Complementary Therapies in Clinical Practice最新文献

{"title":"Hypnosis for depression: Systematic review of randomized clinical trials with meta-analysis","authors":"Filipe Luis Souza ,&nbsp;Murilo Schiefler Moura ,&nbsp;Juliana Vieira Almeida Silva ,&nbsp;Gary Elkins","doi":"10.1016/j.ctcp.2024.101913","DOIUrl":"10.1016/j.ctcp.2024.101913","url":null,"abstract":"<div><h3>Introduction</h3><div>Major Depressive Disorder (MDD) is one of the most debilitating diseases worldwide and has seen a significant increase in diagnoses during the pandemic, demanding more and better therapeutic tools to manage the post-pandemic scenario.</div></div><div><h3>Objective</h3><div>The aim of this systematic review is to provide a comprehensive analysis of the last 20 years of clinical research on Hypnotherapy (HT) to determine whether this intervention has evidence to support its recommendation for the treatment of MDD.</div></div><div><h3>Methods</h3><div>This review included only randomized clinical trials (RCTs) involving adult populations diagnosed with MDD, regardless of the severity level (mild, moderate, or severe) according to any validated diagnostic criteria, compared to a control group (active treatment or none), with any follow-up duration and free access to the manuscript. The bibliographic survey was conducted across seven distinct databases: MEDLINE (PubMed), Embase, CENTRAL, PsycINFO, Scopus, ScieELO, and Latin American and Caribbean Health Sciences Literature (LILACS). The risk of bias was assessed by two independent investigators using Cochrane's revised tool (RoB 2), and the final judgment was made by consensus. To better analyze the included studies, the certainty of the evidence was evaluated through the Grading of Recommendations Assessment, Development and Evaluation (GRADE).</div></div><div><h3>Results</h3><div>There is not enough evidence to indicate that hypnosis-based interventions may reduce the severity of depression, which precludes the clinical recommendation of this intervention for patients in the real world, pending the production of better evidence of effectiveness and safety, although no evidence of significant adverse effects was found.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101913"},"PeriodicalIF":2.2,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Positive effects of tactile massage for adolescents with Attention Deficit/Hyperactivity Disorder (ADHD) – A small scale study","authors":"Anna-Carin Robertz ,&nbsp;Carl-Johan Törnhage ,&nbsp;Stefan Nilsson ,&nbsp;Viola Nyman ,&nbsp;Anne-Katrin Kantzer","doi":"10.1016/j.ctcp.2024.101909","DOIUrl":"10.1016/j.ctcp.2024.101909","url":null,"abstract":"<div><h3>Background and purpose</h3><div>Epidemiological studies show the prevalence of attention deficit hyperactivity disorder (ADHD) in adolescents is around 5 %. There is strong evidence for psychosocial interventions and medication for treatment of ADHD core symptoms, but these alone do not always reach a satisfactory outcome. The aim of this small-scale study was to evaluate the impact of tactile massage on ADHD core symptoms in adolescents in a clinical setting. Secondary outcome measures addressed pain perception, ability to fall asleep, and stress levels before, during, and after the intervention.</div></div><div><h3>Materials and methods</h3><div>Fourteen adolescents aged 15–17 and previously diagnosed with ADHD received tactile massage sessions in an experimental, single-subject ABA study combined with a group-based evaluation using descriptive statistics. The adolescents and their parents answered questionnaires to follow up on the primary and secondary outcomes.</div></div><div><h3>Results</h3><div>The results showed a statistically significant reduction in hyperactivity/impulsivity and inattention, as well as oppositional defiant disorder (ODD). Participants reported that it was significantly easier to fall asleep. There was also a tendency to perceive less pain, but these results were not statistically significant. The compliance in this study was excellent.</div></div><div><h3>Conclusion</h3><div>In this study, tactile massage appears to have had a significantly positive impact on ADHD core symptoms and the ability to fall asleep. The absence of adverse physiological changes and the excellent compliance, coupled with positive results, supports the idea that tactile massage may be considered safe and beneficial for adolescents with ADHD. Our findings need to be further investigated in future research.