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

Published online by Cambridge University Press:  11 January 2022

Mengfei Ye Open the ORCID record for Mengfei Ye [Opens in a new window] ,
Mengna Shou ,
Jian Zhang ,
Baiqi Hu ,
Chunyan Liu ,
Chenchen Bi ,
Tingting Lv ,
Fangyi Luo ,
Zeying Zhang  and
Shenglin Liang
...Show all authors
Mengfei Ye
Affiliation:
Department of Psychiatry, Shaoxing Seventh People's Hospital, Affiliated Mental Health Center, Medical College of Shaoxing University, Shaoxing, Zhejiang, China Department of Behavioral Neurosciences, Science Research Center of Medical School, Shaoxing University, Shaoxing, Zhejiang, China
Mengna Shou
Affiliation:
Departmentof Obstetrics and Gynecology, Shaoxing Women's and Children's Hospital, Shaoxing, Zhejiang, China
Jian Zhang
Affiliation:
Department of Behavioral Neurosciences, Science Research Center of Medical School, Shaoxing University, Shaoxing, Zhejiang, China
Baiqi Hu
Affiliation:
Department of Neurology, Shaoxing Hospital, China Medical University, Shaoxing, Zhejiang, China
Chunyan Liu
Affiliation:
Department of Orthopedics, Shaoxing People's Hospital, The First Affiliated Hospital of Shaoxing University, Shaoxing, Zhejiang, China
Chenchen Bi
Affiliation:
Department of Behavioral Neurosciences, Science Research Center of Medical School, Shaoxing University, Shaoxing, Zhejiang, China
Tingting Lv
Affiliation:
Department of Behavioral Neurosciences, Science Research Center of Medical School, Shaoxing University, Shaoxing, Zhejiang, China
Fangyi Luo
Affiliation:
Department of Behavioral Neurosciences, Science Research Center of Medical School, Shaoxing University, Shaoxing, Zhejiang, China
Zeying Zhang
Affiliation:
Department of Behavioral Neurosciences, Science Research Center of Medical School, Shaoxing University, Shaoxing, Zhejiang, China
Shenglin Liang
Affiliation:
Department of Psychiatry, Shaoxing Seventh People's Hospital, Affiliated Mental Health Center, Medical College of Shaoxing University, Shaoxing, Zhejiang, China
Hong Feng
Affiliation:
Department of Psychiatry, Shaoxing Seventh People's Hospital, Affiliated Mental Health Center, Medical College of Shaoxing University, Shaoxing, Zhejiang, China
Chao Qian
Affiliation:
Department of Psychiatry, Shaoxing Seventh People's Hospital, Affiliated Mental Health Center, Medical College of Shaoxing University, Shaoxing, Zhejiang, China
Shilin Cao
Affiliation:
Department of Psychiatry, Shaoxing Seventh People's Hospital, Affiliated Mental Health Center, Medical College of Shaoxing University, Shaoxing, Zhejiang, China
Zheng Liu*
Affiliation:
Department of Behavioral Neurosciences, Science Research Center of Medical School, Shaoxing University, Shaoxing, Zhejiang, China
*
Author for correspondence: Zheng Liu, E-mail: [email protected]
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Abstract

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, I2 = 45], night sweats, depression (g = 0.50, 95% CI 0.34–0.66, I2 = 51), anxiety (g = 0.38, 95% CI 0.23–0.54, I2 = 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.

Keywords

Anxietybehavior therapycognitive therapydepressionmenopausal symptomsmeta-analysis
Type
Review Article
Information
Psychological Medicine , Volume 52 , Issue 3 , February 2022 , pp. 433 - 445
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Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press

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Footnotes

*

These authors contributed equally to this work.

