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补充和替代医学治疗心境和抑郁障碍:疗效评价。

Treatment of Mood and Depressive Disorders With Complementary and Alternative Medicine: Efficacy Review.

机构信息

Taneja College of Pharmacy, University of South Florida, Tampa, Florida, United States.

North Florida / South Georgia Veterans System, Gainsville, Florida, United States.

出版信息

J Midwifery Womens Health. 2023 Jul-Aug;68(4):421-429. doi: 10.1111/jmwh.13527. Epub 2023 Jun 24.

Abstract

There has been a steady increase in people with symptoms of depression over the past several years (since 2011). The further increase in stress and depression in the early part of the COVID-19 pandemic was accompanied by an increase in unmet mental health needs. Many have turned to complementary and alternative medicine (CAM) therapies such as bright-light therapy, yoga, meditation, and dietary supplements like St. John's wort or folic acid. The reliability of evidence for use of CAM therapies for depression has remained low. There are few randomized controlled trials (RCTs) in the current literature and poor methodology in many of the trials that are available. This state of the science review examines current published guidelines, meta-analyses, systematic reviews, and RCTs regarding use of CAM therapies in the management of depression.

摘要

在过去的几年中(自 2011 年以来),出现抑郁症状的人数一直在稳步增加。在 COVID-19 大流行早期,压力和抑郁进一步增加的同时,心理健康需求未得到满足的情况也有所增加。许多人转向了补充和替代医学(CAM)疗法,如亮光疗法、瑜伽、冥想以及圣约翰草或叶酸等膳食补充剂。CAM 疗法治疗抑郁症的证据可靠性仍然较低。目前文献中很少有随机对照试验(RCT),并且现有的许多试验方法学较差。本科学审查检查了关于 CAM 疗法在抑郁症管理中的应用的当前已发表指南、荟萃分析、系统评价和 RCT。

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