Passiflora for anxiety disorder

Miyasaka, Lincoln Sakiara; Atallah, Álvaro Nagib; Soares, Bernardo

doi:10.1002/14651858.cd004518.pub2

Cited by 48 publications

(29 citation statements)

References 16 publications

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“…There is a robust evidence-base for several herbal drugs such as St. Johns wort for depression or Echinacea for common cold [30, 31]. For some commonly used herbal drugs such as milk thistle or Passiflora, the evidence is contradictory or insufficient to draw conclusions [32, 33]. Regarding neural therapy, there are data proving the efficacy of the injection of local anaesthetics into trigger points, for example, in neck disorders [34].…”

Section: Discussionmentioning

confidence: 99%

Integration of Complementary and Alternative Medicine into Family Practices in Germany: Results of a National Survey

Joos

Musselmann

Szécsényi

2010

Evidence-Based Complementary and Alternative Medicine

104

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More than two-thirds of patients in Germany use complementary and alternative medicine (CAM) provided either by physicians or non-medical practitioners (“Heilpraktiker”). There is little information about the number of family physicians (FPs) providing CAM. Given the widespread public interest in the use of CAM, this study aimed to ascertain the use of and attitude toward CAM among FPs in Germany. A postal questionnaire developed based on qualitatively derived data was sent to 3000 randomly selected FPs in Germany. A reminder letter including a postcard (containing a single question about CAM use in practice and reasons for non-particpation in the survey) was sent to all FPs who had not returned the questionnaire. Of the 3000 FPs, 1027 (34%) returned the questionnaire and 444 (15%) returned the postcard. Altogether, 886 of the 1471 responding FPs (60%) reported using CAM in their practice. A positive attitude toward CAM was indicated by 503 FPs (55%), a rather negative attitude by 127 FPs (14%). Chirotherapy, relaxation and neural therapy were rated as most beneficial CAM therapies by FPs, whereas neural therapy, phytotherapy and acupuncture were the most commonly used therapies in German family practices. This survey clearly demonstrates that CAM is highly valued by many FPs and is already making a substantial contribution to first-contact primary care in Germany. Therefore, education and research about CAM should be increased. Furthermore, with the provision of CAM by FPs, the role of non-medical CAM practitioners within the German healthcare system is to be questioned.

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Section: Discussionmentioning

confidence: 99%

Integration of Complementary and Alternative Medicine into Family Practices in Germany: Results of a National Survey

Joos

Musselmann

Szécsényi

2010

Evidence-Based Complementary and Alternative Medicine

104

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“…Cochrane meta-analyses found two studies of passiflora (passion flower) indicating it was as effective as benzodiazepines (Level 2) [633], and one study of valerian which found no significant differences between placebo, valerian, or diazepam (Level 2, negative) [634,635]. Unfortunately, because these preparations are poorly standardized and have substantial variation in proportion of the active ingredient in different products, they cannot be widely recommended.…”

Section: Generalized Anxiety Disordermentioning

confidence: 99%

Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders

et al. 2014

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BackgroundAnxiety and related disorders are among the most common mental disorders, with lifetime prevalence reportedly as high as 31%. Unfortunately, anxiety disorders are under-diagnosed and under-treated.MethodsThese guidelines were developed by Canadian experts in anxiety and related disorders through a consensus process. Data on the epidemiology, diagnosis, and treatment (psychological and pharmacological) were obtained through MEDLINE, PsycINFO, and manual searches (1980–2012). Treatment strategies were rated on strength of evidence, and a clinical recommendation for each intervention was made, based on global impression of efficacy, effectiveness, and side effects, using a modified version of the periodic health examination guidelines.ResultsThese guidelines are presented in 10 sections, including an introduction, principles of diagnosis and management, six sections (Sections 3 through 8) on the specific anxiety-related disorders (panic disorder, agoraphobia, specific phobia, social anxiety disorder, generalized anxiety disorder, obsessive-compulsive disorder, and posttraumatic stress disorder), and two additional sections on special populations (children/adolescents, pregnant/lactating women, and the elderly) and clinical issues in patients with comorbid conditions.ConclusionsAnxiety and related disorders are very common in clinical practice, and frequently comorbid with other psychiatric and medical conditions. Optimal management requires a good understanding of the efficacy and side effect profiles of pharmacological and psychological treatments.

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“…The plant is widely used in phytotherapy due to its mild sedative and anxiolytic properties [2,3]. Although some studies have demonstrated its anxiolytic properties [2,[4][5][6][7][8][9], two recent systematic reviews have emphasized that randomized controlled trials that compare the effectiveness of Passiflora with placebo or other types of medication are needed [10,11]. There is only one study in the literature that focuses on the anxiolytic effect of Passiflora incarnata Linneaus before general anesthesia [8], and there is no data on the preoperative oral administration of Passiflora incarnata Linneaus for anxiolysis before regional anesthesia.…”

Section: Introductionmentioning

confidence: 99%

Passiflora incarnata Linneaus as an anxiolytic before spinal anesthesia

et al. 2011

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Passiflora for anxiety disorder

Abstract: RCTs examining the effectiveness of passiflora for anxiety are too few in number to permit any conclusions to be drawn. RCTs with larger samples that compare the effectiveness of passiflora with placebo and other types of medication, including antidepressants, are needed.

Cited by 48 publications

References 16 publications

Integration of Complementary and Alternative Medicine into Family Practices in Germany: Results of a National Survey

Integration of Complementary and Alternative Medicine into Family Practices in Germany: Results of a National Survey

Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders

Passiflora incarnata Linneaus as an anxiolytic before spinal anesthesia

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