IMPORTANCE AND OBJECTIVE Menopause is a reproductive transition affecting half the world's population. Stigma and limited availability of evidence-based treatments that support biopsychosocial well-being mean that this life stage is often associated with challenging symptoms and reduced quality of life (QoL). The aim of this review was to examine the extent literature on psychological and mind-body interventions to manage perimenopausal and postmenopausal symptoms, and apply an interdisciplinary clinical, research, and cultural knowledge framework to guide recommendations for improving QoL and healthy aging in this population. We also aimed to understand the ideal delivery mode for such interventions. METHODS Using Scopus, Medline, and PubMed, a review of systematic reviews, guidelines, and randomized controlled trials was undertaken to examine the use of psychological and mind-body interventions to improve menopause-related QoL and symptoms, including hot flushes, depression, anxiety, fatigue, pain, and sleep; conclusions were based on an analysis of this available evidence and linked to clinical and cultural considerations. DISCUSSION AND CONCLUSION Empirical support exists for a number of psychological and mind-body approaches to support QoL and symptoms during the menopause transition. The literature also identifies the need for menopause care that is culturally responsive.An online multimodal model of menopause care is thus recommended, incorporating evidence-based treatments (eg, cognitive behavioral therapy, yoga, hypnosis) and treatment techniques (eg, mindfulness, and education including nutrition support), as well as First Nations wisdom. We also recommend financial well-being approaches to support people undergoing menopause. Integrated, multimodal approaches should be available online to remove time, location, and healthcare access barriers, and be designed with diverse consumers to ensure equity for those underserved due to region, LGBTIQ+ assigned female at birth status, and for multicultural and First Nations people.

中文翻译：

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生物心理社会更年期护理的需求：叙述性回顾。


重要性和目标 更年期是影响世界一半人口的生殖过渡。支持生物心理社会福祉的耻辱感和循证治疗的有限可用性意味着这个生命阶段通常与具有挑战性的症状和生活质量 （QoL） 下降有关。本综述的目的是检查关于心理和身心干预管理围绝经期和绝经后症状的文献的程度，并应用跨学科临床、研究和文化知识框架来指导改善该人群的生活质量和健康老龄化的建议。我们还旨在了解此类干预的理想实施模式。方法 使用 Scopus、Medline 和 PubMed，对系统评价、指南和随机对照试验进行了回顾，以检查使用心理和身心干预来改善更年期相关 QoL 和症状，包括潮热、抑郁、焦虑、疲劳、疼痛和睡眠;结论基于对这些现有证据的分析，并与临床和文化考虑相关。讨论和结论 存在一些经验支持，即在更年期过渡期间支持生活质量和症状的心理和身心方法。文献还确定了对文化响应的更年期护理的需求。因此，推荐了更年期护理的在线多模式模型，结合循证治疗（例如，认知行为疗法、瑜伽、催眠）和治疗技术（例如，正念和包括营养支持的教育）以及原住民的智慧。我们还推荐财务健康方法，以支持更年期患者。 应在线提供综合的多式联运方法，以消除时间、地点和医疗保健获取障碍，并与不同的消费者一起设计，以确保因地区原因而服务不足的人、LGBTIQ+ 出生时被指定为女性以及多元文化和原住民的公平。