- Among women with postmenopausal insomnia, both cognitive behavioral therapy for insomnia (CBTI) and sleep restriction therapy (SRT) were superior to standard sleep hygiene education (SHE) for improving fatigue, energy, sleepiness, and work performance.
- CBTI was also superior for improving emotional health.
Why this matters
- Almost half of postmenopausal women report sleeping difficulties.
- At 6 months, compared with the SHE control, SRT and especially CBTI yielded greater improvements in:
- Fatigue Severity Scale scores (–0.69, –3.13, –5.35; P<.01>
- Energy scores on the Short Form-36 (1.27, 4.57, 5.92; P<.01>
- Diary-based sleepiness (–1.54, –5.40, –6.10; P<.01>
- Work performance (work time impaired; –1.10, –3.92, –4.01; P=.02).
- Single-center randomized controlled trial among 150 postmenopausal women with perimenopausal-/postmenopausal-onset or exacerbation of chronic insomnia.
- SHE (control).
- SRT for 4 weeks.
- CBTI for 6 weeks.
- Main outcomes: fatigue, daytime function, work performance, emotional health.
- Funding: National Institute of Nursing Research.
- Long-term benefits unknown.
- Mode of delivery of interventions varied.
- Unknown generalizability.