Use of complementary and alternative medicine in a large sample of anxiety patients.
Use of complementary and alternative medicine in a large sample of anxiety patients.
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DOI：
10.1016/j.psym.2011.11.009
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发表时间：
2012-05
期刊：
影响因子：
3.4
通讯作者：
Roy-Byrne, Peter P.
中科院分区：
文献类型：
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作者：
Bystritsky, Alexander;Hovav, Sarit;Sherbourne, Cathy;Stein, Murray B.;Rose, Raphael D.;Campbell-Sills, Laura;Golinelli, Daniela;Sullivan, Greer;Craske, Michelle G.;Roy-Byrne, Peter P.
研究大样本焦虑患者以及所使用的补充和替代治疗类型、人口统计学变量、诊断类别和治疗结果之间的关联。在协调焦虑学习和管理（CALM）研究期间进行的横断面和纵向调查，该研究评估了从初级保健招募的焦虑患者样本中的这种干预措施对心理护理的影响。访谈者通过盲态评估评定者进行的集中电话调查进行问卷调查。访谈在基线、研究的6个月、12个月和18个月进行。共有1004名年龄在18-75岁之间的成年人符合DSM-IV广泛性焦虑障碍（GAD），惊恐障碍，社交焦虑障碍或创伤后应激障碍的标准。我们评估了药物/草药的使用，任何替代疗法的使用，以及补充和替代医学（CAM）的联合使用。我们发现广泛（43%）使用各种CAM治疗，这与先前在焦虑人群中的研究结果一致。CAM使用者只有少数显著的人口统计学或干预性特征，使用者最常被诊断为GAD，年龄较大，受教育程度较高，有两种或两种以上的慢性疾病。在18个月内焦虑评分下降50%或更多的CAM使用者不太可能继续使用替代疗法。该研究证实了在这一人群中意识到CAM使用的重要性，因为它可能干扰这些疾病的传统一线治疗，但也为需要多种治疗方式的患者找到最佳综合使用。
To examine a large sample of patients with anxiety and the association between types of complementary and alternative treatments that were used, demographic variables, diagnostic categories, and treatment outcomes. Cross-sectional and longitudinal survey during the Coordinated Anxiety Learning and Management (CALM) study that assessed this intervention against the Usual Care in a sample of patients with anxiety recruited from primary care. Interviewer-administered questionnaires via a centralized telephone survey by blinded assessment raters. The interviews were done at baseline, 6, 12, and 18 months of the study. A total of 1004 adults ages 18–75 who met DSM-IV criteria for Generalized Anxiety Disorder (GAD), Panic Disorder, Social Anxiety Disorder, or Post-Traumatic Stress Disorder. We assessed medication/herbal use, the use of any alternative therapies, and combined Complementary and Alternative Medicine (CAM) use. We found an extensive (43%) use of a variety of CAM treatments that is consistent with previous study results in populations with anxiety. Only a few significant demographic or interventional characteristics of CAM users were found. Users most often had a diagnosis of GAD, were older, more educated, and had two or more chronic medical conditions. CAM users who had a 50% or more drop in anxiety scores over 18 months were less likely to report continued use of alternative therapies. The study confirms the importance of awareness of CAM use in this population for possible interference with traditional first-line treatments of these disorders, but also for finding the best integrative use for patients who require multiple treatment modalities.
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影响因子：
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作者：
Craske, Michelle G.;Stein, Murray B.;Roy-Byrne, Peter
通讯作者：
Roy-Byrne, Peter
DOI：
10.1097/00042192-200512010-00008
发表时间：
2005-01-01
影响因子：
2.7
作者：
Bair, YA;Gold, EB;Kravitz, RL
通讯作者：
Kravitz, RL
影响因子：
--
作者：
Cherkin, Daniel C.;Sherman, Karen J.;Avins, Andrew L.;Erro, Janet H.;Ichikawa, Laura;Barlow, William E.;Delaney, Kristin;Hawkes, Rene;Hamilton, Luisa;Pressman, Alice;Khalsa, Partap S.;Deyo, Richard A.
通讯作者：
Deyo, Richard A.
影响因子：
17.7
作者：
Kessler, RC;Soukup, J;Eisenberg, DM
通讯作者：
Eisenberg, DM
影响因子：
158.5
作者：
EISENBERG, DM;KESSLER, RC;DELBANCO, TL
通讯作者：
DELBANCO, TL