Mind-body therapies for sleep disturbances, depression, and anxiety in menopausal women: a systematic review and meta-analysis of randomized controlled trials.
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| Název: | Mind-body therapies for sleep disturbances, depression, and anxiety in menopausal women: a systematic review and meta-analysis of randomized controlled trials. |
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| Autoři: | Fan Z; Graduate School of Physical Education, Myongji University, Yongin, Republic of Korea., Zhang Y; Graduate School of Physical Education, Myongji University, Yongin, Republic of Korea., Shu Y; College of Physical Education, Hunan University of Science and Technology, Xiangtan, Hunan, China., Zhou Y; Graduate School of Physical Education, Kookmin University, Seoul, Republic of Korea., Zuo Z; Graduate School of Physical Education, Kookmin University, Seoul, Republic of Korea. |
| Zdroj: | Frontiers in public health [Front Public Health] 2025 Nov 18; Vol. 13, pp. 1686981. Date of Electronic Publication: 2025 Nov 18 (Print Publication: 2025). |
| Způsob vydávání: | Journal Article; Systematic Review; Meta-Analysis |
| Jazyk: | English |
| Informace o časopise: | Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Lausanne : Frontiers Editorial Office |
| Výrazy ze slovníku MeSH: | Depression*/therapy , Mind-Body Therapies*/methods , Anxiety*/therapy , Sleep Wake Disorders*/therapy , Menopause*/psychology, Humans ; Female ; Randomized Controlled Trials as Topic ; Middle Aged ; Quality of Life |
| Abstrakt: | Background: Menopause is frequently accompanied by sleep disturbances, depression, and anxiety, negatively affecting women's quality of life. While hormone therapy can be effective, safety concerns highlight the need for accessible non-pharmacological options. Mind-body therapies (MBTs) have emerged as promising interventions, yet their overall efficacy remains unclear. Methods: A systematic review and meta-analysis were conducted on randomized controlled trials evaluating the effects of MBTs-such as Yoga, Mindfulness, Qigong, Art therapy, Music therapy, Dance therapy and Reiki-on sleep, depression, and anxiety in perimenopausal and postmenopausal women. Comparator groups included usual care or no-intervention controls. Eighteen studies involving 1,572 participants were identified through PubMed, Embase, Cochrane Library, and Web of Science (through October 10, 2025). Random-effects models were applied, along with subgroup, sensitivity, and publication bias analyses. Results: MBTs significantly improved sleep quality (SMD = -0.86; 95% CI: -1.24 to -0.48), reduced depression (SMD = -0.79; 95% CI: -1.18 to -0.40), and alleviated anxiety (SMD = -1.13; 95% CI: -1.66 to -0.59), showing moderate-to-large effects. Subgroup analyses showed that mindfulness, music therapy, dance therapy, and Reiki yielded greater psychological benefits than yoga and Qigong. Longer interventions (≥12 weeks) and studies from Asia showed stronger effects, possibly due to differences in intervention type, cultural familiarity, or adherence. Sensitivity analyses confirmed robust results, and no publication bias was detected. Conclusion: MBTs offer moderate-to-large benefits and represent safe, low-risk strategies for managing menopausal symptoms. Expressive approaches, including Mindfulness, Music therapy, and Dance therapy, may provide added value for emotional regulation and psychological well-being. Yoga and Qigong provide stable benefits for sleep improvement. High-quality trials are needed to inform clinical guidelines. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/, identifier CRD420251103844. (Copyright © 2025 Fan, Zhang, Shu, Zhou and Zuo.) |
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| Contributed Indexing: | Keywords: anxiety; art therapy; depression; menopause; mind–body therapies; sleep disturbances |
| Entry Date(s): | Date Created: 20251204 Date Completed: 20251204 Latest Revision: 20251206 |
| Update Code: | 20251206 |
| PubMed Central ID: | PMC12669000 |
| DOI: | 10.3389/fpubh.2025.1686981 |
| PMID: | 41341454 |
| Databáze: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Background: Menopause is frequently accompanied by sleep disturbances, depression, and anxiety, negatively affecting women's quality of life. While hormone therapy can be effective, safety concerns highlight the need for accessible non-pharmacological options. Mind-body therapies (MBTs) have emerged as promising interventions, yet their overall efficacy remains unclear.<br />Methods: A systematic review and meta-analysis were conducted on randomized controlled trials evaluating the effects of MBTs-such as Yoga, Mindfulness, Qigong, Art therapy, Music therapy, Dance therapy and Reiki-on sleep, depression, and anxiety in perimenopausal and postmenopausal women. Comparator groups included usual care or no-intervention controls. Eighteen studies involving 1,572 participants were identified through PubMed, Embase, Cochrane Library, and Web of Science (through October 10, 2025). Random-effects models were applied, along with subgroup, sensitivity, and publication bias analyses.<br />Results: MBTs significantly improved sleep quality (SMD = -0.86; 95% CI: -1.24 to -0.48), reduced depression (SMD = -0.79; 95% CI: -1.18 to -0.40), and alleviated anxiety (SMD = -1.13; 95% CI: -1.66 to -0.59), showing moderate-to-large effects. Subgroup analyses showed that mindfulness, music therapy, dance therapy, and Reiki yielded greater psychological benefits than yoga and Qigong. Longer interventions (≥12 weeks) and studies from Asia showed stronger effects, possibly due to differences in intervention type, cultural familiarity, or adherence. Sensitivity analyses confirmed robust results, and no publication bias was detected.<br />Conclusion: MBTs offer moderate-to-large benefits and represent safe, low-risk strategies for managing menopausal symptoms. Expressive approaches, including Mindfulness, Music therapy, and Dance therapy, may provide added value for emotional regulation and psychological well-being. Yoga and Qigong provide stable benefits for sleep improvement. High-quality trials are needed to inform clinical guidelines.<br />Systematic Review Registration: https://www.crd.york.ac.uk/prospero/, identifier CRD420251103844.<br /> (Copyright © 2025 Fan, Zhang, Shu, Zhou and Zuo.) |
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| ISSN: | 2296-2565 |
| DOI: | 10.3389/fpubh.2025.1686981 |