Use of Complementary and Alternative Medicine in a Large Sample of Anxiety Patients

Bystritsky, Alexander; Hovav, Sarit; Sherbourne, Cathy D.; Stein, Murray B.; Rose, Raphael D.; Campbell‐Sills, Laura; Golinelli, Daniela; Sullivan, Greer; Craske, Michelle G.; Roy‐Byrne, Peter

doi:10.1016/j.psym.2011.11.009

Cited by 84 publications

(59 citation statements)

References 38 publications

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“…This is supported by findings from another study conducted among patients attending four primary care facilities in the United States, where adults with anxiety and chronic conditions are known to use CAM more than those who do not report anxiety [42]. The high prevalence of THM use among patients with anxiety has been attributed to the holistic nature of the treatment and to patients’ dissatisfaction with CM used for the treatment of this disorder.…”

Section: Discussionmentioning

confidence: 62%

Health-seeking behaviours of older black women living with non-communicable diseases in an urban township in South Africa

Aboyade

Beauclair

Mbamalu

et al. 2016

BMC Complement Altern Med

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BackgroundVarious studies have shown that non-communicable diseases (NCDs) especially diabetes and hypertension are prevalent among older women living in South African urban areas, placing a heavy burden on the healthcare system. This study aimed to understand the health-seeking behaviour, healthcare practices and prevalence of traditional herbal medicine (THM) use among older women self-reporting NCDs from the Prospective Urban Rural Epidemiology study (PURE).MethodA homogenous purposive sampling of PURE participants was used to recruit women who were 50 years or older (n = 250). Descriptive statistics were used to examine the number of NCDs reported by the study sample, health seeking behaviour and practices as well as THM use. Logistic regression was also employed to investigate possible associations between reported conditions and THM use or medical pluralism.ResultsWithin the study sample, 72 % self-reported an NCD. Of those with self-reported NCDs, 46 % had one, and 54 % had two or more NCDs. Those with NCDs usually visited public clinics (80 %), relied on doctors (90 %) and nurses (85 %) for health information, and mostly used conventional medicine (CM) to manage high blood pressure (81 %). About 30 % of those with NCDs indicated using THM, of whom 29 (53 %) reported practicing medical pluralism. Participants with dental problems (OR: 3.24, 95 % CI: 1.30–8.20), headaches (OR: 2.42, 95 % CI: 1.24–4.94), heart burn (OR: 2.30, 95 % CI: 1.18–4.48) and severe tiredness (OR: 2.05, 95 % CI: 1.08–3.99) were more likely to use THM. Anxiety and allergies increased the likelihood to practise medical pluralism by five and 20 times, respectively.ConclusionSelf-reported NCD with co-morbidities was prevalent among the participants in the study. Most of the study participants utilized state-owned clinics and hospitals for the management of their chronic conditions. THM use was not very common. However, among those who used THM, medical pluralism was prevalent. Family history was the most common reason for THM use, with many THM patrons utilizing these for treatment of a health condition. Older black women with anxiety and allergies were more likely to practise medical pluralism.

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Section: Discussionmentioning

confidence: 62%

Health-seeking behaviours of older black women living with non-communicable diseases in an urban township in South Africa

Aboyade

Beauclair

Mbamalu

et al. 2016

BMC Complement Altern Med

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“…Hence, moderate continuous pressure on specific points of the palm of the hand can reduce anxiety effectively (23) . Studies show that alternative therapies are increasingly being used to reduce patients' anxiety (28)(29) , and these interventions must be considered by health professionals when dealing with anxious patients.…”

Section: Discussionmentioning

confidence: 99%

Non-pharmacological strategies to decrease anxiety in cardiac catheterization: integrative review

