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Sleep disturbances are prevalent in the general population and can have serious health implications.

Poor sleep can predispose older patients to increased falls, decreased concentration, memory changes, depression and cardiovascular disease.(1) In the general North American population, 17% of women reported sleep difficulties based on the 2002 NHIS annual survey question, “During the past 12 months, have you regularly had insomnia or trouble sleeping?

Women seeking treatment for prolapse also frequently suffer from other pelvic floor symptoms including nocturia, pelvic pain, and bowel dysfunction.

It has been estimated that women have an 11–19% lifetime risk for undergoing surgery for prolapse or incontinence; rates of asymptomatic POP are likely even higher, with estimates of 38–50% affected (6,7,8,9) As the population ages, it is estimated that the rate of women seeking treatment for POP will double.(10)POP has also been shown to affect many aspects of a woman’s quality of life including her social, psychological, physical, sexual, body image and overall wellbeing.(11,12) Prior work by the authors demonstrated a high prevalence of depression in women with POP.(13) Fritel et al.

The PHQ9 has been validated for use in primary care and obstetrics- gynecology outpatient clinics and provides the diagnosis of major depressive disorder and other depressive disorders.The University of Pittsburgh Institutional Review Board approved this study, and participants signed informed consent at time of enrollment.This study was a planned ancillary cross-sectional analysis of a larger prospective cohort study investigating mood symptoms in women seeking care for POP.Poor sleep quality was defined using the cutoff of score greater than 5 and good sleep quality defined as a score of less than or equal to 5, as established by the scoring algorithm published by developers of the PSQI.(16) Proper scoring of the PSQI requires all 7 components.Pelvic floor symptom bother and impact on activities of daily living were assessed using the Pelvic Floor Disorders Distress Inventory (PFDI) and the Pelvic Floor Disorders Impact Questionnaires (PFIQ).

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