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101909"},"PeriodicalIF":2.2,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142323031","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":"Study to determine the efficacy and onset of Bonipar, a topical analgesic for the management of acute and chronic musculoskeletal pain","authors":"Lance A. Roy ,&nbsp;Yi-Ju Li ,&nbsp;Miriam H. Feliu ,&nbsp;Andrew Bloomfield ,&nbsp;Winston C.V. Parris","doi":"10.1016/j.ctcp.2024.101908","DOIUrl":"10.1016/j.ctcp.2024.101908","url":null,"abstract":"<div><h3>Background</h3><p>Opioid abuse and mortality are ravaging American society, highlighting the need to find alternative effective analgesics with fewer side effects. FDA-approved topical analgesics, including non-steroidal anti-inflammatory drugs (NSAIDs), are commonly used to treat musculoskeletal pain but can cause adverse effects. Natural compounds, including essential oils, are potential therapeutic alternatives for managing musculoskeletal pain. If these compounds can provide comparable analgesia to FDA-approved products, it will increase the available options for people with pain, improving quality of life with minimal morbidity and mortality.</p></div><div><h3>Objective</h3><p>This study assesses the effectiveness and onset of action of Bonipar, a topical analgesic formulated with camphor, methyl salicylate, and oils of coconut, eucalyptus, nutmeg, and rosemary, in managing musculoskeletal pain compared to 1.5 % diclofenac solution, an FDA-approved topical non-steroidal anti-inflammatory drug.</p></div><div><h3>Methods</h3><p>One hundred sixty-four adult patients with localized musculoskeletal pain were randomly assigned to twice-daily applications of either Bonipar or Diclofenac for one week. The primary outcome measure was a 50 % reduction in pain after one week. Secondary outcomes included the change in pain from baseline and onset of action, defined as the first reduction in pain by 20 %.</p></div><div><h3>Results</h3><p>All patients completed the initial pain assessment to determine the onset of action. One-week data was available for 74 patients treated with diclofenac and 72 patients treated with Bonipar. Data for 18 patients were incomplete. The proportion of patients achieving a 50 % reduction in pain was statistically similar between the two groups. The success rates of achieving a 50 % pain reduction with Bonipar were found to be non-inferior to those treated with diclofenac. All follow-up time points showed roughly similar results between the groups. Regression models adjusted for age and sex revealed no significant effects on pain changes. Secondary analyses demonstrated no significant differences between the groups.</p></div><div><h3>Discussion</h3><p>The topical analgesic Bonipar demonstrates a comparable onset of action, with efficacy non-inferior to diclofenac in the management of musculoskeletal pain, while showing fewer adverse effects compared to diclofenac. These findings highlight the potential of Bonipar as a valuable alternative for the treatment of localized pain.</p></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101908"},"PeriodicalIF":2.2,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142242670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of the effects of recorded hypnosis and relaxation interventions for cancer survivors with chronic pain","authors":"Linda H. Eaton ,&nbsp;Min Kyeong Jang ,&nbsp;Mark P. Jensen ,&nbsp;Margaret M. Heitkemper ,&nbsp;Ardith Z. Doorenbos","doi":"10.1016/j.ctcp.2024.101907","DOIUrl":"10.1016/j.ctcp.2024.101907","url":null,"abstract":"<div><h3>Background</h3><p>Cancer survivors with chronic pain experience pain relief with hypnosis and relaxation approaches; however, the effects of hypnosis and relaxation audio recording interventions on chronic pain have not yet been described from the perspective of the cancer survivor. The purpose of this study was to better understand cancer survivors’ experiences using hypnosis and relaxation interventions.</p></div><div><h3>Materials and methods</h3><p>A randomized controlled trial with 109 cancer survivors experiencing chronic pain were assigned to the hypnosis (n = 55) or relaxation (n = 54) audio recordings. Participants listened to audio recordings daily for four weeks. A structured interview was conducted post-treatment to explore participants’ experience in using either the recorded hypnosis or relaxation intervention. Two reviewers independently conducted thematic analysis on all transcripts and then organized findings to identify salient themes.