References

Appiah, D., Nwabuo, C. C., Ebong, I. A., Wellons, M. F., & Winters, S. J. (2021). Trends in age at natural menopause and reproductive life span among US women, 1959–2018. Journal of the American Medical Association, 325(13), 1328–1330. doi: 10.1001/jama.2021.0278.CrossRefGoogle Scholar
Arya, S., Kaji, A. H., & Boermeester, M. A. (2021). PRISMA reporting guidelines for meta-analyses and systematic reviews. Journal of the American Medical Association Surgery, 156(8), 789–790. doi: 10.1001/jamasurg.2021.0546.Google ScholarPubMed
Atema, V., van Leeuwen, M., Kieffer, J. M., Oldenburg, H. S. A., van Beurden, M., Gerritsma, M. A., … Aaronson, N. K. (2019). Efficacy of internet-based cognitive behavioral therapy for treatment-induced menopausal symptoms in breast cancer survivors: Results of a randomized controlled trial. Journal of Clinical Oncology, 37(10), 809–822. doi: 10.1200/JCO.18.00655.CrossRefGoogle ScholarPubMed
Attarian, H., Hachul, H., Guttuso, T., & Phillips, B. (2015). Treatment of chronic insomnia disorder in menopause: Evaluation of literature. Menopause (New York, N.Y.), 22(6), 674–684. doi: 10.1097/GME.0000000000000348.CrossRefGoogle ScholarPubMed
Avis, N. E., Crawford, S. L., Greendale, G., Bromberger, J. T., Everson-Rose, S. A., Gold, E. B, … Study of Women's Health Across the, N. (2015). Duration of menopausal vasomotor symptoms over the menopause transition. The Journal of American Medical Association Internal Medicine, 175(4), 531–539. doi: 10.1001/jamainternmed.2014.8063.Google ScholarPubMed
Ayers, B., Forshaw, M., & Hunter, M. S. (2010). The impact of attitudes towards the menopause on women's symptom experience: A systematic review. Maturitas, 65(1), 28–36. doi: 10.1016/j.maturitas.2009.10.016.CrossRefGoogle ScholarPubMed
Ayers, B., & Hunter, M. S. (2013). Health-related quality of life of women with menopausal hot flushes and night sweats. Climacteric: The Journal of the International Menopause Society, 16(2), 235–239. doi: 10.3109/13697137.2012.688078.CrossRefGoogle ScholarPubMed
Ayers, B., Smith, M., Hellier, J., Mann, E., & Hunter, M. S. (2012). Effectiveness of group and self-help cognitive behavior therapy in reducing problematic menopausal hot flushes and night sweats (MENOS 2): A randomized controlled trial. Menopause (New York, N.Y.), 19(7), 749–759. doi: 10.1097/gme.0b013e31823fe835.CrossRefGoogle ScholarPubMed
Barghandan, N., Dolatkhah, N., Eslamian, F., Ghafarifar, N., & Hashemian, M. (2021). Association of depression, anxiety and menopausal-related symptoms with demographic, anthropometric and body composition indices in healthy postmenopausal women. Biomedical Chromatography Womens Health, 21(1), 192. doi: 10.1186/s12905-021-01338-w.CrossRefGoogle ScholarPubMed
Beral, V., Peto, R., Pirie, K., & Reeves, G. (2019). Menopausal hormone therapy and 20-year breast cancer mortality. Lancet (London, England), 394(10204), 1139. doi: 10.1016/S0140-6736(19)32033-1.CrossRefGoogle ScholarPubMed
Bower, J. E., Crosswell, A. D., Stanton, A. L., Crespi, C. M., Winston, D., Arevalo, J., … Ganz, P. A. (2015). Mindfulness meditation for younger breast cancer survivors: A randomized controlled trial. Cancer, 121(8), 1231–1240. doi: 10.1002/cncr.29194.CrossRefGoogle ScholarPubMed
Carmody, J. F., Crawford, S., Salmoirago-Blotcher, E., Leung, K., Churchill, L., & Olendzki, N. (2011). Mindfulness training for coping with hot flashes: Results of a randomized trial. Menopause (New York, N.Y.), 18(6), 611–620. doi: 10.1097/gme.0b013e318204a05c.CrossRefGoogle ScholarPubMed
