Institute of Psychiatry, Kings College London, UK.
Behav Cogn Psychother. 2013 Jul;41(4):441-57. doi: 10.1017/S1352465812000677. Epub 2012 Sep 4.
There is a growing need for non-medical treatments for women experiencing problematic menopausal symptoms such as hot flushes and night sweats (HF/NS). A recent randomized control trial (RCT) (MENOS2) provides evidence of the effectiveness of Group CBT and Self-Help CBT for HF/NS.
This study examines MENOS 2 participants' experience of the CBT treatments.
Twenty women who had experienced CBT for HF/NS (10 Group CBT and 10 Self-Help CBT) were interviewed at the end of the trial to explore how they experienced the treatment and its effects. The interviews were analysed using interpretative phenomenological analysis.
Women experienced both treatment formats as positive and helpful, increasing their ability to cope and their sense of control over HF/NS. Four super-ordinate themes were identified: making sense of symptom change, new ways of coping and regaining control, acknowledging and challenging the menopause taboo, and social interaction and support versus individual learning.
These qualitative results are consistent with those of the main trial in that women found both CBT formats helpful in reducing the impact of HF/NS. However, the results also suggest possible mechanisms of change and provide useful information on women's responses to the different treatment components and formats.
对于经历热潮红和盗汗（HF/NS）等有问题的更年期症状的女性，越来越需要非医学治疗。最近的一项随机对照试验（RCT）（MENOS2）为小组认知行为疗法（CBT）和自我帮助 CBT 对 HF/NS 的有效性提供了证据。
本研究检查了 MENOS 2 参与者对 CBT 治疗的体验。
在试验结束时，对经历过 HF/NS 的 CBT 治疗的 20 名女性（10 名小组 CBT 和 10 名自我帮助 CBT）进行了访谈，以探讨她们对治疗的体验及其效果。使用解释现象学分析对访谈进行了分析。
女性体验到两种治疗方式都积极且有帮助，提高了她们应对 HF/NS 的能力和控制感。确定了四个超主题：理解症状变化、应对和重新获得控制的新方法、承认和挑战更年期禁忌、社会互动和支持与个人学习。
这些定性结果与主要试验的结果一致，即女性发现两种 CBT 形式都有助于减轻 HF/NS 的影响。然而，结果还表明了可能的变化机制，并提供了有关女性对不同治疗成分和形式的反应的有用信息。
