The DOI matches its Crossref record; 69 of the 69 references it cites were found in a registry or an index.
The effects of mindfulness and relaxation training for insomnia (MRTI) on postmenopausal women: a pilot study
Abstract
OBJECTIVE: The aim of the study was to evaluate the effects of mindfulness and relaxation training for insomnia on insomnia and quality of life in postmenopausal women. METHODS: Thirty postmenopausal women aged 50 to 65 years, who were not using hormone therapy, and had a diagnosis of insomnia and an apnea-hypopnea index of less than 15, were randomly assigned to two groups: a mindfulness intervention group and a control group. They were assessed before the intervention, and 8 weeks after its completion using questionnaires assessing sleep quality (Pittsburgh Sleep Quality Index), insomnia (Insomnia Severity Index), quality of life in menopause (Menopause-Specific Quality of Life), menopausal symptoms (Kupperman Menopausal Index), and level of attention (Mindfulness Awareness Attention Scale). They were also assessed through ambulatory polysomnography. This is a pilot study and is limited by its small sample size. RESULTS: The results of the questionnaires showed significant differences in the group that received mindfulness training compared with the control group, namely, improvements in sleep quality, a reduction in the severity of insomnia, a better quality of life, improved attention levels, and a reduction in menopausal and vasomotor symptoms. Polysomnography results showed no differences between the groups. CONCLUSIONS: Eight weeks mindfulness meditation training improved sleep quality, quality of life, attention levels, and reduced vasomotor symptoms in postmenopausal women with insomnia.
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In the citing paper
“(MRTI) led to significantly more improvement in quality of life and attention levels than control.”
From The effectiveness of psychosocial interventions on non-physiological symptoms of menopause: A systematic review and meta-analysis (2024) · cites this paper as Garcia et al. (2018)
In the citing paper
“(MRTI) led to significantly more improvement in quality of life and attention levels than control.”
From The effectiveness of psychosocial interventions on non-physiological symptoms of menopause: A systematic review and meta-analysis (2024) · cites this paper as Garcia et al. (2018)
In the citing paper
“For the MBI, again all were group apart from one study using individual sessions (Garcia et al, 2018).”
From The effectiveness of psychosocial interventions on non-physiological symptoms of menopause: A systematic review and meta-analysis (2024) · cites this paper as Garcia et al, 2018
In the citing paper
“Garcia et al's (2018) study of mindfulness and relaxation training for insomnia measured cognition through looking at participants' attention and awareness in everyday situations, finding significant improvements following the intervention.”
From The effectiveness of psychosocial interventions on non-physiological symptoms of menopause: A systematic review and meta-analysis (2024) · cites this paper as Garcia et al., 2018
Citations
Cites
The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989) · Psychiatry Research · doi:10.1016/0165-1781(89)90047-4 · Cited by 35,234
The benefits of being present: Mindfulness and its role in psychological well-being
Brown, K. W., & Ryan, R. M. (2003) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.84.4.822 · Cited by 13,448
Validation of the Insomnia Severity Index as an outcome measure for insomnia research
Bastien, C. (2001) · Sleep Medicine · doi:10.1016/s1389-9457(00)00065-4 · Cited by 8,067
Distribution Theory for Glass's Estimator of Effect Size and Related Estimators
Hedges, L. V. (1981) · Journal of Educational Statistics · doi:10.2307/1164588 · Cited by 5,695
Morin, C. M., Belleville, G., Bélanger, L., & Ivers, H. (2011) · Sleep · doi:10.1093/sleep/34.5.601 · Cited by 4,620
Mindfulness training as a clinical intervention: a conceptual and empirical review
Baer, R. A. (2003) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.bpg015 · Cited by 4,577
Mindfulness training as a clinical intervention: A conceptual and empirical review.