2015

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Objective: to identify and review the literature on non-pharmacological strategies used for reducing anxiety in patients receiving cardiac catheterization. Method: this study was an integrative literature review. The research was conducted using the databases LILACS, SciELO, Medline (through BVS and PubMed) and Scopus. Studies were analyzed according to their objective, method, instruments used for evaluating patients' anxiety, and the results obtained. Results: the most used strategy for reducing anxiety in patients receiving cardiac catheterization was music therapy. However, no study identifying the most appropriate time for this intervention (before, during and/or after the procedure) was found. Other strategies identifi ed in this review were educational videos, massage, and palm therapy. Conclusion: the results found suggest that anxiety can be reduced using non-pharmacological strategies. Keywords: Anxiety; Nursing; Cardiac Catheterization. RESUMO Objetivo: identifi car na literatura estudos que abordam as estratégias não farmacológicas utilizadas para redução da ansiedade de pacientes que se submetem ao cateterismo cardíaco. Método: trata-se de uma revisão integrativa da literatura, realizada nas bases de dados LILACS, SciELO, Medline (via BVS e PubMed) e Scopus. Os estudos foram analisados de acordo com seu objetivo, métodos, instrumentos utilizados para avaliar ansiedade dos pacientes e resultados obtidos. Resultados: a musicoterapia foi a estratégia mais abordada para a redução da ansiedade. Entretanto, não foi encontrado nenhum estudo que identifi casse o momento mais adequado para esta intervenção (antes, durante e/ou após o procedimento hemodinâmico). Outras estratégias identifi cadas nesta revisão foram o vídeo educacional, massagem e terapia na palma das mãos. Conclusão: os resultados encontrados sugerem que a ansiedade pode ser diminuída com o emprego de estratégias não farmacológicas. Descritores: Ansiedade; Enfermagem; Cateterismo Cardíaco. RESUMENObjetivo: identifi car y revisar los estudios de literatura que abordan las estrategias no farmacológicas utilizadas para reducir la ansiedad en los pacientes que reciben un cateterismo cardíaco. Método: revisión integradora. La investigación se llevó a cabo utilizando las bases de datos LILACS, SciELO, Medline (BVS y PubMed) y Scopus. Los estudios se analizaron de acuerdo con sus objetivos, la metodo, los instrumentos utilizados para la evaluación de la ansiedad de los pacientes, y los resultados obtenidos. Resultados: la estrategia dirigida más para reducir la ansiedad en los pacientes que recibieron cateterización cardíaca fue la musicoterapia. No se encontró estudio, sin embargo, identifi cando el momento más adecuado para esta intervención (antes, durante y / o después de este procedimiento). Otras estrategias identifi cados en esta revisión eran videos educativos, masajes y terapia de palma. Conclusión: los resultados sugieren que la ansiedad se puede reducir el uso de estrategias no farmacológicas.

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“…As a result, individuals suffering from anxiety commonly seek out complementary and integrative medicine, including herbal medicine products to treat this disorder (Bystritsky et al, 2012). …”

Section: Introductionmentioning

confidence: 99%

Long-term chamomile (Matricaria chamomilla L.) treatment for generalized anxiety disorder: A randomized clinical trial

et al. 2016

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Background Generalized Anxiety Disorder (GAD) is one of the most common anxiety disorders treated in primary care, yet current therapies have limited efficacy and substantial side effects. Purpose To evaluate long-term chamomile (Matricaria chamomilla L.) use for prevention of GAD symptom relapse. Methods Outpatients from primary care practices and local communities with a primary diagnosis of moderate-to-severe GAD were enrolled for this two-phase study at a large US academic medical center. During Phase 1, eligible participants received 12 weeks of open-label therapy with chamomile pharmaceutical grade extract 1500 mg (500-mg capsule 3 times daily). During Phase 2, treatment responders were randomized to either 26 weeks of continuation chamomile therapy or placebo in a double-blinded, placebo-substitution design. The primary outcome was time to relapse during continuation therapy, analysed using Cox proportional hazards. Secondary outcomes included the proportion who relapsed, treatment-emergent adverse events, and vital sign changes. This study is registered at ClinicalTrials.gov, identifier NCT01072344. Results Between March 1, 2010, and June 30, 2015, we enrolled 179 participants. Of those, 93 (51.9%) were responders and agreed to continue in the double-blind randomized controlled trial. A numerically greater number of placebo-switched (n = 12/47; 25.5%) versus chamomile-continuation (n = 7/46; 15.2%) participants relapsed during follow-up. Mean time to relapse was 11.4 ± 8.4 weeks for chamomile and 6.3 ± 3.9 weeks for placebo. Hazard of relapse was non-significantly lower for chamomile (hazard ratio, 0.52; 95% CI, 0.20–1.33; P = 0.16). During follow-up, chamomile participants maintained significantly lower GAD symptoms than placebo (P = 0.0032), with significant reductions in body weight (P = 0.046) and mean arterial blood pressure (P = 0.0063). Both treatments had similar low adverse event rates. Conclusions Long-term chamomile was safe and significantly reduced moderate-to-severe GAD symptoms, but did not significantly reduce rate of relapse. Our limited sample size and lower than expected rate of placebo group relapse likely contributed to the non-significant primary outcome finding. Possible chamomile superiority over placebo requires further examination in large-scale studies.

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Use of Complementary and Alternative Medicine in a Large Sample of Anxiety Patients

Cited by 84 publications

References 38 publications

Health-seeking behaviours of older black women living with non-communicable diseases in an urban township in South Africa

Health-seeking behaviours of older black women living with non-communicable diseases in an urban township in South Africa

Non-pharmacological strategies to decrease anxiety in cardiac catheterization: integrative review

Long-term chamomile (Matricaria chamomilla L.) treatment for generalized anxiety disorder: A randomized clinical trial

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