Biochemical and Thermoregulatory Effects of Behavioral Treatment for Menopausal Hot Flashes

Freedman, Robert R.; Woodward, Suzanne; Brown, Barbara D.; Javaid, Javaid I.; Pandey, G. N.

doi:10.1097/00042192-199502040-00005

Cited by 47 publications

(34 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Behavioral relaxation methods, like applied relaxation, have been shown to reduce sympathetic activity (18,26). As increased central noradrenergic activity is related to hot flushes (27,28), effects of applied relaxation on sympathetic activity and coping may be mechanisms behind the beneficial effects on hot flushes.…”

Section: /17mentioning

confidence: 99%

Effects of acupuncture, applied relaxation, estrogens and placebo on hot flushes in postmenopausal women: an analysis of two prospective, parallel, randomized studies

Zaborowska¹,

Brynhildsen²,

Damberg³

et al. 2007

Climacteric

View full text Add to dashboard Cite

Alternatives to HT versus placebo; Zaborowska et al. Linköping University PostprintEffects of acupuncture, applied relaxation, estrogens and placebo on hot flushes in postmenopausal womenan analysis of two prospective, parallel, randomised studies. Abstract:Objective To assess if transdermal or oral estrogens, acupuncture and applied relaxation decrease the number of menopausal hot flushes/24 h and improve climacteric symptoms, as assessed by the Kupperman index, more than transdermal placebo treatment.Setting An outpatient clinic at a Swedish university hospital. Conclusion Acupuncture and applied relaxation both reduced the number of hot flushes significantly better than placebo and should be further evaluated as alternatives to hormone therapy in women with menopausal vasomotor complaints. 3/17Alternatives to HT versus placebo; Zaborowska et al.

show abstract

Section: /17mentioning

confidence: 99%

Effects of acupuncture, applied relaxation, estrogens and placebo on hot flushes in postmenopausal women: an analysis of two prospective, parallel, randomized studies

Zaborowska¹,

Brynhildsen²,

Damberg³

et al. 2007

Climacteric

View full text Add to dashboard Cite

show abstract

“…Subsequently Freedman and colleagues [46] compared paced respiration with EEG biofeedback again and showed similar results for paced respiration. Nevertheless, in Huang et al [52], a paced respiration intervention using a portable guided-breathing device was significantly less effective than a music-listening intervention in decreasing both frequency and severity of HFNS.…”

Section: Paced Respirationmentioning

confidence: 86%

Mind–body interventions for vasomotor symptoms in healthy menopausal women and breast cancer survivors. A systematic review

Stefanopoulou

Grunfeld

2016

Journal of Psychosomatic Obstetrics & Gynecology

View full text Add to dashboard Cite

Mind-body therapies are commonly recommended to treat vasomotor symptoms, such as hot flushes and night sweats (HFNS). The purpose of this systematic review was to evaluate the available evidence to date for the efficacy of different mind-body therapies to alleviate HFNS in healthy menopausal women and breast cancer survivors. Randomised controlled trials (RCTs) were identified using seven electronic search engines, direct searches of specific journals, and backwards searches through reference lists of related publications. Outcome measures included HFNS frequency and/or severity or self-reported problem rating at post-treatment. The methodological quality of all studies was systematically assessed using predefined criteria. 26 RCTs met the inclusion criteria.Interventions included yoga (n=5), hypnosis (n=3), mindfulness (n=2), relaxation (n=7), paced breathing (n=4), reflexology (n=1) and cognitive behavioural therapy (CBT) (n=4). Findings were consistent for the effectiveness of CBT and relaxation therapies for alleviating troublesome vasomotor symptoms. For the remaining interventions, although some trials indicated beneficial effects (within groups) at post-treatment and/or follow up, between group findings were mixed and overall, methodological differences across studies failed to provide convincing supporting evidence.Collectively, findings suggest that interventions that include breathing and relaxation techniques, as well as CBT, can be beneficial for alleviating vasomotor symptoms. Additional large, methodologically rigorous trials are needed to establish the efficacy of interventions on vasomotor symptoms, examine long-term outcomes and understand how they work.

show abstract

“…Although previously tested protocols included twice-per-day practice sessions (Freedman & Woodward, 1992; Freedman et al, 1995), current international recommendations are to encourage women to take several slow, deep breaths at the onset of each hot flash without any mention of practice (North American Menopause Society, 2010, 2012). If twice-per-day practice is the active ingredient, then international recommendations should be revisited to include practice as well as application at hot flash onset, and some women will need more structure and support than was provided by the home-based CD self-management intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Reductions have been shown in menopausal hot flashes with slow deep breathing training (eight weekly, one-to-one, laboratory-based sessions) and at-home practice (15 minutes twice per day; Freedman & Woodward, 1992; Freedman, Woodward, Brown, Javiad, & Pandey, 1995). This study was conceptualized as a mixed efficacy-effectiveness design to evaluate usability and efficacy of a more portable training delivery method, one that women could use at home to learn and practice to self-manage their hot flashes.…”

Section: Methodsmentioning

confidence: 99%

Strategies Used and Data Obtained During Treatment Fidelity Monitoring

Carpenter

Burns

et al. 2013

Nursing Research

View full text Add to dashboard Cite

Background Treatment fidelity, also called intervention fidelity, is an important component of testing treatment efficacy. Although examples of strategies needed to address treatment fidelity have been provided in several published reports, data describing variations that might compromise efficacy testing have been omitted. Objectives To describe treatment fidelity monitoring strategies and data within the context of a nursing clinical trial. Method A three-group, randomized, controlled trial compared intervention (paced respiration) to attention control (fast, shallow breathing) to usual care for management of hot flashes and other menopausal symptoms. Data from both staff and participants were collected to assess treatment fidelity. Results Staff measures for treatment delivery indicated good adherence to protocols. Participant ratings of expectancy and credibility were not statistically different between intervention and attention control; however, the attention control was significantly more acceptable (p < .05). Intervention participant data indicated good treatment receipt and enactment with mean breath rates at each time point falling within the target range. Practice log data for both intervention and attention control indicated lower adherence of once daily, rather than twice-daily practice. Discussion Despite strengths in fidelity monitoring, some challenges were identified that have implications for other similar intervention studies.

show abstract

Biochemical and Thermoregulatory Effects of Behavioral Treatment for Menopausal Hot Flashes

Cited by 47 publications

References 12 publications

Effects of acupuncture, applied relaxation, estrogens and placebo on hot flushes in postmenopausal women: an analysis of two prospective, parallel, randomized studies

Effects of acupuncture, applied relaxation, estrogens and placebo on hot flushes in postmenopausal women: an analysis of two prospective, parallel, randomized studies

Mind–body interventions for vasomotor symptoms in healthy menopausal women and breast cancer survivors. A systematic review

Strategies Used and Data Obtained During Treatment Fidelity Monitoring

Contact Info

Product

Resources

About