Qualidade do sono em mulheres na pós-menopausa e a relação com a intensidade dos sintomas climatéricos

Abstract

Introduction: Climacteric involves intense biopsychosocial and hormonal transformations that, if poorly managed, can affect sleep quality and well-being. Objective: To assess sleep quality and its relationship with the intensity of climacteric symptoms in postmenopausal women. Methods: This is a cross-sectional study, which included 101 postmenopausal women aged between 40 and 65 years. The Menopause Rating Scale was used to assess menopause symptoms and the Pittsburgh Sleep Quality Index – PSQI to categorize sleep quality. To compare symptom intensity scores between groups, the nonparametric Kruskal-Wallis test was used, and the Spearman test was used to correlate variables. Values of p<0.05 were considered significant. Results: Fifty-five women (54.5%) were classified as having poor sleep quality. Based on the total MRS scores, symptoms were categorized as severe with scores above 16 points. In the analysis by domains, there were variations in intensity from moderate to severe, highlighting the highest degree of severity for psychological symptoms (scores above 7 points). Weak and significant proportional correlations (p<0.001) were observed between the total PSQI scores and the total MRS score and the psychological domain. In addition, there was a moderate significant correlation with the somatovegetative domain, indicating that the greater the intensity of the symptoms, the worse the quality of sleep. Conclusion: The current study demonstrated that the severity of climacteric symptoms appears to significantly influence sleep quality, resulting in a more pronounced negative impact in postmenopausal women.