Study: Relaxation good therapy for hot flushes

Women who have undergone group therapy and learned to relax have reduced their menopausal troubles by half, according to results of a study at Linköping University and Linköping University Hospital in Sweden.

Seven out of every ten women undergoing menopause have at some point experienced problems with and sweating. For one in ten women, the problems lasted five years or longer, primarily causing discomfort in and .

The background to this is not known. What is known is that the decreasing amounts of the female hormone oestrogen – which occurs after menopause – affects the brain's heat regulation centre in the .

Medication with oestrogen has proven to have a good effect. At the end of the 1990s, Swedish doctors prescribed hormone tablets to around 40% of women with moderate to severe symptoms. But since new observations have shown that the treatment increased the risk of and , their use has decreased drastically. Today, the number of women with menopausal problems receiving oestrogen is down to 10%.

The situation triggered an interest in alternative forms of treatment. For her doctoral thesis, Women's Clinic consultant Elizabeth Nedstrand arranged a study where a group of women were randomly assigned to three different treatments alongside oestrogen: , exercise, and applied relaxation – a method based on developed by psychologist Lars-Göran Öst.

The results were so interesting that a larger randomised study around the effects of applied relaxation began n in 2007. 60 women who saw a doctor for moderate to severe symptoms occurring at least 50 times a week – but who were otherwise completely healthy – were randomly assigned to two groups: one had ten sessions of and the other received no treatment whatsoever. The results are now being published by Nedstrand and Lotta Lindh-Åstrand in the scientific journal .

Nedstrand herself conducted the therapy, which is based on learning to find the muscle groups in one's body and getting the body to relax with the help of breathing techniques.

"The participants were given exercises to practice daily at home. The goal was for them to learn to use the method on their own and to be able to manage their own symptoms.

During the intervention period and for three months thereafter, the women kept a diary of their hot flushes. They also had to fill out a "quality of life" survey on three occasions, in addition to submitting a saliva sample for analysis of the stress hormone cortisol.

The results were striking. The women in the treatment group reduced the number of hot flushes per day from an average of 9.1 to 4.4; the effect remained for three months after the last therapy session. The numbers in the control group also decreased, but only from 9.7 to 7.8.

The women in the therapy group also reported improved quality of life as regards memory and concentration, sleep, and anxiety. On the other hand, there were no statistically significant differences in stress hormone secretion.

"The study confirms that applied relaxation can help women with menopausal troubles. My hope is that women can be offered this treatment in primary care and from private health care providers," Nedstrand says.

More information: Effects of applied relaxation on vasomotor symptoms in postmenopausal women: a randomized controlled trial by Lotta Lindh-Åstrand and Elizabeth Nedstrand. Menopause Vol 20 No 4, published ahead of print 14 November 2012. DOI:1097/gme.0b013e318272ce80

Related Stories

Recommended for you

Patient-centered medical homes reduce costs

14 hours ago

The patient-centered medical home (PCMH), introduced in 2007, is a model of health care that emphasizes personal relationships, team delivery of care, coordination across specialties and care settings, quality ...

New mums still excessively sleepy after four months

16 hours ago

(Medical Xpress)—New mums are being urged to be cautious about returning to work too quickly, after a QUT study found one in two were still excessively sleepy four months after giving birth.

It's time to address the health of men around the world

16 hours ago

All over the world, men die younger than women and do worse on a host of health indicators, yet policy makers rarely focus on this "men's health gap" or adopt programs aimed at addressing it, according to an international ...

User comments