Complementary therapies in medicine最新文献

{"title":"Effect of mindfulness-based meditation on blood pressure among adults with elevated blood pressure and hypertension: A systematic review of randomized controlled trials","authors":"Imtiyaz Ali Mir ,&nbsp;Anil T. John ,&nbsp;Syeda Humayra ,&nbsp;Qamer Iqbal Khan ,&nbsp;Teng Fung Chong ,&nbsp;Hanani Abdul Manan","doi":"10.1016/j.ctim.2024.103084","DOIUrl":"10.1016/j.ctim.2024.103084","url":null,"abstract":"<div><h3>Background</h3><p>Hypertension is a leading contributor to cardiovascular disorders globally. There has been a recent upsurge in non-pharmacological management involving mindfulness-based meditation (MBM) in lowering blood pressure (BP) among the hypertensive population; however, the level of supportive evidence among patients primarily diagnosed with hypertension remain limited. Therefore, this systematic review aimed to synthesize the evidence of randomized controlled trials (RCTs) on the effect of MBM on BP explicitly in adults primarily diagnosed with elevated blood pressure or hypertension.</p></div><div><h3>Methods</h3><p>A database search of RCTs was conducted in PubMed, Scopus, Cochrane Central Register of Controlled Trials, and Web of Science until December 2023. The effect size score was calculated for variables of interest followed by qualitative analysis.</p></div><div><h3>Results</h3><p>Nine studies with 543 participants (mean age 54.9±9.0) met the pre-specified eligibility criteria. Eight trials reported MBM convincing in lowering the systolic BP (p=0.001–0.020) and 6 in reducing the diastolic BP (p=0.001–0.01) among this target population. There was a disparity of gender in 7 studies and 4 trials did not report the ethnicity of participants. The methodological quality of the trials was gratifying, however, most studies presented with absence of allocation concealment and blinding of outcome assessors, fragmentary reporting of data, and high attrition rate that potentially affected the validity of trials.</p></div><div><h3>Conclusion</h3><p>MBM interventions may serve as an early preventive and supportive measure for adults with elevated BP or hypertension. However, more robust and rigorous trials with a larger, homogeneous sample and long-term follow-up are necessary to quantify the magnitude of this intervention. Moreover, the methodological issues may affect the overall quality and reliability of MBM interventions; hence, future studies must also address the risk of bias due to inadequate blinding and high attrition through treatment concealment and personalized engagement measures.</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"85 ","pages":"Article 103084"},"PeriodicalIF":3.3,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000724/pdfft?md5=ed1042720a7e128a7d86e0221a7bd7ce&pid=1-s2.0-S0965229924000724-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142238913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acupuncture for patients after percutaneous coronary intervention: A scoping review","authors":"Aoyue Mi ,&nbsp;Mingyao Hao ,&nbsp;Ziyang Zhou ,&nbsp;Jiazheng Zhou ,&nbsp;Luyao Xu ,&nbsp;Zhenzhen Zhang ,&nbsp;Wanqing Xie ,&nbsp;Yingying Zhao ,&nbsp;Zhiqiang Dou ,&nbsp;Zhaofeng Li","doi":"10.1016/j.ctim.2024.103081","DOIUrl":"10.1016/j.ctim.2024.103081","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;p&gt;To summarize the current available evidence and to outline recommendations for the future research of acupuncture for patients after percutaneous coronary intervention (PCI).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;p&gt;Seven electronic databases were searched: China National Knowledge Infrastructure (CNKI), Wan Fang Database, Chongqing VIP Chinese Science and Technology Periodical Database (VIP), Chinese Biomedical Literature Database (CBM), Cochrane Library, PubMed, and EMBASE. All studies on acupuncture for patients after PCI were included. The search period was from the database establishment to June 13th, 2024.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;p&gt;Using full-text and Medical Subject Headings (MeSH) searches, two personnel independently screened and checked articles strictly according to the inclusion and exclusion criteria, and they reached an agreement through discussion on articles with different opinions.