Chen, T. L., Chang, S. C., Huang, C. Y., & Wang, H. H. (2021). Effectiveness of mindfulness-based interventions on quality of life and menopausal symptoms in menopausal women: A meta-analysis. Journal of Psychosomatic Research, 147, 110515. doi: 10.1016/j.jpsychores.2021.110515.CrossRefGoogle ScholarPubMed
Cheng, Y. S., Tseng, P. T., Wu, M. K., Tu, Y. K., Wu, Y. C., Li, D. J., … Shiue, Y. L. (2021). Pharmacologic and hormonal treatments for menopausal sleep disturbances: A network meta-analysis of 43 randomized controlled trials and 32,271 menopausal women. Sleep Medicine Reviews, 57, 101469. doi: 10.1016/j.smrv.2021.101469.CrossRefGoogle ScholarPubMed
Chilcot, J., Norton, S., & Hunter, M. S. (2014). Cognitive behaviour therapy for menopausal symptoms following breast cancer treatment: Who benefits and how does it work? Maturitas, 78(1), 56–61. doi: 10.1016/j.maturitas.2014.01.007.CrossRefGoogle ScholarPubMed
Chlebowski, R. T., Anderson, G. L., Aragaki, A. K., Manson, J. E., Stefanick, M. L., Pan, K., … Prentice, R. L. (2020). Association of menopausal hormone therapy with breast cancer incidence and mortality during long-term follow-up of the women's health initiative randomized clinical trials. Journal of the American Medical Association, 324(4), 369–380. doi: 10.1001/jama.2020.9482.CrossRefGoogle ScholarPubMed
Corbu, A., Pelaez Zuberbuhler, M. J., & Salanova, M. (2021). Positive psychology micro-coaching intervention: Effects on psychological capital and goal-related self-efficacy. Frontiers in Psychology, 12, 566293. doi: 10.3389/fpsyg.2021.566293.CrossRefGoogle ScholarPubMed
Domhardt, M., Gesslein, H., von Rezori, R. E., & Baumeister, H. (2019). Internet- and mobile-based interventions for anxiety disorders: A meta-analytic review of intervention components. Depression and Anxiety, 36(3), 213–224. doi: 10.1002/da.22860.CrossRefGoogle ScholarPubMed
Duijts, S. F., van Beurden, M., Oldenburg, H. S., Hunter, M. S., Kieffer, J. M., Stuiver, M. M., … Aaronson, N. K. (2012). Efficacy of cognitive behavioral therapy and physical exercise in alleviating treatment-induced menopausal symptoms in patients with breast cancer: Results of a randomized, controlled, multicenter trial. Journal of Clinical Oncology, 30(33), 4124–4133. doi: 10.1200/JCO.2012.41.8525.CrossRefGoogle ScholarPubMed
Duval, S., & Tweedie, R. (2000). Trim and fill: A simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics, 56(2), 455–463. doi: 10.1111/j.0006-341x.2000.00455.x.CrossRefGoogle ScholarPubMed
Fenlon, D., Maishman, T., Day, L., Nuttall, J., May, C., Ellis, M., … Hunter, M. S. (2020). Effectiveness of nurse-led group CBT for hot flushes and night sweats in women with breast cancer: Results of the MENOS4 randomised controlled trial. Psychooncology, 29(10), 1514–1523. doi: 10.1002/pon.5432.CrossRefGoogle ScholarPubMed
Fenlon, D. R., Corner, J. L., & Haviland, J. S. (2008). A randomized controlled trial of relaxation training to reduce hot flashes in women with primary breast cancer. Journal of Pain and Symptom Management, 35(4), 397–405. doi: 10.1016/j.jpainsymman.2007.05.014.CrossRefGoogle ScholarPubMed
Furukawa, T. A., Noma, H., Caldwell, D. M., Honyashiki, M., Shinohara, K., Imai, H., & Churchill, R. (2014). Waiting list may be a nocebo condition in psychotherapy trials: A contribution from network meta-analysis. Acta Psychiatrica Scandinavica, 130(3), 181–192. doi: 10.1111/acps.12275.CrossRefGoogle ScholarPubMed
Furukawa, T. A., Suganuma, A., Ostinelli, E. G., Andersson, G., Beevers, C. G., Shumake, J., … Cuijpers, P. (2021). Dismantling, optimising, and personalising internet cognitive behavioural therapy for depression: A systematic review and component network meta-analysis using individual participant data. The Lancet Psychiatry, 8(6), 500–511. doi: 10.1016/S2215-0366(21)00077-8.CrossRefGoogle ScholarPubMed
