The Effectiveness of Mindfulness Training on Attitudes Towards Menopause and Health Adjustment in Menopausal Women

Document Type : Original Article

Authors

Department of Psychology, Ahv.C., Islamic Azad University, Ahvaz, Iran

10.30491/hpr.2026.562426.1526
Abstract
Background: Menopause represents a significant physiological and psychological transition, often accompanied by negative attitudes and considerable challenges in health adjustment.
Objectives: This study aimed to investigate the effectiveness of mindfulness training in improving attitudes toward menopause and health adjustment among menopausal women.
Methods: This quasi-experimental study employed a pre-test, post-test design with a control group. The statistical population included menopausal women referred to a health center in Ahvaz, Iran, in 2024. A sample of 30 eligible women aged 51-65 years was selected using convenience sampling and randomly allocated into two equal groups (experimental, n = 15; control, n = 15). The experimental group received eight 70-minute sessions of mindfulness training, while the control group was placed on a waitlist. Data were collected using the Attitudes Toward Menopause Questionnaire and the Health Adjustment subscale of the Bell Adjustment Inventory. Data were analyzed using Chi-square and Multivariate Analysis of Covariance (MANCOVA) via SPSS 25.
Results: Initial analysis indicated no significant differences in age and educational level between the two groups (P > 0.05). The MANCOVA results showed that the mindfulness intervention significantly improved both attitudes toward menopause (η²p = 0.60) and health adjustment (η²p = 0.57) in the experimental group compared to the control group (P < 0.001), with large effect sizes.
Conclusion: The findings suggest that mindfulness training is an effective, non-pharmacological intervention for enhancing psychological resilience and improving women's adaptation during the menopausal transition. Specialists and therapists are encouraged to incorporate mindfulness protocols into women's health promotion and counseling programs.