</p></div><div><h3>Results</h3><p>Qualitative interviews were completed by 77 (71 %) of the participants. Cancer survivors who listened to either the hypnosis or relaxation audio recordings described similar effects of the interventions. Four major themes were identified: (1) pain relief, (2) control over pain, (3) improvement in other symptoms, and (4) positive experiences. Central to the participants’ experiences, the interventions gave them another tool to manage their pain.</p></div><div><h3>Conclusion</h3><p>The unique perspectives of cancer survivors with chronic pain add to our understanding of the effectiveness of hypnosis and relaxation audio recordings in the management of chronic pain. These interventions are described as having both physical and psychological benefits for cancer survivors.</p></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101907"},"PeriodicalIF":2.2,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of acupuncture on ischemic stroke: A systematic review with meta-analyses and trial sequential analyses","authors":"Xiaoying Zhong ,&nbsp;Xiaochao Luo ,&nbsp;Ling Li ,&nbsp;Jiali Liu ,&nbsp;Xin Sun ,&nbsp;Honglai Zhang","doi":"10.1016/j.ctcp.2024.101905","DOIUrl":"10.1016/j.ctcp.2024.101905","url":null,"abstract":"<div><h3>Background</h3><p>Although acupuncture is widely used to treat ischemic stroke, its effects remain uncertain. This systematic review aims to synthesize current evidence on the effects of acupuncture for ischemic stroke and assess whether current randomized controlled trials (RCTs) have sufficient power to detect its effects.</p></div><div><h3>Methods</h3><p>Seven databases and two registry platforms were searched systematically from inception to June 13, 2023, to identify RCTs comparing the effects of acupuncture on ischemic stroke with control groups (placebo/blank). The Cochrane Risk of Bias 2 (RoB 2) tool was used to evaluate the risk of bias in the included trials. Random effects models through restricted maximum likelihood estimation were further used to estimate the pooled mean differences (MDs) and the corresponding 95 % confidence intervals (CIs). The primary outcome was neurological function (National Institutes of Health Stroke Scale, NIHSS), while secondary outcomes included global disability (modified Rankin Scale, mRS) and activities of daily living (ADLs) (Barthel Index, BI or Modified Barthel Index, MBI). The Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) system was used to evaluate the certainty of the evidence. Trial sequential analysis (TSA) was further applied to control random errors and calculate the required information size (RIS).</p></div><div><h3>Results</h3><p>Forty RCTs involving 4485 patients were included. Acupuncture was found to significantly improve NIHSS (18 trials, 2658 patients; MD = −1.61, 95 % CI [-2.12, −1.09], low certainty evidence), mRS (3 trials, 298 patients; MD = −0.34, 95 % CI [-0.50, −0.19], moderate certainty evidence), and BI/MBI (26 trials, 2562 patients; MD = 8.98, 95 % CI [6.18, 11.77], low certainty evidence). Further, graphs of TSA indicated that the sample size of the trials was sufficient, and the results are robust.</p></div><div><h3>Conclusion</h3><p>Current evidence suggests that acupuncture can significantly improve neurological function, global disability, and ADLs in patients with ischemic stroke. The results were robust, as confirmed by TSA. However, the certainty of the evidence is moderate to low and should be further verified by more high-quality RCTs.</p></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101905"},"PeriodicalIF":2.2,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142230377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping the research using 24-h movement guidelines in children and adolescents: A bibliometric analysis","authors":"Yao Zhang ,&nbsp;Danqing Zhang ,&nbsp;Xingyi Yang ,&nbsp;José Francisco López-Gil ,&nbsp;Sitong Chen","doi":"10.1016/j.ctcp.2024.101903","DOIUrl":"10.1016/j.ctcp.2024.101903","url":null,"abstract":"<div><h3>Background</h3><div>There are limited comprehensive bibliometric analyses that have examined research articles using the 24-h movement guidelines, which are necessary to evaluate the impact of the research field, map the scientific structure of the research landscape, and identify knowledge gaps.</div></div><div><h3>Objectives</h3><div>The aim of this study was to analyse the published research articles using the 24-h movement guidelines and assess their bibliometric characteristics.