The effect of group cognitive behavioural therapy for insomnia in postmenopausal women

Abstract

Regardless of culture, race or social and economic background, all women experience menopause in their life (Bachmann, 1998).Menopause is defined as the permanent cessation of menstruation as a result of the loss of ovarian activity and is diagnosed after 12 months of amenorrhoea (Phipps et al., 2010). From an endocrinological view, this process of reproductive ageing is characterised by a progressive rise in serum follicle-stimulating hormone levels associated with a decrease in serum oestradiol levels (Burger et al., 1999), although current evidence suggests stage-specific variation in this general pattern (Santoro et al., 1996). Some postmenopausal women experience several symptoms that significantly decrease quality of life. A case in point that is a cause for concern in postmenopausal women is sleeping problems, especially insomnia and overall sleep difficulty (Hachul et al., 2009). The clinical picture of insomnia after menopause is similar to common insomnia, which is a non-specific complaint of difficulty in

Does a program‐based cognitive behavioral therapy affect insomnia and depression in menopausal women? A randomized controlled trial

“…This was consistent with findings by Farsani et al. (2021) collected from 46 participants who reported improved sleep latency and sleep duration subsequent to group CBT sessions.…”

“…sleep disturbance, and daytime dysfunction, while no significant difference in domains of sleep latency, sleep duration, and use of sleep medication. This was consistent with findings byFarsani et al (2021) collected from 46 participants who reported improved sleep latency and sleep duration subsequent to group CBT sessions. Also,Espie et al (2007) claimed similar findings following five sessions of small-group CBT which dramatically increased self-reported sleep latency and efficiency Ashworth et al (2015).…”

“…Also, a more recent study found that CBT was effective for treating insomnia in menopausal women. In comparison to the control group, the intervention group experienced considerably decreased insomnia after CBT (Farsani et al., 2021). Additionally, Drake et al.…”

Global prevalence of sleep disorders during menopause: a meta-analysis

“…Menopause is the complete cessation of menstruation and indicates the end of reproduction [1]. Menopause is a normal state in which symptoms are often well managed, but it can be debilitating for some women and therefore can be detrimental to their health [2][3][4]. A decrease in estrogen production and resulting increase in follicle-stimulating hormone cause follicular atrophy which is the main cause of menopause [4].…”

“…Menopause is a normal state in which symptoms are often well managed, but it can be debilitating for some women and therefore can be detrimental to their health [2][3][4]. A decrease in estrogen production and resulting increase in follicle-stimulating hormone cause follicular atrophy which is the main cause of menopause [4]. Sleep is a complex process with the brain in an active state of anesthesia [5].…”