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October 2001

THE WOMAN'S BOOK OF SLEEP:
A COMPLETE RESOURCE GUIDE

Amy Wolfson, PhD
Oakland, CA: New Harbinger Publications, 2001
196 pages, softcover, $14.95
ISBN: 1-57224-249-3

Reviewed by Lynne Lamberg

Women report troubled sleep twice as often as men, and use more sleeping pills, too. They are more apt than men to have painful disorders that disrupt sleep, including arthritis, fibromyalgia, and migraines. Changes in female hormones across the month, and over the life cycle, from puberty to pregnancy to menopause, disrupt women's sleep. Moreover, women often sacrifice both sleep and leisure time to meet mundane demands of family life, from helping children with homework to folding laundry.

The study of women's sleep, however, is a recent phenomenon. Until the 1990s, most sleep studies, like most research in other fields, focused on men. Scientists felt hormonal ups and downs in women over the menstrual cycle added unwanted complexity to data collection and analysis. As a result, they neglected half the population.

But federal guidelines enacted into law in 1993 mandate that women be included in all clinical research funded by the National Institutes of Health. About one in three sleep researchers today is female. Some have seen the opportunity to break new ground by studying women's sleep.

"Women's health issues, and now sleep issues, are at the forefront of our cultural consciousness as never before," Amy Wolfson asserts in this book. Wolfson is a clinical psychologist, a sleep specialist, and director of women's studies at the College of Holy Cross in Worcester, Mass.

Wolfson surveys the latest findings pertinent to women's sleep, and distills their practical implications. At the same time, she reviews both normal sleep in women over the life cycle, and sleep problems common in women. She includes scientific publications as resources throughout the text, yet writes in a direct and straightforward style suitable for lay readers.

Wolfson draws on her own experiences to illuminate issues. A chapter on work, motherhood, and sleep, for example, begins with what she describes as "a typical day in my ridiculous schedule." The day starts at 5:37 a.m., and ends at 10:30 p.m., providing the opportunity for, at most, just under 7 hours' sleep. It includes activities as disparate as teaching college classes and chauffeuring her 9-year-old son to and from school and hockey practice. She manages to fit in a morning fitness walk with a friend, and to share dinner with her husband, who usually prepares this meal.

In one study, Wolfson gave the Women's Sleep and Health Questionnaire to women working daytime shifts at corporations, businesses, and schools in Massachusetts and Rhode Island. Of her 200 respondents, 70 percent reported they worked at their jobs 35 hours or more each week. They reported getting 20 minutes less sleep each night on average than women working fewer hours. Nearly 20 percent of the women reported getting less than 6.5 hours sleep a night during the work week. Sleep experts say most adults need about 8 hours to feel well-rested.

As an aid to coping, Wolfson provides "sleep-smart strategies" in this and other chapters. She urges working women to establish a regular sleep schedule and try to stick to it, forgoing evening activities such as checking e-mail or watching late-night television. She suggests ways to cope with sleep deprivation: take 15-minute nap breaks in the daytime, learn to tackle your most challenging tasks when you're most alert, and save your least demanding projects for the time you're most likely to be tired. Though she didn't suggest it, the rest of us might benefit from her example by persuading our husbands or partners to take cooking lessons.

This book will compete for sales with the similarly named A Woman's Guide to Sleep: Guaranteed Solutions for a Good Night's Rest, by Joyce A. Walsleben, PhD, and medical writer Rita Baron-Faust. Both books cover similar ground. Wolfson's cites more scientific studies. Walsleben and Baron-Faust's strikes a more conversational tone. Buyers of either book will get their money's worth.


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