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Cognitive behavior therapy for menopausal symptoms (CBT-Meno): a randomized controlled trial
Sheryl M Green1,2, Eleanor Donegan2, Benicio N Frey1,2,3
1Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Menopause (New York, N.Y.)
|August 28, 2019
Summary
Cognitive behavioral therapy for menopausal symptoms (CBT-Meno) significantly improved vasomotor symptoms, depression, sleep, and sexual concerns in women compared to a waitlist. These benefits were sustained at three months post-treatment.
Area of Science:
- Women's Health
- Psychology
- Menopause Management
Background:
- Menopausal symptoms significantly impact women's quality of life.
- Effective, non-hormonal treatments for menopausal symptoms are needed.
Purpose of the Study:
- To evaluate the effectiveness of cognitive behavioral therapy for menopausal symptoms (CBT-Meno) versus a waitlist control.
- To assess CBT-Meno's impact on vasomotor, depressive, sleep, and sexual symptoms.
Main Methods:
- A randomized controlled trial involving 71 perimenopausal/postmenopausal women.
- CBT-Meno included psychoeducation and cognitive-behavioral strategies.
- Outcomes measured via HFRDIS, BDI-II, Greene Climacteric Scale, PSQI, and FSFI at baseline, 12 weeks, and 3 months post-treatment.
Main Results:
- CBT-Meno showed significant improvements in vasomotor symptom interference (P < .001) and "bothersomeness" (P = .04).
- Significant reductions in depressive symptoms (P = .001) and sleep difficulties (P = .001) were observed.
- Improvements in sexual concerns (P = .03) were also noted, with sustained gains at 3 months.
Conclusions:
- CBT-Meno is effective for improving vasomotor symptoms, depressive symptoms, sleep difficulties, and sexual concerns in menopausal women.
- The protocol demonstrates efficacy in targeting common menopausal complaints.
- Further research is warranted to confirm effects on anxiety symptoms.
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