Ntikoudi Anastasia, Owens Dimitra Anna, Spyrou Alketa, Evangelou Eleni, Vlachou Eugenia
Department of Nursing, University of West Attica, 12243 Athens, Greece.
Medical School, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Life (Basel). 2024 Oct 31;14(11):1405. doi: 10.3390/life14111405.
This review explores the impact of cognitive behavioral therapy for insomnia (CBT-I) on menopausal women suffering from insomnia. The transition to menopause is often accompanies by sleep disturbances, which significantly affect women's quality of life. This review applies a scoping approach to evaluate randomized controlled trials (RCTs) focused on CBT-I interventions for insomnia among menopausal women. The included studies examined variations in the number of CBT-I sessions, the duration of interventions, and their delivery methods (face-to-face, online, or telephone-based). The results consistently showed that CBT-I significantly improves sleep quality and reduces insomnia severity in menopausal women. CBT-I was particularly effective compared to other interventions such as sleep restriction therapy and sleep hygiene education. Sleep quality improvements were observed to persist for up to six months after treatment. These findings support the use of CBT-I as a first-line intervention for insomnia in menopausal women, offering a sustainable solution with fewer side effects compared to pharmacological treatments. However, the review also highlights the need for further research on CBT-I's efficacy in diverse populations, as most studies focused on predominantly white and well-educated women.
本综述探讨了失眠认知行为疗法（CBT-I）对患有失眠的更年期女性的影响。向更年期过渡通常伴随着睡眠障碍，这会显著影响女性的生活质量。本综述采用一种范围界定方法来评估针对更年期女性失眠的CBT-I干预措施的随机对照试验（RCT）。纳入的研究考察了CBT-I疗程数量、干预持续时间及其实施方式（面对面、在线或电话形式）的差异。结果一致表明，CBT-I能显著改善更年期女性的睡眠质量并降低失眠严重程度。与睡眠限制疗法和睡眠卫生教育等其他干预措施相比，CBT-I特别有效。治疗后观察到睡眠质量改善可持续长达六个月。这些发现支持将CBT-I用作更年期女性失眠的一线干预措施，与药物治疗相比，它提供了一种副作用较少的可持续解决方案。然而，该综述也强调需要进一步研究CBT-I在不同人群中的疗效，因为大多数研究主要集中在白人且受过良好教育的女性身上。
