title: Telephone-guided Self-Help Cognitive Behavioural Therapy for menopausal symptoms.
abstract: OBJECTIVE
  Group and Self-Help forms of Cognitive Behavioural Therapy (CBT) are effective treatment options for women with problematic menopausal hot flushes and night sweats (HF/NS). However, some women are unable to attend face-to-face sessions. This study investigates whether Self-Help CBT for HF/NS is as effective when rolled out to women living at a distance with minimal telephone guidance.
  
  
  METHODS
  Forty-seven women completed a Self-Help CBT intervention (booklet and relaxation/paced breathing CD) during a 4-week period. They also received one 'guiding' telephone call from a clinical psychologist two weeks into treatment to provide support and discuss individual treatment goals. Questionnaires were collected at baseline, 6 weeks (post-treatment) and 3 months (follow-up) after the end of the intervention.
  
  
  METHODS
  HF/NS problem rating.
  
  
  METHODS
  HF/NS frequency, HF/NS beliefs and behaviours, sleep, anxiety and depressed mood.
  
  
  RESULTS
  There was a significant reduction in HF/NS problem-rating following the intervention which was maintained at follow-up. Moreover, women reported less frequent HF/NS along with further improvements in sleep quality, mood and HF/NS beliefs and behaviours.
  
  
  CONCLUSIONS
  Telephone-guided Self-Help interventions might provide an effective way of widening access to CBT treatment for HF/NS.
authors.affiliation: Institute of Psychiatry, King's College London, London, UK.
authors.forename: Evgenia
authors.initials: E
authors.lastname: Stefanopoulou
authors.affiliation: Institute of Psychiatry, King's College London, London, UK. Electronic address: myra.hunter@kcl.ac.uk.
authors.forename: Myra S
authors.initials: MS
authors.lastname: Hunter
mesh_terms: D000328:Adult; D000339:Affect; D000368:Aged; D003071:Cognition; D015928:Cognitive Behavioral Therapy; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006296:Health Services; D019584:Hot Flashes / Q000523:psychology / Q000628:therapy*; D006801:Humans; D008593:Menopause / Q000523:psychology; D008875:Middle Aged; D010465:Perception; D012119:Respiration; D012648:Self Care; D012720:Severity of Illness Index; D012890:Sleep; D011795:Surveys and Questionnaires; D013546:Sweating; D013689:Telephone
keywords: CBT; Hot flushes; Menopause; Self-Help; Telephone-guided