A Review of Management of Perimenopausal Hot Flashes

Aminimoghaddam, Soheila; Abolghasem, Nastaran

doi:10.30699/jogcr.4.1.5

Cited by 1 publication

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“…In women, hot flashes frequently accompany the reduction of estrogen at menopause and affect about 75% of perimenopausal and postmenopausal women (Smith et al, 2016). Because elevated sympathetic activity is implicated in the sensation of hot flashes, relaxation-based procedures focused on paced respiration have been used to reduce their intensity and frequency (Aminimoghaddam & Abolghasem, 2019). In relation to sleep disturbance, hot flashes have been observed to follow, rather than precede arousals and awakenings, which suggests that hot flashes may not precipitate sleep disturbance (Bianchi et al, 2016).…”

Section: Complicating Factorsmentioning

confidence: 99%

When Traumatic Memories Affect Your Health: A Clinical Case Study

Morrison

Beidel

Newins

2020

Clinical Case Studies

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Obstructive sleep apnea hypopnea (OSA) is the most common breathing-related sleep disorder and affects more than 20% of older individuals. Furthermore, risk of OSA increases in postmenopausal women. OSA is effectively treated using continuous positive airway pressure (CPAP). However, Mary, a 74-year-old White woman with OSA, severe, refused to obtain a CPAP machine because the sound of the machine elicited memories of her late husband’s suicide. Intervention focused on reducing Mary’s fear of CPAP sounds. Treatment involved imaginal exposure, in vivo exposure, sleep hygiene strategies, and relaxation strategies. Although evidence-based treatments for OSA and trauma separately exist, there are no treatment protocols designed to address the specific combination of the conditions. Treatment gains included a reduction in trauma-related symptoms and an increase in CPAP compliance. Quantity and quality of patient’s sleep did not improve despite sleep hygiene and CPAP use. At 3-week follow-up, treatment gains and CPAP compliance were maintained.

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Section: Complicating Factorsmentioning

confidence: 99%