Gartoulla, P., Bell, R. J., Worsley, R., & Davis, S. R. (2015). Moderate-severely bothersome vasomotor symptoms are associated with lowered psychological general wellbeing in women at midlife. Maturitas, 81(4), 487–492. doi: 10.1016/j.maturitas.2015.06.004.CrossRefGoogle ScholarPubMed
Green, S. M., Donegan, E., Frey, B. N., Fedorkow, D. M., Key, B. L., Streiner, D. L., & McCabe, R. E. (2019). Cognitive behavior therapy for menopausal symptoms (CBT-Meno): A randomized controlled trial. Menopause (New York, N.Y.), 26(9), 972–980. doi: 10.1097/GME.0000000000001363.CrossRefGoogle ScholarPubMed
Guidi, J., Brakemeier, E. L., Bockting, C. L. H., Cosci, F., Cuijpers, P., Jarrett, R. B., … Fava, G. A. (2018). Methodological recommendations for trials of psychological interventions. Psychotherapy and Psychosomatics, 87(5), 276–284. doi: 10.1159/000490574.CrossRefGoogle ScholarPubMed
Gupta, P., Sturdee, D. W., Palin, S. L., Majumder, K., Fear, R., Marshall, T., & Paterson, I. (2006). Menopausal symptoms in women treated for breast cancer: The prevalence and severity of symptoms and their perceived effects on quality of life. Climacteric: The Journal of the International Menopause Society, 9(1), 49–58. doi: 10.1080/13697130500487224.CrossRefGoogle ScholarPubMed
Hardy, C., Griffiths, A., Norton, S., & Hunter, M. S. (2018). Self-help cognitive behavior therapy for working women with problematic hot flushes and night sweats (MENOS@Work). Menopause (New York, N.Y.), 25(5), 508–519. doi: 10.1097/GME.0000000000001048.CrossRefGoogle Scholar
Hervik, J. B., & Stub, T. (2016). Adverse effects of non-hormonal pharmacological interventions in breast cancer survivors, suffering from hot flashes: A systematic review and meta-analysis. Breast Cancer Research and Treatment, 160(2), 223–236. doi: 10.1007/s10549-016-4002-x.CrossRefGoogle ScholarPubMed
Hickey, M., Szabo, R. A., & Hunter, M. S. (2017). Non-hormonal treatments for menopausal symptoms. British Medical Journal, 359, j5101. doi: 10.1136/bmj.j5101.CrossRefGoogle ScholarPubMed
Higgins, J. P., Altman, D. G., Gotzsche, P. C., Juni, P., Moher, D., Oxman, A. D, … Cochrane Statistical Methods, G. (2011). The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. British Medical Journal, 343, d5928. doi: 10.1136/bmj.d5928.CrossRefGoogle ScholarPubMed
Higgins, J. P., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. British Medical Journal, 327(7414), 557–560. doi: 10.1136/bmj.327.7414.557.CrossRefGoogle ScholarPubMed
Irvin, J. H., Domar, A. D., Clark, C., Zuttermeister, P. C., & Friedman, R. (1996). The effects of relaxation response training on menopausal symptoms. Journal of Psychosomatic Obstetrics & Gynecology, 17(4), 202–207. doi: 10.3109/01674829609025684.CrossRefGoogle ScholarPubMed
Kline, A. C., Cooper, A. A., Rytwinksi, N. K., & Feeny, N. C. (2018). Long-term efficacy of psychotherapy for posttraumatic stress disorder: A meta-analysis of randomized controlled trials. Clinical Psychology Review, 59, 30–40. doi: 10.1016/j.cpr.2017.10.009.CrossRefGoogle ScholarPubMed
Kulkarni, J., Gavrilidis, E., Thomas, N., Hudaib, A. R., Worsley, R., Thew, C., … Gurvich, C. (2018). Tibolone improves depression in women through the menopause transition: A double-blind randomized controlled trial of adjunctive tibolone. Journal of Affective Disorders, 236, 88–92. doi: 10.1016/j.jad.2018.04.103.CrossRefGoogle ScholarPubMed
