Complementary and Alternative Medicine for Trauma- and Stressor-Related Disorders

Author(s):  
Gary H. Wynn ◽  
David M. Benedek

The use of complementary and alternative medicine (CAM) throughout the United States and abroad has significantly increased in the past decade. CAM is relevant to trauma and stressor-related disorders given the frequency of use, but there is very limited evidence to support these treatment options. There is also currently no generally accepted list of what treatments constitute CAM, but only a number of generalized definitions that attempt to provide structure to the concept; therefore, a challenge facing providers will be familiarization with the broad range of modalities potentially considered CAM. This chapter uses a clinician focused definition of CAM: dividing CAM in to “complementary”, “alternative”, and “alternative delivery methods”. The first section, on complementary medicine, covers animal therapy, recreational therapy, yoga, creative arts therapy, and meditation. The second, on alternative therapies, describes alternative pharmacology and acupuncture. The last section provides a brief overview recent developments in alternative care delivery methods.

Author(s):  
Tami Oliphant

A wide variety of treatment options for depressives have been developed by both the conventional and complementary and alternative medicine (CAM) sectors. Using data collected from three online newsgroups as well as in-depth interviews, I analyze how people use information when making or justifying claims, or making decisions, about treatments for depression.Les personnes souffrant de dépression ont une grande variété d'options de traitement à leur disposition, y compris les méthodes conventionnelles et les méthodes complémentaires ou alternatives. À l'aide de données recueillies à partir de trois forums en ligne et d'entrevues en profondeur, j'ai analysé comment les gens utilisent cette information pour déclarer, justifier leurs déclarations ou encore choisir les traitements contre la dépression. ***Student to CAIS/ACSI Award Winner***


2007 ◽  
Vol 41 (6) ◽  
pp. 994-1004 ◽  
Author(s):  
Blanca I Ortiz ◽  
Kelly M Shields ◽  
Kevin A Clauson ◽  
Patrick G Clay

OBJECTIVE: To review the use of complementary and alternative medicine (CAM) in Hispanics in the US and highlight the modalities most likely to be unfamiliar to healthcare practitioners. DATA SOURCES: A search of the literature published in English and a subsequent bibliographic search were conducted using MEDLINE, International Pharmaceutical Abstracts, EMBASE, Cumulative Index of Nursing and Allied Health Literature, and Manual Alternative and Natural Therapy Index System (1980– March 2007). Primary search terms included, but were not limited to, Hispanic, Latino, complementary and alternative medicine, and dietary supplements. Studies that assessed or evaluated the use of CAM in the Hispanic population were reviewed. Articles that included both Hispanics and non-Hispanics were also included. STUDY SELECTION AND DATA EXTRACTION: The literature search yielded 42 articles focused on the use of CAM by Hispanics. Survey was the most common method used in these studies, although some hybrid interviews were also conducted. DATA SYNTHESIS: Hispanics were identified homogenously in some studies and more correctly as a heterogeneous population in others. Some trials examined overall CAM use, whereas others looked at specific dietary supplements and herbs. Most reports found a higher than expected rate of CAM use in Hispanics (50–90%). A number of products potentially unfamiliar to healthcare practitioners, such as linden, sapodilla, and star anise, were reported as commonly used in several studies. Many studies were limited by the sample size or use of only one Hispanic subgroup. CONCLUSIONS: Hispanics use a wide range of CAM therapies, including several that may be unfamiliar to healthcare practitioners. Understanding the rationale, motivations, and history of Hispanics' use of CAM will enhance the cultural competence of healthcare professionals and help address these patients' medical needs. TRASFONDO: El uso de terapias de medicina complementaria y alternativa (CAM) es común entre los pacientes y se cree que la etnicidad influye en la frecuencia y extensión de su uso. Los pacientes de origen Hispano son una sub-población en rápido crecimiento. Con el fin de proveer efectivamente cuidado a este grupo de pacientes, es importante entender el papel de las terapias CAM en los tratamientos de esta población.


2019 ◽  
Vol 2019 ◽  
pp. 1-11
Author(s):  
Monira Alwhaibi ◽  
Yazed AlRuthia ◽  
Abdulkarim M. Meraya

Objective. To examine the association between sex and the use of complementary and alternative medicine (CAM) among adults with arthritis. Methods. Data from the 2012 National Health Interview Survey on CAM use for adults with arthritis were analyzed. Five different multivariable regression models were used to examine the association between sex and CAM use after adjusting for demographics, socioeconomics, perceived health status, functional limitations, comorbid chronic conditions, body mass index, and personal health practices. Results. The number of subjects who met the eligibility criteria and were eventually included in the study was 7,919 adults with arthritis. Around half of the study sample reported ever using CAM (n = 4,055), and about 27% (n = 2,016) reported using CAM in the past 12 months. Women have a significantly higher rate of ever utilization of CAM compared to their male counterparts (62.2% vs. 37.8%) as well as CAM use over the past 12 months (66.1% vs. 33.9%). After controlling for other covariates that can potentially affect the use of CAM, women had higher odds of ever using CAM (AOR = 1.68, 95% CI = 1.55–1.81) as well as the CAM use in the past 12 months (AOR = 1.63, 95% CI = 1.49–1.78) compared to men. Functional limitation and multiple comorbidities were associated with CAM use among women. Conclusions. The utilization rate of CAM among women with arthritis is significantly higher compared to their male counterparts, which highlights the need to screen adults with arthritis, particularly women, for potential drug-CAM interactions. Also, practicing patient-centered care is important, which should allow the patients to discuss the potential benefits and risks of CAM use with their healthcare providers.


2012 ◽  
Vol 71 (4) ◽  
pp. 348-357 ◽  
Author(s):  
Jacqueline Sivén ◽  
Joanna Mishtal

Yoga is increasingly ubiquitous in the United States and globally. The growth of yoga's popularity alongside Indian healing philosophies, including Ayurvedic medicine, makes yoga an important influence on conceptualization of health in holistic terms. Because of these philosophies, the growing use of yoga has implications for how healthcare is sought and utilized. Yoga practitioners are likely to engage in pluralistic health care-seeking practices, yet, the underlying perspectives that drive yoga practitioners to engage in particular health practices are poorly understood in anthropological and public health literature. This study examined perspectives on health care-seeking among long-term yoga practitioners in a yoga community in Florida. Based on semi-structured interviews conducted in 2010 with 26 adults in a Florida yoga center who have practiced yoga at least once per week for at least one year, the study found that long-term yoga practitioners utilized yoga and other systems of complementary and alternative medicine (CAM) to address health needs that were not met by biomedicine. Moreover, once individuals embarked on long-term yoga practice, they expanded their health care-seeking practices to other CAMs. This study contributes to understanding of the pluralization of health care-seeking practices, highlights concerns with the biomedical health system, and contributes to current debates on health care reform.


2007 ◽  
Vol 13 (2) ◽  
pp. 217-222 ◽  
Author(s):  
Patricia A. Sharpe ◽  
Heidi M. Blanck ◽  
Joel E. Williams ◽  
Barbara E. Ainsworth ◽  
Joan M. Conway

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