Department of Family Medicine, University of North Carolina, 590 Manning Drive, CB# 7595, Chapel Hill, NC 27599-7595, USA.
Department of Psychiatry, University of North Carolina, 101 Manning Drive, Chapel Hill, NC 27759, USA.
Med Clin North Am. 2017 Sep;101(5):847-864. doi: 10.1016/j.mcna.2017.04.004. Epub 2017 Jun 20.
Approximately 18% of the US adult population has a mental illness, yet only 13% with mental illness receive any treatment. Although pharmacotherapy and psychotherapy are the mainstays of treatment, treatment discontinuation and failure are common. Skepticism toward such treatments has fueled interest in and use of complementary therapies, such as acupuncture, meditation, and natural products. Many medical providers are unaware of the use of these therapies by their patients, and knowledge of the evidence base for these therapies is often lacking. This article presents current evidence-based recommendations for complementary therapies in the treatment of depression, anxiety, and posttraumatic stress disorder.
大约 18%的美国成年人口患有精神疾病,但只有 13%的精神疾病患者接受任何治疗。尽管药物治疗和心理治疗是治疗的主要方法,但治疗中断和失败很常见。对这些治疗方法的怀疑助长了人们对补充疗法的兴趣和使用,如针灸、冥想和天然产品。许多医疗服务提供者不知道他们的患者在使用这些疗法,并且对这些疗法的证据基础的了解往往也很缺乏。本文介绍了目前针对抑郁症、焦虑症和创伤后应激障碍的补充疗法的循证推荐。