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Cognitive-Behavioral Intervention among Women with Slight Menopausal Symptoms: A Pilot Study

Published online by Cambridge University Press:  10 January 2013

Cristina Larroy García*
Affiliation:
Universidad Complutense (Spain)
Sonia Gutiérrez Gómez-Calcerrada
Affiliation:
Universidad Complutense (Spain)
*
Correspondence concerning this article should be addressed to Cristina Larroy García. Dpto. de Personalidad, Evaluación y Tratamiento Psicológico I (Psicología Clínica). Facultad de Psicología. Universidad Complutense de Madrid. Campus de Somosaguas s/n Madrid 28223. (Spain). Phone: +34-913943121/23. Fax: +34-913943006. E-mail: clarroy@psi.ucm.es

Abstract

Menopause is associated with a considerable variety of physical, psychological and social symptoms that can be treated using cognitive-behavioral techniques. In the present study, 21 women took part in an eight-week group intervention consisting of weekly two-hour sessions to address their slight symptoms related to the climacteric stage of life. The intervention included: psycho education on menopause, relaxation techniques, nutrition and fitness exercises, Kegel exercises, and problem-solving techniques. A control group was included that did not receive treatment and consisted of 28 women. The results revealed a significant reduction in most symptoms (including depression and anxiety) after intervention as compared to the baseline period. No changes appeared in the control group. The relevance of this work lies in the potential element of prevention this therapeutic package could offer to relieve various symptoms, slight and incipient, during the perimenopausal stage.

La menopausia aparece asociada a una importante variedad de síntomas físicos, psicológicos y sociales, susceptibles de ser tratados mediante técnicas cognitivo-conductuales. En este trabajo, 21 mujeres recibieron una intervención grupal de ocho sesiones semanales de dos horas para tratar la sintomatología leve relacionada con la etapa climatérica. La intervención incluía: psicoeducación en menopausia, técnicas de desactivación, entrenamiento en nutrición y ejercicio físico, ejercicios de Kegel y técnicas de solución de problemas. 28 mujeres constituyeron el grupo control, que no recibió tratamiento. Los resultados muestran una reducción significativa de la sintomatología asociada en todas las variables estudiadas (incluyendo depresión y ansiedad), con respecto al periodo de línea base, cambios que, por el contrario, no se observan en el grupo control. La relevancia del trabajo radica en el posible componente preventivo de este paquete terapéutico para diversos síntomas, todavía leves e incipientes, de la etapa perimenopáusica.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2011

