Evidence map›Paper›PMID 19725253›Full record

Trial reportSleep2009

Diclofenac potassium restores objective and subjective measures of sleep quality in women with primary dysmenorrhea.

Stella Iacovides, Ingrid Avidon, Alison Bentley, Fiona C Baker

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Sleep, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 60 citations in OpenAlex.

  1. Review
  2. Psychosocial Predictors of Dysmenorrhea Stability and Change: A Two-Year Longitudinal Study.Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. The Menstrual Cycle and Sleep.Sleep medicine clinics · 2023
    Review
  8. Article
  9. Sleep quality of adult psychiatric outpatients at Chris Hani Baragwanath Academic Hospital.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2023
    Article
  10. 24-hour urinary potassium excretion is negatively associated with self-reported sleep quality in the general population, independently of sleep-disordered breathing.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 2 countries.

Stella IacovidesWits Dial a bed Sleep Laboratory, School of Physiology, University of the Witwatersrand, Johannesburg, South Africa. Stella.Iacovides@wits.ac.za
Ingrid Avidon
Alison Bentley
Fiona C Baker
University of the Witwatersrand · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesPrimary dysmenorrhea is a common gynecological disorder that disrupts daytime functioning and nighttime sleep quality. We determined the effectiveness of diclofenac potassium, compared to placebo, in alleviating nighttime pain and restoring sleep architecture in women with primary dysmenorrhea.

designRandomized, double-blind, crossover study.

settingSleep laboratory.

participantsTen healthy women (21 +/- 1 years) with a history of primary dysmenorrhea.

interventionsPlacebo or diclofenac potassium (150 mg per day) for menstrual pain. MEASUREMENTS AND

resultsWe assessed objective measures of sleep (polysomnography) and subjective measures of sleep quality, mood, and intensity of menstrual pain. Compared to a pain-free phase of the menstrual cycle (mid-follicular), women receiving placebo for their menstrual pain had a poorer mood (P < 0.01), decreased sleep efficiency (P < 0.05), less REM sleep (P < 0.05), more stage 1 sleep (P < 0.01), and more sleep stage changes per hour of sleep during the night. Administration of diclofenac potassium compared to placebo not only attenuated the women's menstrual pain (P < 0.05), but also increased sleep efficiency (P < 0.05) and percentage of REM sleep (P < 0.01), decreased percentage of stage 1 sleep (P < 0.05) and number of sleep stage changes per hour of sleep (P < 0.05), and improved subjective ratings of sleep quality and morning vigilance (P < 0.05).

conclusionDiclofenac potassium effectively attenuates nighttime dysmenorrheic pain and restores subjective and objective measures of sleep quality to values recorded in a pain-free phase of the menstrual cycle.

Indexed as

AffectAnti-Inflammatory Agents, Non-SteroidalCross-Over StudiesDiclofenacDouble-Blind MethodDysmenorrheaFemaleHumansPain MeasurementPolysomnographySleep Initiation and Maintenance DisordersSleep StagesWakefulnessYoung AdultAnti-Inflammatory Agents, Non-SteroidalDiclofenac

Identifiers

PMID19725253
PMCPMC2717192
OpenAlexW106275021

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.