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Efficacy of cognitive therapy and behavior therapy for menopausal symptoms: a systematic review and meta-analysis.
- Source :
-
Psychological Medicine . Feb2022, Vol. 52 Issue 3, p433-445. 13p. - Publication Year :
- 2022
-
Abstract
- Background: T long-term effects of cognitive therapy and behavior therapy (CTBT) for menopausal symptoms are unknown, and whether the effects are different between natural menopause and treatment-induced menopause are currently unclear. Therefore, we sought to conduct an accurate estimate of the efficacy of CTBT for menopausal symptoms. Methods: We conducted searches of Cochrane Library, EMBASE, PsycINFO, PubMed, and Web of Science databases for studies from 1 January 1977 to 1 November 2021. Randomized controlled trials (RCTs) comparing intervention groups to control groups for menopausal symptoms were included. Hedge's g was used as the standardized between-group effect size with a random-effects model. Results: We included 14 RCTs comprising 1618 patients with a mean sample size of 116. CTBT significantly outperformed control groups in terms of reducing hot flushes [g = 0.39, 95% confidence interval (CI) 0.23–0.55, I2 = 45], night sweats, depression (g = 0.50, 95% CI 0.34–0.66, I2 = 51), anxiety (g = 0.38, 95% CI 0.23–0.54, I2 = 49), fatigue, and quality of life. Egger's test indicated no publication bias. Conclusions: CTBT is an effective psychological treatment for menopausal symptoms, with predominantly small to moderate effects. The efficacy is sustained long-term, although it declines somewhat over time. The efficacy was stronger for natural menopause symptoms, such as vasomotor symptoms, than for treatment-induced menopause symptoms. These findings provide support for treatment guidelines recommending CTBT as a treatment option for menopausal symptoms. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PERIMENOPAUSE
*PSYCHOLOGY information storage & retrieval systems
*ONLINE information services
*META-analysis
*INFORMATION storage & retrieval systems
*MEDICAL databases
*MEDICAL information storage & retrieval systems
*SYSTEMATIC reviews
*BEHAVIOR therapy
*TREATMENT effectiveness
*MEDLINE
*COGNITIVE therapy
Subjects
Details
- Language :
- English
- ISSN :
- 00332917
- Volume :
- 52
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Psychological Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 155437268
- Full Text :
- https://doi.org/10.1017/S0033291721005407