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References

Barczak, P., Kane, N., & Andrews, S. (1988). Patterns of psychiatric morbidity in a genito-urinay clinic. British Journal of Psychiatry, 152, 698700. doi:10.1192/bjp.152.5.698CrossRefGoogle Scholar
Buchner, A., Erdfelder, E., & Faul, F. (1997). How to Use G*Power. Retrieved from: http://www.psychologie.uni-trier.de:8000/projects/gpower/howtousegpower.html.Google Scholar
Camuñas, N., García, E., Vivas, F., Morales, C., Aranda, D., & Cano, A. (2001). Intervención psicológica en mujeres menopáusicas con hipertensión [Psychological intervention for menopausia women with hypertension]. Psicología.com, 5(3). Retrieved from: http://www.psiquiatria.com/psicologia/revista/62/2439/?++interactivoGoogle Scholar
Cuevas, C., García-Estrada, A., & González, J. L. (1995). “Hospital Anxiety and Depresión Scale” y Psicopatología Afectiva. Anales de Psquiatría. 2(4), 126130.Google Scholar
Fernández, E., Fernández, J. M., & Fernández-Arcilla, J. L. (2000). Menopausia ¿Qué es? [Menopause. What is it?]. Madrid: Lilly.Google Scholar
Freedman, B. R., & Woodward, S. (1992). Behavioral treatment of menopausal hot flushes: evaluation by ambulatory monitoring. American Journal of Obstetrics and Gynecology, 167, 436439.CrossRefGoogle ScholarPubMed
Gándara-Martín, J. J. (1997). Menopausia y Trastornos psicosómaticos [Menopause and Psychosomatic Disorders]. Burgos: Cauces de Opinión.Google Scholar
Germaine, L. M., & Freedman, R. R. (1984). Behavioral treatment of menopausal hot flashes: Evaluation by objective methods. Journal of Consulting and Clinical Psychology, 52, 10721079. doi:10.1037//0022-006X.52.6.1072CrossRefGoogle ScholarPubMed
Gutiérrez, S., & Larroy, C. (2009). Efectos a largo plazo de un programa de intervención cognitivo conductual en la sintomatología menopáusica [Long term effects of a cognitive-behavioral intervention in menopausal symptomatology. Results in a preliminary study]. Revista de Psicopatología y Psicología Clínica, 14, 154176.Google Scholar
Hunter, M. S. (2003). Cognitive behavioural interventions for premenstrual and menopausal symptons. Journal of Reproductive and Infant Psychology. 21, 183193. doi:10.1080/0264683031000155006CrossRefGoogle Scholar
Hunter, M. S., & Liao, K. L. M. (1996). Evaluation of a four session cognitive- behavioural intervention for menopausal hot flushes. British Journal of Health Psychology, 1, 113125.CrossRefGoogle Scholar
Keefer, L. A. (2003). The effect of a cognitive-bahavioral group treatment on perimenopausal hot flashes and related symptoms. Dissertation Abstracts International: Section B: The Sciences and Engineering, 64(6–B), 2923.Google Scholar
Kupperman, H. S., & Blatt, M. H. (1953). Comparative clinical evaluation of estrogen preparations by menopausal and amenorreheal indices. Journal of Clinical Endoclinology, 13, 688703. doi:10.1210/jcem-13-6-688CrossRefGoogle ScholarPubMed
Labrador, F. J., Echeburúa, E., & Becoña, E. (2000). Guía para la elección de tratamientos psicológicos efectivos. Hacia una nueva psicología clínica [Guide for the election of psychological effective treatments. Towards a new clinical psychology]. Madrid: Dykinson-Psicología.Google Scholar
Larroy, C. (2004). Trastornos específicos de la Mujer [Women Specific Disorders]. Madrid: Síntesis.Google Scholar
Larroy, C., & Gutiérrez, S. (2009). Intervención cognitivoconductual en sintomatología menopáusica: efectos a corto plazo [Cognitive Behavioural intervention for menopausal sympotomatology: short term effects]. Psicothema, 21, 260266.Google Scholar
Larroy, C., Gutiérrez, S., & León, L. (2004). Tratamiento cognitivo-conductual de la sintomatología asociada a la menopausia [Cognitive Behavioural intervention for sympotomatology related to menopause]. Avances en Psicología Latinoamericana. Psicología de la Salud de la Mujer, 22, 7788.Google Scholar
Magnani, E., Sánchez-Arcilla, I., Aranda, D., Campillo, F., Campillos, M., de Dios, M.I.,… Rodríguez, A.(1999). Programa de Menopausia: Un buen momento para pensar en sí mima [Program about menopause: A good moment for thinking on you]. Madrid: Ediciones Díaz Santos.Google Scholar
Malacara, M. (2006). Nomenclatura y clasificación de las etapas de la vida reproductiva de la mujer adulta [Nomenclature and classification of the adult woman's reproductive life stages]. Revista de Endocrinología y Nutrición, 14, 131132.Google Scholar
Marín, R. M. (1996). Menopausia y Salud. Atención Integral a la Mujer de Mediana Edad [Menopause and health. Total Attention to Middle Aged Women]. In Sánchez-Cánovas, J.. Menopausia y Salud. Barcelona: Ariel.Google Scholar
Marín, R. M., Sánchez-Canovas, J., & Dupuy, M. J. (1995). Assesing the effects of Health Promotion Programs on subjetive Well-being of menopausal women. In Rodriguez-Marín, (Ed), Health Psychilogy and Quality of life Resarch. Proceedings of the 8th annual conference of the European Health Psychology Society, 2, 906915.Google Scholar
Millea, P., & Brodie, J. (2002). Tension — type headache. American Family Physician, 66, 797804.Google ScholarPubMed
Moorey, S., Greer, S., Watson, M., & Gorman, C. (1991). The factor structure and factor stability of the hospital anxiety and depression scale in patients with cancer. British Journal of Psychiatry, 158, 255259. doi:10.1192/bjp.158.2.255CrossRefGoogle ScholarPubMed
Pastor, E., Díaz, M., & Martínez, S. (1999). Las técnicas de relajación y el dolor: una experiencia clínica [Relaxation techniques and pain: a clinical experience]. Metas de Enfermería, 20, 4853.Google Scholar
Rosario, E. J., Villani, R. G. Harris, J., & Klein, R. (2003). Comparison of Strenth training Adaptations in Early and Older Postmenopausal Women. Journal of Aging and Physical Activity, 11, 143155.CrossRefGoogle Scholar
Salvatierra, V. (1992). Alteraciones psicológicas y sexuales durante la menopausia [Sexual and psychological disorders during menopause]. In Palacios, S.. Climaterio y Menopausia. Madrid: Mirpal.Google Scholar
Sánchez-Cánovas, J. (1999). Cuestionario de valoración de la calidad de vida, en mujeres de 45 a 64 aãos [Quality of Life Questionnaire for women aged 45 to 64]. Madrid: Ministerio de Asuntos Sociales. Instituto de la Mujer.Google Scholar
Spanish Society of Gynaecology and Obstetrics (2006). La Menopausia en España. Calidad de Vida y Tratamientos [Menopause in Spain: Quality of Life and Treatments]. Madrid: EPES.Google Scholar
Stevenson, D. W., & Delprato, D. J. (1983). Multiple component self-control program for menopausal hot flashes. Journal of Behaviour Therapy and Experimental Psychiatry, 14, 137140. doi:10.1016/0005-7916(83)90031-9CrossRefGoogle ScholarPubMed
Sueiro, E., Carbulleira, M. M., Perdiz, C., Rodríguez, J. A., & González, A. (1999). Promoción de la salud. Intervención psicológica en un grupo de mujeres en climaterio. Una experiencia práctica [Health Promotion. Psychological intervention in a group of climateric women. A practical experience]. Psicología conductual, 7, 155167.Google Scholar
World Health Organization (1996). Research on menopause in the nineties. Report of a scientific group of WHO Geneve: WHOGoogle Scholar
Zigmond, A. S., & Snaith, R.P., (1983). Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavian, 67, 361370. doi:10.1111/j.1600-0447.1983.tb09716.xCrossRefGoogle ScholarPubMed