Exploring the Feasibility and Acceptability of a 9-Week, Blended Digital Cognitive Behaviour Therapy and Acceptance Commitment Therapy Program for Women with Perimenopausal Anxiety
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Authors
Luu, Sandy
Date
2025-08-26
Type
thesis
Language
eng
Keyword
Menopause , Digital Health , Online-delivered psychotherapy , Anxiety , Depression , Perimenopause
Alternative Title
Abstract
Background. Perimenopause is a transitional time where women may be at a heightened risk of developing anxiety. Many pharmacological and hormonal treatments have shown mixed efficacy and can be difficult to access, which speaks to the need for alternative treatments. Exploring psychotherapies, Cognitive Behavioural Therapy (CBT) is a leading therapy for anxiety and has been adapted to treat a variety of needs, including menopause symptoms. CBT can now be delivered fully online and offered in blended formats with Acceptance and Commitment Therapy (ACT).
Objectives. The main aim of this pilot study is to design and evaluate the feasibility and acceptability of an online psychotherapy program for perimenopausal anxiety. The secondary aim is to assess program efficacy in managing menopause symptomology, with anxiety as a primary outcome.
Methods. Women diagnosed with Generalized Anxiety Disorder (GAD) and in perimenopause took part in a 9-week, online-delivered psychotherapy program blending CBT and ACT. All participants were paired with an online care provider trained in online psychotherapy delivery and worked through one module session each week, which alternated between providing psychoeducation about CBT and ACT concepts, as well as menopause symptoms. Participants completed homework assignments and received personalized feedback each week. Symptom severity was evaluated at weeks 1, 4, and 9, and participants were invited to share their experiences and feedback for the program through an exit Qualtrics survey and optional post-study Zoom interview.
Results. The program was feasible and well-received by most participants. Although improvements in symptomology were not significant, participants found the program meaningful and were receptive to its online delivery. The feedback component of the program was especially well-received. Notably, for some participants, technical barriers and initial difficulties navigating the program took away from their overall experience, as they reported cognitive and digital overload as de-motivators impacting their engagement and adherence.
Conclusion. This endeavour aimed to pioneer a novel treatment approach for perimenopausal anxiety, a mental health concern which is often underrepresented. This study, while preliminary, holds value in informing future developments of targeted treatment options and direction for care providers looking to access alternative supports for this population.