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Treatments

WHAT IS IT?

Mindfulness-based stress reduction (MBSR) teaches you to be aware of your thoughts, feelings, and sensations.  You set aside being reactive or judgmental. It can help you have more choice and take wise action in your life. You can develop a non-judgmental acceptance and “open-hearted” experience. The goals are to increase well-being and reduce suffering and distress. It is known for helping people with stress, anxiety, depression, and pain.

MBSR is most often taught in a 6 to 8-week course. It combines mindfulness meditation, body awareness, yoga and exploration of patterns of behavior, thinking, feeling and action.

Meditation and mindfulness are used to reduce stress. They include focused breathing or belly breathing, body scanning, guided imagery, prayer, and other techniques.

OUR BOTTOM LINE:  DOES IT HELP?

MAYBE. Mindfulness-based stress reduction may improve overall quality of life for women with menopause symptoms. It may help you sleep better and put you in a better mood.

NO. MSBR will likely not decrease the number or severity of hot flashes and night sweats.

MAY HELP FOR THESE SYMPTOMS

common-insomnia

SLEEP PROBLEMS & INSOMNIA

Mindfulness training has been shown to improve sleep for adults. However, research is needed on women in menopause.

common-depression

MOOD, ANXIETY & DEPRESSION

While not studied specifically in menopausal women, there is some evidence that mindfulness-based stress reduction can help decrease depression and anxiety.

other-weight-gain

WEIGHT LOSS

Mindfulness-based stress reduction and meditation have helped people lose about 7 pounds in the short-term on average. It is usually combined with another approach, like changes in diet. Indeed, there are programs that combine the two by promoting mindful eating, which can be effective in reducing impulsive eating. Long-term effects of MBSR on weight loss maintenance are not known. The studies were not specifically about menopause-related weight gain.

DOES NOT HELP THESE SYMPTOMS

common-hot-flashes

HOT FLASHES AND NIGHT SWEATS

MBSR does not seem to decrease hot flashes, night sweats, or the severity of these symptoms.

other-aches-pains

ACHES AND PAINS

Evidence thus far indicates that MBSR does not decrease pain.

POTENTIAL RISKS & SIDE EFFECTS

There are no know risks of MBSR.

QUALITY OF LIFE EXPECTATIONS

There is some evidence that MBSR may help with overall menopause related quality of life.

IF I WANT TO TRY THIS TREATMENT WHAT ARE MY NEXT STEPS?

Classes and programs in MBSR are widely offered. Look for them at hospitals, retreat centers, yoga facilities and meditation centers. Books and on-line programs can also suggest how to use mindfulness.

NOT USED FOR THESE SYMPTOMS

  • Bladder control problems
  • Heavy, irregular periods
  • Dry eyes
  • Dry hair & skin
  • Pain with sex
  • Vaginal pain or dryness, not during sex
  • Palpitations

NOT STUDIED FOR THESE SYMPTOMS

  • Brain fog, cognitive issues
  • Low sex drive
REFERENCES

Carrière, K., Khoury, B., Günak, M. M., and Knäuper, B. (2018) Mindfulness‐based interventions for weight loss: a systematic review and meta‐analysis. Obesity Reviews, 19: 164177. doi: 10.1111/obr.12623.

Goldberg SB, Tucker RP, Greene PA, Davidson RJ, Wampold BE, Kearny DJ, Simpson TL. Mindfulness-based interventions for psychiatric disorders: A systematic review and meta-analysisClin Psychol Rev. 2018;59:52–60. doi:10.1016/j.cpr.2017.10.011. PMID: 29126747

Strauss C, Cavanagh K, Oliver A, Pettman D. Mindfulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: a meta-analysis of randomised controlled trials. PLoS One. 2014;9(4):e96110. Published 2014 Apr 24. doi:10.1371/journal.pone.0096110

Bawa FL, Mercer SW, Atherton RJ, et al. Does mindfulness improve outcomes in patients with chronic pain? Systematic review and meta-analysis. Br J Gen Pract. 2015;65(635):e387–e400. doi:10.3399/bjgp15X685297

Wong C, Yip BH, Gao T, et al. Mindfulness-Based Stress Reduction (MBSR) or Psychoeducation for the Reduction of Menopausal Symptoms: A Randomized, Controlled Clinical Trial. Sci Rep. 2018;8(1):6609. Published 2018 Apr 26. doi:10.1038/s41598-018-24945-4

Chen KW, Berger CC, Manheimer E, et al. Meditative therapies for reducing anxiety: a systematic review and meta-analysis of randomized controlled trials. Depress Anxiety. 2012;29(7):545–562. doi:10.1002/da.21964

Goyal M, Singh S, Sibinga EM, et al. Meditation programs for psychological stress and well-being: a systematic review and meta-analysis. JAMA Intern Med. 2014;174(3):357–368. doi:10.1001/jamainternmed.2013.13018

van Driel C, de Bock GH, Schroevers MJ, Mourits MJ. Mindfulness-based stress reduction for menopausal symptoms after risk-reducing salpingo-oophorectomy (PURSUE study): a randomised controlled trial. BJOG. 2019;126(3):402‐411. doi:10.1111/1471-0528.15471

Ruffault A, Czernichow S, Hagger MS, Ferrand M, Erichot N, Carette C, Boujut E, Flahault C.  The effects of mindfulness training on weight-loss and health-related behaviours in adults with overweight and obesity: A systematic review and meta-analysis, Obesity Research & Clinical Practice, 11, 5, Supplement 1, 2017, p. 90-111, ISSN 1871-403X, https://doi.org/10.1016/j.orcp.2016.09.002.

Schell LK, Monsef I, Wöckel A, Skoetz N. Mindfulness-based stress reduction for women diagnosed with breast cancer. Cochrane Database Syst Rev. 2019;3(3):CD011518. Published 2019 Mar 27. doi:10.1002/14651858.CD011518.pub2

Authors: Dr. Katherine Newton, & Dr. Leslie Snyder.  Last reviewed February 15, 2021

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