Baer, R. A. (2003) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy/bpg015 · Cited by 4,576
Kabat-Zinn, J. (1982) · General Hospital Psychiatry · doi:10.1016/0163-8343(82)90026-3 · Cited by 4,255
Harvey, A. G. (2002) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(01)00061-4 · Cited by 1,790
Mindful emotion regulation: an integrative review
Chambers, R., Gullone, E., & Allen, N. B. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.06.005 · Cited by 1,360
Validation of the Brazilian Portuguese version of the Pittsburgh sleep quality index
Bertolazi, A. N., Fagondes, S. C., Hoff, L. S., Dartora, E. G., da Silva Miozzo, I. C., de Barba, M. E. F., & Menna Barreto, S. S. (2011) · Sleep Medicine · doi:10.1016/j.sleep.2010.04.020 · Cited by 1,211
National Use of Postmenopausal Hormone Therapy
Hersh, A. L., Stefanick, M. L., & Stafford, R. S. (2004) · JAMA · doi:10.1001/jama.291.1.47 · Cited by 984
Fox, K. C. R., Nijeboer, S., Dixon, M. L., Floman, J. L., Ellamil, M., Rumak, S. P., Sedlmeier, P., & Christoff, K. (2014) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2014.03.016 · Cited by 804
A menopause-specific quality of life questionnaire: development and psychometric properties
Hilditch, J. R., Lewis, J. E., Peter, A., van Maris, B., Ross, A., Franssen, E., Guyatt, G. H., Norton, P., & Dunn, E. V. (1996) · Maturitas · doi:10.1016/s0378-5122(96)82006-8 · Cited by 765
Functional brain mapping of the relaxation response and meditation
Lazar, S. W., Bush, G., Gollub, R. L., Fricchione, G. L., Khalsa, G., & Benson, H. (2000) · NeuroReport · doi:10.1097/00001756-200005150-00042 · Cited by 717
Espie, C. A. (2002) · Annual Review of Psychology · doi:10.1146/annurev.psych.53.100901.135243 · Cited by 596
A menopause-specific quality of life questionnaire: development and psychometric properties
Hilditch, J. R., Lewis, J. E., Peter, A., van Maris, B., Ross, A., Franssen, E., Guyatt, G. H., Norton, P., & Dunn, E. V. (1996) · Maturitas · doi:10.1016/0378-5122(96)01038-9 · Cited by 496
Black, D. S., O’Reilly, G. A., Olmstead, R., Breen, E. C., & Irwin, M. R. (2015) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2014.8081 · Cited by 491
Dalal, P., & Agarwal, M. (2015) · Indian Journal of Psychiatry · doi:10.4103/0019-5545.161483 · Cited by 382
Improving sleep with mindfulness and acceptance: a metacognitive model of insomnia
Ong, J. C., Ulmer, C. S., & Manber, R. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.08.001 · Cited by 376
Adolescents, substance abuse, and the treatment of insomnia and daytime sleepiness
Bootzin, R. R., & Stevens, S. J. (2005) · Clinical Psychology Review · doi:10.1016/j.cpr.2005.04.007 · Cited by 363
A Randomized Controlled Trial of Mindfulness Meditation for Chronic Insomnia
Ong, J. C., Manber, R., Segal, Z., Xia, Y., Shapiro, S., & Wyatt, J. K. (2014) · Sleep · doi:10.5665/sleep.4010 · Cited by 332
Garland, S. N., Carlson, L. E., Stephens, A. J., Antle, M. C., Samuels, C., & Campbell, T. S. (2014) · Journal of Clinical Oncology · doi:10.1200/jco.2012.47.7265 · Cited by 329
Severe Hot Flashes Are Associated With Chronic Insomnia
Ohayon, M. M. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.12.1262 · Cited by 318
Yang, M. S., Morin, C. M., Schaefer, K., & Wallenstein, G. V. (2009) · Current Medical Research and Opinion · doi:10.1185/03007990903167415 · Cited by 317
Neuropeptide Y applied in vitro can block the phase shifts induced by light in vivo
Yannielli, P. C., & Harrington, M. E. (2000) · Neuroreport · doi:10.1097/00001756-200005150-00043 · Cited by 296
