Assessing the efficacy of a structured stress management program in reducing stress and climacteric symptoms in peri- and postmenopausal women.
Anxiety
Climacteric symptoms
Depression
Menopause
Relaxation therapy
Stress
Journal
Archives of women's mental health
ISSN: 1435-1102
Titre abrégé: Arch Womens Ment Health
Pays: Austria
ID NLM: 9815663
Informations de publication
Date de publication:
10 2021
10 2021
Historique:
received:
04
07
2020
accepted:
20
01
2021
pubmed:
24
3
2021
medline:
12
10
2021
entrez:
23
3
2021
Statut:
ppublish
Résumé
To evaluate the effectiveness of a structured education program on lifestyle habits, which is also incorporating teaching on deep breathing, progressive muscle relaxation, and guided visualization, in the control of various components of the climacteric symptomatology in peri- and postmenopausal women. Sixty-one women aged 40-65 years with varying climacteric and stress symptoms were included in this study. Women were randomly assigned to the intervention group (31) or the control group (30). The intervention group followed an 8-week stress management program. The following parameters were assessed at baseline and at the end of the 8-week follow-up period in both groups: climacteric symptoms (Green Climacteric Scale (GCS)), sleep quality (Pittsburg Sleep Quality Index (PSQI)), mood status (Depression-Anxiety-Stress Scale), self-esteem (Rosenberg Self-esteem Scale), and health-related control (health locus of control (HLC)). A mixed-model ANOVA showed significant time × group × GCS interaction (within subjects: F = 23.830, p value<0.001; between subjects: F = 39.078, p value<0.001). With regard to HLC, there was a non-significant between subjects but a significant within-subjects effect (HLC × group × time, F = 3.848, p value = 0.024). Regarding DASS scores, there was a significant between-subjects' effect (F = 10.258, p value = 0.003) but a non-significant within-subjects' effect. With regard to PSQI, the analysis showed significant within-subjects' effects (PSQI × group × time: F = 4.691, p value = 0.003) and non-significant between-subjects' effects (F = 0.022, p = 0.883). Finally, regarding RSS, there was a significant within-subjects' (RSS × group × time, F = 4.183, p value = 0.029) but non-significant between-subjects' effect (F = 1.582, p value = 0.213). Stress management may offer an alternative approach to the management of climacteric symptoms.
Identifiants
pubmed: 33754212
doi: 10.1007/s00737-021-01106-7
pii: 10.1007/s00737-021-01106-7
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
727-735Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.
Références
Albert KM, Newhouse PA (2019) Estrogen, stress, and depression: cognitive and biological interactions [Internet]. Annu. Rev. Clin. Psychol. Annual Reviews Inc. [cited 2020 Nov 7]. p. 399–423. Available from: https://pubmed.ncbi.nlm.nih.gov/30786242/
Armeni E, Lambrinoudaki I, Ceausu I, Depypere H, Mueck A, Pérez-López FR, Schouw YT, Senturk LM, Simoncini T, Stevenson JC, Stute P, Rees M (2016) Maintaining postreproductive health: a care pathway from the European Menopause and Andropause Society (EMAS). Maturitas. 89:63–72
doi: 10.1016/j.maturitas.2016.04.013
Ayers B, Forshaw M, Hunter MS (2010) The impact of attitudes towards the menopause on women’s symptom experience: a systematic review [Internet]. Maturitas. Maturitas [cited 2020 Nov 8]. p. 28–36. Available from: https://pubmed.ncbi.nlm.nih.gov/19954900/
Chaudhuri A, Ray M, Saldanha D, Sarkar SK (2015) Effects of progressive muscle relaxation on postmenopausal stress. J Sci Soc 42:62
doi: 10.4103/0974-5009.157028
Cohen LS, Soares CN, Vitonis AF et al (2006) Risk for new onset of depression during the menopausal transition. Arch Gen Psychiatry [Internet] [cited 2020 Nov 8];63:385. Available from: http://archpsyc.jamanetwork.com/article.aspx?doi=10.1001/archpsyc.63.4.385
