Is Anxiety Associated with Vasomotor Symptoms in Postmenopausal Women with Insomnia Complaints?

Objective: This study investigated the relationship between hot flashes, menopausal symptoms, anxiety, depression, and insomnia in postmenopausal women with insomnia complaints. Methods: A cross-sectional analysis was conducted with 71 postmenopausal women experiencing insomnia, divided into two groups based on the presence of vasomotor symptoms: 41 participants reported hot flashes in the past month, while 30 did not. All participants completed validated questionnaires, including the Blatt-Kupperman Menopausal Index, Menopause Rating Scale (MRS), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and Insomnia Severity Index (ISI). Results: Women experiencing hot flashes showed a significant association between elevated anxiety levels and menopausal symptoms. Across the entire sample, anxiety levels strongly correlated with the severity of menopausal symptoms. Participants with hot flashes were more likely to be classified as having severe anxiety based on BAI results compared with those without vasomotor symptoms. However, no significant differences were found in depression or insomnia severity between the groups. Conclusions: Vasomotor symptoms are associated with higher anxiety levels and more pronounced menopausal symptoms in postmenopausal women with insomnia complaints. These findings highlight the potential impact of hot flashes on emotional well-being and overall health during postmenopause.