Muñiz Vanessa, Padilla Victor Julian, Alldredge Cameron T, Elkins Gary
Department of Psychology & Neuroscience, Baylor University, Waco, Texas, USA.
Womens Health Rep (New Rochelle). 2025 Jan 8;6(1):1-20. doi: 10.1089/whr.2024.0144. eCollection 2025.
Hot flashes can be a prevalent issue for postmenopausal women, but traditional treatments such as hormone therapy can have adverse side effects. Recommended psychotherapies for managing hot flashes include cognitive behavioral therapy (CBT) and clinical hypnosis, but an in-depth review comparing the efficacy of both treatments is warranted.
The aim of the present scoping review was to assess the clinical significance and efficacy of symptom reduction of CBT and clinical hypnosis as treatments of hot flashes.
Peer-reviewed primary studies were included in this review if they were published in English, used CBT or clinical hypnosis as their intervention, included hot flash outcomes, and sampled women aged 18 years or older.
A search was conducted on PubMed, Web of Science, and PsycINFO over December 2023 and January 2024.
Extracted information included eligible studies' authors, year of publication, country, title, design, participant population, intervention type, control group, primary and secondary outcomes, and key findings.
Of the 1847 studies identified by the literature search, 23 studies were included in this scoping review. While CBT was found to benefit bother and daily interference related to hot flashes, only studies investigating clinical hypnosis found significant reductions in the frequency and severity of hot flashes.
Clinical hypnosis was found to outperform CBT by a large effect in treatment for hot flashes based on the current state of the literature. While both modalities treat psychological distress, only clinical hypnosis demonstrates the ability to reduce the severity and frequency of hot flashes, thus showing clinical significance. Limitations and future directions for research into CBT and clinical hypnosis for hot flashes are discussed.
潮热是绝经后女性普遍存在的问题，但激素疗法等传统治疗方法可能会产生不良副作用。推荐用于管理潮热的心理治疗方法包括认知行为疗法（CBT）和临床催眠，但有必要对这两种治疗方法的疗效进行深入比较。
本综述的目的是评估CBT和临床催眠作为潮热治疗方法在减轻症状方面的临床意义和疗效。
如果同行评审的原始研究以英文发表，使用CBT或临床催眠作为干预措施，包括潮热结局，并对18岁及以上的女性进行抽样，则纳入本综述。
于2023年12月至2024年1月在PubMed、科学网和PsycINFO上进行了检索。
提取的信息包括符合条件的研究的作者、发表年份、国家、标题、设计、参与者群体、干预类型、对照组、主要和次要结局以及主要发现。
在文献检索中确定的1847项研究中，有23项研究纳入了本综述。虽然发现CBT对与潮热相关的困扰和日常干扰有益，但只有研究临床催眠的研究发现潮热的频率和严重程度有显著降低。
根据目前的文献状况，发现临床催眠在潮热治疗方面比CBT有更大的疗效。虽然两种方法都能治疗心理困扰，但只有临床催眠显示出降低潮热严重程度和频率的能力，因此具有临床意义。讨论了CBT和临床催眠治疗潮热的研究局限性和未来方向。
