Hansen Anne Helen, Kristoffersen Agnete E
University Hospital of North Norway, PO box 35, , 9038, Tromsø, Norway.
Faculty of Health Sciences, Department of Community Medicine, UiT-The Arctic University of Norway, Tromsø, Norway.
BMC Complement Altern Med. 2016 Nov 11;16(1):461. doi: 10.1186/s12906-016-1446-9.
Depression has been identified as one of the most frequent predictors of CAM use. However, limited data exist about the use of CAM providers among people with anxiety/depression in Norway. The aim of this study was to investigate the use of CAM providers, and the use of CAM providers and psychiatric outpatient services in combination, among people with self-reported anxiety and/or depression.
We used questionnaire data from 12,982 participants (30-87 years) in the cross-sectional sixth Tromsø Study (conducted in 2007-8). Eligible for analyses in our study were 1685 participants who reported suffering from anxiety and/or depression. By descriptive statistical methods, we estimated the use of CAM providers, psychiatric outpatient services, and the combination of these. By logistic regressions we studied the association between the use of these services and gender, age, income, education, and self-reported degree of anxiety/depression.
During the previous year, 17.8 % of people with anxiety/depression visited a CAM provider once or more, 11.8 % visited psychiatric outpatient services, and 2.5 % visited both. Men with anxiety/depression were less likely to visit CAM providers compared to women (odds ratio [OR] 0.40, confidence interval [CI] 0.30-0.55), whereas higher educated people were more likely to visit compared to the lowest educated (OR 1.47, CI 1.02-2.13). The use of CAM providers was not associated with the degree of anxiety/depression. For those who used both CAM providers and psychiatric specialist services during the previous year, severe anxiety/depression was strongly associated with use compared to moderate disease (OR 7.53, CI 2.75-20.65).
People with severe anxiety/depression seem to use CAM providers and psychiatric services additionally, whereas those with moderate disease seem to use these services more as alternative pathways. CAM provider treatment might be a substitute for conventional care, particularly in patients with moderate disease.
抑郁症已被确定为补充替代医学（CAM）使用最常见的预测因素之一。然而，挪威焦虑/抑郁症患者使用补充替代医学服务提供者的相关数据有限。本研究的目的是调查自我报告有焦虑和/或抑郁的人群中补充替代医学服务提供者的使用情况，以及补充替代医学服务提供者与精神科门诊服务的联合使用情况。
我们使用了第六次特罗姆瑟横断面研究（于2007 - 2008年开展）中12,982名参与者（30 - 87岁）的问卷调查数据。本研究的分析对象为1685名报告患有焦虑和/或抑郁的参与者。通过描述性统计方法，我们估计了补充替代医学服务提供者、精神科门诊服务以及两者联合使用的情况。通过逻辑回归分析，我们研究了这些服务的使用与性别、年龄、收入、教育程度以及自我报告的焦虑/抑郁程度之间的关联。
在前一年中，17.8%的焦虑/抑郁症患者曾就诊于补充替代医学服务提供者一次或多次，11.8%就诊于精神科门诊服务，2.5%同时就诊于两者。与女性相比，患有焦虑/抑郁的男性就诊于补充替代医学服务提供者的可能性较小（比值比[OR]为0.40，置信区间[CI]为0.30 - 0.55），而与受教育程度最低者相比，受教育程度较高者就诊的可能性更大（OR为1.47，CI为1.02 - 2.13）。补充替代医学服务提供者的使用与焦虑/抑郁程度无关。对于前一年同时使用补充替代医学服务提供者和精神科专科服务的患者，与中度疾病患者相比，重度焦虑/抑郁与使用这些服务的关联更为强烈（OR为7.53，CI为2.75 - 20.65）。
重度焦虑/抑郁患者似乎额外使用补充替代医学服务提供者和精神科服务，而中度疾病患者似乎更多地将这些服务作为替代途径。补充替代医学服务提供者的治疗可能是传统治疗的替代选择，特别是对于中度疾病患者。
