en تأثیر مداخلات روانشناختی بر گرگرفتگی ناشی از یائسگی: مروری سیستماتیک Reproductive Psycology Review article Review Article <div style="text-align: justify;"><span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مقدمه: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">یائسگی پدیده&shy;ای فیزیولوژیک می&shy;باشد که با علائم جسمانی و روانشناختی متعددی مانند گرگرفتگی که شیوع آن بین 80</span></span><span lang="FA" style="font-size:11.0pt"><span majalla="" sakkal="" style="font-family:">-</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">20% گزارش شده، همراه است. مداخلات درمانی دارویی و غیردارویی مختلفی جهت کاهش</span></span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">این علامت شایع یائسگی انجام شده است.</span></span><b><span dir="LTR" style="font-size:11.0pt"><span style="font-family:"Arial","sans-serif""></span></span></b></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">هدف: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مطالعه مروری حاضر با هدف بررسی تأثیر مداخلات روانشناختی بر گرگرفتگی ناشی از یائسگی صورت پذیرفته است.</span></span><b><span dir="LTR" style="font-size:11.0pt"><span style="font-family:"Arial","sans-serif""></span></span></b></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مواد و روش&shy; ها: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مطالعه مروری سیستماتیک حاضر با جستجوی جامع در پایگاه&shy;های</span></span><span dir="LTR" style="font-size:10.0pt">Google</span> <span dir="LTR" style="font-size:10.0pt">Scholar</span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">, </span></span><span dir="LTR" style="font-size:10.0pt">Scopus</span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">, </span></span><span dir="LTR" style="font-size:10.0pt">PubMed</span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">, </span></span><span dir="LTR" style="font-size:10.0pt">Web of</span> <span dir="LTR" style="font-size:10.0pt">Science</span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">, </span></span><span dir="LTR" style="font-size:10.0pt">Science Direct</span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">, </span></span><span dir="LTR" style="font-size:10.0pt">Cochrane Library</span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">, </span></span><span dir="LTR" style="font-size:10.0pt">Scientific Information Database</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> و با استفاده از استراتژی بولی و کلید واژه</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">های</span></span><span dir="LTR" style="font-size:10.0pt">Menopause</span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">, </span></span><span dir="LTR" style="font-size:10.0pt">Hot flash</span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">, </span></span><span dir="LTR" style="font-size:10.0pt">Psychological Intervention</span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">, </span></span><span dir="LTR" style="font-size:10.0pt">Vasomotor Symptoms</span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> صورت پذیرفت</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">.</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:"> در مجموع 20847 مقاله از سال</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">های 2000 تا 2019 به دست آمد. پس از حذف مقالات تکراری و غیر&shy;مرتبط، در نهایت کیفیت 19 مطالعه کارآزمایی بالینی تجربی و نیمه تجربی با استفاده از مقیاس </span></span><span dir="LTR" style="font-size:10.0pt">Cochrane Collaboration toll</span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مورد ارزیابی قرار گرفت.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتایج: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">مداخلات انجام شده در مطالعات بر گرگرفتگی ناشی از یائسگی شامل درمان شناختی- رفتاری، ذهن آگاهی مبتنی بر کاهش استرس، هیپنوتیزم و</span></span> <span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">تکنیک&shy;های آرام سازی می</span></span><span dir="LTR" style="font-size:11.0pt"><span arial="" style="font-family:">&shy;</span></span><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">باشد. بررسی نتایج مطالعات نشان داده است که به جز 4 مطالعه، باقی مطالعات سبب بهبود گرگرفتگی در زنان یائسه شده است. </span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="text-justify:inter-ideograph"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">نتیجه&shy; گیری: </span></span></b><span lang="FA" style="font-size:11.0pt"><span b="" mitra="" style="font-family:">بر اساس نتایج مطالعه مروری سیستماتیک حاضر، مداخلات روانشناختی و به ویژه درمان شناختی- رفتاری و تکنیک&shy;های آرام&shy;سازی به طور بالقوه بر علائم وازوموتور و گرگرفتگی در زنان یائسه مؤثر است. اگرچه کیفیت مطالعات منتشر شده در این زمینه گاهی اوقات مورد تردید است.</span></span></span></span></span></span></span></div> <div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Background:</span></span></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Menopause is a normal physiological phenomenon, closely identified with a great deal of physical-psychological symptoms, including hot flashes (HFs) with a prevalence rate of 20-80%. Various pharmacological and non-pharmacological interventions have been thus far practiced to reduce this common symptom of the menopausal transition.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Objective</span></span></b><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">:</span></span></b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times=""> This systematic review was conducted to evaluate the effects of psychological interventions on menopausal HFs.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Materials and Methods:</span></span></b><i> </i><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">In this review, the databases of Google Scholar, Scopus, PubMed, Web of Science, Science Direct, the Cochrane Library, and Scientific Information Database were searched applying the Boolean searching operators as well as the keywords of &lsquo;hot flashes&rsquo;, &lsquo;menopause&rsquo;, &lsquo;psychological intervention&rsquo;, and &lsquo;vasomotor symptoms&rsquo;. Accordingly, a total number of 20,847 articles published from January 2000 to June 2019 were retrieved. </span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">After excluding the duplicate and irrelevant ones</span></span><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">, the risk of bias of 19</span></span> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">clinical or quasi-experimental clinical trials was assessed using the Cochrane collaboration tool.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Results:</span></span></b> <span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">The interventions implemented in the studies on menopausal HFs included cognitive behavioral therapy, mindfulness-based stress reduction, hypnotherapy, and relaxation techniques. All of the articles reported improvements in HFs in postmenopausal women, except for 4 studies. </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></b><i> </i><span style="font-size:12.0pt"><span new="" roman="" style="font-family:" times="">Based on the findings of this systematic review, psychological interventions, especially cognitive behavioral therapy and relaxation techniques, are potentially effective for vasomotor symptoms and HFs in healthy postmenopausal women, although the quality of published research on this topic is sometimes questionable. </span></span></span></span></span><br> <div></div></div> یائسگی, گرگرفتگی, روان درمانی. Menopause, Climacteric, Hot flashes, Psychology. 255 272 http://ijrm.ir/browse.php?a_code=A-10-989-3&slc_lang=en&sid=1 Elahe Samami elahesamami70@gmail.com 0000-0002-6183-0484 No Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran. Zohreh Shahhosseini zshahhosseini@yahoo.com 0000-0003-1288-2277 No Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran. Forouzan Elyasi Forouzan.elyasi@gmail.com 0000-0002-6872-481X Yes Psychiatry and Behavioral Sciences Research Center, Sexual and Reproductive Health Research Center, Addiction Institute, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.