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Maturitas. 2014 Jan;77(1):73-7. doi: 10.1016/j.maturitas.2013.09.013. Epub 2013 Oct 1.

Telephone-guided Self-Help Cognitive Behavioural Therapy for menopausal symptoms.

Author information

1
Institute of Psychiatry, King's College London, London, UK.
2
Institute of Psychiatry, King's College London, London, UK. Electronic address: myra.hunter@kcl.ac.uk.

Abstract

OBJECTIVES:

Group and Self-Help forms of Cognitive Behavioural Therapy (CBT) are effective treatment options for women with problematic menopausal hot flushes and night sweats (HF/NS). However, some women are unable to attend face-to-face sessions. This study investigates whether Self-Help CBT for HF/NS is as effective when rolled out to women living at a distance with minimal telephone guidance.

STUDY DESIGN:

Forty-seven women completed a Self-Help CBT intervention (booklet and relaxation/paced breathing CD) during a 4-week period. They also received one 'guiding' telephone call from a clinical psychologist two weeks into treatment to provide support and discuss individual treatment goals. Questionnaires were collected at baseline, 6 weeks (post-treatment) and 3 months (follow-up) after the end of the intervention.

MAIN OUTCOME MEASURES:

HF/NS problem rating.

SECONDARY OUTCOME MEASURES:

HF/NS frequency, HF/NS beliefs and behaviours, sleep, anxiety and depressed mood.

RESULTS:

There was a significant reduction in HF/NS problem-rating following the intervention which was maintained at follow-up. Moreover, women reported less frequent HF/NS along with further improvements in sleep quality, mood and HF/NS beliefs and behaviours.

CONCLUSIONS:

Telephone-guided Self-Help interventions might provide an effective way of widening access to CBT treatment for HF/NS.

KEYWORDS:

CBT; Hot flushes; Menopause; Self-Help; Telephone-guided

Comment in

PMID:
24144959
DOI:
10.1016/j.maturitas.2013.09.013
[Indexed for MEDLINE]

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