Wolsko Peter M, Eisenberg David M, Davis Roger B, Phillips Russell S
Division for Research and Education in Complementary and Integrative Medical Therapies, Harvard Medical School, Boston, Massachusetts, USA.
J Gen Intern Med. 2004 Jan;19(1):43-50. doi: 10.1111/j.1525-1497.2004.21019.x.
Research demonstrating connections between the mind and body has increased interest in the potential of mind-body therapies. Our aim was to examine the use of mind-body therapies, using data available from a national survey.
Analysis of a large nationally representative dataset that comprehensively evaluated the use of mind-body therapies in the last year.
United States households.
PATIENTS/PARTICIPANTS: A total of 2055 American adults in 1997-1998.
Random national telephone survey.
We obtained a 60% weighted overall response rate among eligible respondents. We found that 18.9% of adults had used at least 1 mind-body therapy in the last year, with 20.5% of these therapies involving visits to a mind-body professional. Meditation, imagery, and yoga were the most commonly used techniques. Factors independently and positively associated with the use of mind-body therapies in the last year were being 40 to 49 years old (adjusted odds ratio [AOR], 2.03; 95% confidence interval [CI], 1.33 to 3.10), being not married (AOR, 1.78; 95% CI, 1.34 to 2.36), having an educational level of college or greater (AOR, 2.21; 95% CI, 1.57 to 3.09), having used self-prayer for a medical concern (AOR, 2.53; 95% CI, 1.87 to 3.42), and having used another complementary medicine therapy in the last year (AOR, 3.77; 95% CI, 2.74 to 5.20). While used for the full array of medical conditions, they were used infrequently for chronic pain (used by 20% of those with chronic pain) and insomnia (used by 13% of those with insomnia), conditions for which consensus panels have concluded that mind-body therapies are effective. They were also used by less than 20% of those with heart disease, headaches, back or neck pain, and cancer, conditions for which there is strong research support. Mind-body therapies were generally used concomitantly with conventional care: 90% of those using a mind-body therapy in the last year had seen a physician and 80% of mind-body therapies used were discussed with a physician.
Although mind-body therapies were commonly used, much opportunity exists to increase use of mind-body therapies for indications with demonstrated efficacy.
研究表明身心之间存在联系，这引发了人们对身心疗法潜力的更多关注。我们的目的是利用一项全国性调查中可得的数据，来研究身心疗法的使用情况。
对一个具有全国代表性的大型数据集进行分析，该数据集全面评估了过去一年中身心疗法的使用情况。
美国家庭。
患者/参与者：1997 - 1998年共有2055名美国成年人。
全国随机电话调查。
在符合条件的受访者中，我们获得了60%的加权总回复率。我们发现，18.9%的成年人在过去一年中至少使用过一种身心疗法，其中20.5%的疗法涉及拜访身心治疗专业人员。冥想、意象和瑜伽是最常用的技巧。与过去一年中使用身心疗法独立且呈正相关的因素包括年龄在40至49岁之间（调整后的优势比[AOR]为2.03；95%置信区间[CI]为1.33至3.10）、未婚（AOR为1.78；95%CI为1.34至2.36）、教育水平为大学及以上（AOR为2.21；95%CI为1.57至3.09）、曾因医疗问题进行过自我祈祷（AOR为2.53；95%CI为1.87至3.42）以及在过去一年中使用过其他补充医学疗法（AOR为3.77；95%CI为2.74至5.20）。虽然身心疗法被用于各种医疗状况，但在慢性疼痛（慢性疼痛患者中有20%使用）和失眠（失眠患者中有13%使用）方面使用较少，而共识小组已得出结论认为身心疗法对这些病症有效。在心脏病、头痛、背部或颈部疼痛以及癌症患者中，使用身心疗法的比例也不到20%，而针对这些病症有强有力的研究支持。身心疗法通常与传统护理同时使用：过去一年中使用身心疗法的人中有90%看过医生，且所使用的身心疗法中有80%是与医生讨论过的。
尽管身心疗法被广泛使用，但在已证明有疗效的适应症方面，增加身心疗法的使用仍有很大空间。
