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Meditation for Menopausal Symptom Relief

Meditation for Menopausal Symptom Relief. Susan M Cohen, DSN, FAAN 1 Susan Sereika, PhD 1, Margaret Stubbs, PhD 2, Kathleen Spadaro, PhD 2 Catherine Bender, PhD, FAAN 1 Carol Greco, PhD 1 1 University of Pittsburgh, 2 Chatham College Funded by NIH R21 CA106336. Introduction.

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Meditation for Menopausal Symptom Relief

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  1. Meditation for Menopausal Symptom Relief Susan M Cohen, DSN, FAAN1 Susan Sereika, PhD1, Margaret Stubbs, PhD2, Kathleen Spadaro, PhD2 Catherine Bender, PhD, FAAN1 Carol Greco, PhD1 1University of Pittsburgh, 2Chatham College Funded by NIH R21 CA106336 Society for Menstrual Cycle Research June 2011

  2. Society for Menstrual Cycle Research June 2011

  3. Introduction Whether as a consequence of breast cancer treatment or naturally aging process the onset of menopause and its related symptoms (hot flashes) can contribute to the disruption of usual activities, alteration in sleep and decreased quality of life. Non hormonal self care approaches such as meditation hold promise for hot flash reduction. CANS 2012

  4. Specific Aims Explore the treatment benefit of mindfulness meditation for menopausal symptom relief using changes in frequency and severity of hot flushes, frequency of sleep disruption, and various aspects of quality of life as outcome measures. CANS 2012

  5. Procedure This study was a randomized clinical pilot study to explore the influence of mindfulness based stress reduction (MBSR) on menopausal symptoms. A two group design (group MBSR or group educational sessions) of 42 women was used. CANS 2012

  6. Meditation Group • Each session included: • presentation & discussion of ofmindfulness, meditation, relaxation, and the mind/body connection (20 min) • experiential practice of meditation and gentle yoga (40-50 min) • discussion of home practice of meditation, overcoming barriers to daily practice, and mindfulness in daily life (20 min). • Written materials relevant to the topics and the specific meditation techniques were provided at each session. In addition, meditations were audio taped and given to participants in order to facilitate daily home practice. Participants were instructed to practice their meditation at least once each day for 30 minutes and record this practice on their symptom diary. • Each group had 8 sessions. CANS 2012

  7. Educational Group • Educational sessions included topics related to menopausal symptoms and healthy life activities. • Discussion of healthy living practices for midlife women • A copy of Christiane Northrup’s the Wisdom of Menopause • Each group had 8 sessions. CANS 2012

  8. Results – Hot Flashes CANS 2012

  9. Results Hot flashes decreased significantly by time but not by group. The decrease was seen in both the 9 week intervention period and across the ful 21 weeks of the study. CANS 2012

  10. Results - Sleep CANS 2012

  11. Results Sleep disruptions decreased over time Multiple components of sleep as measured by the PSQI improved over the 21 weeks of the study. PSQI measured Global Score (p=0.03); Sleep Latency (p=0.05) and Subjective Sleep Quality (p=0.01) all showed a positive time effect. CANS 2012

  12. Conclusions • In both the meditation and education groups, a positive time effect was seen in sleep disruption and sleep dimensions measured by the PSQI. • There was a decrease in the mean number of daily hot flashes across 21 weeks in both groups (MBSR - 56.4 to 35.5) & (Ed -56.9 to 32.1). • The number of home practice sessions may be the key to finding a significant result in future studies CANS 2012

  13. Conclusions In both the meditation and education groups, a positive time effect was seen in sleep disruption and sleep dimensions measured by the PSQI. There was a decrease in the mean number of daily hot flashes across 21 weeks in both groups (MBSR - 56.4 to 35.5) & (Ed -56.9 to 32.1). The number of home practice sessions may be the key to finding a significant result in future studies. Society for Menstrual Cycle Research June 2011

  14. T32 in Cancer SurvivorshipUniversity of Pittsburghfunded by NINR TNR011972A This T32 Supports interdisciplinary training of pre-doctoral and post doctoral trainees in cancer survivorship. Pre-doctoral candidates include both BSN to PhD and MSN to PhD students. Support for all trainees includes tuition support, a monthly stipend and research support. For more information contact: Dr Catherine Bender at cbe100@pitt.edu

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