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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.
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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| intervention group is ( internet - based group) who will receive CBT sessions | Experimental | study group ( group A) |
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| control group ( group B) | No Intervention | researchers just answer their questions |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| congnitive behavioural therapy | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| change sleep quality post intervention | improve quality of sleep than before intervention before intervention | 8 weeks (two weeks ( introductory sessions ) pluse six weeks ( intervention sessions) |
| change insomnia related to post menpausal symptoms post intervention | decrease insomnia index score post intervention | 8 weeks (two weeks ( introductory sessions ) pluse six weeks ( intervention sessions) |
| Measure | Description | Time Frame |
|---|---|---|
| change menopausal symptoms post intervention | decrease menopausal rating scale post intervention than pre intervention | at the end of intervention program ( 8 weeks) |
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Inclusion Criteria:
Exclusion Criteria:
female post menpause ( 45-65 years)
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| ID | Term |
|---|---|
| D020447 | Parasomnias |
| ID | Term |
|---|---|
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D001523 | Mental Disorders |
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one intervention group ( internet-based cognitive behavioral therapy) and one control group
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all participants will randomly assign to either an internet-based group and control group through a generated computer selection
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