Angiogenesis, Inflammation & Therapeutics | Online ISSN  2207-872X
RESEARCH ARTICLE   (Open Access)

Menopause-Related Insomnia, Cognitive, Behavioral, and Mindfulness-Based Treatments

Venu Anand Das 1, Jitendra Sinha 2

+ Author Affiliations

Journal of Angiotherapy 7(2) 1-11 https://doi.org/10.25163/angiotherapy.729407

Submitted: 08 November 2023  Revised: 12 December 2023  Published: 17 December 2023 

Abstract

The transition to menopause brings about various symptoms affecting women's quality of life, such as sleep issues and changes in cognition and behavior. Existing treatments face challenges in effectively addressing this complexity. The Menopause-based Treatment Study Framework (MTSF) is introduced as a novel approach to overcome these challenges. Therapeutic options like hormone replacement therapy, pharmaceuticals, cognitive-behavioral therapy for insomnia, and lifestyle adjustments have limitations. The MTSF integrates mindfulness-based therapies into a comprehensive strategy, showing significantly higher scores in various measures, indicating its efficacy in managing menopause-related symptoms, cognitive performance, sleep, and overall well-being. With a high participant involvement and retention rate, the MTSF offers a potentially practical approach to enhance women's well-being during menopause.

Keywords: Menopause, Insomnia, Cognitive function, Mindfulness intervention

References

Alimoradi, Z., Jafari, E., Broström, A., Ohayon, M. M., Lin, C. Y., Griffiths, M. D., ... & Pakpour, A. H. (2022). Effects of cognitive behavioral therapy for insomnia (CBT-I) on quality of life: A systematic review and meta-analysis. Sleep medicine reviews, 64, 101646.

Armeni, E., Paschou, S. A., Goulis, D. G., & Lambrinoudaki, I. (2021). Hormone therapy regimens for managing the menopause and premature ovarian insufficiency. Best Practice & Research Clinical Endocrinology & Metabolism, 35(6), 101561.

Ballot, O., Ivers, H., Ji, X., & Morin, C. M. (2022). Sleep disturbances during the menopausal transition: The role of sleep reactivity and arousal predisposition. Behavioral Sleep Medicine, 20(4), 500-512.

Carmona, N. E., Millett, G. E., Green, S. M., & Carney, C. E. (2023). Cognitive-behavioral, behavioural and mindfulness-based therapies for insomnia in menopause. Behavioral Sleep Medicine, 21(4), 488-499.

Davis, S. R., & Baber, R. J. (2022). Treating menopause—MHT and beyond. Nature Reviews Endocrinology, 18(8), 490-502.

Depypere, H., Lademacher, C., Siddiqui, E., & Fraser, G. L. (2021). Fezolinetant in the treatment of vasomotor symptoms associated with menopause. Expert Opinion on Investigational Drugs, 30(7), 681-694.

Donohoe, F., O'Meara, Y., Roberts, A., Comerford, L., Kelly, C. M., Walshe, J. M., ... & Brennan, D. J. (2021). The menopause after cancer study (MACS)-A multimodal technology assisted intervention for the management of menopausal symptoms after cancer–Trial protocol of a phase II study. Contemporary Clinical Trials Communications, 24, 100865.

Garcia, M. C., Kozasa, E. H., Tufik, S., Mello, L. E. A., & Hachul, H. (2018). The effects of mindfulness and relaxation training for insomnia (MRTI) on postmenopausal women: a pilot study. Menopause, 25(9), 992-1003.

Gosset, A., Pouillès, J. M., & Trémollieres, F. (2021). Menopausal hormone therapy for the management of osteoporosis. Best Practice & Research Clinical Endocrinology & Metabolism, 35(6), 101551.

Kalmbach, D. A., Cheng, P., Arnedt, J. T., Cuamatzi-Castelan, A., Atkinson, R. L., Fellman-Couture, C., ... & Drake, C. L. (2019). Improving daytime functioning, work performance, and quality of life in postmenopausal women with insomnia: comparing cognitive behavioral therapy for insomnia, sleep restriction therapy, and sleep hygiene education. Journal of Clinical Sleep Medicine, 15(7), 999-1010.

