Multiple component self-control program for menopausal hot flashes.

Four menopausal women served as their own controls in a study of the application of behavioral methods to the treatment of hot flashes. After a 3-or 4-week baseline period, they received 10 sessions of training in a variety of stress and temperature control techniques, including relaxation, self-suggestions of cool thoughts and images, marital contingency contracting and temperature feedback. The percentage reductions in number of flashes between the last 2 weeks of baseline and the last 2 weeks of training were 41, 75, 76 and 90 for the 4 participants. Treatment gains were maintained at 6-months follow-up. These substantial reductions in frequency of hot flashes offer strong support for the further investigation of the use of behavioral methods as alternatives or additions to medicative therapies.