Effects of Nonpharmacological Interventions on Sleep Quality and Insomnia in Perimenopausal and Postmenopausal Women: A Meta-Analysis

This study aimed to analyze the effects of nonpharmacological interventions on perimenopausal and postmenopausal women with sleep problems. Eight databases (MEDLINE/PubMed, Cochrane Library, EMBASE, CINAHL, and four Korean databases) were searched, from their inception through to 30 November 2021, f...

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Main Authors: Beomman Ha, Jisoon Kim, Wi-Young So, Seonho Kim
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/3/327
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author Beomman Ha
Jisoon Kim
Wi-Young So
Seonho Kim
author_facet Beomman Ha
Jisoon Kim
Wi-Young So
Seonho Kim
author_sort Beomman Ha
collection DOAJ
description This study aimed to analyze the effects of nonpharmacological interventions on perimenopausal and postmenopausal women with sleep problems. Eight databases (MEDLINE/PubMed, Cochrane Library, EMBASE, CINAHL, and four Korean databases) were searched, from their inception through to 30 November 2021, for randomized controlled trials (RCTs) evaluating the effects of nonpharmacological interventions versus control conditions on sleep quality and insomnia in perimenopausal and postmenopausal women. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and the severity of insomnia was assessed using the Insomnia Severity Index (ISI). In the meta-analysis, corrected standardized mean differences (SMDs; Hedges’ g) and 95% confidence intervals (CIs) were calculated as effect measures by applying the random effects model and inverse variant method. Fifteen trials met our inclusion criteria. Nonpharmacological interventions were found to have positive effects on sleep quality, measured with the PSQI (SMD = −1.32; 95% CI = −1.78 to −0.86; <i>p</i> < 0.001), and on the severity of insomnia, measured using the ISI (SMD = −1.11; 95% CI = −1.82 to –0.41; <i>p</i> = 0.002), compared with the control groups. Among perimenopausal and postmenopausal women with sleep problems, nonpharmacological interventions improved sleep quality and reduced the severity of insomnia.
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spelling doaj.art-d413b9de972d41b3aac1fdd25d98cecd2023-11-16T16:43:44ZengMDPI AGHealthcare2227-90322023-01-0111332710.3390/healthcare11030327Effects of Nonpharmacological Interventions on Sleep Quality and Insomnia in Perimenopausal and Postmenopausal Women: A Meta-AnalysisBeomman Ha0Jisoon Kim1Wi-Young So2Seonho Kim3Armed Forces Medical Command, Seongnam-si 13574, Republic of KoreaDepartment of Nursing, Woosong University, Daejeon-si 34606, Republic of KoreaSports Medicine Major, College of Humanities and Arts, Korea National University of Transportation, Chungju-si 27469, Republic of KoreaDepartment of Nursing Science, College of Medicine, Chungbuk National University, Cheongju-si 28644, Republic of KoreaThis study aimed to analyze the effects of nonpharmacological interventions on perimenopausal and postmenopausal women with sleep problems. Eight databases (MEDLINE/PubMed, Cochrane Library, EMBASE, CINAHL, and four Korean databases) were searched, from their inception through to 30 November 2021, for randomized controlled trials (RCTs) evaluating the effects of nonpharmacological interventions versus control conditions on sleep quality and insomnia in perimenopausal and postmenopausal women. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and the severity of insomnia was assessed using the Insomnia Severity Index (ISI). In the meta-analysis, corrected standardized mean differences (SMDs; Hedges’ g) and 95% confidence intervals (CIs) were calculated as effect measures by applying the random effects model and inverse variant method. Fifteen trials met our inclusion criteria. Nonpharmacological interventions were found to have positive effects on sleep quality, measured with the PSQI (SMD = −1.32; 95% CI = −1.78 to −0.86; <i>p</i> < 0.001), and on the severity of insomnia, measured using the ISI (SMD = −1.11; 95% CI = −1.82 to –0.41; <i>p</i> = 0.002), compared with the control groups. Among perimenopausal and postmenopausal women with sleep problems, nonpharmacological interventions improved sleep quality and reduced the severity of insomnia.https://www.mdpi.com/2227-9032/11/3/327sleep qualityinsomniawomenmenopausemeta-analysis
spellingShingle Beomman Ha
Jisoon Kim
Wi-Young So
Seonho Kim
Effects of Nonpharmacological Interventions on Sleep Quality and Insomnia in Perimenopausal and Postmenopausal Women: A Meta-Analysis
Healthcare
sleep quality
insomnia
women
menopause
meta-analysis
title Effects of Nonpharmacological Interventions on Sleep Quality and Insomnia in Perimenopausal and Postmenopausal Women: A Meta-Analysis
title_full Effects of Nonpharmacological Interventions on Sleep Quality and Insomnia in Perimenopausal and Postmenopausal Women: A Meta-Analysis
title_fullStr Effects of Nonpharmacological Interventions on Sleep Quality and Insomnia in Perimenopausal and Postmenopausal Women: A Meta-Analysis
title_full_unstemmed Effects of Nonpharmacological Interventions on Sleep Quality and Insomnia in Perimenopausal and Postmenopausal Women: A Meta-Analysis
title_short Effects of Nonpharmacological Interventions on Sleep Quality and Insomnia in Perimenopausal and Postmenopausal Women: A Meta-Analysis
title_sort effects of nonpharmacological interventions on sleep quality and insomnia in perimenopausal and postmenopausal women a meta analysis
topic sleep quality
insomnia
women
menopause
meta-analysis
url https://www.mdpi.com/2227-9032/11/3/327
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