Behavioral treatment of menopausal hot flushes: evaluation by ambulatory monitoring

Abstract

Objectives: We attempted to develop an effective behavioral treatment for menopausal hot flushes and to determine the active behavioral components of this procedure.

Study design: Thirty-three women with frequent menopausal hot flushes were randomly assigned to receive eight sessions of training in paced respiration, muscle relaxation, or alpha-wave electroencephalographic biofeedback (placebo control). Hot flushes were objectively measured by means of 24-hour ambulatory monitoring of the sternal skin conductance level.

Results: Subjects undergoing paced respiration had significant reductions in hot flush frequency and respiration rate, as well as increases in tidal volume.

Conclusion: Paced respiration training may be a useful treatment alternative for the reduction of hot flushes in women who cannot tolerate hormone replacement therapy.