مجلة العلوم التربوية والاجتماعية

فعالية برنامج إرشادي قائم على اليقظة الذهنية لتحسين جودة الحياة لدى النساء في مرحلة ما قبل انقطاع الطمث

The effectiveness of counseling program based- mindfulness to enhance quality of life among premenopausal women

د. نوره بنت سعد البقمي

Norah S. Al-Baqami, PhD

الكلمات مفتاحية: اليقظة، ما قبل انقطاع الطمث، جودة الحياة، الإرشاد, Mindfulness, Premenopausal, Quality of Life, Counseling


DownloadPDF
الملخص

يُعدّ انقطاع الطمث تغييرًا فسيولوجيًّا يؤثر على جودة حياة المرأة، ويمكن أن تكون التدخلات القائمة على اليقظة الذهنية طريقة فعالة لخفض أعراض انقطاع الطمث وتحسن جودة حياة المرأة. هدفت الدراسة الحالية لتحديد فعالية برنامج إرشادي قائم على اليقظة الذهنية في تحسين جودة الحياة لدى النساء في مرحلة ما قبل انقطاع الطمث. تكونت عينة الدراسة من (30) تم تقسيمهن إلى مجموعتين: مجموعة تجريبية (ن= 15) ومجموعة ضابطة (ن= 15)، وتضمنت أدوات جمع البيانات استبيانًا ديموغرافيًا، واستبيان جودة الحياة الخاص بانقطاع الطمث (تعريب الباحثة) والبرنامج الإرشادي (إعداد الباحثة) التي تم استيفائها من قبل المجموعتين قبل وبعد شهر من الانتهاء من التدخل. أشارت النتائج إلى أنه في المجموعة التجريبية، أظهر متوسط درجة جودة الحياة وأبعادها (باستثناء البعد الجنسي) بعد الانتهاء من التدخل انخفاضًا كبيرًا مقارنة بمجموعة الضبط، في حين لم تكن الفروق في جودة الحياة وأبعادها في القياسين البعدي والتتبعي بين المجموعتين التجريبية والضابطة دالة، وتُشير هذه النتائج إلى فعالية البرنامج الإرشادي القائم على اليقظة الذهنية في تحسين جودة حياة النساء في مرحلة ما قبل انقطاع الطمث.


Menopause is a physiological change that affects a woman's quality of life, and mindfulness-based interventions can be an effective way to reduce menopausal symptoms and improve a woman's quality of life. The present study aimed to determine the effectiveness of a counseling program based on mindfulness in improving the quality of life of premenopausal women. The study sample consisted of (30) woman divided into two groups: intervention (n = 15) and control (n = 15). The data collection instruments included a demographic questionnaire, the menopause quality of life questionnaire and counseling program, which were completed by the both groups before and after the completion of the intervention. The results indicated that in the intervention group, the mean score of quality of life and its domains (except sexual domain) after completing the intervention and after one month showed a significant decrease compared to the control group, while the differences in quality of life and its domains in the post and follow-up measurements were not significant for the intervention group. These results indicate the effectiveness of a mindfulness-based counseling program in improving the quality of life for premenopausal women.

مراجع

المراجع الأجنبية:

Aliabadi, M. Javadnoori, M., Malehi, A., Aslani, K. (2021). A study of mindfulness-based stress-reduction training effects on menopause-specific quality of life in postmenopausal women: A randomized controlled trial. Complementary Therapies in Clinical Practice,44, 101398.

Arab, S., Borjali, A., Meschi, F., Alireza, K. & Zakeihamidi, M. (2020). Effectiveness of self-compassion training on hot flashes and night sweats in postmenopausal women. Iranian Journal of Obstetrics, Gynecology & Infertility, 23 (2) ,30-41.

Atefeh, D., Forough, J. & Rozita (2019). The Effectiveness of Group Self-Compassion Focused Therapy on Flourishing in Menopausal Women. Psychological Studies,15 (2) , 111-126.