The Effects of Mindfulness-Based Stress Reduction on Sleep Disturbance: A Systematic Review
Winbush, N. Y., Gross, C. R., & Kreitzer, M. J. (2007) · EXPLORE · doi:10.1016/j.explore.2007.08.003 · Cited by 271
CONTEMPORARY THERAPY OF THE MENOPAUSAL SYNDROME
Kupperman, H. S. (1959) · JAMA · doi:10.1001/jama.1959.03010300001001 · Cited by 268
Ong, J. C., Shapiro, S. L., & Manber, R. (2008) · Behavior Therapy · doi:10.1016/j.beth.2007.07.002 · Cited by 268
Meditation training increases brain efficiency in an attention task
Kozasa, E. H., Sato, J. R., Lacerda, S. S., Barreiros, M. Â. M., Radvany, J., Russell, T. A., Sanches, L. G., Mello, L. E., & Amaro, E. (2011) · NeuroImage · doi:10.1016/j.neuroimage.2011.06.088 · Cited by 258
Sleep During the Perimenopause: A SWAN Story
Kravitz, H. M., & Joffe, H. (2011) · Obstetrics and Gynecology Clinics of North America · doi:10.1016/j.ogc.2011.06.002 · Cited by 254
Gross, C. R., Kreitzer, M. J., Reilly-Spong, M., Wall, M., Winbush, N. Y., Patterson, R., Mahowald, M., & Cramer-Bornemann, M. (2011) · EXPLORE · doi:10.1016/j.explore.2010.12.003 · Cited by 249
McCurry, S. M., Guthrie, K. A., Morin, C. M., Woods, N. F., Landis, C. A., Ensrud, K. E., Larson, J. C., Joffe, H., Cohen, L. S., Hunt, J. R., et al. (2016) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2016.1795 · Cited by 201
Mindfulness training for coping with hot flashes: results of a randomized trial
Carmody, J. F., Crawford, S., Salmoirago-Blotcher, E., Leung, K., Churchill, L., & Olendzki, N. (2011) · Menopause · doi:10.1097/gme.0b013e318204a05c · Cited by 188
Yoga decreases insomnia in postmenopausal women: a randomized clinical trial
Afonso, R. F., Hachul, H., Kozasa, E. H., de Souza Oliveira, D., Goto, V., Rodrigues, D., Tufik, S., & Leite, J. R. (2012) · Menopause · doi:10.1097/gme.0b013e318228225f · Cited by 174
Understanding and Treating Insomnia
Bootzin, R. R., & Epstein, D. R. (2011) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.3.022806.091516 · Cited by 150
A mindfulness‐based approach to the treatment of insomnia
Ong, J. C., & Sholtes, D. (2010) · Journal of Clinical Psychology · doi:10.1002/jclp.20736 · Cited by 138
Yook, K., Lee, S.-H., Ryu, M., Kim, K.-H., Choi, T. K., Suh, S. Y., Kim, Y.-W., Kim, B., Kim, M. Y., & Kim, M.-J. (2008) · Journal of Nervous & Mental Disease · doi:10.1097/nmd.0b013e31817762ac · Cited by 134
Menopause-related affective disorders: a justification for further study
Schmidt, P. J., & Rubinow, D. R. (1991) · American Journal of Psychiatry · doi:10.1176/ajp.148.7.844 · Cited by 131
The impact of sample non‐normality on ANOVA and alternative methods
Lantz, B. (2012) · British Journal of Mathematical and Statistical Psychology · doi:10.1111/j.2044-8317.2012.02047.x · Cited by 129
Epidemiology of the symptoms of menopause – an intercontinental review
Makara‐Studzińska, M., Kryś-Noszczyk, K. M., & Jakiel, G. (2014) · Menopause Review/Przegląd Menopauzalny · doi:10.5114/pm.2014.43827 · Cited by 127
Zhang, J.-X., Liu, X.-H., Xie, X.-H., Zhao, D., Shan, M.-S., Zhang, X.-L., Kong, X.-M., & Cui, H. (2015) · EXPLORE · doi:10.1016/j.explore.2015.02.005 · Cited by 119
The Role of Acceptance and Mindfulness in the Treatment of Insomnia
Lundh, L.-G. (2005) · Journal of Cognitive Psychotherapy · doi:10.1891/jcop.19.1.29.66331 · Cited by 112
Sleep disturbance in menopause
Ameratunga, D., Goldin, J., & Hickey, M. (2012) · Internal Medicine Journal · doi:10.1111/j.1445-5994.2012.02723.x · Cited by 111
