Department of Psychology, University of Cincinnati, PO Box 210376, Cincinnati, OH 45221-0376, USA.
Curr Psychiatry Rep. 2013 Sep;15(9):391. doi: 10.1007/s11920-013-0391-2.
Integrative medicine (IntM) is a growing medical trend combining conventional medical approaches with evidence-based complementary therapies to promote well-being. Over half of individuals with depression use some form of IntM for symptom management. The purpose of the current study was to critically review the scientific evidence for IntM techniques in treating adult unipolar depression. We examined randomized controlled trials, systematic reviews, and meta-analyses published in the last one to three years using PsychINFO, PubMed, and Cochrane Library databases. The strongest evidence currently exists for mindfulness-based interventions and St. John's Wort (SJW) as monotherapies, and there is relatively strong evidence to support the use of omega-3 fatty acids and exercise as adjunct therapies. However, there remains an overall lack of methodologically rigorous research to support the efficacy of many other IntM techniques. Providers should be aware that many patients use IntM techniques for depression treatment and inquire regularly about such use.
整合医学（IntM）是一种日益流行的医学趋势，它将传统的医疗方法与基于证据的补充疗法相结合，以促进健康。超过一半的抑郁症患者使用某种形式的 IntM 来进行症状管理。本研究的目的是批判性地回顾治疗成人单相抑郁症的 IntM 技术的科学证据。我们使用 PsychINFO、PubMed 和 Cochrane Library 数据库，检查了过去一到三年内发表的随机对照试验、系统评价和荟萃分析。目前，基于正念的干预措施和贯叶连翘（SJW）作为单一疗法的证据最强，并且有相对较强的证据支持使用欧米伽-3 脂肪酸和运动作为辅助疗法。然而，许多其他 IntM 技术的疗效仍然缺乏严格的方法学研究。提供者应该意识到许多患者使用 IntM 技术治疗抑郁症，并定期询问此类使用情况。
