Nocturnal sleep, daytime sleepiness, and napping among women with significant emotional/behavioral premenstrual symptoms
Abstract
Summary: The objective of this study is to examine daytime sleepiness and alertness and nap characteristics among women with significant emotional/behavioral premenstrual symptoms, and to determine their relationship with nocturnal sleep. Participants spent one night during the follicular phase and two nights during the late‐luteal phase, one of which occurred after a 40 min opportunity to nap, sleeping in the laboratory. Subjective measures of sleepiness and alertness were completed during the afternoon of each recording. Setting took place at the sleep laboratory at the University of Ottawa. A total number of participants were 10 women with significant and nine women with minimal emotional/behavioral premenstrual symptoms (mean age 26 years). The results were compared with the follicular phase, both groups of women had less slow wave sleep and more stage 2 sleep at night, as well as a higher daytime and nocturnal mean and maximum temperature during the late‐luteal phase. Women with significant symptoms were sleepier and less alert during the late‐luteal phase and had a higher overall mean nocturnal temperature compared with women with minimal symptoms. No significant differences were found between the two groups on nap characteristics and nocturnal sleep characteristics. Results show that women with more severe premenstrual symptoms are sleepier during the late‐luteal phase than women with minimal symptoms. The increased daytime sleepiness seems to be unrelated to nocturnal sleep or nap characteristics.
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A study including healthy women and those with PMS found decreased slow wave sleep and REM sleep as well as increased stage 2 sleep during the luteal phase in both groups.
“More recently, a study including healthy women and those with PMS found decreased SWS (%) and REM sleep (%) as well as increased stage 2 (%) during the LP in both groups [56].”
From Sleep, hormones, and circadian rhythms throughout the menstrual cycle in healthy women and women with premenstrual dysphoric disorder (2010) · cites this paper as [56]
Women with PMS/PMDD have shown decreases in REM sleep during the luteal phase compared to the follicular phase.
“Similarly, women with PMS/PMDD have also shown decreases in REM sleep [52, 56] and increases in SFA [55] during the LP compared to the FP.”
From Sleep, hormones, and circadian rhythms throughout the menstrual cycle in healthy women and women with premenstrual dysphoric disorder (2010) · cites this paper as [56]
The most consistently observed menstrual cycle-related change in the sleep profile of healthy women is a reduction of REM sleep.
“The most consistently observed menstrual cycle-related changes in the sleep profile of healthy women are a reduction of REM sleep [49, 51–53, 56], with a maintenance of homeostatic sleep mechanisms throughout the cycle [90], and a robust variation of SFA across the menstrual cycle [48, 49, 55], which increases in association with progesterone during the LP.”
From Sleep, hormones, and circadian rhythms throughout the menstrual cycle in healthy women and women with premenstrual dysphoric disorder (2010) · cites this paper as [56]
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- Authors
- LAMARCHE, L. J., DRIVER, H. S., WIEBE, S., CRAWFORD, L., & DE KONINCK, J. M.
- Affiliations
- University of Ottawa (CA)
- Queen's University (CA)
- Venue
- Journal of Sleep Research
- Publisher
- Wiley
- Published
- 2007-08-17
- Volume
- 16
- Issue
- 3
- Pages
- 262-268
- ISSN
- 0962-1105 (ISSN-L)
- 1365-2869
- OpenAlex
- W2026997658
- Cited by
- 55
- References
- 36
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2023: 5 · 2022: 2 · 2021: 2 · 2020: 5 · 2019: 3 · 2018: 3 · 2017: 2 · 2016: 3 · 2014: 2 · 2013: 4 · 2012: 3
- FWCI
- 1.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Sleep Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Keywords
- premenstrual symptoms, daytime sleepiness, alertness, napping, nocturnal sleep, luteal phase, follicular phase, slow-wave sleep, body temperature, women
- MeSH terms
- Adult, Arousal, Circadian Rhythm, Fatigue, Female, Humans, Disorders of Excessive Somnolence, Menstrual Cycle, Ontario, Premenstrual Syndrome, Women's Health, Polysomnography
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