用于创伤后应激障碍症状的补充和替代医学：一项系统综述。
Complementary and Alternative Medicine for Posttraumatic Stress Disorder Symptoms: A Systematic Review.
作者信息
Wahbeh Helané, Senders Angela, Neuendorf Rachel, Cayton Julien
机构信息
1 Oregon Health and Science University, Portland, OR, USA.
2 National College of Natural Medicine, Portland, OR, USA.
出版信息
J Evid Based Complementary Altern Med. 2014 Jul;19(3):161-175. doi: 10.1177/2156587214525403.
OBJECTIVES.: To (1) characterize complementary and alternative medicine studies for posttraumatic stress disorder symptoms, (2) evaluate the quality of these studies, and (3) systematically grade the scientific evidence for individual CAM modalities for posttraumatic stress disorder.
DESIGN.: Systematic review. Eight data sources were searched. Selection criteria included any study design assessing posttraumatic stress disorder outcomes and any complementary and alternative medicine intervention. The body of evidence for each modality was assessed with the Natural Standard evidence-based, validated grading rationale.
RESULTS AND CONCLUSIONS.: Thirty-three studies (n = 1329) were reviewed. Scientific evidence of benefit for posttraumatic stress disorder was strong for repetitive transcranial magnetic stimulation and good for acupuncture, hypnotherapy, meditation, and visualization. Evidence was unclear or conflicting for biofeedback, relaxation, Emotional Freedom and Thought Field therapies, yoga, and natural products. Considerations for clinical applications and future research recommendations are discussed.
目的
（1）描述针对创伤后应激障碍症状的补充和替代医学研究；（2）评估这些研究的质量；（3）系统地对用于创伤后应激障碍的各补充和替代医学疗法的科学证据进行分级。
设计
系统评价。检索了八个数据源。选择标准包括任何评估创伤后应激障碍结局的研究设计以及任何补充和替代医学干预措施。使用基于自然标准的循证、经过验证的分级原理对每种疗法的证据体进行评估。
结果与结论
共纳入33项研究（n = 1329）。重复经颅磁刺激对创伤后应激障碍有益的科学证据充分，针灸、催眠疗法、冥想和可视化的证据良好。生物反馈、放松疗法、情绪释放疗法和思维场疗法、瑜伽及天然产物的证据不明确或相互矛盾。讨论了临床应用的考虑因素和未来的研究建议。
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