Mamtani Ravinder, Cimino Andrea
New York Medical College, Valhala, NY 10595, USA.
Psychiatr Q. 2002 Winter;73(4):367-81. doi: 10.1023/a:1020472218839.
The use of complementary and alternative medicine (CAM) is widespread. Those with psychiatric disorders are more likely to use CAM than those with other diseases. There are both benefits and limitations to CAM. Many controlled studies have yielded promising results in the areas of chronic pain, insomnia, anxiety, and depression. There is sufficient evidence, for example, to support the use of a) acupuncture for addiction problems and chronic musculoskeletal pain, b) hypnosis for cancer pain and nausea, c) massage therapy for anxiety, and the use of d) mind-body techniques such as meditation, relaxation, and biofeedback for pain, insomnia, and anxiety. Large doses of vitamins, herbal supplements, and their interaction with conventional medications are areas of concern. Physicians must become informed practitioners so that they can provide appropriate and meaningful advice to patients concerning benefits and limitations of CAM.
补充和替代医学（CAM）的使用很普遍。患有精神疾病的人比患有其他疾病的人更有可能使用补充和替代医学。补充和替代医学既有好处也有局限性。许多对照研究在慢性疼痛、失眠、焦虑和抑郁等领域都取得了有前景的结果。例如，有充分证据支持以下方面的使用：a）针灸用于成瘾问题和慢性肌肉骨骼疼痛，b）催眠用于癌症疼痛和恶心，c）按摩疗法用于焦虑，以及d）身心技术，如冥想、放松和生物反馈用于疼痛、失眠和焦虑。大剂量维生素、草药补充剂及其与传统药物的相互作用是令人担忧的领域。医生必须成为见多识广的从业者，以便他们能够就补充和替代医学的益处和局限性向患者提供适当且有意义的建议。