Kalmbach, D. A., Cheng, P., Roth, T., Sagong, C., & Drake, C. L. (2020). Objective sleep disturbance is associated with poor response to cognitive and behavioral treatments for insomnia in postmenopausal women. Sleep medicine, 73, 82-92.

Laudisio, D., Barrea, L., Pugliese, G., Aprano, S., Castellucci, B., Savastano, S., ... & Muscogiuri, G. (2021). A practical nutritional guide for the management of sleep disturbances in menopause. International journal of food sciences and nutrition, 72(4), 432-446.

Lephart, E. D., & Naftolin, F. (2021). Menopause and the skin: Old favorites and new innovations in cosmeceuticals for estrogen-deficient skin. Dermatology and Therapy, 11, 53-69.

Li, J., Li, H., Zhou, Y., Xie, M., Miao, Y., Wang, L., ... & Wang, J. (2021). The fractional CO2 laser for the treatment of genitourinary syndrome of menopause: a prospective multicenter cohort study. Lasers in Surgery and Medicine, 53(5), 647-653.

McCartney, M., Nevitt, S., Lloyd, A., Hill, R., White, R., & Duarte, R. (2021). Mindfulness-based cognitive therapy for prevention and time to depressive relapse: Systematic review and network meta-analysis. Acta Psychiatrica Scandinavica, 143(1), 6-21.

Nappi, R. E., Siddiqui, E., Todorova, L., Rea, C., Gemmen, E., & Schultz, N. M. (2023). Prevalence and quality-of-life burden of vasomotor symptoms associated with menopause: A European cross-sectional survey. Maturitas, 167, 66-74.

Norouzi, E., Rezaie, L., Bender, A. M., & Khazaie, H. (2023). Mindfulness plus physical activity reduces emotion dysregulation and insomnia severity among people with major depression. Behavioral sleep medicine, 1-13.

Rosenberg, R., Citrome, L., & Drake, C. L. (2021). Advances in the treatment of chronic insomnia: a narrative review of new nonpharmacologic and pharmacologic therapies. Neuropsychiatric Disease and Treatment, 2549-2566.

Shieu, M. M., Braley, T. J., Becker, J., & Dunietz, G. L. (2023). The Interplay Among Natural Menopause, Insomnia, and Cognitive Health: A Population-Based Study. Nature and Science of Sleep, 39-48.

Susanti, H. D., Sonko, I., Chang, P. C., Chuang, Y. H., & Chung, M. H. (2022). Effects of yoga on menopausal symptoms and sleep quality across menopause statuses: A randomized controlled trial. Nursing & Health Sciences, 24(2), 368-379.

Talaulikar, V. (2022). Menopause transition: Physiology and symptoms. Best practice & research Clinical obstetrics & gynaecology, 81, 3-7.

Talaulikar, V. (2022). Menopause transition: Physiology and symptoms. Best practice & research Clinical obstetrics & gynaecology, 81, 3-7.

Wang, Y. P., & Yu, Q. (2021). The treatment of menopausal symptoms by traditional Chinese medicine in Asian countries. Climacteric, 24(1), 64-67.

Ye, M., Shou, M., Zhang, J., Hu, B., Liu, C., Bi, C., ... & Liu, Z. (2022). Efficacy of cognitive therapy and behavior therapy for menopausal symptoms: a systematic review and meta-analysis. Psychological Medicine, 52(3), 433-445.

Zhao, F. Y., Zhang, W. J., Kennedy, G. A., Conduit, R., Zheng, Z., & Fu, Q. Q. (2021). The role of acupuncture in treating perimenopausal insomnia: an overview and quality assessment of systematic reviews and meta-analyses. Neuropsychiatric Disease and Treatment, 3325-3343.

PDF
Full Text
Export Citation

View Dimensions


View Plumx



View Altmetric



27
Save
0
Citation
529
View
1
Share