Daley A, Stokes-Lampard H, Thomas A et al (2014) Exercise for vasomotor menopausal symptoms [Internet]. Cochrane Database Syst. Rev. John Wiley and Sons Ltd [cited 2020 Nov 8]. p. 1–43. Available from: https://pubmed.ncbi.nlm.nih.gov/25431132/
Davis SR, Lambrinoudaki I, Lumsden M et al (2015) Menopause. Nat Rev Dis Prim [Internet] [cited 2020 Sep 16];1. Available from: https://pubmed.ncbi.nlm.nih.gov/27188659/
Fang CY, Egleston BL, Manzur AM et al (2014) Psychological reactivity to laboratory stress is associated with hormonal responses in postmenopausal women. J Int Med Res [Internet] [cited 2020 Nov 8];42:444–456. Available from: https://pubmed.ncbi.nlm.nih.gov/24595153/
Galanou C, Galanakis M, Alexopoulos E et al (2014) Rosenberg Self-Esteem Scale Greek Validation on student sample. Psychology [Internet] [cited 2020 Nov 8];5:819–827. Available from: https://www.scirp.org/journal/psychhttp://dx.doi.org/10.4236/psych.2014.58093, http://creativecommons.org/licenses/by/4.0/
Goldstein KM, Shepherd-Banigan M, Coeytaux RR et al (2017) Use of mindfulness, meditation and relaxation to treat vasomotor symptoms. Climacteric [Internet] [cited 2020 Nov 13];20:178–182. Available from: https://pubmed.ncbi.nlm.nih.gov/28286985/
Greene JG (1976) A factor analytic study of climacteric symptoms. J Psychosom Res [Internet] [cited 2020 Nov 8];20:425–430. Available from: https://pubmed.ncbi.nlm.nih.gov/1003364/
Harlow SD, Gass M, Hall JE et al (2012) Executive summary of the Stages of Reproductive Aging Workshop + 10: addressing the unfinished agenda of staging reproductive aging. J Clin Endocrinol Metab [Internet] [cited 2014 Aug 21];97:1159–1168. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3319184&tool=pmcentrez&rendertype=abstract
Huang WY, Hsin IL, Chen DR et al (2017) Circulating interleukin-8 and tumor necrosis factor-α are associated with hot flashes in healthy postmenopausal women. PLoS One [Internet] [cited 2020 Nov 7];12. Available from: https://pubmed.ncbi.nlm.nih.gov/28846735/
Karademas EC (2009) Effects of exposure to the suffering of unknown persons on health-related cognitions, and the role of mood. Health (Irvine Calif) [Internet] [cited 2020 Nov 8];13:491–504. Available from: https://pubmed.ncbi.nlm.nih.gov/19696132/
Kokka A, Mikelatou M, Fouka G et al (2019) Stress management and health promotion in a sample of women with intimate partner violence: a randomized controlled trial. J Interpers Violence [Internet] [cited 2020 Nov 8];34:2034–2055. Available from: https://pubmed.ncbi.nlm.nih.gov/27530654/
Linardatou C, Parios A, Varvogli L et al (2014) An 8-week stress management program in pathological gamblers: A pilot randomized controlled trial. J Psychiatr Res [Internet] [cited 2020 Nov 8];56:137–143. Available from: https://pubmed.ncbi.nlm.nih.gov/24912736/
Lyrakos GN, Arvaniti C, Smyrnioti M, Kostopanagiotou G (2011) Translation and validation study of the depression anxiety stress scale in the Greek general population and in a psychiatric patient’s sample. Eur Psychiatry 26:1731–1731
doi: 10.1016/S0924-9338(11)73435-6
Metikaridis DT, Hadjipavlou A, Artemiadis A et al (2017) Effect of a stress management program on subjects with neck pain: a pilot randomized controlled trial. J Back Musculoskelet Rehabil [Internet] [cited 2020 Nov 8];30:23–33. Available from: https://pubmed.ncbi.nlm.nih.gov/27232086/
Nosek M, Kennedy HP, Beyene Y et al (2010) The effects of perceived stress and attitudes toward menopause and aging on symptoms of menopause. J Midwifery Women’s Heal [Internet] [cited 2020 Nov 8];55:328–334. Available from: https://pubmed.ncbi.nlm.nih.gov/20630359/
