr. clín. [online]. 2006, vol.33, n.2, pp.103-109. ISSN 1806-938X.

Sleep disturbances and insomnia are more commonly observed in adult females than in adult males. It has been speculated that comorbid depression and anxiety among females may contribute to a higher incidence of insomnia. In addition, periods of intense hormonal variability (e.g.; pregnancy/postpartum, menopause transition) appear to be associated with higher incidence of sleep disturbances in females. Epidemiologic studies suggest that the menopausal transition constitutes a period of heightened risk for the occurrence of depressive symptoms and vasomotor complaints, as well as insomnia. This article reviews the clinical and hormone factors that may play a role for the development of insomnia during the menopausal transition and postmenopause. Treatment options are critically reviewed, including cognitive-behavioral techniques, hormonal treatments, hypnotics, antidepressants, and complimentary/alternative medicine.

Palavras-chave : Insomnia; women; menopause; hypnotics; estrogens.

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