Cognitive Behavioral Therapy for Insomnia and Depression Among Menopausal Women

Inclusion Criteria

• •Women with depression (BDI-II score of 14-63)
• •Women aged between 40 and 55 years old, menopausal (12 consecutive months without menses)
• •Women are willing to provide written informed consent to participate in the study.
• •Women who have the ability to read and write Arabic language.
• •Women who report wake after sleep onset (wakefulness in the middle of the night after falling asleep) of an hour or more on ≥ 3 nights per week and met criteria for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) (American Psychiatric Association, 2013) insomnia disorder with onset or exacerbation during the peri- or postmenopausal period per clinical interview with the researcher.
• •Women who have a total score of \>5 on the Pittsburgh Sleep Quality Index (PSQI), which indicates poor sleep, and a total score of \>7 on the Insomnia Severity Index (ISI), which indicates insomnia.