Legemaat, A. M., Semkovska, M., Brouwer, M., Geurtsen, G. J., Burger, H., Denys, D., & Bockting, C. L. (2021). Effectiveness of cognitive remediation in depression: A meta-analysis. Psychological Medicine, 1–16. doi: 10.1017/S0033291721001100.CrossRefGoogle ScholarPubMed
Lindh-Astrand, L., & Nedstrand, E. (2013). Effects of applied relaxation on vasomotor symptoms in postmenopausal women: A randomized controlled trial. Menopause (New York, N.Y.), 20(4), 401–408. doi: 10.1097/gme.0b013e318272ce80.CrossRefGoogle ScholarPubMed
Madalinska, J. B., van Beurden, M., Bleiker, E. M., Valdimarsdottir, H. B., Hollenstein, J., Massuger, L. F., … Aaronson, N. K. (2006). The impact of hormone replacement therapy on menopausal symptoms in younger high-risk women after prophylactic salpingo-oophorectomy. Journal of Clinical Oncology, 24(22), 3576–3582. doi: 10.1200/JCO.2005.05.1896.CrossRefGoogle ScholarPubMed
Maki, P. M., Girard, L. M., & Manson, J. E. (2019). Menopausal hormone therapy and cognition. British Medical Journal, 364, l877. doi: 10.1136/bmj.l877.CrossRefGoogle ScholarPubMed
Mann, E., Smith, M. J., Hellier, J., Balabanovic, J. A., Hamed, H., Grunfeld, E. A., & Hunter, M. S. (2012). Cognitive behavioural treatment for women who have menopausal symptoms after breast cancer treatment (MENOS 1): A randomised controlled trial. Lancet Oncology, 13(3), 309–318. doi: 10.1016/S1470-2045(11)70364-3.CrossRefGoogle ScholarPubMed
Manson, J. E. (2021). Menopausal hormone therapy and health outcomes: Is timing everything? Clinical Chemistry, 67(1), 317–318. doi: 10.1093/clinchem/hvaa286.CrossRefGoogle ScholarPubMed
Marko, K. I., & Simon, J. A. (2018). Clinical trials in menopause. Menopause (New York, N.Y.), 25(2), 217–230. doi: 10.1097/GME.0000000000000978.CrossRefGoogle ScholarPubMed
McCurry, S. M., Guthrie, K. A., Morin, C. M., Woods, N. F., Landis, C. A., Ensrud, K. E., … LaCroix, A. Z. (2016). Telephone-based cognitive behavioral therapy for insomnia in perimenopausal and postmenopausal women with vasomotor symptoms: A MsFLASH randomized clinical trial. The Journal of American Medical Association Internal Medicine, 176(7), 913–920. doi: 10.1001/jamainternmed.2016.1795.Google ScholarPubMed
McHugh, M. L. (2012). Interrater reliability: The kappa statistic. Biochemia Medica (Zagreb), 22(3), 276–282. doi: 10.11613/BM.2012.031.CrossRefGoogle ScholarPubMed
Mira, A., Diaz-Garcia, A., Castilla, D., Campos, D., Romero, S., Breton-Lopez, J., … Botella, C. (2019). Protocol for a randomized controlled dismantling study of an internet-based intervention for depressive symptoms: Exploring the contribution of behavioral activation and positive psychotherapy strategies. Biomedical Chromatography Psychiatry, 19(1), 133. doi: 10.1186/s12888-019-2099-2.Google ScholarPubMed
Monteleone, P., Mascagni, G., Giannini, A., Genazzani, A. R., & Simoncini, T. (2018). Symptoms of menopause – global prevalence, physiology and implications. Nature Reviews Endocrinology, 14(4), 199–215. doi: 10.1038/nrendo.2017.180.CrossRefGoogle ScholarPubMed
Nelson, H. D., Vesco, K. K., Haney, E., Fu, R., Nedrow, A., Miller, J., … Humphrey, L. (2006). Nonhormonal therapies for menopausal hot flashes: Systematic review and meta-analysis. Journal of the American Medical Association, 295(17), 2057–2071. doi: 10.1001/jama.295.17.2057.CrossRefGoogle ScholarPubMed
Paulus, J. K., Dahabreh, I. J., Balk, E. M., Avendano, E. E., Lau, J., & Ip, S. (2014). Opportunities and challenges in using studies without a control group in comparative effectiveness reviews. Research Synthesis Methods, 5(2), 152–161. doi: 10.1002/jrsm.1101.CrossRefGoogle ScholarPubMed
