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Recommendation
Menopausal symptom management – Cognitive behavioural therapy
Consider first-line treatment with cognitive behavioural therapy (CBT) delivered in person or online for the management of moderate to severe hot flushes or night sweats and sleep disturbance in women with a history of breast cancer.
Purpose-designed cognitive behavioural therapy can be considered for the management of sleep disturbance in women with a history of breast cancer
Purpose-designed cognitive behavioural therapy can be considered for the management of sleep disturbance in women with a history of breast cancer
Body of evidence provides some support for recommendation(s) but care should be taken in its application
How this guidance was developed
This recommendation was adapted from the CA 2016 guidelines for the management of menopausal symptoms in women with a history of breast cancer (Australia). The source recommendation was based on a systematic review of the evidence conducted to 2015 and was graded 'C’ (using NHMRC methods) by the source guideline authors. The source recommendation was simplified to reflect the overarching principle of the source guidelines of offering first-line treatment with non-systemic therapies. The adapted recommendation acknowledged the 2015 Position Statement of the North American Menopause Society, and more recent RCT evidence, that CBT is now accepted as first line treatment for sleep disturbance, and it can be delivered effectively in person or online.
Menopausal symptom management – Cognitive behavioural therapy
Recommendation
Consider first-line treatment with cognitive behavioural therapy (CBT) delivered in person or online for the management of moderate to severe hot flushes or night sweats and sleep disturbance in women with a history of breast cancer.
Principles in action
Supportive care
This recommendation was adapted from the CA 2016 guidelines for the management of menopausal symptoms in women with a history of breast cancer (Australia). The source recommendation was based on a systematic review of the evidence conducted to 2015 and was graded 'C’ (using NHMRC methods) by the source guideline authors. The source recommendation was simplified to reflect the overarching principle of the source guidelines of offering first-line treatment with non-systemic therapies. The adapted recommendation acknowledged the 2015 Position Statement of the North American Menopause Society, and more recent RCT evidence, that CBT is now accepted as first line treatment for sleep disturbance, and it can be delivered effectively in person or online.