Complementary therapies in medicine最新文献

{"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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}

{"title":"Effect of thumbtack needle on functional constipation: A pragmatic randomized controlled trial","authors":"Li Dan ,&nbsp;Zhang Guilin ,&nbsp;Zhang Linxue ,&nbsp;Tang Yao ,&nbsp;Wang Li ,&nbsp;Xu Ying ,&nbsp;Cao Jinkui ,&nbsp;Zhao Wenqian ,&nbsp;Zuo Guanchao ,&nbsp;Li Hang ,&nbsp;Li Dehua","doi":"10.1016/j.ctim.2024.103069","DOIUrl":"10.1016/j.ctim.2024.103069","url":null,"abstract":"<div><h3>Objective</h3><p>Thumbtack Needling (TN) has been employed in the treatment of functional constipation (FC), although the existing evidence supporting its effectiveness is limited. This study is to evaluate the efficacy of TN in ameliorating FC.</p></div><div><h3>Method</h3><p>A total of 482 eligible patients were recruited and randomly assigned to the TN group or the Mosapride Citrate (MC) group. The TN was buried once for three days, rest for one day after two consecutive burials, followed by a 4-week follow-up. The primary outcome measure was the score for Complete and spontaneous bowel movement score (CSBMs). Secondary outcome measures included the Bristol Stool Form Scale (BSFS), Cleveland Clinic Score (CCS), and the Patient Assessment of Constipation Quality of Life Questionnaire (PAC-QOL).</p></div><div><h3>Results</h3><p>Out of the 482 patients randomized, 241 were allocated to each group. Of these, 216 patients (89.6 %) in both groups completed the intervention and follow-up. Compared with the baseline, the differences of CSBMs in TN group [1.76(95 % CI, 1.61 to 1.91)] and MC group [1.35(95 % CI, 1.20 to 1.50)] at week 4 meet the threshold for minimal clinically important difference (MCID). However, there were no clinical difference from baseline at week 2 and week 8 in both groups. Mean CSBMs at week 4 was 3.35 ± 0.99 in the TN group and 3 ± 1.03 in the MC group (adjusted difference between groups, 0.37 points [95 % CI, 0.18 to 0.55]; <em>P</em> &lt; 0.001), although differences between the two groups did not meet the MCID threshold.</p></div><div><h3>Conclusion</h3><p>Compared with mosapride citrate, thumbtack needling produced a greater improvement in CSBMs, although the difference from control was not clinically significant.</p></div><div><h3>ClinicalTrials.gov identifier</h3><p>ChiCTR2100043684</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000578/pdfft?md5=9c6a4a24a6595bcb0be389096ac39479&pid=1-s2.0-S0965229924000578-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141916241","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":"Consensus-based guideline for the supportive anthroposophic therapies to treat children with pseudocroup (stenosing laryngotracheitis)","authors":"Melanie Schwermer ,&nbsp;Alfred Längler ,&nbsp;Tycho Zuzak","doi":"10.1016/j.ctim.2024.103072","DOIUrl":"10.1016/j.ctim.2024.103072","url":null,"abstract":"<div><h3>Purpose</h3><p>Supportive anthroposophic therapies are used to treat children with pseudocroup by pediatricians in outpatient and inpatient settings. Anthroposophic treatment comprises forms of creative therapies, external applications as well as remedies, which production is based on the knowledge of the human being, nature and substances. A scientifically based guideline for these therapies is lacking. Due to insufficient study situation, we developed a consensus-based guideline to make therapy decisions more transparent and facilitate clinical routine.</p></div><div><h3>Methods</h3><p>An online Delphi process with 67 anthroposophic pediatricians was conducted. Recommendations were accepted when reaching more than 75 % of expert agreement; otherwise, recommendations were revised and assessed by the experts once again.</p></div><div><h3>Results</h3><p>Recommendations for general interventions and for anthroposophic remedies (Bryonia/Spongia comp.; Larynx/Apis comp.) as well as for external applications (embrocation with lavender oil) were developed. Recommendations have a consensus of 96.4 % or more.</p></div><div><h3>Conclusion</h3><p>The consensus-based guideline provides practical recommendations for the supportive anthroposophic therapies for pseudocroup. The implementation and practicability of this guideline has to be investigated.</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000608/pdfft?md5=2c1efba4f3b29e9da2194aef02c34969&pid=1-s2.0-S0965229924000608-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906158","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":"Global research trends in acupuncture treatment for post-stroke depression: A bibliometric analysis","authors":"Dong Li ,&nbsp;Larissa Tao ,&nbsp;Jia Yang,&nbsp;Wa Cai,&nbsp;Weidong Shen","doi":"10.1016/j.ctim.2024.103070","DOIUrl":"10.1016/j.ctim.2024.103070","url":null,"abstract":"<div><h3>Objective</h3><p>Post-stroke depression (PSD) is a prevalent and severe sequela of stroke. It is an emotional disorder that significantly impacts functional recovery, prognosis, secondary stroke risk, and mortality among stroke survivors. The incidence rate of PSD is 18 %∼33 %, with symptoms such as low mood, decreased interest, sleep disorders, decreased appetite, impaired attention, and in severe cases, hallucinations and even suicidal tendencies. While diverse therapeutic modalities are employed globally to address PSD, each approach carries its inherent advantages and limitations. Notably, acupuncture stands out as a promising and effective intervention for ameliorating PSD symptoms and enhancing stroke prognosis. This study aims to conduct a bibliometric analysis to scrutinize the current landscape, identify hotspots, and explore frontiers in acupuncture research for PSD.</p></div><div><h3>Methods</h3><p>A systematic search for acupuncture and PSD-related research was conducted from January 2014 to October 2023 on the Web of Science Core Collection (WoSCC). The data were downloaded and processed using Bibliometrix and VOSviewer to generate knowledge visualization maps.