0359 EFFICACY OF BEHAVIORAL INSOMNIA TREATMENT ON POST-MENOPAUSAL QUALITY OF LIFE

Abstract

Introduction: Insomnia and reduced quality of life are very common among post-menopausal women. We examined the efficacy of Cognitive Behavioral Therapy for Insomnia (CBT-I) in comparison to Sleep Restriction Therapy (SRT) and an Information-only Control (IC) condition on improving insomnia and quality of life symptoms. Methods: Post-menopausal females (n=122, mean age 55.6 ± 5.42) meeting DSM-5 criteria for insomnia concurrent with menopause but without contraindicative psychopathology were recruited. Participants were screened for other sleep disorders via polysomnography (PSG). All participants showed an average wake after sleep onset ≥ 45 minutes across two nights of PSG. They were then randomized to a 6-week CBT-I (n=41), 2-week SRT (n=41), or a 6-week IC condition (n=40). Participants completed the Insomnia Severity Index (ISI) and Menopause-Specific Quality of Life (MENQOL) questionnaire before and after treatment. Results: One-Way ANOVA showed no significant differences in baseline ISI score or MENQOL domains (vasomotor, psychosocial, physical, and sexual) between groups. For ISI, both SRT and CBT-I produced a significant reduction in symptoms post-treatment (p