Cognitive-behavioral, behavioural and mindfulness-based therapies for insomnia in menopause.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.