Avis, N., Ory, M., Matthews, K., Schocken, M., Bromberger, J., & Colvin, A. (2003). Health-related quality of life in a multiethnic sample of middle-aged women: Study of Women's Health Across the Nation (SWAN). Medical care, 41 (11) , 1262-1276.

Ayatollahi S, Ghaem H, Ayatollahi S. (2015). Determinants of age at natural menopause in Shiraz. Iranian Journal of Medical Sciences, 27 (3):131-3.

Ayers, B., Smith, M., Hellier, J., Mann, E., & Hunter, M. S. (2012). Effectiveness of group and self-help cognitive behavior therapy in reducing problematic menopausal hot flushes and night sweats (MENOS 2): a randomized controlled trial. Menopause, 19 (7) , 749-759.

Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10 (2) , 125-143.

Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45.

Bele?ov?, R., & T?thov?, V. (2019). Use of evaluation tools to evaluate symptoms and changes in climacteric women in the Czech Republic and abroad. Central European Journal of Nursing and Midwifery, 10 (4) , 1143-1154.

Bishop, S., Lau. M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V. Abbey, S., Speca, M., Velting, D. & Devins, G. (2004). Mindfulness: A Proposed Operational Definition. Clinical Psychology: Science and Practice, 11 (3) , 230–241.

Bloch, A. (2002). Self-awareness during the menopause. Maturitas, 41 (1) , 61-68.

Busch, H., Barth-Olofsson, S., Rosenhagen, S., & Collins, A. (2003). Menopausal transition and psychological development. Menopause, 10 (2) , 179-187.

Carmody, J., Crawford, S., Salmoirago-Blotcher, E., Leung, K., Churchill, L., & Olendzki, N. (2011). Mindfulness training for coping with hot flashes: results of a randomized trial. Menopause, 18 (6) , 611-620.

Ceyla Ceylan, B., & ?zerdo?an, N. (2015). Factors affecting age of onset of menopause and determination of quality of life in menopause. Turkish journal of obstetrics and gynecology, 12 (1) , 43-49.

Chen, T., Chang, C., Hung, C. & Wang, H. (2021). Effectiveness of mindfulness-based interventions on quality of life and menopausal symptoms in menopausal women: A meta-analysis. Journal of Psychosomatic Research, 147, 116515.

Davis, D. & Hayes, J. (2011). What are the benefits of mindfulness? A practice review of psychotherapy-related research. Psychotherapy, 48 (2) , 198-208.

Dotlic, J., Pimenta, F., Kovacevic, N., Leal, I., Maroco, J., Utian, W., & Gazibara, T. (2017). Menopausal transition in Southern Europe: comparative study of women in Serbia and Portugal. Menopause, 24 (11) , 1236-1245.

Ebrahimi, M. & Rahimi, B. (2019). The effect of self-efficacy counseling on the management of menopausal symptoms in psychological dimension in perimenopause women referred to health centers in Mahabad city. Journal of Advanced Pharmacy Education & Research, 9 (2) 93-97.

Edey, K., Rundle, S., & Hickey, M. (2018). Hormone replacement therapy for women previously treated for endometrial cancer. Cochrane Database of Systematic Reviews,15 (5).

Enjezab, B., Zarehosseinabadi, M., Farzinrad, B., & Dehghani, A. (2019). The Effect of Mindfulness-Based Cognitive Therapy on Quality of life in Perimenopausal Women. Iranian Journal of Psychiatry and Behavioral Sciences, 13 (1) , 86525.

Ferrand, F., Hajri, S., Benzineb, S., Draoui, D., Hassoun, D., Delanoë, D., Zins, M., & Ringa, V. (2013). Comparative study of the quality of life associated with menopause in Tunisia and France. Menopause, 20 (6) , 609-622.

Gazibara T., Kovacevic N., Nurkovic S., Kurtagic I., Radovanovic S., Rancic B., Terzic M., Dotlic J. (2019).Menopause-specific Quality of Life Questionnaire: factor and Rasch analytic approach. Climacteric, 22 (1) ,90-96.