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interventions&lt;/h3&gt;&lt;p&gt;Post-PCI acupuncture.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main outcome measures&lt;/h3&gt;&lt;p&gt;Creating descriptive charts to visually express the research features.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;38 eligible studies were included. Their main topic was the use of acupuncture in patients after PCI. The primary focus of these studies was the application of acupuncture in patients post-PCI. The majority of the included articles originated from China, with the majority published in the year 2023. The types of studies encompassed randomized controlled trials (RCTs) (25, 65.8 %), protocols (6, 15.8 %), review articles (6, 15.8 %), and case report (1, 2.6 %). The acupuncture methods utilized varied, with filiform needle therapy being the most common (14, 36.8 %), followed by auricular plaster therapy (7, 18.4 %), thumbtack needle therapy (7, 18.4 %), and eye acupuncture (1, 2.6 %). The acupoints most frequently used were Shenmen (TF4) in the auricular region and Neiguan (PC6). The needle retention time was predominantly 30 min, as reported in nine studies involving filiform needles. In the control groups of the included studies, secondary prevention measures were most commonly employed, appearing in thirteen studies. The Pittsburgh Sleep Quality Index (PSQI) was the most frequently measured outcome, featured in nine studies. Psychological issues were identified as the most prevalent condition following PCI, mentioned in seventeen studies.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;The main focus of this scoping review was on psychological issues, cardiovascular problems, and exercise capacity or quality of life of patients after PCI. The majority of research has concentrated on psychological and cardiovascular issues. However, the outcomes related to varieties of acupuncture therapy methods, acupoints selection, retention time, treatment frequency, and other aspects of acupuncture practice were interconnected and complex within the clinical application of acupuncture. These interconnected elements collectively impacted the trea","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"85 ","pages":"Article 103081"},"PeriodicalIF":3.3,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000694/pdfft?md5=9e9689fe313cd8949409dec81d3cfaad&pid=1-s2.0-S0965229924000694-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142228962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acupuncture for migraine: A systematic review and meta-regression of randomized controlled trials","authors":"Chunyan Yang ,&nbsp;Min Wu ,&nbsp;Qin Luo ,&nbsp;Guixing Xu ,&nbsp;Liuyang Huang ,&nbsp;Hao Tian ,&nbsp;Mingsheng Sun ,&nbsp;Fanrong Liang","doi":"10.1016/j.ctim.2024.103076","DOIUrl":"10.1016/j.ctim.2024.103076","url":null,"abstract":"<div><h3>Objectives</h3><p>This meta-analysis aimed to explore the relationship between the dose of acupuncture sessions, acupuncture frequency, and acupuncture duration and its effects on migraine.</p></div><div><h3>Methods</h3><p>Eight databases were searched for randomized controlled trials (RCTs) evaluating the efficacy of penetrating manual acupuncture for migraine published in English and Chinese from inception to June 20, 2024. The robust-error meta-regression (REMR) approach and non-linear meta-regression with restricted cubic spline (RCS) were used to investigate the dose-response association between acupuncture sessions, acupuncture frequency, and acupuncture duration and the frequency of migraine attacks. The potential nonlinear relationships was tested by restricting the regression coefficient to zero and a <em>P</em> value＜0.1. The statistical analysis was conducted using Stata 17.0. The risk of bias was independently assessed by two reviewers using the Cochrane tool. The reporting quality for acupuncture procedures was evaluated by STRICTA criteria.</p></div><div><h3>Results</h3><p>Thirty-two RCTs involving 1562 participants were included, and the results showed a J-shaped dose-response association between acupuncture sessions, acupuncture frequency, and acupuncture duration and migraine attack frequency. After 16 acupuncture sessions, the change in the frequency of migraine attacks was 3.95 (95 %CI: 3.13 to 4.77). Three sessions of acupuncture a week resulted in a significant decrease in the frequency of migraine attacks, reaching 4.04 (95 % CI: 2.49 to 5.58). After two months of acupuncture, the frequency of migraine attacks decreased significantly, showing a difference of 4.05 (95 % CI: 3.61 to 4.49). Subsequently, the improvement trend gradually flattened, yielding diminishing benefits to patients. The risk of bias showed that seven studies were rated as “low risk”, two were rated as “high risk”, and the others were rated as “unclear risk”. The reporting quality of RCTs of acupuncture for migraine remain suboptimal.</p></div><div><h3>Conclusions</h3><p>A non-linear dose-response relationship was found between acupuncture sessions, acupuncture frequency, and acupuncture duration and migraine attack frequency. The results of our study recommend 16 sessions of acupuncture with a frequency of 3 sessions/week and a treatment duration of 1.5 to 2 months.</p></div><div><h3>Registration number</h3><p>This meta-analysis has been registered on PROSPERO (CRD42023400493).</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"86 ","pages":"Article 103076"},"PeriodicalIF":3.3,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000645/pdfft?md5=ef32ea3202e726d2a192219d346895eb&pid=1-s2.0-S0965229924000645-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142145336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acupuncture for nausea and vomiting during pregnancy: A systematic review and meta-analysis","authors":"Bao Jin ,&nbsp;Yanhua Han ,&nbsp;Yue Jiang ,&nbsp;Jiao Zhang ,&nbsp;Wenjuan Shen ,&nbsp;Yuehui Zhang","doi":"10.1016/j.ctim.2024.103079","DOIUrl":"10.1016/j.ctim.2024.103079","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background and objectives&lt;/h3&gt;&lt;p&gt;Pregnant women commonly experience challenging nausea and vomiting, which significantly affect their general well-being and daily life. Although medication is often used for relief, it may not alleviate symptoms completely, emphasizing the need for complementary therapies. Acupuncture is one of the complementary treatments for nausea and vomiting of pregnancy (NVP). Studying the outcomes of acupuncture for NVP can shed light on this issue and inform treatment guidelines. Therefore, we systematically evaluated the effectiveness and safety of acupuncture in managing NVP, considering the traditional meridian and acupoint theories.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;PubMed, Embase, Web of Science, Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, Wanfang Database, Chinese Science and Technology Periodical Database, ClinicalTrials.gov, and the Chinese Clinical Trial Registry were searched on May 1, 2024. Randomized controlled trials (RCTs) that compared acupuncture for NVP with sham acupuncture, placebo, and Western medicine (WM) or acupuncture plus WM with WM alone were included. The risk of bias was assessed using the Cochrane risk-of-bias tool. A meta-analysis was conducted using RevMan 5.4.1, and the quality of evidence for each outcome was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation approach.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Twenty-four RCTs (with 26 publications) involving 2390 women were included. Acupuncture plus WM significantly led to a reduction in Pregnancy-Unique Quantification of Emesis (PUQE) scores and ineffective rates compared with WM alone (PUQE: mean difference [MD] −1.95, 95 % confidence interval [CI] −3.08 to −0.81, &lt;em&gt;P&lt;/em&gt; = 0.0008, I&lt;sup&gt;2&lt;/sup&gt; = 90 %, six studies; ineffective rates: risk ratio [RR] 0.27, 95 % CI 0.19 to 0.39, &lt;em&gt;P&lt;/em&gt; &lt; 0.00001, I&lt;sup&gt;2&lt;/sup&gt; = 7 %, 16 studies). It also resulted in a greater improvement in ketonuria, shorter length of stay, and lower scores on the NVP Quality of Life and Chinese Medicine Syndrome Scale. Acupuncture was superior to WM in terms of reduction in ineffective rates (RR 0.50, 95 % CI 0.30 to 0.81, &lt;em&gt;P&lt;/em&gt; = 0.006, I&lt;sup&gt;2&lt;/sup&gt; = 0 %, five studies). Acupuncture and WM had comparable results in improvement in PUQE scores (MD −0.80, 95 % CI −3.06 to 1.46, &lt;em&gt;P&lt;/em&gt; = 0.49, I&lt;sup&gt;2&lt;/sup&gt; = 89 %, three studies) and ketonuria negative rates. The evidence is not clear regarding the impact of acupuncture on depression and anxiety compared with that of sham acupuncture. The incidence of severe adverse events was not significantly different between acupuncture and WM or sham acupuncture. Evidence certainty ranged from moderate to very low. Of the 24 RCTs, 19 used the Neiguan (PC6) acupoint, 16 used the Zusanli (ST36) acupoint, and 13 used the Zhongwan (CV12) acupoint.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;According to the current systematic review and meta-anal","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"85 ","pages":"Article 103079"},"PeriodicalIF":3.3,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000670/pdfft?md5=9da74b31ba7b396f0b55a041b773e59d&pid=1-s2.0-S0965229924000670-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142105092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Fu’s subcutaneous needling on clinical efficacy and psychological cognitive characteristics in patients with chronic non-specific low back pain: A randomized controlled trial","authors":"Dian-quan Zhang ,&nbsp;Zhong-hua Fu ,&nbsp;Jian Sun ,&nbsp;Yu-juan Song ,&nbsp;Po-En Chiu ,&nbsp;Li-Wei Chou","doi":"10.1016/j.ctim.2024.103080","DOIUrl":"10.1016/j.ctim.2024.103080","url":null,"abstract":"<div><h3>Background and purpose</h3><p>Low back pain (LBP) is a major global public health problem. Evidence shows that LBP is also related to cognitive, psychological, and lifestyle factors. Fu’s subcutaneous needling (FSN) has been used for the treatment of musculoskeletal problems for many years. This prospective randomized controlled trial aimed to evaluate the clinical efficacy and fear avoidance beliefs of FSN in the treatment of patients with chronic non-specific LBP.</p></div><div><h3>Material and methods</h3><p>Ninety participants with chronic non-specific LBP were randomly divided into the FSN and the traditional acupuncture (TA) groups (n = 45) and received either FSN or TA treatment for three consecutive days from December 2021 to March 2023. The primary outcome was pain intensity measured by the visual analogue scale (VAS). Secondary outcomes were trunk extensor endurance (TEE), lumbar range of motion (ROM), and the Fear Avoidance Beliefs Questionnaire (FABQ). Outcome measurements were made before the first treatment and after each treatment. Follow-up assessments of VAS and FABQ scores were conducted one month after treatment.</p></div><div><h3>Results</h3><p>The FSN group had significantly lower VAS and FABQ scores at each time point after intervention compared to the TA group (P &lt; 0.01). The scores of TEE and lumbar ROM were higher in the FSN group than those in the TA group (P &lt; 0.01). Repeated measures analysis of variance (ANOVA) showed significant time effects, group effects, and interaction effects for VAS, TEE, lumbar ROM, and FABQ in both groups (P &lt; 0.01). One month after treatment, the FSN group had significantly lower VAS and FABQ scores compared to the TA group (P &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>This study suggested that FSN was superior to TA in terms of clinical efficacy and fear-avoidance beliefs in the treatment of chronic non-specific LBP. FSN could be used as an effective clinical treatment.</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"85 ","pages":"Article 103080"},"PeriodicalIF":3.3,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000682/pdfft?md5=2ad7e2ee72139bd849c7ce1e06659260&pid=1-s2.0-S0965229924000682-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142105102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of music-based interventions on anxiety and stress-related vital signs in patients undergoing cardiac catheterization: A systematic review and meta-analysis","authors":"Yu-Ru Wang ,&nbsp;Yan-Ye Hung ,&nbsp;Shiou-Fang Lu","doi":"10.1016/j.ctim.2024.103078","DOIUrl":"10.1016/j.ctim.2024.103078","url":null,"abstract":"<div><h3>Objectives</h3><p>This work aimed to evaluate the effect of music-based intervention (MBI) on anxiety and stress-related vital signs (heart rate, respiratory rate and blood pressure) in patients undergoing cardiac catheterization.</p></div><div><h3>Design</h3><p>A systematic review and meta-analysis.</p></div><div><h3>Methods</h3><p>This systematic review and meta-analysis was conducted according to PRISMA guidelines. PubMed, Cochrane Library, Embase and CINAHL were systematically searched from inception to October 31, 2023. Two authors independently searched electronic databases, selected literature, extracted data and assessed the risk of bias according to the eligibility criteria. The Review Manager software (RevMan version 5.4.1) was used to perform meta-analysis.</p></div><div><h3>Results</h3><p>Eleven randomized controlled trials (RCTs) with adult patients (n = 1204) (passive music therapy, 8 studies; passive music listening, 3 studies) were enrolled and brought into qualitative assessment. Nine of these RCTs (n = 868) were taken into quantitative analysis. Meta-analysis using the random-effects model revealed that the difference in the pre-post anxiety level in the music group was significantly greater than that in the control group. However, meta-analysis results for heart rate, respiratory rate, systolic blood pressure and diastolic blood pressure did not show significant differences.</p></div><div><h3>Conclusion</h3><p>The findings suggested that MBI had a significant effect on reducing anxiety in patients undergoing cardiac catheterization. However, the limited quantity and quality of included studies highlight the need for additional research to comprehensively analyze the influence of MBI on anxiety reduction in this patient population.</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"85 ","pages":"Article 103078"},"PeriodicalIF":3.3,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000669/pdfft?md5=5f3952fa91ca968f1b7c98efe9df4405&pid=1-s2.0-S0965229924000669-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142098496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical practice guidelines of Chinese patent medicine in China: A critical review","authors":"Jian-xin Wang ,&nbsp;Rui Sun ,&nbsp;Dong-xu Si ,&nbsp;Man-ping Guo ,&nbsp;Lijing Zhang ,&nbsp;Yuan-yuan Sun ,&nbsp;Xue-min Gao ,&nbsp;Rui Gao","doi":"10.1016/j.ctim.2024.103077","DOIUrl":"10.1016/j.ctim.2024.103077","url":null,"abstract":"<div><h3>Objectives</h3><p>To analyze the methodology, evidence, recommendations, quality, and implementation of traditional Chinese patent medicine (CPM) guidelines.</p></div><div><h3>Methods</h3><p>We retrieved clinical application guidelines of CPM published from 2019 to 2022. Independent screening and data extraction were performed by two evaluators. The basic information about the guidelines, including evidence and recommendations, were extracted and statistically analyzed. Quality and implementation were evaluated using the Implementation Evaluation Tool and Appraisal of Guidelines for Research &amp; Evaluation (AGREE) II.</p></div><div><h3>Results</h3><p>In total, 29 guidelines were analyzed, including 262 recommendations and 2308 references. All the CPM guidelines followed the principle of “evidence as a core, consensus as a supplement, and experience as a reference\" and the methods provided by WHO Handbook. An average of 89 references were cited in each guideline and 8 in each recommendation. Randomized controlled trials and systematic reviews constituted 89 % and 0.9 %, respectively, of all references. Low or very low-quality evidence characterized 74.5 % and weak recommendations characterized 83.6 %. Of all recommendations, 13.7 % were based on expert consensus, and 9.5 % of strong recommendations were based on low or very low-quality evidence. The AGREE II scores for each domain were: scope and purpose (79.63 %) and editorial independence (79.27 %), followed by clarity of presentation (72.59 %), stakeholder involvement (69.99 %), rigor of development (53.97 %) and applicability (5.11 %). The implementation quality of most guidelines was either high (44.8 %) or moderate (55.2 %).</p></div><div><h3>Conclusions</h3><p>The results for CPM guidelines were impressive in terms of methodology, quality, and implementation. However, confidence in CPM recommendations was downgraded by low quality of evidence.</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"85 ","pages":"Article 103077"},"PeriodicalIF":3.3,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000657/pdfft?md5=0bc5d282480d14b487535d59c95ca8ec&pid=1-s2.0-S0965229924000657-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142055160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feldenkrais method and clinical psychology: A systematic literature review exploring the potential of Feldenkrais Method in psychiatric care","authors":"Sylvia Martin ,&nbsp;Clara La Monica ,&nbsp;Laura Soto ,&nbsp;Vladimir Latocha","doi":"10.1016/j.ctim.2024.103073","DOIUrl":"10.1016/j.ctim.2024.103073","url":null,"abstract":"<div><h3>Background</h3><p>In psychotherapy, physical exercise has gained recognition and extensive research attention, displaying promise in various mental health conditions. Practices such as yoga, tai chi, and the Feldenkrais Method® (FM) have also emerged as effective mental health interventions.</p></div><div><h3>Objectives</h3><p>This systematic literature review (SLR) explores the applicability of FM, a somatic practice, in psychiatric care and emotional regulation, as it emphasizes the interplay between bodily sensations, action patterns, and cognitive processes.</p></div><div><h3>Methods</h3><p>Following PRISMA guidelines, a systematic search was conducted across selected databases from 2000 to 2022, identifying 14 articles, including randomized controlled trials, cohort studies, narrative papers, and SLRs. Thematic analysis was conducted.</p></div><div><h3>Results</h3><p>The findings indicate global FM adoption, primarily in studies related to pain conditions, musculoskeletal disorders, and neurological disorders. Various measures were used, covering quality of life, psychological dimensions, self-image, self-efficacy, mindfulness, and interoception. However, direct application of FM in psychiatric care remains limited, with few studies addressing psychological issues. This review calls for more comprehensive investigations of FM’s potential in psychiatric contexts, advocating precise measures and a dimensional approach to assessing psychological outcomes.</p></div><div><h3>Conclusion</h3><p>Further research is needed to explore the application of FM in psychiatric care. While existing research suggests potential benefits, especially in enhancing body awareness and emotional regulation, robust studies are necessary to establish its effectiveness in treating specific mental health conditions. This review serves as the foundation for future research into the potential role of FM in enhancing psychiatric care and emotional well-being.</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"85 ","pages":"Article 103073"},"PeriodicalIF":3.3,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S096522992400061X/pdfft?md5=bb2904d500dd080c102266d22b85e0a3&pid=1-s2.0-S096522992400061X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pilot study of telehealth delivery of horticultural therapy (TeleHT) as an acceptable intervention and in reducing suicide risk factors in veterans","authors":"Anne Meore ,&nbsp;Nithya Ganesh ,&nbsp;Shengnan Sun ,&nbsp;Akiva Singer ,&nbsp;Lauren Byma ,&nbsp;Brooke Lorenzetti ,&nbsp;Ann Feder ,&nbsp;Toby Adams ,&nbsp;Hanga Galfalvy ,&nbsp;James Boyer ,&nbsp;Fatemeh Haghighi","doi":"10.1016/j.ctim.2024.103075","DOIUrl":"10.1016/j.ctim.2024.103075","url":null,"abstract":"<div><h3>Objectives</h3><p>Converging evidence indicates that Horticultural Therapy (HT) contributes to significant reductions in stress, loneliness, and depression, notable risk factors for suicidality. This pilot study aimed to assess the initial feasibility and acceptability of HT when virtually administered.</p></div><div><h3>Intervention</h3><p>Telehealth-delivered horticultural therapy (TeleHT) was administered to groups of Veterans, including those with elevated suicide risk over the course of four weeks. Participants were each sent a package through the mail of at-home gardening supplies that were used to facilitate multisensory, nature experiences during weekly HT sessions administered via Zoom.</p></div><div><h3>Outcome measures</h3><p>Participants completed thermometer-based scales for the suicide risk factors of stress, loneliness, depression, and pain before and after each TeleHT session. Post-intervention qualitative assessments were completed upon the conclusion of the four-week intervention.</p></div><div><h3>Results</h3><p>Significant reductions in stress, depression, and loneliness risk were observed from weekly pre- to post-session measures (p &lt; 0.05), with 89.1 % HT completion rate. Stress, pain, depression, and loneliness indices also showed small to medium sized symptom reduction amongst Veterans with no history of suicidality (Cohen’s d=−0.70, d=−0.49, d=−0.62, d=−0.71), while those with elevated suicide risk at baseline also showed reduction in these risk factors with small to medium effect sizes (d=−0.58, d=−.018, d=−0.46, d=−0.41). Qualitative post-intervention assessments indicated a high degree of acceptability and pointed to the inclusion of mailed gardening packages as particularly relevant to positive experiences.</p></div><div><h3>Conclusions</h3><p>While future work is needed to fully assess efficacy, findings from this pilot study demonstrate an initial feasibility and acceptability through a high retention rate and positive qualitative assessments for TeleHT that mirror that of the in-person intervention.</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"85 ","pages":"Article 103075"},"PeriodicalIF":3.3,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000633/pdfft?md5=6378a25cb6d852cdf753a40d961def01&pid=1-s2.0-S0965229924000633-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141987594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acupuncture-related therapy for cancer-related insomnia: An overview of systematic reviews and meta-analysis","authors":"Zining Guo ,&nbsp;Yuting Wang ,&nbsp;Wenhao Liu ,&nbsp;Haifu Huang ,&nbsp;Xiaorong Tang ,&nbsp;Zhennan Wu ,&nbsp;Liming Lu ,&nbsp;Baochao Fan ,&nbsp;Shaoyang Cui ,&nbsp;Nenggui Xu","doi":"10.1016/j.ctim.2024.103074","DOIUrl":"10.1016/j.ctim.2024.103074","url":null,"abstract":"<div><h3>Background</h3><p>The number of systematic reviews and meta-analyses (SRs/MAs) on acupuncture therapy for CRI is increasing; however, the credibility of the evidence remains unclear with controversial results, necessitating a comprehensive evaluation.</p></div><div><h3>Objective</h3><p>We aimed to critically assess the evidence in SRs/MAs regarding the effectiveness of acupuncture therapy for CRI from various aspects and conduct an exploratory analysis to identify potential issues.</p></div><div><h3>Method</h3><p>Two reviewers conducted comprehensive searches in eight databases. SRs/MAs of randomized controlled trials are included. After screening according to inclusion and exclusion criteria, two reviewers extracted data from eligible SRs/MAs and conducted a detailed assessment of methodological quality, risk of bias, and quality of evidence using AMSTAR-2, ROBIS, and GRADE tools. Meanwhile, we calculated the Corrected Covered Area (CCA) leveraging the GROOVE tool. After manually excluding duplicate studies, we assess the risk of bias of primary studies extracted from SRs/MAs and conducted exploratory meta-analysis.</p></div><div><h3>Result</h3><p>The comprehensive analysis included 10 SRs/MAs. The AMSRAT-2 results indicate significant methodological flaws in SRs/MAs, with the main issues focusing on the lack of provision of exclusion checklist for the studies. Furthermore, over half of the SRs/MAs have a high risk of bias due to incomplete retrieval and failure to follow the protocol. Most SRs/MAs demonstrated considerable completeness in reporting quality. Notably, the overall level of evidence is low. High overlap indicates redundant SRs/MAs. Exploratory analysis suggests that acupuncture therapy may be effective for CRI; however, with a high risk of bias, caution is needed in interpreting the results. Sensitivity analysis results are stable, and the funnel plot indicates no publication bias. Most SRs/MAs acknowledge the safety of acupuncture.</p></div><div><h3>Conclusion</h3><p>Currently, the credibility of acupuncture therapy for treating CRI is low and improvements are needed in methodology, risk of bias, and quality of reporting. Acupuncture therapy shows potential but lacks sufficient support; high-level evidence is warranted to elucidate the effectiveness of acupuncture in treating CRI.</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":"85 ","pages":"Article 103074"},"PeriodicalIF":3.3,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000621/pdfft?md5=ee8f19fb6597ec79d6a4556b509645e8&pid=1-s2.0-S0965229924000621-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141916240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}