Effects of mind–body therapies on symptom clusters during the menopausal transition

Woods, Nancy Fúgate; Mitchell, Ellen Sullivan; Schnall, Janet G.; Cray, Lori; Ismail, R.; Taylor-Swanson, Lisa; Thomas, Arthur N.

doi:10.3109/13697137.2013.828198

Cited by 34 publications

(13 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Cognitive therapy for insomnia has been shown to be highly effective 62 and may be especially helpful in easing psychiatric menopausal symptoms (for example, addressing negative associations with sleep or hot flashes/night sweats 63 and/or addressing impairing cognitions and behaviors associated with perfectionism 64 ). Moreover, both pharmacological 65, 66 and non-pharmacological 67 treatments in midlife women have been shown to be effective in reducing insomnia and vasomotor symptoms. Our findings that insomniacs were more likely to report a lifetime history of severe premenstrual symptoms (i.e., provisional past premenstrual dysphoric disorder), and that perimenopausal insomnia is releated to increased neuroticism and increased prevalenceof maladaptive personality traits, extend our previous findings that severe premenstrual syndrome is associated with increased prevalence of character pathology, particularly obsessive compulsive disorder, 33 and lead us to speculate that those with particularly distressing premenstrual symptoms may be predisposed to eventually experience clinically significant insomnia as well as other distressing perimenopausal symptoms in midlife vis-à-vis a neurotic personality style.…”

Section: Discussionmentioning

confidence: 99%

Association between personality traits and DSM-IV diagnosis of insomnia in peri- and postmenopausal women

et al. 2014

View full text Add to dashboard Cite

Objective The aim of this study was to determine the role of personality factors in the development of DSM-IV insomnia coincident with perimenopause. Method Perimenopausal women (35 with DSM-IV insomnia and 28 with self-reported normal sleep) underwent clinical assessments and completed menopause-related questionnaires, the NEO-FFI, and the Structured Interview for DSM-IV Personality (SID-P). Logistic regressions determined whether personality factors and hot flash-related interference were associated with an insomnia diagnosis concurrent with the menopause transition. Results Women with insomnia reported higher neuroticism, lower agreeableness, and lower conscientiousness than controls on the NEO-FFI. Moreover, women with insomnia were more likely to meet DSM-IV criteria for Cluster C personality disorders, particularly obsessive compulsive personality disorder, on the SID-P. Women with insomnia were more likely to have had a past depressive episode and history of severe premenstrual symptoms. Findings from regressions revealed that higher neuroticism and greater interference from hot flashes were associated with insomnia classification even after controlling for history of depression, suggesting that sensitivity to hot flashes and a greater degree of neuroticism are independent contributors toward establishing which women are most likely to have sleep problems during perimenopause. Conclusions Findings show the relevance of personality factors, particularly neuroticism and obsessive-compulsive personality, in influencing a woman’s experience of insomnia as she goes through the menopause transition.

show abstract

Section: Discussionmentioning

confidence: 99%

Association between personality traits and DSM-IV diagnosis of insomnia in peri- and postmenopausal women

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Telephone-guided self-help cognitive behavioral therapy seems to have a positive influence on menopausal symptoms [43]. Interventions that include relaxation and yoga have also been assessed for the treatment of menopausal symptoms; however the results are inconsistent [44]. A meta-analysis that assessed four studies failed to show that relaxation techniques can be effective in treating menopausal vasomotor symptoms [45].…”

Section: Behavioral Therapiesmentioning

confidence: 99%

EMAS position statement: Non-hormonal management of menopausal vasomotor symptoms

Mintziori¹,

Lambrinoudaki²,

Goulis³

et al. 2015

Maturitas

View full text Add to dashboard Cite

“…1–3, 8–10 These co-occurring symptoms are typically not assessed or are considered secondary outcomes, with few trials specifically targeting more than one symptom. 6, 7, 11, 12 Research shows that symptoms act synergistically and that the impact of co-occurring symptoms on an individual is multiplicative rather than additive. 9, 13 Thus, addressing multiple co-occurring symptoms is vital to improving midlife women’s quality of life.…”

Section: Introductionmentioning

confidence: 99%

MsFLASH participants’ priorities for alleviating menopausal symptoms

et al. 2015

Self Cite

View full text Add to dashboard Cite

Objective To describe self-reported menopausal symptom priorities and their association with demographics and other symptoms among participants in an intervention trial for vasomotor symptoms (VMS). Methods Cross-sectional study embedded in the MsFLASH 02 trial, a three by two factorial design of yoga vs. exercise vs. usual activity and omega-3-fatty acid vs. placebo. At baseline, women (n=354) completed hot flash diaries, a card sort task to prioritize symptoms they would most like to alleviate, and standardized questionnaires. Results The most common symptom priorities were: VMS (n=322), sleep (n=191), concentration (n=140), and fatigue (n=116). In multivariate models, (1) women who chose VMS as their top priority symptom (n=210) reported significantly greater VMS severity (p=0.004) and never smoking (p=0.012) and (2) women who chose sleep as their top priority symptom (n=100), were more educated (p≤0.001) and had worse sleep quality (p<0.001). ROC curves identified sleep scale scores that were highly predictive of ranking sleep as a top priority symptom. Conclusions Among women entering an intervention trial for VMS and with relatively low prevalence of depression and anxiety, VMS was the priority symptom for treatment. A card sort may be a valid tool for quickly assessing symptom priorities in clinical practice and research.

show abstract

Effects of mind–body therapies on symptom clusters during the menopausal transition

Cited by 34 publications

References 39 publications

Association between personality traits and DSM-IV diagnosis of insomnia in peri- and postmenopausal women

Association between personality traits and DSM-IV diagnosis of insomnia in peri- and postmenopausal women

EMAS position statement: Non-hormonal management of menopausal vasomotor symptoms

MsFLASH participants’ priorities for alleviating menopausal symptoms

Contact Info

Product

Resources

About