The use of complementary and alternative therapies to treat anxiety and depression in the United States

The use of complementary and alternative therapies to treat anxiety and depression in the United States
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DOI:
10.1176/appi.ajp.158.2.289
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发表时间:
2001-02-01
影响因子:
17.7
通讯作者:
Eisenberg, DM
Eisenberg, DM
中科院分区:
医学1区
文献类型:
--
作者:
Kessler, RC;Soukup, J;Eisenberg, DM

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目的:本研究提供了在美国使用补充和替代疗法治疗焦虑和抑郁症的数据。方法:数据来自一项对2,055名受访者的全国代表性调查(1997-1998年),获得了关于使用24种补充和替代疗法治疗特定慢性病的资料。共有9.4%的受访者报告在过去12个月内遭受“焦虑发作”; 7.2%报告“严重抑郁”。“在过去的12个月里,共有56.7%的焦虑发作患者和53.6%的严重抑郁症患者报告使用补充和替代疗法来治疗这些疾病。只有20.0%的焦虑症患者和19.3%的重度抑郁症患者接受了补充或替代治疗。共有65.9%的受访者被传统提供者视为焦虑发作,66.7%的受访者被传统提供者视为严重抑郁症也使用补充和替代疗法来治疗这些疾病。这些疗法在治疗焦虑和抑郁症的感知帮助是相似的,传统therapeutis.Conclusions:补充和替代疗法比传统疗法的人与自我定义的焦虑发作和严重抑郁症。大多数因这些问题而访问传统精神卫生提供者的患者也使用补充和替代疗法。随着保险范围的扩大,这些疗法的使用可能会增加。询问患者使用情况可以防止不良反应,并最大限度地提高随后被证明有效的治疗的有效性。
Objective: This study presents data on the use of complementary and alternative therapies to treat anxiety and depression in the United States.Method: The data came from a nationally representative survey of 2,055 respondents (1997-1998) that obtained information on the use of 24 complementary and alternative therapies for the treatment of specific chronic conditions.Results: A total of 9.4% of the respondents reported suffering from "anxiety attacks" in the past 12 months; 7.2% reported "severe depression." A total of 56.7% of those with anxiety attacks and 53.6% of those with severe depression reported using complementary and alternative therapies to treat these conditions during the past 12 months. Only 20.0% of those with anxiety attacks and 19.3% of those with severe depression visited a complementary or alternative therapist. A total of 65.9% of the respondents seen by a conventional provider for anxiety attacks and 66.7% of those seen by a conventional provider for severe depression also used complementary and alternative therapies to treat these conditions. The perceived helpfulness of these therapies in treating anxiety and depression was similar to that of conventional therapies.Conclusions: Complementary and alternative therapies are used more than conventional therapies by people with self-defined anxiety attacks and severe depression. Most patients visiting conventional mental health providers for these problems also use complementary and alternative therapies. Use of these therapies will likely increase as insurance coverage expands. Asking patients about their use could prevent adverse effects and maximize the usefulness of therapies subsequently proven to be effective.