文献类型：期刊文献

英文题名：Efficacy of cognitive therapy and behavior therapy for menopausal symptoms: a systematic review and meta-analysis

作者：Ye, Mengfei[1,2];Shou, Mengna[3];Zhang, Jian[2];Hu, Baiqi[4];Liu, Chunyan[5];Bi, Chenchen[2];Lv, Tingting[2];Luo, Fangyi[2];Zhang, Zeying[2];Liang, Shenglin[1];Feng, Hong[1];Qian, Chao[1];Cao, Shilin[1];Liu, Zheng[2]

机构：[1]Shaoxing Univ, Coll Med, Affiliated Mental Hlth Ctr, Shaoxing Seventh Peoples Hosp,Dept Psychiat, Shaoxing, Zhejiang, Peoples R China;[2]Shaoxing Univ, Dept Behav Neurosci, Sci Res Ctr Med Sch, Shaoxing, Zhejiang, Peoples R China;[3]Shaoxing Womens & Childrens Hosp, Dept Obstet & Gynecol, Shaoxing, Zhejiang, Peoples R China;[4]Shaoxing Hosp, China Med Univ, Dept Neurol, Shaoxing, Zhejiang, Peoples R China;[5]Shaoxing Univ, Affiliated Hosp 1, Dept Orthoped, Shaoxing Peoples Hosp, Shaoxing, Zhejiang, Peoples R China

年份：2022

卷号：52

期号：3

起止页码：433

外文期刊名：PSYCHOLOGICAL MEDICINE

收录：SSCI(收录号：WOS:000741166400001)、SCI-EXPANDED(收录号：WOS:000741166400001)、、Scopus(收录号：2-s2.0-85123944373)、WOS

基金：This work was funded by the Public Welfare Technology Applied Research Projects in Zhejiang Province (No. 2016C33191), the Zhejiang Medical Health Science and Technology Project (No. 2019KY724, 2020KY332), and the National Training Program of Innovation and Entrepreneurship for College Students (No. 2017R10349001). We thank LetPub (www.letpub.com) for its linguistic assistance during the preparation of this manuscript.

语种：英文

外文关键词：Anxiety; behavior therapy; cognitive therapy; depression; menopausal symptoms; meta-analysis

外文摘要：Background T long-term effects of cognitive therapy and behavior therapy (CTBT) for menopausal symptoms are unknown, and whether the effects are different between natural menopause and treatment-induced menopause are currently unclear. Therefore, we sought to conduct an accurate estimate of the efficacy of CTBT for menopausal symptoms. Methods We conducted searches of Cochrane Library, EMBASE, PsycINFO, PubMed, and Web of Science databases for studies from 1 January 1977 to 1 November 2021. Randomized controlled trials (RCTs) comparing intervention groups to control groups for menopausal symptoms were included. Hedge's g was used as the standardized between-group effect size with a random-effects model. Results We included 14 RCTs comprising 1618 patients with a mean sample size of 116. CTBT significantly outperformed control groups in terms of reducing hot flushes [g = 0.39, 95% confidence interval (CI) 0.23-0.55, I-2 = 45], night sweats, depression (g = 0.50, 95% CI 0.34-0.66, I-2 = 51), anxiety (g = 0.38, 95% CI 0.23-0.54, I-2 = 49), fatigue, and quality of life. Egger's test indicated no publication bias. Conclusions CTBT is an effective psychological treatment for menopausal symptoms, with predominantly small to moderate effects. The efficacy is sustained long-term, although it declines somewhat over time. The efficacy was stronger for natural menopause symptoms, such as vasomotor symptoms, than for treatment-induced menopause symptoms. These findings provide support for treatment guidelines recommending CTBT as a treatment option for menopausal symptoms.