School of Nursing, Indiana University, Indianapolis, Indiana.
Mind-Body Medicine Research Laboratory, Department of Psychology and Neuroscience, Baylor University, Waco, Texas.
J Womens Health (Larchmt). 2020 Mar;29(3):461-463. doi: 10.1089/jwh.2020.8327.
Poor sleep is one of the most frequent health concerns among menopausal women. All stages of sleep can be impacted by the menopause transition. Negative outcomes of poor sleep are multidimensional and include poor physical, psychological, cognition, and social outcomes. Hypnosis is a nonpharmacological treatment for poor sleep and hot flashes in menopausal women. The goal of hypnosis is to educate and train subjects to perform self-hypnosis to alleviate the underlying symptom. The use of hypnosis as a treatment for poor sleep has shown benefits for both acute and chronic insomnia. Initial findings from the National Center for Complementary and Integrative Health (NCCIH) Hypnosis Intervention for Sleep in Menopause: Examination of Optimal Dose and Method of Delivery randomized control trial of 90 women were presented. Results showed that program and treatment satisfaction were high in all groups, adherence to daily practice met or exceeded adherence benchmarks. There were significant reduction of poor sleep quality in all groups with a significant increase in minutes slept in all groups. The majority of women also showed clinical improvements of duration. There were clinically meaningful improvements in reducing the perception of poor sleep quality in 50%-77% of women across time. Overall, the use of self-hypnosis as a treatment program for sleep problems related to menopause was acceptable for women. Data further support that hypnosis is a promising technique to improve sleep in menopausal women with sleep and hot flashes. Further research is ongoing on self-hypnosis delivery and implementation into wider populations of women using clear definition and control groups.
睡眠不佳是更年期女性最常见的健康问题之一。更年期过渡阶段会影响所有睡眠阶段。睡眠不佳的负面后果是多方面的，包括身体、心理、认知和社会方面的不良后果。催眠是治疗更年期女性睡眠不佳和热潮红的非药物治疗方法。催眠的目的是教育和培训受试者进行自我催眠，以缓解潜在的症状。催眠作为治疗睡眠不佳的方法，已显示出对急性和慢性失眠都有好处。美国国立补充与综合健康中心（NCCIH）催眠干预更年期睡眠：最佳剂量和方法研究的初步结果，对 90 名女性进行了随机对照试验。结果表明，所有组的方案和治疗满意度都很高，每天的实践坚持率都达到或超过了坚持基准。所有组的睡眠质量都有显著改善，所有组的睡眠时间都显著增加。大多数女性的持续时间也显示出临床改善。在所有时间内，有 50%-77%的女性对睡眠质量的感知有临床意义的改善。总的来说，自我催眠作为与更年期相关的睡眠问题的治疗方案，对女性来说是可以接受的。数据进一步支持催眠是改善更年期女性睡眠和热潮红相关睡眠问题的有前途的技术。正在对更广泛的女性群体进行自我催眠的传递和实施进行进一步的研究，使用明确的定义和对照组。
