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Cognitive-behavioral, behavioural and mindfulness-based therapies for insomnia in menopause.

Behavioral sleep medicine
January 1, 2023
Nicole E Carmona et al. (4 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to review the efficacy of mindfulness-based therapies in treating insomnia in peri- and post-menopausal women and assess their impact on secondary outcomes.

Results Summary

Mindfulness meditation and relaxation for insomnia showed promise, but long-term effects remain unknown. The study noted improvements in mood and functional outcomes but lacked comprehensive data on sustained benefits.

Population

Peri- and post-menopausal women with insomnia.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
cognitive-behavioral therapy (CBT) for insomnia
decrease
insomnia
peri- and post-menopausal women
-
is efficacious
#1
cognitive-behavioral therapy (CBT) for insomnia
increase
mood
peri- and post-menopausal women
-
corollary improvements
#2
cognitive-behavioral therapy (CBT) for insomnia
increase
functional outcomes
peri- and post-menopausal women
-
corollary improvements
#3
cognitive-behavioral therapy (CBT) for insomnia
increase
potential mechanistic factors (e.g., unhelpful beliefs)
peri- and post-menopausal women
-
corollary improvements
#4
sleep restriction therapy
decrease
insomnia
peri- and post-menopausal women
-
is efficacious
#5
sleep restriction therapy
no change
secondary outcomes
peri- and post-menopausal women
-
somewhat poorer effects
#6
mindfulness meditation and relaxation for insomnia
decrease
insomnia
peri- and post-menopausal women
-
demonstrated promise
#7
Abstract

OBJECTIVES: Insomnia is frequently reported by women during menopause due to physiological changes and environmental factors and is associated with negative daytime sequelae. Due to medication side effects and patient preferences, there is increased interest in the use of psychological treatments for menopausal insomnia. The primary objective of this review is to review the efficacy of cognitive-behavioral, behavioral, and mindfulness-based (CBBMB) therapies in treating insomnia in peri- and post-menopausal women. The secondary objective is to review the effect of CBBMB therapies on relevant secondary outcomes to gain a comprehensive understanding of their impacts. METHODS: We conducted a narrative review of the literature. A search of PubMed and Google Scholar was conducted between January 2020 and March 2021. RESULTS: Cognitive-behavioral therapy (CBT) for insomnia is efficacious, with corollary improvements in mood, functional outcomes and potential mechanistic factors (e.g., unhelpful beliefs). Sleep restriction therapy is also efficacious, with somewhat poorer effects on secondary outcomes relative to CBT. Mindfulness meditation and relaxation for insomnia demonstrated promise, but its long-term effects remain unknown. CONCLUSIONS: Research with more diverse samples and head-to-head comparisons is needed. Dissemination of CBBMBs for insomnia in clinics where menopausal women seek care is an important next step.

Medical Subject Headings (MeSH)
HumansFemaleSleep Initiation and Maintenance DisordersMindfulnessTreatment OutcomeMenopauseCognition
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality75/10
Citation Metrics
Total Citations6
Citations/Year3.0
Relative Citation Ratio2.23
NIH Percentile77.7%
Research Impact Scores
APT Score0.75
Weight Score2.61
Normalized Score0.63
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