Green Sheryl M, Key Brenda L, McCabe Randi E
Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada; St. Joseph's Healthcare, Hamilton, ON, Canada.
Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada; St. Joseph's Healthcare, Hamilton, ON, Canada.
Maturitas. 2015 Jan;80(1):37-47. doi: 10.1016/j.maturitas.2014.10.004. Epub 2014 Oct 18.
Menopause is a natural transition that all women go through in their lives that is often accompanied by a number of physical and emotional symptoms. Upwards of 40% of women report depression symptoms associated with menopause (Timur & Sahin, 2010) [1]. Treatments for menopausal depression include pharmacological agents such as antidepressants and hormone therapy (HT) as well as psychological approaches. This paper provides a review of cognitive-behavioral, behavioral, and mindfulness based (CBBMB) therapies in treating depression during the menopausal transition. After conducting an electronic database search, only two studies specifically using CBBMB methods were found, both had positive results. Since so few studies existed that specifically evaluated CBBMB treatments for menopausal depression (n=2), a larger net was cast. Studies that assessed depression symptoms as an outcome measure in an evaluation of CBBMB treatments for hot flashes or menopausal symptoms more broadly, were included. The review revealed that interventions targeting hot flashes or menopausal symptoms using CBBMB methods mostly proved to have had a positive impact on depression symptoms in the mild range of severity. Directions for future research are discussed including the need for more CBBMB interventions targeting depression during the menopausal transition to establish their efficacy.
更年期是所有女性在其生命中都会经历的自然过渡阶段，通常伴随着一些身体和情绪症状。超过40%的女性报告有与更年期相关的抑郁症状（蒂穆尔和萨欣，2010年）[1]。更年期抑郁症的治疗方法包括使用抗抑郁药和激素疗法（HT）等药物治疗以及心理治疗方法。本文综述了基于认知行为、行为和正念（CBBMB）的疗法在治疗更年期过渡期间的抑郁症方面的应用。在进行电子数据库搜索后，仅发现两项专门使用CBBMB方法的研究，两者均有积极结果。由于专门评估CBBMB治疗更年期抑郁症的研究非常少（n = 2），因此扩大了搜索范围。纳入了那些在更广泛地评估CBBMB治疗潮热或更年期症状时将抑郁症状作为结果指标的研究。综述显示，使用CBBMB方法针对潮热或更年期症状的干预措施大多被证明对轻度严重程度范围内的抑郁症状有积极影响。讨论了未来研究的方向，包括需要更多针对更年期过渡期间抑郁症的CBBMB干预措施以确定其疗效。
