1 / 12

Lori Cray, PhD, RN Nancy Fugate Woods, PhD, RN, FAAN Ellen Sullivan Mitchell , PhD

Mind-body therapies for symptom clusters during the menopausal transition and early postmenopause : A systematic review. Lori Cray, PhD, RN Nancy Fugate Woods, PhD, RN, FAAN Ellen Sullivan Mitchell , PhD Janet Schnall MS, AHIIP. Funding Support.

drea
Télécharger la présentation

Lori Cray, PhD, RN Nancy Fugate Woods, PhD, RN, FAAN Ellen Sullivan Mitchell , PhD

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Mind-body therapies for symptom clusters during the menopausal transition and early postmenopause: A systematic review Lori Cray, PhD, RN Nancy Fugate Woods, PhD, RN, FAAN Ellen Sullivan Mitchell, PhD Janet Schnall MS, AHIIP

  2. Funding Support • NINR 1R21NR012218-01 Menopause Symptom Clusters: Refocusing Therapeutics • NINR R01-NR 04141 Menopausal Transition: Biobehavioral Dimensions • NINR P30 NR 04001, P50-NR02323 – Center for Women’s Health and Gender Research

  3. Background • Most women experience symptom clusters • Clinical trial reports of hot flash effects often omit co-occurring symptoms • Systematic reviews of therapeutics for symptoms have focused almost exclusively on a single symptom: hot flashes. • Most investigators have focused reviews on hormonal therapy • Increasing numbers are studying non-hormonal pharmacotherapy since the publication of the Women’s Health Initiative hormonal therapies trial results (2002)

  4. Aim • Review controlled clinical trials of mind-body therapies for hot flashes and at least one other symptom from these clusters: • Sleep • Cognitive function • Mood • pain

  5. Methods • Extensive search of: PubMed/Medline, CINAHL Plus, PsycInfo, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Web of Science, EMBASE, AMED, and Alt HealthWatchconducted by experienced reference librarian (Schnall) • Randomized controlled trials, English language, January 2004 to July 6, 2011 with follow-up alerts

  6. Results • 1193 abstracts identified • 59 trials examining effectiveness of therapies on hot flashes and at least one additional symptom of interest were identified • 9 reports of 8 trials of mind-body therapies • 6 Physical activity/exercise • 2 relaxation therapies • 2 yoga (included as a comparison group in a walking study)

  7. Results – co-occurring symptoms Physical activity/exercise

  8. Results – co-occurring symptoms Relaxation Therapies Yoga

  9. Results – intervention effectiveness Physical activity/exercise Intervention Control Estradiol (b) between groups; (w) within groups

  10. Results – intervention effectiveness Relaxation Therapies Estradiol Yoga *Results reported are for intervention group unless otherwise indicated; (b) between groups; (w) within groups

  11. Conclusion • Studies of mind-body therapies for hot flashes increasingly indicate multiple symptom outcomes • Few report treatment effects in ways that allow clinicians to consider symptom clusters when prescribing therapies • Of all the therapies studied, Yoga was the single therapy that demonstrated treatment effects across all symptom groups (one study) • Mindfulness-based stress response demonstrated promise for managing multiple symptoms (one study) • Recommend further attention paid to the symptom clusters that women experience in future intervention trials

  12. Thank you

More Related