Cognitive behavior therapy for menopausal symptoms (CBT-Meno): a randomized controlled trial

Objective: To evaluate the effectiveness of cognitive behavioral therapy for menopausal symptoms (CBT-Meno) compared with a waitlist condition (no active intervention). A randomized controlled trial was conducted with 71 perimenopausal or postmenopausal women who were seeking treatment for menopausal symptoms. Methods: Blind assessments were conducted at baseline, 12 weeks postbaseline, and 3 months post-treatment. An intention-to-treat analysis was conducted. CBT-Meno sessions included psychoeducation, and cognitive and behavioral strategies for vasomotor and depressive symptoms, anxiety, sleep difficulties, and sexual concerns. Primary outcomes were scores on the Hot Flash Related Daily Interference Scale (HFRDIS) and Beck Depression Inventory (BDI-II). Secondary outcomes were scores assessing vasomotor and sexual concerns on the Greene Climacteric Scale (GCS-vm, GCS-sex), the Montgomery-Åsberg Depression Rating Scale (MADRS), Hamilton Anxiety Rating Scale (HAM-A), Pittsburgh Sleep Quality Index (PSQI), and the Female Sexual Function Index (FSFI). Results: There were significantly greater improvements in CBT-Meno compared with waitlist in vasomotor symptom interference (HFRDIS; Pā€Š
Source: Menopause - Category: OBGYN Tags: Original Articles Source Type: research

Related Links:

Objective: The aim of this study was to explore the association of self-reported physical fitness (PF) and its components with cardiometabolic and mental health in perimenopausal women. Methods: These cross-sectional analyses included 191 participants (53ā€Š±ā€Š4 y old) from the FLAMENCO project. Self-reported PF was assessed with the International Fitness Scale (IFIS). Body mass index (BMI), fat mass (FM), waist circumference (WC), systolic and diastolic blood pressure (DBP), high-density lipoprotein cholesterol (HDL-C), triglycerides, C-reactive protein (CRP), and glucose were measured. The Beck's Depression ...
Source: Menopause - Category: OBGYN Tags: Original Articles Source Type: research
By 2025, the number of postmenopausal women is expected to approach 1.1 billion worldwide [1]. A majority of women will develop symptoms during the menopausal transition, including but not limited to vasomotor symptoms (VMS), sleep disturbances, mood symptoms, and vaginal dryness [2]. It is important to understand the factors that may influence these symptoms given the rising number of symptomatic women, as well as the significant negative effect these symptoms may have on quality of life [3]. Relationship satisfaction is known to affect health outcomes positively, many times through dyadic coping strategies that may mitig...
Source: Maturitas - Category: Primary Care Authors: Source Type: research
CONCLUSIONS: Mindfulness meditation training can effectively alleviate the symptoms of anxiety and depression and improve the quality of sleep in perimenopausal women, and the frequency of the exercise is positively correlated with the improvements. Mindfulness meditation training can be an effective intervention for improving the mental health of perimenopausal women. PMID: 31511223 [PubMed - in process]
Source: Journal of Southern Medical University - Category: Universities & Medical Training Authors: Tags: Nan Fang Yi Ke Da Xue Xue Bao Source Type: research
Resumo O objetivo deste artigo é identificar a prevalência de perda da qualidade do sono em mulheres climatéricas e os fatores associados. Estudo quantitativo, transversal e analítico, cujas variáveis foram investigadas por questionário estruturado/pré-testado e pelo Índice de Qualidade do Sono de Pittsburgh, em 819 mulhe res climatéricas assistidas pela Estratégia Saúde da Família. Regressão de Poisson simples foi utilizada para triagem das variáveis (p
Source: Ciencia e Saude Coletiva - Category: Occupational Health Source Type: research
Menopause is characterized by the onset of vasomotor symptoms (VMS) and genitourinary syndrome of menopause (GSM) and it often features changes in mood, sleep patterns, memory and body shape. The Study of Women ’s Health Across the Nation (SWAN) showed that in the premenopausal age group the prevalence of sleep disturbance ranges from 16% to 42%, in perimenopausal women from 39% to 47%, and in postmenopausal women from 35% to 60% (1). Sleep disorders among menopausal women have been linked to several fac tors: normal physiological changes associated with aging, menopause-related symptoms, stress, mood symptoms (depre...
Source: Maturitas - Category: Primary Care Authors: Source Type: research
DiscussionIf the results confirm that acupuncture is effective and safe for the treatment on insomnia in menopausal women, this positive outcome could provide evidence for clinical application.Trial registrationChinese Clinical Trial Registry,ChiCTR1800018645. Registered on 10 January 2018.
Source: Trials - Category: Research Source Type: clinical trials
Depressive symptoms are common yet potentially serious in mid-aged women, particularly during the menopausal transition, when hormonal fluctuations occur. Different drug treatments have been recommended; although many women do not follow them. There are conflicting results from observational studies concerning the effect of exercise on depressive/anxiety symptoms, sleep and perceived stress in postmenopausal women. Meta-analyses of randomized clinical trials (RCTs) provide a global approach to obtain recommendations.
Source: Maturitas - Category: Primary Care Authors: Tags: INV2 Source Type: research
Despite its name, atypical depression is one of the most common types of depression, affecting between 25 to 40 percent of depressed people. Because the symptoms differ from those of typical depression, this subtype of depression is often misdiagnosed. Atypical depression was named in the 1950s to classify a group of patients who did not respond to electroconvulsive therapy or to the tricyclic antidepressant Tofranil (imipramine). They did, however, respond to monoamine oxidase inhibitor (MAOI) antidepressants. Some of the same treatments that work for classic depression work for atypical depression, such as selective sero...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Depression Mental Health and Wellness Atypical Depression Major Depressive Episode Mood Disorder Source Type: blogs
Marcia H. Ratner, Vidhya Kumaresan and David H. Farb* Laboratory of Molecular Neurobiology, Department of Pharmacology and Experimental Therapeutics, Boston University School of Medicine, Boston, MA, United States Memory dysfunction is a symptomatic feature of many neurologic and neuropsychiatric disorders; however, the basic underlying mechanisms of memory and altered states of circuitry function associated with disorders of memory remain a vast unexplored territory. The initial discovery of endogenous neurosteroids triggered a quest to elucidate their role as neuromodulators in normal and diseased brain functio...
Source: Frontiers in Endocrinology - Category: Endocrinology Source Type: research
Ryan R. Kelly1,2†, Lindsay T. McDonald1,2†, Nathaniel R. Jensen1,2, Sara J. Sidles1,2 and Amanda C. LaRue1,2* 1Research Services, Ralph H. Johnson VA Medical Center, Charleston, SC, United States 2Department of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston, SC, United States The significant biochemical and physiological effects of psychological stress are beginning to be recognized as exacerbating common diseases, including osteoporosis. This review discusses the current evidence for psychological stress-associated mental health disorders as risk factors for os...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
More News: Anxiety | Cognitive Behavior Therapy | Depression | Eyes | Men | Menopause | OBGYN | Sleep Disorders | Sleep Medicine | Women