Sleep Problem
Conditions
Keywords
Post menopausal, intervention, sleep problems, CBT
Brief summary
Sleep problems become more prominent with aging and worse among post-menopause than perimenopause stage. The actual causes of sleep problems are unclear. However, it occurs commonly accompanied with or in the response of seriousness of menpausal symptoms as nocturnal hot flashes, mood disorders, and obstructive sleep apnea among menopauses. The Prevalence of sleep problems is variable ranged from 11.8 -62 % based on different studies. Cognitive-behavioral therapy (CBT) is one of the short-term form of psychotherapy, used for managing sleep problems and insomnia , an efficacious as pharmacological treatment.
Detailed description
As life expectancy has increased, women spend more than one-third of their lives in menopausal transition (MT) and the subsequent post menopause (PM).As a result of hormonal changes women experiences such symptoms as hot flashes, mood swings, anxiety, and sexual dysfunction that deteriorate their quality of life. Those symptoms usually begin in 45-53-year-olds and it varies in onset and severity from women to another and from country to another. Symptoms of sleep problems include the difficulty of falling asleep, fractioned sleep, night-time awakening, the inability of resuming sleep, problems in waking up, fatigue, and daytime sleepiness that potentiate poor physical and mental quality of life. The goal of CBT is to teach women how to modify maladaptive behaviors and thoughts that may contribute to a particular problem as sleep problems, anxious thoughts, and vasomotor symptoms
Interventions
BEHAVIORALcongnitive behavioural therapy
CBT Sessions divide into three main components; 1) cognitive interventions, concerns with cognitive restructuring attempts to change maladaptive thought about thoughts about sleep into more adaptable . 2) Behavioral intervention: concerns with Relaxation training, stimulus control, and sleep restriction promote relaxation and help to establish healthy sleep habits. 3) Psychoeducational interventions: Providing information about the connection between thoughts, feelings, behaviors, and sleep.
Sponsors
Jouf University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Masking description
all participants will randomly assign to either an internet-based group and control group through a generated computer selection
Intervention model description
one intervention group ( internet-based cognitive behavioral therapy) and one control group
Eligibility
Sex/Gender
FEMALE
Age
45 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
1. Menopaused women age between 50 and65 years 2. Able to read and write 3. Being normally ( primary ) menopause at least one year 4. Willing to give written informed consent to participate in the study. 5. Women obtaining more than 5 of the total score of the Pittsburgh Sleep Quality Index (PSQI)( that indicates poor sleep ) 6. Have smartphone with internet access (WhatsApp) application
Exclusion criteria
1. Has serious physical disorders or uncontrolled conditions as uncontrolled blood pressure , uncontrolled blood glucose level, on hemodialysis 2. Receiving psychotropic medications, hormone replacement therapy (HRT), 3. Undergoing hysterectomy 4. Has acute or chronic surgical conditions, cancer or any other serious illness 5. Has cognitive impairments or physical handicap 6. Giving prescribed or non-prescribed medication or herbals that influencing sleep .
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change sleep quality post intervention | 8 weeks (two weeks ( introductory sessions ) pluse six weeks ( intervention sessions) | improve quality of sleep than before intervention before intervention |
| change insomnia related to post menpausal symptoms post intervention | 8 weeks (two weeks ( introductory sessions ) pluse six weeks ( intervention sessions) | decrease insomnia index score post intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change menopausal symptoms post intervention | at the end of intervention program ( 8 weeks) | decrease menopausal rating scale post intervention than pre intervention |
Outcome results
None listed