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在美国使用补充和替代疗法治疗焦虑症和抑郁症。

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

作者信息

Kessler R C, Soukup J, Davis R B, Foster D F, Wilkey S A, Van Rompay M I, Eisenberg D M

机构信息

Department of Health Care Policy and the Center for Alternative Medicine Research and Education, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, USA.

出版信息

Am J Psychiatry. 2001 Feb;158(2):289-94. doi: 10.1176/appi.ajp.158.2.289.

Abstract

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.

摘要

目的

本研究提供了关于美国使用补充和替代疗法治疗焦虑和抑郁的数据。

方法

数据来自对2055名受访者(1997 - 1998年)进行的具有全国代表性的调查,该调查获取了有关使用24种补充和替代疗法治疗特定慢性病的信息。

结果

共有9.4%的受访者报告在过去12个月中遭受“焦虑发作”;7.2%报告“重度抑郁”。在过去12个月中,共有56.7%的焦虑发作患者和53.6%的重度抑郁患者报告使用补充和替代疗法来治疗这些病症。只有20.0%的焦虑发作患者和19.3%的重度抑郁患者看过补充或替代疗法治疗师。在因焦虑发作而就诊于传统医疗服务提供者的受访者中,共有65.9%,因重度抑郁而就诊于传统医疗服务提供者的受访者中,共有66.7%也使用补充和替代疗法来治疗这些病症。这些疗法在治疗焦虑和抑郁方面的感知疗效与传统疗法相似。

结论

自我定义为焦虑发作和重度抑郁的人群使用补充和替代疗法比使用传统疗法更为频繁。大多数因这些问题就诊于传统心理健康服务提供者的患者也使用补充和替代疗法。随着保险覆盖范围的扩大,这些疗法的使用可能会增加。询问患者其使用情况可以预防不良反应,并使随后被证明有效的疗法的效用最大化。

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