Pearce, J., Hawton, K., & Blake, F. (1995). Psychological and sexual symptoms associated with the menopause and the effects of hormone replacement therapy. British Journal of Psychiatry, 167(2), 163–173. doi: 10.1192/bjp.167.2.163.CrossRefGoogle ScholarPubMed
Proserpio, P., Marra, S., Campana, C., Agostoni, E. C., Palagini, L., Nobili, L., & Nappi, R. E. (2020). Insomnia and menopause: A narrative review on mechanisms and treatments. Climacteric: The Journal of the International Menopause Society, 23(6), 539–549. doi: 10.1080/13697137.2020.1799973.CrossRefGoogle ScholarPubMed
Rada, G., Capurro, D., Pantoja, T., Corbalan, J., Moreno, G., Letelier, L. M., & Vera, C. (2010). Non-hormonal interventions for hot flushes in women with a history of breast cancer. Cochrane Database of Systematic Reviews, 12(9), CD004923. doi: 10.1002/14651858.CD004923.pub2.Google ScholarPubMed
Rosenberg, S. M., & Partridge, A. H. (2013). Premature menopause in young breast cancer: Effects on quality of life and treatment interventions. Journal of Thoracic Disease, 5(Suppl. 1), S55–S61. doi: 10.3978/j.issn.2072-1439.2013.06.20.Google ScholarPubMed
Sackett, D. L., Rosenberg, W. M., Gray, J. A., Haynes, R. B., & Richardson, W. S. (1996). Evidence-based medicine: What it is and what it isn't. British Medical Journal, 312(7023), 71–72. doi: 10.1136/bmj.312.7023.71.CrossRefGoogle ScholarPubMed
Spence, S. H., Donovan, C., & Brechman-Toussaint, M. (2000). The treatment of childhood social phobia: The effectiveness of a social skills training-based, cognitive-behavioural intervention, with and without parental involvement. Journal of Child Psychology and Psychiatry, 41(6), 713–726. doi: 10.1111/1469-7610.00659.CrossRefGoogle ScholarPubMed
Sudraba, V., Millere, I., & Rancans, E. (2012). Effectiveness of self-help groups and psychotherapy: Self-assessment of patients with substance use disorders. Medicina (Kaunas), 48(10), 544–551. doi: 10.3390/medicina48100079.Google ScholarPubMed
Van Aert, R. C. M., Wicherts, J. M., & van Assen, M. (2019). Publication bias examined in meta-analyses from psychology and medicine: A meta-meta-analysis. PLoS One, 14(4), e0215052. doi: 10.1371/journal.pone.0215052.CrossRefGoogle ScholarPubMed
Van Bronswijk, S., Moopen, N., Beijers, L., Ruhe, H. G., & Peeters, F. (2019). Effectiveness of psychotherapy for treatment-resistant depression: A meta-analysis and meta-regression. Psychological Medicine, 49(3), 366–379. doi: 10.1017/S003329171800199X.CrossRefGoogle ScholarPubMed
Van der Zweerde, T., Bisdounis, L., Kyle, S. D., Lancee, J., & van Straten, A. (2019). Cognitive behavioral therapy for insomnia: A meta-analysis of long-term effects in controlled studies. Sleep Medicine Reviews, 48, 101208. doi: 10.1016/j.smrv.2019.08.002.CrossRefGoogle ScholarPubMed
Van Driel, C. M., Stuursma, A., Schroevers, M. J., Mourits, M. J., & de Bock, G. H. (2019). Mindfulness, cognitive behavioural and behaviour-based therapy for natural and treatment-induced menopausal symptoms: A systematic review and meta-analysis. An International Journal of Obstetrics and Gynaecology, 126(3), 330–339. doi: 10.1111/1471-0528.15153.CrossRefGoogle ScholarPubMed
Wong, C., Yip, B. H., Gao, T., Lam, K. Y. Y., Woo, D. M. S., Yip, A. L. K., … Wong, S. Y. S. (2018). Mindfulness-based stress reduction (MBSR) or psychoeducation for the reduction of menopausal symptoms: A randomized, controlled clinical trial. Scientific Reports, 8(1), 6609. doi: 10.1038/s41598-018-24945-4.CrossRefGoogle ScholarPubMed
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