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Burden associated with chronic sleep maintenance insomnia characterized by nighttime awakenings among women with menopausal symptoms.

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TLDR
Among women with menopausal symptoms, CINA in relative isolation was associated with a significant negative impact on healthcare utilization and its associated costs, health-related quality of life, and work productivity.
Abstract
Objective:The aim of this study was to quantify the burden associated with chronic sleep maintenance insomnia characterized by nighttime awakenings (CINA) among women with menopausal symptoms.Methods:Data were obtained from the 2006 US National Health and Wellness Survey, an annual cross-sec

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Citations
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Severity of Depression and Magnitude of Productivity Loss

TL;DR: This study shows a relationship between the severity of depression symptoms and work function, and suggests that even minor levels of depression are associated with a loss of productivity, and employers may find it beneficial to invest in effective treatments for depressed employees across the continuum of depression severity.
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Sleep problems during the menopausal transition: prevalence, impact, and management challenges.

TL;DR: Considering the unique and multifactorial basis for sleep difficulties in women transitioning menopause, clinical assessment approaches and management options are described, including combination treatments, ranging from cognitive behavioral therapy for insomnia to hormonal and nonhormonal pharmacological options.
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The occupational impact of sleep quality and insomnia symptoms

TL;DR: There is a clear need to standardize definitions of sleep and occupational outcomes, and to recognize the confounding influence of health variables on occupational performance and sleep.
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Menopause in the workplace: What employers should be doing.

TL;DR: Principal recommendations for employers to best support menopausal women as part of a holistic approach to employee health and well-being include risk assessments to make suitable adjustments to the physical and psychosocial work environment, provision of information and support, and training for line managers.
References
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Journal ArticleDOI

Diagnostic and Statistical Manual of Mental Disorders

TL;DR: An issue concerning the criteria for tic disorders is highlighted, and how this might affect classification of dyskinesias in psychotic spectrum disorders.
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The Validity and Reproducibility of a Work Productivity and Activity Impairment Instrument

TL;DR: Overall work productivity was significantly related to general health perceptions and the global measures of interference with regular activity, and the self-administered questionnaire had adequate reproducibility but less construct validity than interviewer administration.
Journal ArticleDOI

Sleep disturbance and psychiatric disorders: A longitudinal epidemiological study of young Adults

TL;DR: Prior insomnia remained a significant predictor of subsequent major depression when history of other prior depressive symptoms was controlled for, and complaints of 2 weeks or more of insomnia nearly every night might be a useful marker of subsequent onset of major depression.
Journal ArticleDOI

Sleep complaints among elderly persons: an epidemiologic study of three communities.

TL;DR: In multivariate analyses, sleep complaints were associated with an increasing number of respiratory symptoms, physical disabilities, nonprescription medications, depressive symptoms and poorer self-perceived health.
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