Symptoms reported by women in midlife
Berecki‐Gisolf, J., Begum, N., & Dobson, A. J. (2009) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0b013e3181a8c49f · Cited by 111
Mind-body therapies for menopausal symptoms: A systematic review
Innes, K. E., Selfe, T. K., & Vishnu, A. (2010) · Maturitas · doi:10.1016/j.maturitas.2010.01.016 · Cited by 103
Hachul, H., Bittencourt, L. R. A., Andersen, M. L., Haidar, M. A., Baracat, E. C., & Tufik, S. (2008) · International Journal of Gynecology & Obstetrics · doi:10.1016/j.ijgo.2008.07.009 · Cited by 101
Sleep and sleep disorders in menopausal women
Guidozzi, F. (2012) · Climacteric · doi:10.3109/13697137.2012.753873 · Cited by 92
Sleep in post-menopausal women: Differences between early and late post-menopause
Hachul, H., Bittencourt, L., Soares, J. M., Tufik, S., & Baracat, E. C. (2009) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2009.03.019 · Cited by 87
Female-Specific Mood Disorders
Steiner, M. S. (1992) · Clinical Obstetrics & Gynecology · doi:10.1097/00003081-199209000-00020 · Cited by 85
Sleep and the menopause – do postmenopausal women experience worse sleep than premenopausal women?
Kalleinen, N., Polo‐Kantola, P., Himanen, S., Salo, P., Joutsen, A. S., Urrila, A. S., & Polo, O. J. (2008) · Menopause international · doi:10.1258/mi.2008.008013 · Cited by 82
Fatores associados à qualidade de vida após menopausa
Lorenzi, D. R. S. D., Baracat, E. C., Saciloto, B., & Padilha, I. (2006) · Revista da Associação Médica Brasileira · doi:10.1590/s0104-42302006000500017 · Cited by 81
Psychosocial factors, attitude to menopause and symptoms in Swedish perimenopausal women
Olofsson, A. S. B., & Collins, A. (2000) · Climacteric · doi:10.3109/13697130009167597 · Cited by 79
Meditation as a Voluntary Hypometabolic State of Biological Estivation
Young, J. D.-E., & Taylor, E. (1998) · Physiology · doi:10.1152/physiologyonline.1998.13.3.149 · Cited by 79
A pilot study of mindfulness-based stress reduction for hot flashes
Carmody, J., Crawford, S. L., & Churchill, L. (2006) · Menopause The Journal of The North American Menopause Society · doi:10.1097/01.gme.0000227402.98933.d0 · Cited by 77
Meditation and Its Regulatory Role on Sleep
Nagendra, R. P., Maruthai, N., & Kutty, B. M. (2012) · Frontiers in Neurology · doi:10.3389/fneur.2012.00054 · Cited by 73
Effect of therapeutic massage on insomnia and climacteric symptoms in postmenopausal women
Oliveira, D. S., Hachul, H., Goto, V., Tufik, S., & Bittencourt, L. (2011) · Climacteric · doi:10.3109/13697137.2011.587557 · Cited by 56
Kupferer, E., Dormire, S. L., & Becker, H. (2009) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2008.00305.x · Cited by 48
Guidozzi, F., Alperstein, A., Bagratee, J. S., Dalmeyer, P., Davey, M. R., de Villiers, T. J., Hirschowitz, S., Kopenhager, T., Moodley, S. P., Roos, P., et al. (2014) · South African Medical Journal · doi:10.7196/samj.8423 · Cited by 45
Effects of mind–body therapies on symptom clusters during the menopausal transition
Woods, N. F., Mitchell, E. S., Schnall, J. G., Cray, L. A., Ismail, R., Taylor-Swanson, L. J., & Thomas, A. (2013) · Climacteric · doi:10.3109/13697137.2013.828198 · Cited by 44
Prevalência de distúrbios do sono na pós-menopausa
Hachul, H., Bittencourt, L., Haidar, M. A., Tufik, S., & Baracat, E. C. (2005) · Revista Brasileira Ginecologia e Obstetrícia · doi:10.1590/s0100-72032005001200005 · Cited by 32
Is mindfulness associated with insomnia after menopause?