Greendale, G., Karlamangla, A., & Maki, P. (2020). The menopause transition and cognition. Jama, 323 (15) , 1495-1496.

Greendale, G., Wight, R., Huang, M., Avis, N., Gold, E., Joffe, H., Seeman, T., Vuge, M., & Karlamangla, A. (2010). Menopause-associated symptoms and cognitive performance: results from the study of women's health across the nation. American journal of epidemiology, 171 (11) , 1214-1224.

Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: A meta-analysis. Journal of psychosomatic research, 57 (1) , 35-43.

Hall E., Frey B. & Soares C. (2011). Non-hormonal treatment strategies for vasomotor symptoms: a critical review. Drugs, 71 (3) ,287-304.

Hall, L., Callister L., Berry J. & Matsumura, G. (2007). Meanings of menopause: cultural influences on perception and management of menopause. Journal of holistic nursing: official journal of the American Holistic Nurses' Association, 25 (2) ,106-118.

Hilditch J., Lewis J., Peter A. (1996). A menopause-specific quality of life questionnaire: development and psychometric properties. maturities, 24,161–75.

Hillard T., Abernethy K., Hamoda H., (2007).  Management of the Menopause. 6th edition. Plymouth: British Menopause Society.

Hunter, M., & Chilcot, J. (2013). Testing a cognitive model of menopausal hot flushes and night sweats. Journal of psychosomatic research, 74 (4) , 307-312.

Hunter, M., & Mann, E. (2010). A cognitive model of menopausal hot flushes and night sweats. Journal of psychosomatic research, 69 (5) , 491-501.

Jafary, F., Farahbakhsh, K., Shafiabadi, A., & Delavar, A. (2011). Quality of life and menopause: Developing a theoretical model based on meaning in life, self-efficacy beliefs, and body image. Aging & mental health, 15 (5) , 630-637.

Jaspers, L., Daan, N. M., Van Dijk, G. M., Gazibara, T., Muka, T., Wen, K. X., Meun, C., Zillikens, C. M., Roeters van Lennep, J., E., Roos-Hesselink, J. W., Laan, E., Rees, M. Laven, J. S. E., Franco, O. H., & Kavousi, M. (2015). Health in middle-aged and elderly women: a conceptual framework for healthy menopause. Maturitas, 81 (1) , 93-98.

Jones, F., Strauss, C. & Cavanagh, K. (2016). Self-help mindfulness-based cognitive therapy. In Eisendrath, S. J. (Ed) , Mindfulness-based cognitive therapy (pp. 113-121).

Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10 (2) , 144–156.

Kabat-Zinn, J. (2005). Coming to our senses: Healing ourselves and the world through mindfulness. Hachette UK.

Kalarhoudi, M., Taebi, M., Sadat, Z., & Saberi, F. (2011). Assessment of quality of life in menopausal periods: a population study in Kashan, Iran. Iranian Red Crescent Medical Journal, 13 (11) , 811-817.

Kanadys, K., Wiktor-Stoma, A., Lewicka, M., Sulima, M., & Wiktor, H. (2016). Predictors of the quality of life of women in peri-menopausal period. Annals of Agricultural and Environmental Medicine, 23 (4) , 641-648.

Karaçam, Z., & ?eker, S. E. (2007). Factors associated with menopausal symptoms and their relationship with the quality of life among Turkish women. Maturities, 58 (1) , 75-82.

Kumari, A., Panigrahi, A., Roy, A., & Panda, J. (2020). Impaired quality of life and its determinants among postmenopausal women of slum communities in Bhubaneswar, India. Journal of Mid-life Health, 11 (3) , 149-155.

Kumari, A., Panigrahi, A., Roy, A., & Panda, J. (2020). Impaired quality of life and its determinants among postmenopausal women of slum communities in Bhubaneswar, India. Journal of Mid-life Health, 11 (3) , 149-155.

Kuyken, W., Byford, S., Taylor, R., Holden, E., Barret, B., Byng, R., Evans, A., Mullan, E., Teasdale, J. (2008). Mindfulness based cognitive therapy to prevent relapse in recurrent depression. Journal of Consulting Clinical Psychology,76, 966–978.

Langer, E. (1992). Matters of mind: Mindfulness/mindlessness in perspective. Consciousness and Cognition, 1, 289-305.

Leidy, L. (1994). Biological aspects of menopause: across the lifespan. Annual Review of Anthropology, 23 (1) , 231-253.

Liu, Z., Wang, Y., Xu, H., Wu, J., He, L., Jiang, J. Y., Yan, S., Du, R., & Liu, B. (2014). Efficacy of electroacupuncture for symptoms of menopausal transition: study protocol for a randomized controlled trial. Trials, 15 (1) , 1-7.

Molefi-Youri, W. (2019). Is there a role for mindfulness-based interventions (here defined as MBCT and MBSR) in facilitating optimal psychological adjustment in the menopause? Post reproductive health, 25 (3) , 143-149.

Mollaahmadi, L., Keramat, A., Changizi, N., Yazdkhasti, M., & Afshar, B. (2019). Evaluation and comparison of the effects of various cognitive-behavioral therapy methods on climacteric symptoms: A systematic review study. Journal of the Turkish German Gynecological Association, 20 (3) , 178-195.

Monteleone, P., Mascagni, G., Giannini, A., Genazzani, A. R., & Simoncini, T. (2018). Symptoms of menopause—global prevalence, physiology and implications. Nature Reviews Endocrinology, 14 (4) , 199-215.

Murlova, K. (2012). A Qualitative Study Exploring the Benefits of Mindfulness for Women During Menopause. Master Thesis, University of New York, Prague.

Nazarpour, S., Simbar, M., Ramezani Tehrani, F., & Alavi Majd, H. (2020). Factors associated with quality of life of postmenopausal women living in Iran. BMC women's health, 20 (104) , 1-9.

Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and identity, 2 (3) , 223-250.

Nie G., Yang H., Liu J., Zhao C., Wang X.  (2017). Psychometric properties of the Chinese version of the Menopause-Specific Quality-of-Life questionnaire. Menopause, 24 (5) ,546-554.

Nisar N, Sohoo N. (2009). Frequency of menopausal symptoms and their impact on the quality of life of women: A hospital-based survey. Journal of Pakistan Medicine Association, 59 (11) ,752–6.

Nosek M., Kennedy, P. & Gudmundsdottir, M.  (2012). Distress During the Menopause Transition: A Rich Contextual Analysis of Midlife Women’s Narratives. Sage Open, 2 (3) ,1-10.

Nosek, M., Kennedy, H. P., Beyene, Y., Taylor, D., Gilliss, C., & Lee, K. (2010). The effects of perceived stress and attitudes toward menopause and aging on symptoms of menopause. Journal of midwifery & women's health, 55 (4) , 328-334.

Park J., Bae S., Jung Y. (2020). Validity and Reliability of the Korean Version of the Menopause-Specific Quality of Life. Journal of Korean Academic Nursing, 50 (3):487-500

Phligbuam W., Smith, E. & Bartonm D. (2018). Psychometric properties of the Menopause Specific Quality of Life questionnaire among Thai women with a history of breast cancer. European Journal of Oncology Nursing Society,36, 75-81.

Pyri, F., Abedi, P., Maraghi, E. & Jefreh, M. (2021). The Effect of Mindfulness on Quality of Life among Women with Premature Ovarian Insufficiency: A Randomized Clinical Trial. Journal of Midlife Health, 12 (2) , 116-121.

Reynolds, F. (1997). Perceived control over menopausal hot flushes: exploring the correlates of a standardized measure. Maturities, 27 (3) , 215-221.

Ryan, R. & Brown, K. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848.

Sarri, G., Davies, M., & Lumsden, M. A. (2015). Diagnosis and management of menopause: summary of NICE guidance. Bmj Clinical Research 351, 1-6.

Sener, N. & Tashan, S. (2021). The effects of mindfulness stress reduction program on postmenopausal women's menopausal complaints and their life quality. Complementary Therapies in clinical Practice, 45 (4) , 101478.

Smadi, E. (2017). The Effect of Group Counseling on the Level of Depression and Anxiety in a Sample of Women in the Menopausal Stage in Jordan. Canadian Social Science, 13 (2) , 70-77.

Sommer, B, Avis N., Meyer P., Ory, M., Madden, T., Kagawa-Singe, M., Mouton, C., Rasor, N. & Adler, S. (1999). Attitudes toward menopause and aging across ethnic/racial groups. Psychosomatic medicine 61 (6) , 868-875.

Sood, R., Kuhle, C., Kapoor, E., Thielen, J., Frohmader, K., Mara, K. & Faubion, S. (2019). Association of mindfulness and stress with menopausal symptoms in midlife women. Climacteric, 22 (4) , 377-382.

Taher-Karami, Z., Hossieni, O.& Dasht-Bozorgi, Z. (2018). The Effectiveness of Compassion-Focused Therapy on Resiliency, Self-discrepancy, Hope and Psychological Well-being of Menopausal Women in Ahvaz. Community Health,5 (3) ,189-197.

Teasdale J. & Chaskalson M. (2011). How does mindfulness transform suffering? the transformation of dukkha. Contemporary Buddhism, 12 (1) ,103-124.

Toral, M., Godoy-Izquierdo, D., Garcia, A. & Moreno, R. (2014). Psychosocial interventions in perimenopausal and postmenopausal women: A systematic review of randomized and non-randomized trials and non-controlled studies. Maturities,77 (2) , 93-110.

Tremblay A., Sheeran L., & Aranda S. (2008). Psychoeducational interventions to alleviate hot flashes: a systematic review. Menopause, 15 (1) , 193-202.

Utian, W., & Woods, N. (2013). Impact of hormone therapy on quality of life after menopause. Menopause, 20 (10) , 1098-1105.

Vago, D., & Silbersweig, D. (2012). Self –awareness, Self – regulation, and self-transcendence (S-ART): a framework for understanding the neurobiological mechanisms of mindfulness. Frontiers in Human Neuroscience, 6, 1-30.

Van Driel C., Stuursma A., Schroevers M., Morurits, M. & de Book, G. (2019a). Mindfulness, cognitive behavioral and behavior-based therapy for natural and treatment-induced menopausal symptoms: a systematic review and meta-analysis.  international journal of obstetrics and gynecology, 126 (3) , 330-390.

Van Driel, C., de Bock, G., Schroevers, M., & Mourits, M. (2019b). Mindfulness? based stress reduction for menopausal symptoms after risk?reducing salpingo? oophorectomy (PURSUE study): a randomized controlled trial. An International Journal of Obstetrics & Gynaecology, 126 (3) , 402-411.

Weissbecker, I., Salmon, P., Studts, L., Floyd, R., Dedert, A. & Sephton, E. (2002). Mindfulness-based stress reduction and sense of coherence among women with fibromyalgia. Journal of Clinical Psychology in Medical Settings, 9 (4) , 297-307.

Wong, C., Yip, B., Gao, T., Lam, K., Woo, D., Yip, A., Chin, C., Tang, W., Choy, M., Tsang, K., Ho, S., Ma, H., & Wong, S. (2018). Mindfulness-Based Stress Reduction (MBSR) or psychoeducation for the reduction of menopausal symptoms: a randomized, controlled clinical trial. Scientific reports, 8 (1) , 1-10.

Woods, N. & Utian, W. (2018). Quality of life, menopause, and hormone therapy: an update and recommendations for future research. Menopause, 25 (7) , 713-720.

Young, J. H. (2016). Mindfulness-based strategic awareness training: A complete program for leaders and individuals. John Wiley & Sons.

Zamani, M., Nooripour, R., Oskooei, A.& Afrooz, G. (2020). The Effects of Mindfulness-Based Training on Psychological Wellbeing and Emotion Regulation of Menopausal Women: A Quasi-experimental Study.  Journal of Research and Health, 10 (5) ,295-304.