Use of practitioner-based complementary therapies by persons reporting mental conditions in the United States
Use of practitioner-based complementary therapies by persons reporting mental conditions in the United States
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DOI：
10.1001/archpsyc.57.7.708
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发表时间：
2000-07-01
影响因子：
--
通讯作者：
Rosenheck, RA
中科院分区：
文献类型：
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作者：
Druss, BG;Rosenheck, RA
背景：据我们所知，本研究首次对报告精神状况的美国居民使用基于执业医师的补充治疗的情况进行了全国性估计。方法：1996 年医疗支出小组调查中共有 16038 名受访者被询问了关于 12 种补充医疗服务（例如脊椎按摩服务和草药治疗）的就诊情况。双变量和多元回归模型检查了报告精神状况的个体 (n = 1803)、心理健康状况一般或较差 (n = 992)、4 种慢性疾病中的 1 种 (n = 3262) 以及样本的其余部分 (n = 10793) 中这些疗法的使用情况。 结果：报告精神状况的人中总共有 9.8% 进行了补充访视，其中约一半 (4.5%) 进行了访问 治疗精神状况。报告暂时性压力或适应障碍的人最有可能（比值比，9.1%；95%置信区间，5.5%-12.7%），以及患有精神病（比值比，1.5%；95%；置信区间，0.0%-4.25）和情感性（比值比，2.6%；95%置信区间，1.5%-3.8%）的人最不可能的情况，使用补充疗法 治疗他们的精神状况。在控制医疗共病、心理健康状况良好或较差以及人口因素的多变量模型中，精神状况报告预测补充就诊的几率会增加 1.27 倍（95%；置信区间，1.04-1.54）。结论：自我报告的精神状况与补充治疗的使用增加有关，尽管这些治疗的使用集中于患有短暂困扰的受访者，而不是慢性和严重的疾病。需要更多使用结构化诊断访谈的研究来检查“现实世界”社区环境中患有精神疾病的个人使用这些治疗的流行率、模式和临床影响。
Background: To our knowledge, this study provides the first national estimates for use of practitioner-based complementary treatments by US residents reporting mental conditions.Methods: a total of 16038 respondents to the 1996 Medical Expenditure Panel Survey were asked about visits for 12 complementary medical services (eg, chiropractic services and herbal remedies). Bivariate and multiple regression models examined use of these therapies in individuals reporting a mental condition (n = 1803), fair or poor mental health status (n = 992), and 1 of 4 chronic medical conditions (n = 3262) and in the remainder of the sample (n = 10793).Results: a total of 9.8% of those reporting a mental condition made a complementary visit, and about half of these (4.5%) made a visit to treat the mental condition. Persons reporting transient stress or adjustment disorders were most likely (odds ratio, 9.1%; 95% confidence interval, 5.5%-12.7%), and those with psychotic (odds ra-tio, 1.5%; 95%;, confidence interval, 0.0%-4.25) and affective (odds ratio, 2.6%; 95% confidence interval, 1.5%-3.8%) conditions least likely, to use complementary therapies to treat their mental condition. In multivariate models controlling for medical comorbidity, fair or poor mental health status, and demographic factors, report of a mental condition predicted a 1.27-fold increase in the odds of a complementary visit (95%;, confidence interval, 1.04-1.54).Conclusions: Self-reported mental conditions were associated with increased use of complementary treatments, although use of these treatments was concentrated in respondents with transient distress rather than chronic and serious conditions. More research using structured diagnostic interviews is needed to examine the prevalence, patterns, and clinical implications of use of these treatments by individuals with mental conditions in "real world" community settings.