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Can cognitive behavioral therapy improve vasomotor symptoms and recurrent depression in postmenopausal women?
Tamashiro, Leiliane Aparecida Diniz; Soares-Jr, José Maria; Renno, Joel; Turri, José Antônio Orellana; Linhares, Iara Moreno; Baracat, Edmund Chada; Mello, Nilson Roberto de.
Afiliación
  • Tamashiro LAD; Universidade de São Paulo, Hospital das Clinicas, Institute of Psychiatry, Faculty of Medicine, Women's Mental Health Program - São Paulo (SP), Brazil.
  • Soares-Jr JM; Universidade de São Paulo, Faculdade Medicina, Hospital das Clínicas, Departamento de Obstetrícia e Ginecologia, Disciplina de Ginecologia - São Paulo (SP), Brazil.
  • Renno J; Universidade de São Paulo, Hospital das Clinicas, Institute of Psychiatry, Faculty of Medicine, Women's Mental Health Program - São Paulo (SP), Brazil.
  • Turri JAO; Universidade de São Paulo, Faculdade Medicina, Hospital das Clínicas, Departamento de Obstetrícia e Ginecologia, Disciplina de Ginecologia - São Paulo (SP), Brazil.
  • Linhares IM; Universidade de São Paulo, Faculdade Medicina, Hospital das Clínicas, Departamento de Obstetrícia e Ginecologia, Disciplina de Ginecologia - São Paulo (SP), Brazil.
  • Baracat EC; Universidade de São Paulo, Faculdade Medicina, Hospital das Clínicas, Departamento de Obstetrícia e Ginecologia, Disciplina de Ginecologia - São Paulo (SP), Brazil.
  • Mello NR; Universidade de São Paulo, Faculdade Medicina, Hospital das Clínicas, Departamento de Obstetrícia e Ginecologia, Disciplina de Ginecologia - São Paulo (SP), Brazil.
Rev Assoc Med Bras (1992) ; 70(7): e20231791, 2024.
Article en En | MEDLINE | ID: mdl-39166661
ABSTRACT

OBJECTIVE:

The aim of this study was to evaluate the effectiveness of cognitive behavioral therapy in the treatment of vasomotor, sexual dysfunction, and recurrent depression in postmenopausal women.

METHODS:

This prospective, open study evaluated 112 postmenopausal women with vasomotor symptoms. Sexual dysfunction has cultural, social, biological, and emotional issues and divided into two groups G1, without depression (n=65) and G2, with recurrent depression (n=47). The subjects underwent 12 sessions of in-person cognitive behavioral therapy and 12 sessions of home-based activity over a period of 6 months. They were evaluated at 3 months following the completion of therapy. Depression, memory, and attention-related functions, as well as climactic symptoms, were assessed using a questionnaire.

RESULTS:

In the depression questionnaire, the G1 group had a lower initial score than the G2 group (p<0.01). Following 6 months of therapy, both groups had similar improved scores. In the depression questionnaire, the women in group G1 had higher baseline values. In the assessment of vasomotor symptoms, the values in both groups were similar and showed an improvement in vasomotor symptoms after 24 weeks of treatment, but these effects disappeared after the follow-up of 48 weeks in the G2 group. Both groups improved the sexual dysfunction after 24 weeks.

CONCLUSION:

Cognitive behavioral therapy may be effective in reducing vasomotor symptoms and ameliorate the sexual dysfunction and recurrent depression in postmenopausal women after 24 weeks of treatment.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Cognitivo-Conductual / Posmenopausia Límite: Aged / Female / Humans / Middle aged Idioma: En Revista: Rev Assoc Med Bras (1992) Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Cognitivo-Conductual / Posmenopausia Límite: Aged / Female / Humans / Middle aged Idioma: En Revista: Rev Assoc Med Bras (1992) Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil