Article

OBJECTIVES: To assess the prevalence of complementary and alternative medicine
(CAM) use by U.S. adults reporting neuropsychiatric symptoms and whether this
prevalence changes based on the number of symptoms reported. Additional
objectives include identifying patterns of CAM use, reasons for use, and
disclosure of use with conventional providers in U.S. adults with
neuropsychiatric symptoms. DESIGN: Secondary database analysis of a prospective
survey. PARTICIPANTS: A total of 23,393 U.S. adults from the 2007 National Health
Interview Survey. METHODS: We compared CAM use between adults with and without
neuropsychiatric symptoms. Symptoms included self-reported anxiety, depression,
insomnia, headaches, memory deficits, attention deficits, and excessive
sleepiness. CAM use was defined as use of mind-body therapies (eg, meditation),
biological therapies (eg, herbs), or manipulation therapies (eg, massage) or
alternative medical systems (eg, Ayurveda). Statistical analysis included
bivariable comparisons and multivariable logistical regression analyses. MAIN
OUTCOME MEASURES: The prevalence of CAM use among adults with neuropsychiatric
symptoms within the previous 12 months and the comparison of CAM use between
those with and without neuropsychiatric symptoms. RESULTS: Adults with
neuropsychiatric symptoms had a greater prevalence of CAM use compared with
adults who did not have neuropsychiatric symptoms (43.8% versus 29.7%, P < .001);
this prevalence increased with an increasing number of symptoms (trend, P <
.001). Differences in the likelihood of CAM use as determined by the number of
symptoms persisted after we adjusted for covariates. Twenty percent of patients
used CAM because standard treatments were either too expensive or ineffective,
and 25% used CAM because it was recommended by a conventional provider. Adults
with at least one neuropsychiatric symptom were more likely to disclose the use
of CAM to a conventional provider (47.9% versus 39.0%, P < .001). CONCLUSION:
More than 40% of adults with neuropsychiatric symptoms commonly observed in many
diagnoses use CAM; an increasing number of symptoms was associated with an
increased likelihood of CAM use.
CI - Copyright (c) 2013 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS