The effect of mindfulness training on stress and sleep quality of postmenopausal women: a systematic review and meta-analysis
Abstract
Introduction Mindfulness is an effective method for empowering women to cope with menopausal changes. This study aimed to determine the effect of mindfulness training on stress and sleep quality in postmenopausal women. Materials and Methods English (PubMed, Cochrane Library, Google Scholar, Scopus, Web of Science, and CINHAL) and Persian (SID, Magiran) databases were searched until 25 June 2022, using the free and MeSH keywords included Mindfulness and Menopause. The quality of the published papers was evaluated using Cochrane Handbook for Systematic Reviews of Interventions version 5.2.0. The meta-analysis was conducted in RevMan 5.3 and the results were reported with mean difference (95% confidence interval). The quality of evidence was assessed using the GRADE approach. Results A total of 1206 records were obtained. After removing duplicate and non-eligible records, finally five articles were included in the systematic review and meta-analysis. The results indicated that sleep quality score (SMD = −1.44; 95% CI = −2.44 to −0.46; p = 0.004) and perceived stress score (MD = −4.21; 95% CI = −6.41 to −2.00; p = 0.0002) were significantly reduced in the mindfulness training group compared to control group. Conclusion Mindfulness training is associated with improving sleep quality and perceived stress (with a low quality of evidence) in postmenopausal women. Mental health and quality of life in postmenopausal women impressively affect the community health. Given the low quality of evidence of the studies in this field, randomized controlled trials with better methodologies are suggested.
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The findings align with previous studies supporting the effectiveness of psychosocial interventions on mood symptoms and quality of life in menopausal women, but have the benefit of combining data from multiple trials.
“Our findings align to previous studies proving support for the effectiveness of psychosocial interventions on mood symptoms (Green et al., 2015; Holger et al., 2012; Shabani et al., 2022) and quality of life (Chen et al., 2021) in menopausal women, but have the benefit of combining data from multiple trials.”
From The effectiveness of psychosocial interventions on non-physiological symptoms of menopause: A systematic review and meta-analysis (2024) · cites this paper as Shabani et al., 2022
Cites
The American Psychological Association
Langfeld, H. S. (1919) · Science · doi:10.1126/science.49.1254.51 · Cited by 7,453 · see citing works
Quantity and Quality of Sleep and Incidence of Type 2 Diabetes
Cappuccio, F. P., D'Elia, L., Strazzullo, P., & Miller, M. A. (2010) · Diabetes Care · doi:10.2337/dc09-1124 · Cited by 1,670 · see citing works
Jain, S., Shapiro, S. L., Swanick, S., Roesch, S. C., Mills, P. J., Bell, I., & Schwartz, G. E. R. (2007) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm3301_2 · Cited by 1,300 · cited 1× · see citing works
“It seems that mindfulness training helps us improve our sleep quality by targeting the cognitive and emotional processes.(54) This technique may facilitate neutral reappraisal of an event, thus reducing ruminative thoughts and emotional reactions.”
BackgroundThe Menopause Transition: Signs, Symptoms, and Management Options
Santoro, N. F., Roeca, C. M., Peters, B. A., & Neal-Perry, G. S. (2020) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgaa764 · Cited by 645 · see citing works
CAUSES AND MANAGEMENT OF STRESS AT WORK
Michie, S. (2002) · Occupational and Environmental Medicine · doi:10.1136/oem.59.1.67 · Cited by 591 · see citing works
Bartlett, L., Martin, A., Neil, A. L., Memish, K., Otahal, P., Kilpatrick, M., & Sanderson, K. (2019) · Journal of Occupational Health Psychology · doi:10.1037/ocp0000146 · Cited by 426 · see citing works
Immune, inflammatory and cardiovascular consequences of sleep restriction and recovery
Faraut, B., Boudjeltia, K. Z., Vanhamme, L., & Kerkhofs, M. (2012) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2011.05.001 · Cited by 418 · see citing works
Shapiro, S. L., & Carlson, L. E. (2009) · American Psychological Association eBooks · doi:10.1037/11885-000 · Cited by 407 · see citing works
Minkel, J. D., Banks, S., Htaik, O., Moreta, M. C., Jones, C. W., McGlinchey, E. L., Simpson, N. S., & Dinges, D. F. (2012) · Emotion · doi:10.1037/a0026871 · Cited by 379 · see citing works
Querstret, D., Morison, L., Dickinson, S., Cropley, M., & John, M. (2020) · International Journal of Stress Management · doi:10.1037/str0000165 · Cited by 315 · see citing works
The Controversial History of Hormone Replacement Therapy
Cagnacci, A., & Venier, M. (2019) · Medicina · doi:10.3390/medicina55090602 · Cited by 300 · see citing works
Impaired sleep after bedtime stress and worries
Åkerstedt, T., Kecklund, G., & Axelsson, J. (2007) · Biological Psychology · doi:10.1016/j.biopsycho.2007.07.010 · Cited by 256 · see citing works
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 · see citing works
Effects of Brief Mindfulness-Based Interventions on Health-Related Outcomes: a Systematic Review
Howarth, A., Smith, J. G., Perkins-Porras, L., & Ussher, M. (2019) · Mindfulness · doi:10.1007/s12671-019-01163-1 · Cited by 219 · see citing works
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 · see citing works
Cognition, Mood and Sleep in Menopausal Transition: The Role of Menopause Hormone Therapy
Gava, G., Orsili, I., Alvisi, S., Mancini, I., Seracchioli, R., & Meriggiola, M. C. (2019) · Medicina · doi:10.3390/medicina55100668 · Cited by 168 · see citing works
Social Determinants of Health in Menopause: An Integrative Review
Namazi, M., Sadeghi, R., & Moghadam, Z. B. (2019) · International Journal of Women s Health · doi:10.2147/ijwh.s228594 · Cited by 158 · see citing works
Moral, E., Delgado, J. L., Carmona, F., Caballero, B., Guillán, C., González, P., Suárez-Almarza, J., Velasco-Ortega, S., Nieto, C. D.-I., & as the writing group of the GENISSE study (2018) · Climacteric · doi:10.1080/13697137.2017.1421921 · Cited by 157 · see citing works
Zhu, D., Chung, H., Dobson, A. J., Pandeya, N., Brunner, E. J., Kuh, D. J., Greenwood, D. C., Hardy, R., Cade, J. E., Giles, G. G., et al. (2020) · Human Reproduction · doi:10.1093/humrep/deaa124 · Cited by 150 · see citing works
Psychological Climacteric Symptoms and Attitudes toward Menopause among Emirati Women
Ali, A. M., Ahmed, A. H., & Smail, L. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17145028 · Cited by 136 · see citing works
When mindfulness is therapy: Ethical qualms, historical perspectives.
Harrington, A., & Dunne, J. D. (2015) · American Psychologist · doi:10.1037/a0039460 · Cited by 135 · see citing works
Magnitude of the impact of hot flashes on sleep in perimenopausal women
de Zambotti, M., Colrain, I. M., Javitz, H. S., & Baker, F. C. (2014) · Fertility and Sterility · doi:10.1016/j.fertnstert.2014.08.016 · Cited by 131 · see citing works
Effects of menopause on sleep quality and sleep disorders: Canadian Longitudinal Study on Aging
Zolfaghari, S., Yao, C. W., Thompson, C., Gosselin, N., Désautels, A., Dang‐Vu, T. T., Postuma, R. B., & Carrier, J. (2019) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000001462 · Cited by 112 · see citing works
Lee, J., Han, Y., Cho, H. H., & Kim, J.-H. (2019) · Journal of Menopausal Medicine · doi:10.6118/jmm.19192 · Cited by 97 · see citing works
von Dawans, B., Strojny, J., & Domes, G. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2020.11.026 · Cited by 90 · see citing works
Relationship between women's attitude towards menopause and quality of life
Yanıkkerem, E., Koltan, S. O., Tamay, A. G., & Dikayak, Ş. (2012) · Climacteric · doi:10.3109/13697137.2011.637651 · Cited by 78 · see citing works
Sex Hormones, Sleep, and Core Body Temperature in Older Postmenopausal Women
Murphy, P., & Campbell, S. S. (2007) · SLEEP · doi:10.1093/sleep/30.12.1788 · Cited by 76 · see citing works
Ghazanfarpour, M., Kaviani, M., Abdolahian, S., Bonakchi, H., Khadijeh, M., Naghavi, M., & Khadivzadeh, T. (2015) · Gynecological Endocrinology · doi:10.3109/09513590.2015.1056138 · Cited by 70 · see citing works
Pinkerton, J. V., Abraham, L., Bushmakin, A. G., Cappelleri, J. C., & Komm, B. S. (2016) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000000678 · Cited by 66 · see citing works
Garcia, M. C., Kozasa, E. H., Tufik, S., Mello, L. E. A. M., & Hachul, H. (2018) · Menopause · doi:10.1097/gme.0000000000001118 · Cited by 65 · see citing works
Zhou, Q., Wang, B., Hua, Q., Jin, Q., Xie, J. F., Ma, J., & Jin, F. (2021) · BMC Women s Health · doi:10.1186/s12905-021-01433-y · Cited by 58 · see citing works
Kirk, U., Gu, X., Harvey, A. H., Fonagy, P., & Montague, P. R. (2014) · NeuroImage · doi:10.1016/j.neuroimage.2014.06.035 · Cited by 55 · see citing works
Gordon, J. L., Halleran, M., Beshai, S., Eisenlohr-Moul, T. A., Frederick, J., & Campbell, T. S. (2021) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2021.105277 · Cited by 48 · see citing works
Healthcare Utilization and Prevalence of Symptoms in Women with Menopause: A Real-World Analysis
Moser, S. S., Chodick, G., Bar-On, S., & Shalev, V. (2020) · International Journal of Women s Health · doi:10.2147/ijwh.s246113 · Cited by 33 · see citing works
Mindfulness-based stress reduction group training improves of sleep quality in postmenopausal women
Darehzereshki, S., Dehghani, F., & Enjezab, B. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03869-4 · Cited by 31 · see citing works
Wallace, S. L., Martin, B. S., Lee, K., & Sokol, E. R. (2020) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2020.06.032 · Cited by 28 · see citing works
Roozbeh, N., Ghazanfarpour, M., Khadivzadeh, T., Kargarfard, L., Dizavandi, F. R., & Shariati, K. (2019) · Journal of Menopausal Medicine · doi:10.6118/jmm.18158 · Cited by 27 · see citing works
Quality of sleep in women with menopause and its related factors
Ahmady, F., Niknami, M., & Khalesi, Z. B. (2022) · Sleep Science · doi:10.5935/1984-0063.20220021 · Cited by 20 · see citing works
The Study of Sleep Health Education Effect on Sleep Quality Among Lorestan Nursing Personnel
Babamiri, M., Moeini, B., Tahmasian, H., Barati, M., & Roshanai, G. (2017) · Iranian Journal of Ergonomics · doi:10.21859/joe-04042 · Cited by 19 · see citing works
The Relationship Between Stress, Anxiety and Depression With Menopausal Women Experiences
Moghani, S. S. (2018) · doi:10.30699/sjhnmf.26.a5.333 · Cited by 13 · see citing works
