Acute stress alters autonomic modulation during sleep in women approaching menopause

Psychoneuroendocrinology
Massimiliano de ZambottiFiona C Baker

Abstract

Hot flashes, hormones, and psychosocial factors contribute to insomnia risk in the context of the menopausal transition. Stress is a well-recognized factor implicated in the pathophysiology of insomnia; however the impact of stress on sleep and sleep-related processes in perimenopausal women remains largely unknown. We investigated the effect of an acute experimental stress (impending Trier Social Stress Task in the morning) on pre-sleep measures of cortisol and autonomic arousal in perimenopausal women with and without insomnia that developed in the context of the menopausal transition. In addition, we assessed the macro- and micro-structure of sleep and autonomic functioning during sleep. Following adaptation to the laboratory, twenty two women with (age: 50.4 ± 3.2 years) and eighteen women without (age: 48.5 ± 2.3 years) insomnia had two randomized in-lab overnight recordings: baseline and stress nights. Anticipation of the task resulted in higher pre-sleep salivary cortisol levels and perceived tension, faster heart rate and lower vagal activity, based on heart rate variability measures, in both groups of women. The effect of the stress manipulation on the autonomic nervous system extended into the first 4 h of the night i...Continue Reading

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Citations

Nov 9, 2017·International Journal of Environmental Research and Public Health·Nicola Magnavita, Sergio Garbarino
Jan 24, 2019·Menopause : the Journal of the North American Menopause Society·Suzanne M BertischHadine Joffe
May 29, 2018·International Archives of Occupational and Environmental Health·Yukiko KikuchiHideya Kodama
Mar 3, 2021·American Journal of Medical Genetics. Part B, Neuropsychiatric Genetics : the Official Publication of the International Society of Psychiatric Genetics·Heather A BruceL Elliot Hong
Feb 20, 2021·Sleep Medicine Reviews·Wenrui ZhaoXu Lei
Apr 27, 2021·Journal of Neuroendocrinology·Adesina Paul ArikaweJanete Anselmo-Franci
Mar 2, 2021·International Journal of Psychophysiology : Official Journal of the International Organization of Psychophysiology·Dilara YukselFiona C Baker

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