Osteopathy as an adjunctive management to standard care for depression in menopausal women

Henderson, P 2014, Osteopathy as an adjunctive management to standard care for depression in menopausal women, Masters by Research, Health Sciences, RMIT University.


Document type: Thesis
Collection: Theses

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Title Osteopathy as an adjunctive management to standard care for depression in menopausal women
Author(s) Henderson, P
Year 2014
Abstract Background: Depression is a National Health Priority in Australia and is one of the symptoms that menopausal women may experience. The number of menopausal women is increasing and the need to find effective and efficient management of depressive symptoms in this group is an emerging field of research. Physical symptoms such as low back pain, stiff and aching joints, and migraines or headaches are also symptoms menopausal women experience and the reason why they would consult an osteopath. Does osteopathic manipulative treatment have a role to play in the management of depression experienced by menopausal women?

Methods: Three women experiencing menopausal symptoms and depression attended four OMT and eight counselling consultations over an eight week period. Self-reported depressive and menopausal symptoms were measured using the Depression Anxiety Stress Scale (DASS-42) and Greene Climacteric Scale (GCS), respectively. Data was collected at weeks -4, 1, 5, 8, 20 and twelve months. OMT examination findings were recorded for each OMT consultation. The Working Alliance Inventory (WAI) was used to evaluate the therapeutic alliance in weeks 1, 5, and 8 for both OMT and counselling consultations. Participants were interviewed at the twelve month follow-up and a thematic analysis was undertaken of the transcripts.

Results: An improvement in the self-reported DASS depression scores occurred for two of the three women at week 8, and all three women showed an improvement at week 20 and the twelve month follow-ups. OMT examination showed six areas of dysfunction that were noted in all three women. The WAI scores indicated that the Bond between osteopath and participant was greater than the Bond between the psychologist and participant. The participants experience was overall a positive one and at least one participant was able to note the contributions of both interventions to the improvement in her depressive symptoms.

Conclusion: Due to the small number of participants no significant conclusions can be made however there is an indication that OMT and counselling has a beneficial effect on self-reported depressive scores in menopausal women. Further research is recommended.
Degree Masters by Research
Institution RMIT University
School, Department or Centre Health Sciences
Keyword(s) osteopathy
depression
menopause
osteopathic manipulative treatment
menopausal transition
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Created: Wed, 17 Jun 2015, 11:24:42 EST by Denise Paciocco
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