Hagen, K., Nordahl, H., Launes, G., Kvale, G., Öst, L., Hystad, S. W., Hansen, B. K. A., & Solem, S. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.625631 · Cited by 11 · see citing works
Everly, G. S., & Lating, J. M. (2019) · Springer eBooks · doi:10.1007/978-1-4939-9098-6_1 · Cited by 7 · see citing works
THE EFFECT OF HERBAL MEDICINE ON SLEEP DISORDER IN PRE/POSTMENOPAUSAL WOMEN: A NARRATIVE REVIEW
Mousavi, F. S., Khalajinia, Z., & Rezaei, F. (2022) · Nursing and Midwifery Journal · doi:10.52547/unmf.19.11.908 · Cited by 5 · see citing works
Newton, C., Feyles, V., & Asgary-Eden, V. (2013) · Fertility and Sterility · doi:10.1016/j.fertnstert.2013.04.031 · Cited by 4 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Spector, A., Li, Z., He, L., Badawy, Y., & Desai, R. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.02.048 · Cited by 56 · see citing works
Chiang, S., Tzeng, W., Chiang, L., Lee, M.-S., Lin, C., & Lin, C. (2024) · International Nursing Review · doi:10.1111/inr.12997 · Cited by 13 · see citing works
Wang, H., Wang, H., Kwok, J. Y. Y., Tang, S., & Sun, M. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.04.029 · Cited by 11 · see citing works
Carmona, N. E., Starick, E., Millett, G. E., Green, S. M., & Carney, C. E. (2024) · Post Reproductive Health · doi:10.1177/20533691241246365 · Cited by 9 · see citing works
Maunder, A., Mardon, A. K., Rao, V. S., Torkel, S., Metri, N., Liu, J., Yang, G., Giese, N., Mantzioris, E., Jafar, N. K. A., et al. (2026) · Climacteric · doi:10.1080/13697137.2025.2584061 · Cited by 5 · see citing works
Menopause care: alternatives to hormone replacement therapy
Mullin, S., & Manley, K. (2025) · The Obstetrician & Gynaecologist · doi:10.1111/tog.70010 · Cited by 1 · see citing works
Cognitive Behavioral Therapy for Menopause Symptoms
Wilkins, V. M. (2025) · Current Obstetrics and Gynecology Reports · doi:10.1007/s13669-025-00452-y · Cited by 1 · see citing works
“A small evidence base appears to be building for mindfulness’s ability to enhance sleep quality in postmenopausal women as well [40].”
Association of Self-Report Measures With Salivary Biomarkers in Post-Menopausal Women
Hiser, L. M., Arrant, K., Lee, J. H. S., & Zhang, L. (2024) · Journal of Public Health in the Deep South · doi:10.55533/2996-6833.1081
Zhang, B., Li, B., Liang, Z., Zhang, Y., Lau, L. Y., Chen, Y., & Zeng, X. (2025) · Psycho-Oncologie · doi:10.18282/po4522
Demirtaş, F. A., & ŞAHİ, N. H. (2026) · Current Psychology · doi:10.1007/s12144-026-09455-1
“Similarly, stress levels were significantly reduced and sleep quality was improved following mindfulness training in postmenopausal women (Shabani et al., 2022 ).”
InfluentialSolmaz, E., & Çelik, A. (2026) · Journal of Nursing Scholarship · doi:10.1111/jnu.70116
Lu, Y. M., Huo, Y. L., Zhang, Y., Liu, J. C., & Zhang, G. (2026) · European Journal of Integrative Medicine · doi:10.1016/j.eujim.2026.102784
- Authors
- Shabani, F., Montazeri, M., Abdolalipour, S., & Mirghafourvand, M.
- Affiliations
- Tabriz University of Medical Sciences (IR)
- Social Determinants of Health Research Center, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
- Venue
- Post Reproductive Health
- Publisher
- Informa UK Limited
- Published
- 2022-11-08
- Volume
- 28
- Issue
- 4
- Pages
- 223-236
- ISSN
- 2053-3370 (ISSN-L)
- 2053-3691
- 2053-3705
- OpenAlex
- W4308552503
- Cited by
- 12
- References
- 44
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 4
- FWCI
- 0.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Post Reproductive Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Tabriz University of Medical Sciences
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- mindfulness training, postmenopausal women, sleep quality, perceived stress, menopause, menopausal symptoms, mental health, quality of life
- MeSH terms
- Sleep Quality, Female, Humans, Mental Health, Quality of Life, Postmenopause, Mindfulness
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