</p></div><div><h3>Results</h3><p>A total of 11,540 articles related to acupuncture and PSD were retrieved. China emerged as the leading contributor with the highest volume of articles on acupuncture and PSD. Author Liu CZ attained the highest H-index, focusing primarily on investigating the compatibility effects and mechanisms of acupoints. Common hotspot keywords included pain, stimulation, mechanisms, complementary, and alternative medicine. The main research frontiers were mechanisms, neuroinflammation, gut microbiota, and therapeutic methods.</p></div><div><h3>Conclusion</h3><p>This study offered multifaceted insights into acupuncture for PSD, unveiling pivotal areas, research hotspots, and emerging trends. The findings aimed to guide researchers in exploring novel research directions and selecting appropriate journals for advancing the understanding and treatment of PSD through acupuncture interventions.</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S096522992400058X/pdfft?md5=f94a8efb25c0a11f624a11d8dd9cc27e&pid=1-s2.0-S096522992400058X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141901185","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 chamomile (Matricaria chamomilla L.) on sleep: A systematic review and meta-analysis of clinical trials","authors":"Asma Kazemi ,&nbsp;Sara Shojaei-Zarghani ,&nbsp;Parham Eskandarzadeh ,&nbsp;Mohammad Hashem Hashempur","doi":"10.1016/j.ctim.2024.103071","DOIUrl":"10.1016/j.ctim.2024.103071","url":null,"abstract":"<div><h3>Objective</h3><p>We aimed to investigate the effects of chamomile (<em>Matricaria chamomilla</em> L.) on sleep in this systematic review and meta-analysis of clinical trials.</p></div><div><h3>Methods</h3><p>PubMed, Scopus, Web of Science, and Cochrane Library were searched until August 2023. All clinical trials that investigated the effects of chamomile on sleep, either in healthy or diseased adults, were eligible to enter the study. The quality of studies was assessed using the Cochrane tool. Random-effects meta-analysis was used to pool weighted mean differences (WMD) and 95 % CI for the outcomes assessed by at least three studies with relatively consistent participants.</p></div><div><h3>Results</h3><p>The systematic review included ten studies (772 participants). Meta-analysis was conducted for the Pittsburgh Sleep Quality Index (PSQI) score and sleep length. A significant reduction in PSQI score (WMD: −1.88, 95 %CI: −3.46, −0.31, I2: 88.4 %, n = 5) was found. For other outcomes, meta-analysis was not conducted. Sleep onset latency or ease of getting to sleep were improved in three of the four studies. Daytime functioning measures, including fatigue severity index or postpartum fatigue scale, did not change in all three studies. Sleep efficiency did not change in two studies and deteriorated in one. The number of awakenings after sleep or staying asleep was improved in two of the three studies. No adverse events were reported in any of the studies although passive surveillance was used to assess adverse effects except in one study. Only one study surveyed the blinding success and tested the purity and/or potency of the used products.</p></div><div><h3>Conclusion</h3><p>Chamomile improved sleep, especially the number of awakenings after sleep or staying asleep; however, it did not lead to an improvement in the duration of sleep, percentage of sleep efficiency, and daytime functioning measures. Future studies are suggested to assess objective measures.</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000591/pdfft?md5=1ed4e40c13059e1ce2cf88ef4589f85b&pid=1-s2.0-S0965229924000591-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141896972","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":"Effectiveness of Pranic Healing as complementary therapy on lower urinary tract symptoms and sleep: Single-blind randomized trial","authors":"Roopa Nanjundaswamy ,&nbsp;Narendra J. B ,&nbsp;Vinu Vijayakumar ,&nbsp;Srikanth N. Jois ,&nbsp;K. Nagendra Prasad","doi":"10.1016/j.ctim.2024.103067","DOIUrl":"10.1016/j.ctim.2024.103067","url":null,"abstract":"<div><h3>Background</h3><p>Benign Prostatic Hyperplasia (BPH) commonly affects older men, leading to lower urinary tract symptoms (LUTS) that affect sleep and quality of life. This study evaluates the effect of Pranic Healing (PH) as a complementary therapy for bothersome LUTS by normalising biofield energy centres called <em>Chakras</em>.</p></div><div><h3>Methodology</h3><p>A single blind trial involving 76 men with LUTS was conducted, randomised into Medication-only (MED) and Medication-plus-Pranic Healing (MEDPH) groups. The MEDPH received PH sessions twice weekly for 5 weeks.</p></div><div><h3>Results</h3><p>The study compared MED (n = 30) and MEDPH (n = 36) participants, finding significant improvements in IPSS scores (p ≤ .001) in both groups. The MEDPH group showed a greater reduction in incomplete bladder emptying and intermittency. The post void residual volume increased significantly in the MED group (Wilcoxon Z = −2.335, p = .02), while the MEDPH group reduced non-significantly. Sleep quality index improved significantly (McNemar=.013) in the MEDPH group, while the MED group showed no significant change. Subjective sleep quality, duration, and latency improved significantly in the MEDPH group. Healers reported improved energy balance in <em>chakras</em> of MEDPH group. Perceived energy by healers in lower <em>chakra</em> relates to urinary parameters.</p></div><div><h3>Conclusion</h3><p>PH could alleviate LUTS, enhancing quality of life due to urination, and improved sleep, among moderate BPH patients.</p></div><div><h3>Trial registration</h3><p>This study has been registered under the Clinical Trial Registry of India. (CTRI No: CTRI/2023/01/049004)</p></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0965229924000554/pdfft?md5=ffc6a275d8c073e402c0c77fd9d70b04&pid=1-s2.0-S0965229924000554-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733726","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}