Department of Psychiatry and Behavioural Neurosciences, McMaster University and Women's Health Concerns Clinic, St. Joseph's Healthcare, Hamilton, Ontario, Canada.
Arch Womens Ment Health. 2013 Aug;16(4):325-32. doi: 10.1007/s00737-013-0339-x. Epub 2013 Apr 21.
The menopausal transition is frequently accompanied by adverse physical and emotional changes that can significantly impact a woman's quality of life. Hormone replacement therapy has been the most commonly used menopause-related treatment to date, particularly for the alleviation of vasomotor symptoms; recent studies, however, have questioned its long-term safety for some women. We aimed to develop a cognitive-behavioral group treatment (CBGT) program as an alternative or complementary treatment option for reducing the frequency and intensity of debilitating menopausal symptoms in midlife women. Eight subjects participated in two, 10-week pilot groups (n = 4 participants per group) with participants being drawn from referrals through the Women's Health Concerns Clinic and community advertising efforts. This pilot study confirmed a reduction in the frequency and interference associated with vasomotor symptoms, less depression and general anxiety, and an overall improvement in quality of life. Participants also reported high levels of satisfaction with this type of treatment for menopausal symptoms. Furthermore, there was a trend towards a reduction in sleep difficulties and sexual concerns over the course of treatment. This pilot CBGT program appears to be a promising alternative or complementary treatment for both the physical and emotional symptoms experienced during menopause. Further studies are needed on its efficacy through larger, controlled trials.
绝经过渡期常伴有身体和情绪的不良反应，这些反应会显著影响女性的生活质量。激素替代疗法是迄今为止最常用的绝经相关治疗方法，特别是用于缓解血管舒缩症状；然而，最近的研究对其在某些女性中的长期安全性提出了质疑。我们旨在开发一种认知行为团体治疗（CBGT）方案，作为减轻中年女性衰弱性绝经症状的频率和强度的替代或补充治疗选择。8 名受试者参加了两个为期 10 周的试点小组（每组 4 名参与者），参与者是通过妇女健康问题诊所的转介和社区广告努力招募的。这项试点研究证实，血管舒缩症状的频率和干扰减少，抑郁和一般焦虑减少，生活质量整体提高。参与者还报告说，对这种治疗绝经症状的方法非常满意。此外，在治疗过程中，睡眠困难和性问题也有减少的趋势。这种试点 CBGT 方案似乎是一种有前途的替代或补充治疗方法，可用于治疗绝经期间出现的身体和情绪症状。需要通过更大的对照试验来研究其疗效。
