Mindfulness-based stress reduction for sleep quality and emotional state in menopause-related insomnia symptoms
Year: 2026
Type: article
Abstract: This study examined the efficacy and safety of mindfulness-based stress reduction (MBSR) for menopause-related insomnia symptoms, with a focus on anxiety, depression, sleep quality, coping styles and quality of life. Eighty-two patients with menopause-related insomnia symptoms were randomized into an experimental group (n = 41, MBSR plus routine health intervention) and a control group (n = 41, routine health intervention) for a 12-week intervention. Emotional state, sleep quality, disease coping styles and quality of life were assessed using standardized scales, with intervention adherence and adverse events recorded as secondary outcomes. Compared with routine care alone, the MBSR group achieved significantly larger decreases in Self-Rating Anxiety Scale and Self-Rating Depression Scale scores, lower Pittsburgh Sleep Quality Index scores, more positive improvements in disease coping styles and more pronounced gains in several quality-of-life dimensions, particularly physical, psychological and social functioning (p < 0.01). The experimental group had high offline and online adherence rates, with no significant between-group differences in adherence (p > 0.05). The adverse event incidence was below 5% in both groups, with no serious adverse events reported. This study confirms that 12-week MBSR is a safe and effective intervention for improving sleep quality, negative emotions, coping styles and quality of life in patients with menopause-related insomnia symptoms. Menopause-related insomnia symptoms are a common issue for women aged 45–60 years, often linked to anxiety, depression and poor quality of life, with current treatments having limitations like side effects or low adherence. This 12-week study tested mindfulness-based stress reduction (MBSR) plus routine care in 41 women with menopause-related insomnia symptoms (vs. 41 with routine care only). MBSR combined offline group training and online self-practice, covering breath awareness, body scanning, emotion regulation and daily mindfulness integration. Results showed that MBSR reduced anxiety scores by 15.4% and depression scores by 15.5%, and improved sleep quality (25.5% Pittsburgh Sleep Quality Index score reduction, especially sleep latency/efficiency) far better than routine care alone. MBSR also boosted active disease coping, with notable gains observed in several quality-of-life dimensions, particularly physical, psychological and social functioning. The intervention had high adherence (offline 90.24%, online 87.80%) and low mild adverse events (<5%), with no serious issues. In short, 12-week MBSR is a safe, effective non-pharmacological approach to improve sleep, ease negative emotions and enhance well-being for women with menopause-related insomnia symptoms.
Source: Figshare
Authors: Jing Zhao, Jun Deng, Heng Liu
Language: English
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W7225806762
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