Department of Pharmacology, Zagreb University School of Medicine, Zagreb, Croatia.
Department of Neurosurgery, University Hospital Center Zagreb, Zagreb, Croatia.
Adv Exp Med Biol. 2021;1305:375-427. doi: 10.1007/978-981-33-6044-0_20.
Complementary and alternative medicine (CAM) encompasses a wide range of different non-mainstream therapies that have been increasingly used for treatment or adjunctive treatment of various ailments with mood disorders and "depressive difficulties" being two of the commonly CAM (self-)medicated conditions. We focus specifically on clinically diagnosed (in line with the standard criteria) depressive disorders, primarily major depressive disorder (MDD), and overview evidence of efficacy/safety of a range of CAM modalities addressing exclusively randomized controlled trials (RCTs) and systematic reviews/meta-analyses of RCTs. The list of addressed CAM interventions is not exhaustive: due to space limitation, addressed are interventions with at least a few conducted RCTs in the specific clinical conditions. We try to provide numerical and meaningful data as much as it is possible and to (a) indicate situations in which the reported data/estimates might have been "too enthusiastic" and (b) warn about heterogeneity of results that, together with other possible limitations (various biases and imprecision), results in uncertainty about the effects.
补充和替代医学(CAM)涵盖了广泛的不同非主流疗法,这些疗法越来越多地被用于治疗或辅助治疗各种疾病,情绪障碍和“抑郁困难”是两种常见的 CAM(自我)用药疾病。我们特别关注临床诊断(符合标准标准)的抑郁障碍,主要是重度抑郁症(MDD),并概述了专门针对随机对照试验(RCT)和 RCT 的系统评价/荟萃分析的一系列 CAM 方式的疗效/安全性证据。所涉及的 CAM 干预措施并非详尽无遗:由于篇幅限制,仅针对特定临床情况下进行了至少几次 RCT 的干预措施进行了讨论。我们尽可能提供数值和有意义的数据,并(a)指出报告的数据/估计可能过于“热情”的情况,以及(b)警告结果的异质性,以及其他可能的限制(各种偏倚和不准确性),导致对影响的不确定性。