Ashraf Hamide, Salehi Alireza, Sousani Malihe, Sharifi Mohammad Hossein
Department of Persian Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Evid Based Complement Alternat Med. 2021 Mar 26;2021:6626394. doi: 10.1155/2021/6626394. eCollection 2021.
Complementary Alternative Medicine (CAM) has been widely used in the world, but limited data are available on the use of CAM in depression. This study aimed to evaluate the use of CAM and its associated factors in depression. This cross-sectional study was conducted on 300 depressed patients referred to the Yasuj Neurology and Psychiatric Clinic, southern Iran, between 2019 and 2020. A valid semistructured international questionnaire was used; amongst the participants, 230 (77%) were female. The mean age of the patients was 41.47 ± 12.2 years and the mean duration of the disease was 4.49 ± 4.88 years. The prevalence of CAM use was 37.6% among the patients. The results showed a significant difference between the CAM users and nonusers regarding the disease duration (=0.045) and body mass index (=0.007). Moreover, the results of logistic regression analysis revealed a significant relationship between CAM use and female gender, disease duration, overweight, obesity, and self-employment (=0.039, =0.028, =0.029, =0.048, and =0.044, resp.). The most frequently used type of CAM was herbal medicine (97.35%) followed by pray therapy (23.89%). Additionally, the most widely used herbs were borage (77%), chamomile (46.9%), and lavender (21.2%). Furthermore, 62.8% of the patients reported that their main reason for using CAM was its effectiveness. The majority of the patients (77%) had not consulted their physicians prior to utilization of CAM therapies. Herbal medicine was the most common form of CAM in depression, with a high satisfaction level. Thus, it is necessary to increase physicians' awareness in different fields of CAM.
补充替代医学(CAM)在世界范围内已被广泛使用,但关于其在抑郁症治疗中的应用数据有限。本研究旨在评估补充替代医学在抑郁症中的使用情况及其相关因素。这项横断面研究于2019年至2020年间对转诊至伊朗南部亚苏杰神经科和精神科诊所的300名抑郁症患者进行。使用了一份有效的半结构化国际问卷;参与者中,230名(77%)为女性。患者的平均年龄为41.47±12.2岁,疾病平均病程为4.49±4.88年。患者中补充替代医学的使用率为37.6%。结果显示,在疾病病程(=0.045)和体重指数(=0.007)方面,使用补充替代医学者与未使用者之间存在显著差异。此外,逻辑回归分析结果显示,补充替代医学的使用与女性性别、疾病病程、超重、肥胖和个体经营之间存在显著关系(分别为=0.039、=0.028、=0.029、=0.048和=0.044)。最常使用的补充替代医学类型是草药(97.35%),其次是祈祷疗法(23.89%)。此外,使用最广泛的草药是琉璃苣(77%)、洋甘菊(46.9%)和薰衣草(21.2%)。此外,62.8%的患者报告称,他们使用补充替代医学的主要原因是其有效性。大多数患者(77%)在使用补充替代医学疗法之前未咨询过医生。草药是抑郁症中最常见的补充替代医学形式,满意度较高。因此,有必要提高医生在补充替代医学不同领域的认识。