Hot Flash, Hot Topic: Conceptualizing Menopausal Symptoms From a Cognitive-Behavioral Perspective

Keefer, Laurie; Blanchard, Edward B.

doi:10.1007/s10484-005-2176-9

Cited by 18 publications

(13 citation statements)

References 49 publications

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“…These cognitive processes are posited to precede and influence subsequent emotional and behavioral responses to symptoms. However, with some notable exceptions,31–33 there has been limited work relating the psychology of symptom reporting to VMS. As suggested by initial investigations,34 intervening on cognitive and affective factors to reduce interference of symptoms may warrant further investigation.…”

Section: Discussionmentioning

confidence: 99%

Beyond frequency

et al. 2008

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Objective Most menopausal women report vasomotor symptoms (hot flashes, night sweats). However, not all women with vasomotor symptoms, including frequent symptoms, are bothered by them. The primary aim was to identify correlates of vasomotor symptom bother beyond symptom frequency. Design The Study of Women’s Health Across the Nation participants reporting vasomotor symptoms at annual visit 7 comprised the sample (N = 1,042). Assessments included hot flash and night sweats frequency (number per week) and bother (1, not at all– 4, very much). Negative affect (index of depressive symptoms, anxiety, perceived stress, negative mood), symptom sensitivity, sleep problems, and vasomotor symptom duration (number of years) were examined cross-sectionally in relation to bother in ordinal logistic regression models with symptom frequency and covariates. Hot flashes and night sweats were considered separately. Results In multivariable models controlling for hot flash frequency, negative affect (odds ratio [OR] = 1.27, 95% CI: 1.08–1.51), symptom sensitivity (OR = 1.18, 95% CI: 1.03–1.37), sleep problems (OR = 1.38, 95% CI: 1.04–1.85), poorer health (OR = 1.24, 95% CI: 1.03–1.48), duration of hot flashes (OR = 1.14, 95% CI: 1.06–1.23), younger age (OR = 0.94, 95% CI: 0.89–0.99), and African American race (vs white, OR = 1.59, 95% CI: 1.12–2.26) were associated with hot flash bother. After controlling for night sweats frequency and covariates, sleep problems (OR = 1.84, 95% CI: 1.33–2.55) and night sweats duration (OR = 1.10, 95% CI: 1.02–1.20) were associated with night sweats bother. Conclusions Beyond frequency, factors associated with bothersome hot flashes include mood, symptom sensitivity, symptom duration, sleep problems, age, and race. Correlates of bothersome night sweats include sleep problems and symptom duration. In addition to reducing frequency, interventions for vasomotor symptoms might consider addressing modifiable factors related to symptom bother.

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Section: Discussionmentioning

confidence: 99%

Beyond frequency

et al. 2008

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“…26–28 Such breathing forms the most integral core of any yoga practice. 29,30 Yoga practice involves the combination of physical postures (asanas), breathing (pranayama), and deep relaxation (savasana).…”

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confidence: 99%

Pilot study of integral yoga for menopausal hot flashes

Avis

Legault²,

Russell³

et al. 2014

Menopause

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Objective To obtain preliminary data on the efficacy of yoga for reducing self-reported menopausal hot flashes in a randomized study including an attention control group. Methods We randomized 54 women late perimenopausal (2–12 months of amenorrhea) and postmenopausal women (12 or more months of amenorrhea), aged 45–58 years, with at least 4 hot flashes per day on average, for at least 4 weeks, to one of three groups: yoga, health and wellness education (HW) classes, and a wait list (WL) control group. Yoga and HW classes consisted of weekly 90 minute classes for 10 weeks. All women completed daily hot flash diaries throughout the trial (10 weeks) to track frequency and severity of hot flashes. The mean hot flash index score is based on the number of mild, moderate, severe and very severe hot flashes. Results Hot flash frequency declined significantly over time for all three groups with the strongest decline during the first week. There was no overall significant difference in hot flash frequency decrease over time by treatment groups, but the yoga and HW groups followed similar patterns and both showed greater decreases than the WL group. By week 10, women in the yoga group reported a decrease of approximately 66% in hot flash frequency, 63% in HW, and 36% in the WL group. The hot flash index showed a similar pattern. Conclusions Results suggest that yoga can serve as a behavioral option for reducing hot flashes, but they also suggest that yoga may not offer any advantage over other types of interventions.

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“…24,25 Behavioral interventions involving relaxation and slow deep, abdominal breathing, however, have been found to be useful for reducing mild-to moderate-intensity hot flashes. [26][27][28] Such breathing forms the most integral core of any yoga practice. 29,30 Yoga practice involves the combination of physical postures (asanas), breathing (pranayama), and deep relaxation (savasana).…”

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confidence: 99%

A Pilot Study of Integral Yoga for Menopausal Hot Flashes

AvisNancy

LegaultClaudine

RussellGregory

et al. 2014

The Journal of Alternative and Complementary Medicine

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Objective-To obtain preliminary data on the efficacy of yoga for reducing self-reported menopausal hot flashes in a randomized study including an attention control group.Methods-We randomized 54 women late perimenopausal (2-12 months of amenorrhea) and postmenopausal women (12 or more months of amenorrhea), aged 45-58 years, with at least 4 hot flashes per day on average, for at least 4 weeks, to one of three groups: yoga, health and wellness education (HW) classes, and a wait list (WL) control group. Yoga and HW classes consisted of weekly 90 minute classes for 10 weeks. All women completed daily hot flash diaries throughout the trial (10 weeks) to track frequency and severity of hot flashes. The mean hot flash index score is based on the number of mild, moderate, severe and very severe hot flashes.Results-Hot flash frequency declined significantly over time for all three groups with the strongest decline during the first week. There was no overall significant difference in hot flash frequency decrease over time by treatment groups, but the yoga and HW groups followed similar patterns and both showed greater decreases than the WL group. By week 10, women in the yoga group reported a decrease of approximately 66% in hot flash frequency, 63% in HW, and 36% in the WL group. The hot flash index showed a similar pattern. Conclusions-Resultssuggest that yoga can serve as a behavioral option for reducing hot flashes, but they also suggest that yoga may not offer any advantage over other types of interventions.Keywords vasomotor symptoms; yoga; hot flashes; menopause Hot flashes and/or night sweats (vasomotor symptoms) are the most common and troubling symptoms associated with menopause and are experienced by 64% to 80% of women undergoing natural menopause and almost all women who undergo surgical menopause. [1][2][3] For many women, these symptoms are frequent and severe enough to become debilitating and impact their quality of life. [4][5][6][7][8][9][10] Hot flashes are one of the chief menopausal complaints Direct Correspondence to: Nancy E. Avis, PhD, Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157, navis@wakehealth.edu The objective of the current study was to obtain preliminary data on the efficacy of yoga for reducing self-reported menopausal hot flashes in a randomized study that included an attention control group and measured daily hot flashes. Attention control groups are important to help understand the true impact of an active intervention. We hypothesized that women participating in a yoga intervention would achieve a greater reduction in subjective hot flash frequency and severity than women in an educational control group or a waitlist control group. As a pilot study, we also sought to examine the effect of yoga on selfreported hot flash interference, sleep, anxiety, depressive symptoms, perceived stress, and quality of life; and to track the recruitment, retention, and adherence to the protocol. METHODS Study Desig...

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Hot Flash, Hot Topic: Conceptualizing Menopausal Symptoms From a Cognitive-Behavioral Perspective

Cited by 18 publications

References 49 publications

Beyond frequency

Beyond frequency

Pilot study of integral yoga for menopausal hot flashes

A Pilot Study of Integral Yoga for Menopausal Hot Flashes

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