Women's experiences of Group Cognitive Behaviour Therapy for hot flushes and night sweats following breast cancer treatment: An interpretative phenomenological analysis

Balabanovic, Janet; Ayers, Beverley; Hunter, Myra

doi:10.1016/j.maturitas.2012.03.013

Cited by 18 publications

(22 citation statements)

References 40 publications

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“…CBT works mainly by changing beliefs about hot flushes, and improving mood and sleep [51]. These results are supported by those of a qualitative study based on interviews with women who had CBT in the MENOS1 trial [52]. The women reported that CBT improved their ability to cope with their symptoms and that they 'regained a sense of control', which is consistent with the findings that changes in beliefs about hot flushes mediate improvements in symptom experience.…”

Section: Cognitive Behavioural Therapysupporting

confidence: 75%

Helping Patients to Help Themselves after Breast Cancer Treatment

2015

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Section: Cognitive Behavioural Therapysupporting

confidence: 75%

Helping Patients to Help Themselves after Breast Cancer Treatment

2015

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“…Data indicates that hyperconnectivity and hyperactivity of the DMN, as well failure to deactivate components of the DMN, is associated with maladaptive emotional states such as major depressive disorder (23, 39). Elevated DMN activity has also been linked to rumination (23), and alterations in DMN activity have been linked to chronic pain (40) and possibly insomnia (41). It is notable that the findings here were for physiologically-assessed hot flashes and not subjectively-experienced hot flashes, arguing against a purely symptom-perception or somatic focus explanation of links between hot flashes and the DMN.…”

Section: Discussionmentioning

confidence: 99%

Menopausal hot flashes and the default mode network

Thurston

Maki

Derby

et al. 2015

Fertility and Sterility

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Objective To test whether more physiologically assessed hot flashes were associated with greater connectivity in the default mode network (DMN), the network of brain regions active during rest. We particularly focus on DMN networks supporting the hippocampus as this region is rich in estrogen receptors and has previously been linked to hot flashes. Design Women underwent 24 hours of physiologic and diary hot flash monitoring, functional magnetic resonance imaging, 72 hours of sleep actigraphy monitoring, a blood draw, questionnaires, and physical measures. Setting Community Participants Twenty midlife women ages 40–60 with their uterus and both ovaries and not taking hormone therapy Interventions None Main outcome measures DMN functional connectivity Results Controlling for age, race, education, a greater number of physiologically-monitored hot flashes were associated with greater DMN connectivity [beta, B (standard error, SE)=.004 (.002), p<.05], particularly hippocampal DMN connectivity [B(SE)=.005 (.002), p<.05]. Findings were most pronounced for sleep physiologic hot flashes [with hippocampal DMN, B(SE)= .02 (.007), p<0.01]. Associations persisted additionally controlling for sleep, depressive symptoms, and serum estradiol concentrations. Conclusions More physiologically-monitored hot flashes were associated with greater DMN connectivity, particularly networks supporting the hippocampus. Findings were most pronounced for sleep hot flashes. Findings underscore the importance of continued investigation of the central nervous system in efforts to understand this classic menopausal phenomenon.

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“…Recent randomized trials have evaluated cognitive behavioral therapy (CBT) for hot fl ashes, and at least three have been done in women with breast cancer. Most of these interventions have utilized a combination of cognitive and behavioral approaches, most commonly, paced breathing and relaxation, education about menopause, cognitive strategies to address negative thinking or attitudes and catastrophizing, and behaviors to improve sleep and manage stress and anxiety Duijts et al 2012 ;Mann et al 2012 ;Tremblay et al 2008 ;Balabanovic et al 2012 ). Many of the studies have used usual care or "no treatment" control groups.…”

Section: Hot Flashesmentioning

confidence: 99%

“…The intervention time was often 90 min for 6 weeks. Most of these studies have demonstrated improvements in the distress and bother related to hot fl ashes , but not the number or severity of hot fl ashes themselves Duijts et al 2012 ;Mann et al 2012 ;Tremblay et al 2008 ;Balabanovic et al 2012 ). One study, using a cognitive behavioral intervention for hot fl ashes in women with breast cancer, included a qualitative interview to learn about women's perception of the effect of the intervention on their symptoms .…”

Section: Hot Flashesmentioning

confidence: 99%

Symptoms: Menopause, Infertility, and Sexual Health

Barton

Ganz

2015

Improving Outcomes for Breast Cancer Survivors

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By 2022, the number of survivors is expected to grow to nearly 18 million. Therefore, addressing acute and chronic negative sequelae of a cancer diagnosis and its treatments becomes a health imperative. For women with a history of breast cancer, one of the common goals of treatment and prevention of recurrence is to reduce circulating concentrations of estradiol, especially in women with hormone receptor positive breast cancer. Hormone deprivation after a diagnosis of breast cancer impacts physiological targets other than in the breast tissue and can result in unwanted side effects, all of which can negatively impact quality of life and function and cause distress. Symptoms that are most strongly linked by evidence to hormone changes after cancer diagnosis and treatment include hot flashes, night sweats, sleep changes, fatigue, mood changes, and diminishing sexual function, including vaginal atrophy (decreased arousal, dryness and dyspareunia), infertility, decreased desire and negative self-image. Weight gain and resulting body image changes are often concomitants of the abrupt onset of treatment-induced menopause. The purpose of this chapter is to briefly review what is known about the advent of premature menopause in women treated for breast cancer, menopausal symptoms that are exacerbated by endocrine treatments for breast cancer, and the associated concerns of hot flashes and related menopausal symptoms, sexual health and fertility issues. We will discuss limitations in the current research and propose strategies that address current limitations in order to move the science forward.

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Women's experiences of Group Cognitive Behaviour Therapy for hot flushes and night sweats following breast cancer treatment: An interpretative phenomenological analysis

Cited by 18 publications

References 40 publications

Helping Patients to Help Themselves after Breast Cancer Treatment

Helping Patients to Help Themselves after Breast Cancer Treatment

Menopausal hot flashes and the default mode network

Symptoms: Menopause, Infertility, and Sexual Health

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