Garcia, M. C., Pompéia, S., Hachul, H., Kozasa, E. H., de Souza, A. A. L., Tufik, S., & Mello, L. E. (2013) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0b013e31829996fc · Cited by 24
A Pilot Study of a Mental Silence Form of Meditation for Women in Perimenopause
Manocha, R., Semmar, B., & Black, D. A. (2007) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-007-9076-5 · Cited by 24
Larouche, M., Côté, G., Bélisle, D., & Lorrain, D. (2014) · Pathologie Biologie · doi:10.1016/j.patbio.2014.07.002 · Cited by 23
Survey of sleep problems in 3421 women aged 41–55 years
Vaari, T., Engblom, J., Helenius, H. Y. M., Erkkola, R., & Polo‐Kantola, P. (2008) · Menopause international · doi:10.1258/mi.2008.008007 · Cited by 19
Regestein, Q. R. (2010) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0b013e3181c4e298 · Cited by 10
072 VALIDATION OF THE INSOMNIA SEVERITY INDEX (ISI) IN THE SAO PAULO EPIDEMIOLOGIC SLEEP STUDY
Castro, L. D. S., Poyares, D. R., Santos‐Silva, R., Conway, S. G., Tufik, S. B., & Bittencourt, L. (2009) · Sleep Medicine · doi:10.1016/s1389-9457(09)70074-7 · Cited by 9
Lee, K. A. (2009) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2009.01028.x · Cited by 6
A metacognitive model and therapy for generalized anxiety disorder
Wells, A. (1999) · Clinical Psychology & Psychotherapy · doi:10.1002/(sici)1099-0879(199905)6:2
Research works printed but not linked: 2
- Jehan, 2015, Sleep disorders in postmenopausal women, J sleep Disord Ther, 4
- Buscemi, 2005, Manifestations and management of chronic insomnia in adults, AHRQ Evid Rep Summ, 1
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Metadata
- Authors
- Garcia, M. C., Kozasa, E. H., Tufik, S., Mello, L. E. A. M., & Hachul, H.
- Affiliations
- Universidade Federal de São Paulo (BR)
- Hospital Israelita Albert Einstein (BR)
- Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil
- Hospital Santa Marcelina (BR)
- Corresponding author
- Hachul, Helena
- Venue
- Menopause
- Published
- 2018-09
- Volume
- 25
- Issue
- 9
- Pages
- 992-1003
- ISSN
- 1072-3714 (ISSN-L)
- 1530-0374
- OpenAlex
- W2803917924
- Cited by
- 65
- References
- 68
- Citations by year
- 2026: 10 · 2025: 8 · 2024: 5 · 2023: 11 · 2022: 9 · 2021: 8 · 2020: 6 · 2019: 8
- FWCI
- 7.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Menopause The Journal of The North American Menopause Society (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Keywords
- mindfulness meditation, relaxation training, insomnia, postmenopausal women, sleep quality, quality of life, menopausal symptoms, vasomotor symptoms, attention
- MeSH terms
- Aged, Attention, Female, Humans, Sleep Initiation and Maintenance Disorders, Middle Aged, Pilot Projects, Quality of Life, Surveys and Questionnaires, Relaxation, Severity of Illness Index, Sleep, Sleep Apnea Syndromes, Treatment Outcome, Polysomnography, Postmenopause, Meditation, Hot Flashes, Mindfulness
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