| Objective:To determine the status of sleep quality and mental health in perimenopausal women and its relative factors.Methods:A total of 320 perimenopausal women from Jinan were assessed with Pittsburgh Sleep Quality Index (PSQI), Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), the WHO Quality of Life Brief Questionnaire (WHO-QOL-BREF) and self-designed general condition questionnaire. A regular menses sample of 150 women aged 30 to 39 years and 160 non-perimenopausal women aged 40 to 59 years were categorized into two control groups. The interviewors completed the questionnaires independently within the specified time. The results were input a computer after being collected and arranged. All available data were analyzed by SPSS 17.0. The analysis methods included descriptive analysis, chi-square test, t-test, Spearman rank correlation analysis and multiple linear stepwise regression analysis.Results:1. The PSQI total score in perimenopausal women was 6.45±3.79. It was significantly higher than that of the reproductive stage women aged 30 to 39 years (4.49±2.57) (t=6.575, P＜0.01), and the non-perimenopausal women aged 40 to 59 years with regular menses (5.21±3.64)(t=3.442,P＜0.01). The prevalence of sleep disorder was 33.4% in perimenopausal women. It was significantly higher than that of the reproductive stage women(16.7%), and the non-perimenopausal women (20.0%) (χ2=18.970, P＜0.01) In perimenopausal women, the PSQI total score in women with internal personality was significantly higher than that of women with extrovert personality (t=2.078, P＜0.05). The PSQI total score in women who seldom participated in sports activities was significantly higher than that of women who often or sometimes participated in sports activities (F=8.821, P＜0.01). The prevalence of sleep disorder in those seldom participated in sports activities was highest(45.6%),while that of women often participated was lowest (22.8%) (χ2=10.151, P＜0.01). The PSQI total score in 56～59 years old group (7.46±3.71) was highest, and 40～45 years old group was lowest (5.33±3.85) (F=2.831, P＜0.05). The prevalence of sleep disorder had the same trend, the rate of 56～59 years old group was 45.6%, and the 40～45 years old group was 19.0%(χ2=8.180, P＜0.05) The perimenopausal women had significantly higher frequency of waking up in the middle of the night or early morning, getting up to bathroom, breathing discomfortably, coughing or snoring loudly, feeling too hot and pain (t=4.273～8.120, P＜0.01) than reproductive stage women, and higher frequency of breathing discomfortably (t=2.592, P＜0.05) and feeling too hot (t=4.047,P＜0.01) than the. non-perimenopausal women.The data of self-designed general condition questionnaire showed 74.7% of the perimenopausal women did not satisfied with their sleep quality. Although the data of PSQI showed 33.4% of the perimenopausal women had sleep disorder, but only 13.1% seeked treatment in medical specialist.2. The SDS standard score in perimenopausal women was 42.00±11.68, and significantly higher than that of the reproductive stage women (36.19±10.38,t=5.201, P＜0.01), and the non-perimenopausal women in the same age stage (37.80±11.03,t=3.778, P＜0.01). The prevalence of depressive disorder was 23.8% in perimenopausal women, and significantly higher than that of the reproductive stage women(12.0%), and the non-perimenopausal women (16.2%) (χ2=10.233, P＜0.01). The SAS standard score in perimenopausal women was 37.66±11.02, and significantly higher than that of the reproductive stage women (33.75±9.30, t=3.763, P＜0.01). The prevalence of anxiety disorder was 12.5% in perimenopausal women.10.3% of perimenopausal women had both depressive and anxiety symptoms, and 25.93% had at least one type of the mood disorder. The WHO-QOL-BREF showed the overall quality of life, general health, physical health, psychological, social relationship and environment domains in perimenopausal women were significantly lower than those of reproductive stage women (t=-8.682～-2.738, P＜0.01), and the general health, physical health, psychological and social relationship domains were also significantly lower than those of non-perimenopausal women (t=-3.522～-2.426, P＜0.05). In perimenopausal women, different profession or education had different quality of life (P＜0.05)3. Spearman rank correlation analysis showed sleep quality in perimenopausal women had significantly correlation with age, sports activity, depression, anxiety overall quality of life, general health, physical health, psychological, social relationship and environment domains (r=-0.510～0.566, P＜0.01). The sleep quality in perimenopausal women who were older and seldom participated in sports activities was poorer. The sleep quality in perimenopausal women who had depressive (t=8.161, P＜0.01) or anxiety (t=4.380, P＜0.01) disorders were significantly poorer than those in women without the disorders. The overall quality of life, general health, psychological, social relationship and environment domains in perimenopausal women who had the sleep disorder was significantly poorer than those of women without sleep disorder (t=4.396～8.029, P＜0.01)4. Multiple linear stepwise regression analysis showed the main factors influencing sleep quality in perimenopausal women were SAS standard score, general health, SDS standard score, sports and age (P＜0.05)Conclusion:1. Perimenopausal women would have poorest sleep quality, highest rate of sleep disorder among middle-aged women, and the sleep quality would be poorer with increasing age.2. The sleep quality in perimenopausal women would have significantly correlation with depression, anxiety, age and health. Sports activity is protective factor of sleep quality.3. Quality of life in perimenopausal women would be poorer than ordinary middle-aged women. Perimenopausal women with different profession or education would have different quality of life. Sleep quality would significantly influence the quality of life.
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