Perantoni E, Steiropoulos P, Siopi D et al (2012) Validation of the Greek version of Pittsburg sleep quality questionnaire in a sleep lab population. Eur Respir J 40
Rathnayake N, Alwis G, Lenora J et al (2019) Impact of health-promoting lifestyle education intervention on health-promoting behaviors and health status of postmenopausal women: a quasi-experimental study from Sri Lanka. Biomed Res Int [Internet] [cited 2020 Nov 8];2019. Available from: https://pubmed.ncbi.nlm.nih.gov/31930119/
Saensak S, Vutyavanich T, Somboonporn W et al (2014) Relaxation for perimenopausal and postmenopausal symptoms [Internet]. Cochrane Database Syst. Rev. John Wiley and Sons Ltd [cited 2020 Nov 8]. Available from: https://pubmed.ncbi.nlm.nih.gov/25039019/
Smith TW, Ruiz JM (2008) Personality theory and research in the study of health and behavior. Handb Clin Heal Psychol Vol 3 Model Perspect Heal Psychol [Internet]. American Psychological Association [cited 2020 Nov 12]. p. 143–199. Available from: /record/2004–14873-005
Sood R, Sood A, Wolf SL et al (2013) Paced breathing compared with usual breathing for hot flashes. Menopause [Internet] [cited 2020 Nov 13];20:179–184. Available from: https://pubmed.ncbi.nlm.nih.gov/22990758/
Süss H, Willi J, Grub J et al (2020) Psychosocial factors promoting resilience during the menopausal transition. Arch Womens Ment Health [Internet] [cited 2020 Nov 12]; Available from: https://pubmed.ncbi.nlm.nih.gov/32719937/
Szabo RA, Marino JL, Hickey M (2019) Managing menopausal symptoms after cancer [Internet]. Climacteric. Taylor and Francis Ltd [cited 2020 Nov 13]. p. 572–578. Available from: https://pubmed.ncbi.nlm.nih.gov/31433675/
Vélez Toral M, Godoy-Izquierdo D, Padial García A et al (2014) Psychosocial interventions in perimenopausal and postmenopausal women: a systematic review of randomised and non-randomised trials and non-controlled studies [Internet]. Maturitas. Maturitas [cited 2020 Nov 8]. p. 93–110. Available from: https://pubmed.ncbi.nlm.nih.gov/24289897/
Wallston KA, Wallston BS, DeVellis R (1978) Development of the Multidimensional Health Locus of Control (MHLC) Scales. Heal Educ Behav [Internet] [cited 2020 Nov 8];6:160–170. Available from: http://journals.sagepub.com/doi/10.1177/109019817800600107
Wong C, Yip BHK, Gao T et al (2018) Mindfulness-Based Stress Reduction (MBSR) or psychoeducation for the reduction of menopausal symptoms: a randomized, controlled clinical trial. Sci Rep [Internet] [cited 2020 Nov 8];8. Available from: https://pubmed.ncbi.nlm.nih.gov/29700350/
Woods NF, Mitchell ES, Percival DB et al (2009) Is the menopausal transition stressful? Observations of perceived stress from the Seattle Midlife Women’s Health Study. Menopause [Internet] [cited 2020 Nov 7];16:90–97. Available from: http://journals.lww.com/00042192-200916010-00017
Woods NF, Mitchell ES, Schnall JG et al (2014) Effects of mind-body therapies on symptom clusters during the menopausal transition [Internet]. Climacteric. Taylor & Francis [cited 2020 Nov 8]. p. 10–22. Available from: https://www.tandfonline.com/doi/abs/10.3109/13697137.2013.828198
Yazdkhasti M, Simbar M, Abdi F (2015) Empowerment and coping strategies in menopause women: a review [Internet]. Iran. Red Crescent Med. J. Kowsar Medical Publishing Company [cited 2020 Nov 8]. p. 1–5. Available from: https://pubmed.ncbi.nlm.nih.gov/26019897/
Zhou B, Sun X, Zhang M et al (2012) The symptomatology of climacteric syndrome: whether associated with the physical factors or psychological disorder in perimenopausal/postmenopausal patients with anxiety-depression disorder. Arch Gynecol Obstet [Internet] [cited 2014 May 28];285:1345–1352. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3325418&tool=pmcentrez&rendertype=abstract