Keywords


1.       Strelow B, O'Laughlin D, Anderson T, Cyriac J, Buzzard J, Klindworth A. Menopause Decoded: What's Happening and How to Manage It. J Prim Care Community Health. 2024;15:21501319241307460. doi:10.1177/21501319241307460
2.       Steffan B, Loretto W. Menopause, work and mid-life: Challenging the ideal worker stereotype. Gend Work Organ. 2025;32(1):116-31. doi:10.1111/gwao.13136
3.       Ali AM, Ahmed AH, Smail L. Psychological Climacteric Symptoms and Attitudes toward Menopause among Emirati Women. Int J Environ Res Public Health. 2020;17(14):5028. doi:10.3390/ijerph17145028
4.       Hoseinzadeh F, Esmaily H, Ayatiafin S, Saki A. Clustering Iranian women according to their menopausal severity symptoms and exploring the factors associated with severe categories, using baseline category logit model. BMC Women's Health. 2024;24(1):653. doi:10.1186/s12905-024-03511-3
5.       Ryan S, Charter R, Ussher J, Perich T, Power R, Sperring S. Navigating Menopause at Work: A Rapid Review and Narrative Synthesis of Psycho-Educational and Behavioral Interventions to Support Menopausal Women in the Workplace. Women's Reprod Health. 2025;12(3):777-95. doi:10.1080/23293691.2025.24 95975
6.       Khandehroo M, Salary M, Mahdizadeh M, Peyman N. Educational intervention and menopausal adapting: a randomized controlled trial. Health Sci Rep. 2024; 7(12):e70298. doi:10.1002/hsr2.70298
7.       Żmuda K, Leszko M, Karasiewicz K. Perceptions and attitudes towards menopause and perceived satisfaction with life. Prz Menopauzalny. 2025;24(1): 25-32. doi:10.5114/pm.2025.149997
8.       Steffan B, Potočnik K. Responding to Menopause at Work as an Identity Threat: Resilience as Resource for Cognitive and Emotional Identity Work. Br J Manag. 2025;36(3):1290-302. doi:10.1111/1467-8551.12895
9.       Amin SM, El-Gazar HE, Zoromba MA, El-Sayed MM, Awad AGE, Atta MHR. Mindfulness for Menopausal Women: Enhancing Quality of Life and Psychological Well-Being Through a Randomized Controlled Intervention. J Nurs Scholarsh. 2025;57(4):563-75. doi:10.1111/jnu.70003
10.     Muralikrishna GB, Prabhu K, Shanmugapriya, Sankar G. Knowledge, Attitudes, and Prevalence of Menopausal Symptoms among Perimenopausal and Postmenopausal Women - A Mixed Method Study from Tamil Nadu. J Midlife Health. 2025;16(2):148-56. doi:10.4103/jmh.jmh_16_25
11.     Cowell AC, Gilmour A, Atkinson D. Support Mechanisms for Women during Menopause: Perspectives from Social and Professional Structures. Women. 2024;4(1):53-72. doi:10.3390/women4010 005
12.     Garg R, Munshi A. Menopause and Mental Health. J Midlife Health. 2025;16(2):119-23. doi:10.4103/jmh. jmh_61_25
13.     Ryczkowska K, Adach W, Janikowski K, Banach M, Bielecka-Dabrowa A. Menopause and women's cardiovascular health: is it really an obvious relationship? Arch Med Sci. 2023;19(2):458-66. doi:10.5114/aoms/157308
14.     Platt O, Bateman J, Bakour S. Impact of menopause hormone therapy, exercise, and their combination on bone mineral density and mental wellbeing in menopausal women: a scoping review. Front Reprod Health. 2025;7:1542746. doi:10.3389/frph.2025. 1542746
15.     Salehi Mobarakeh A, Golparvar M, Yousefi Z. A Comparative Study on the Efficacy of Mindfulness-Based Cognitive Therapy and Spiritual Self-Care Training on the Components of Suffering in Hemodialysis Patients. Hosp Pract Res. 2025;10(2): 674-82. doi:10.30491/hpr.2025.512406.1484
16.     Liu H, Cai K, Wang J, Zhang H. The effects of mindfulness-based interventions on anxiety, depression, stress, and mindfulness in menopausal women: A systematic review and meta-analysis. Front Public Health. 2022;10:1045642. doi:10.3389/fpubh. 2022.1045642
17.     Zarean F, Sheykholeslami A, Sadri Damirchi E, Rezaei Sharif A. The Impact of Mindfulness-Based Cognitive Therapy on Self-Concept in Infertile Women. Hosp Pract Res. 2024;9(1):430–6. doi:10.30491/hpr.2024. 463467.1434
18.     Shabani F, Montazeri M, Abdolalipour S, Mirghafourvand M. The effect of mindfulness training on stress and sleep quality of postmenopausal women: A systematic review and meta-analysis. Post Reprod Health. 2022;28(4):223-36. doi:10.1177/2053369122 1140191
19.     Wang H, Wang H, Kwok JYY, Tang S, Sun M. The effectiveness of mindfulness-based interventions on menopausal symptoms: A systematic review and meta-analysis of randomized controlled trials. J Affect Disord. 2025;381:337-49. doi:10.1016/j.jad.2025.04. 029
20.     Kabat-Zinn J. Mindfulness-Based Interventions in Context: Past, Present, and Future. Clin Psychol: Sci Pract. 2003;10(2):144-56. doi:10.1093/clipsy.bpg016
21.     Chems-Maarif R, Cavanagh K, Baer R, Gu J, Strauss C. Defining Mindfulness: A Review of Existing Definitions and Suggested Refinements. Mindfulness. 2025;16(1):1-20. doi:10.1007/s12671-024-02507-2
22.     Yazdani Aliabadi M, Javadnoori M, Saki Malehi A, Aslani K. A study of mindfulness-based stress-reduction training effects on menopause-specific quality of life in postmenopausal women: A randomized controlled trial. Complement Ther Clin Pract. 2021;44:101398. doi:10.1016/j.ctcp.2021. 101398
23.     Neugarten BL, Wood V, Kraines RJ, Loomis B. Women's attitudes toward the menopause. Vita Hum Int Z Lebensalterforsch. 1963;6:140-51. doi:10.1159/ 000269714
24.     Ghazanfarpour M. Psychometric Properties of the Attitude toward Menopause Checklist-Persian Version: A Comparison between Girls’ and their Menopause Mothers’ Attitudes. J Ped Perspect. 2023;11(1):17333-45. doi:10.22038/ijp.2021.52983.4194
25.     Bell HM. The Adjustment Inventory (Adult Form). INC. Palo Alto. California: Consulting Psychological Press; 1961.
26.     Ebrahimi M, Kamiabi M, Hajipoor Abaie N, Soltani A. Investigating the Factor Structure and Validating the Short Form of the California Social Adaptation Scale in Abused Teenagers in Kerman City in the Corona Crisis: A Descriptive Study. J Rafsanjan Univ Med Sci. 2022;21(9):923-938. doi:10.52547/jrums.21.9.923
27.     Sood R, Kuhle CL, Kapoor E, Thielen JM, Frohmader KS, Mara KC, et al. Association of mindfulness and stress with menopausal symptoms in midlife women. Climacteric. 2019;22(4):377-82. doi:10.1080/13697 137.2018.1551344
28.     Darehzereshki S, Dehghani F, Enjezab B. Mindfulness-based stress reduction group training improves of sleep quality in postmenopausal women. BMC Psychiatry. 2022;22(1):254. doi:10.1186/s128 88-022-03869-4