</div></div><div><h3>Methods</h3><div>The search was conducted across all databases indexed in the Web of Science on March 6, 2024, and the bibliometric characteristics of studies published from 2016 onwards were analysed. Descriptive statistics and visualisations by the VOSviewer were used for the presentation of bibliometric characteristics.</div></div><div><h3>Results</h3><div>120 studies using the 24-h movement guidelines in children and adolescents were included for analysis in this study. In general, number of the related publications using the 24-h movement guidelines increased from 2016 until now. 16 distinct clusters of author networking were displayed, of which the Canadian team was the strongest cluster with the highest research impacts. Of the included studies, cross-sectional studies accounted for the majority. North America and Europe were the leading two study locations across the included studies. Highly varied adherence rate to the 24-h movement guidelines across the included studies were observed. In terms of correlates and health outcomes of meeting the 24-h movement guidelines, separately, sociodemographic and health functioning characteristics were the most examined aspects.</div></div><div><h3>Conclusions</h3><div>This study provides a comprehensive scientific overview for research using the 24-h movement guidelines in children and adolescents, which may help guide potential research directions to improve the low compliance rates in this population.</div></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101903"},"PeriodicalIF":2.2,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and safety of red and infrared light in the adjunctive treatment on diabetic foot ulcers: A systematic review and meta-analysis","authors":"Jing Zhang ,&nbsp;Yanan Zhao ,&nbsp;Xiaowei Zhao ,&nbsp;Jing Zhang ,&nbsp;Liwei Jing","doi":"10.1016/j.ctcp.2024.101906","DOIUrl":"10.1016/j.ctcp.2024.101906","url":null,"abstract":"<div><h3>Background</h3><p>The use of various adjunctive phototherapies for diabetic foot ulcers (DFUs) makes it difficult to fully understand their roles in current laser-based review studies. Red and infrared light have significant advantages for wound healing. To evaluate the impact of red and infrared light on the healing of DFUs and provide evidence-based recommendations for future clinical adjunctive treatments of DFUs.</p></div><div><h3>Methods</h3><p>Multiple databases, including PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, PEDro, CNKI, CBM, Wanfang, and VIP, were systematically searched for articles published until November 2023. The focus of the search was to identify randomised controlled trials that investigated the effects of red and infrared light on the treatment of DFUs. Data extraction, literature screening, and methodological quality assessment were conducted independently by two researchers. A meta-analysis was performed using RevMan5.4 and STATA16.0 software.</p></div><div><h3>Results</h3><p>A total of 28 studies, involving 1471 patients, were included. The meta-analysis showed that groups treated with red and infrared light had a significantly higher ulcer healing rate [risk ratio (RR) = 1.93, 95 % confidence interval (CI) (1.63, 2.28), <em>P</em> &lt; 0.00001], shorter ulcer healing time [mean difference (MD) = 18.52, 95 % CI (8.58, 28.47), <em>P</em> &lt; 0.00001], increased peak blood flow velocity in the dorsalis pedis artery [mean difference (MD) = 6.54, 95 % CI (4.01,9.08)], <em>P</em> &lt; 0.00001), and reduced wound pain score [mean difference (MD) = −4.33, 95 % CI (−4.94, −3.71)], <em>P</em> &lt; 0.00001) compared to the control group. However, there was no statistically significant difference in the incidence of adverse events [odds ratio (OR) = 0.32, 95 % CI (0.09, 1.17), <em>P</em> = 0.08] between the two methods.</p></div><div><h3>Conclusion</h3><p>The use of red and infrared light as an adjunctive treatment for DFUs is more beneficial than conventional wound care. However, due to limitations in the quality and sample size of the included studies, further high-quality research is needed to validate these conclusions.</p></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101906"},"PeriodicalIF":2.2,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142272800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of acupuncture's effectiveness in mitigating fatigue among patients afflicted with multiple sclerosis: A systematic review and meta-analysis","authors":"Samna Haider ,&nbsp;Warda Fatmi ,&nbsp;Navaira Shoaib ,&nbsp;Mariam Sajjad ,&nbsp;Mariyam Zahid","doi":"10.1016/j.ctcp.2024.101902","DOIUrl":"10.1016/j.ctcp.2024.101902","url":null,"abstract":"<div><h3>Background and purpose</h3><p>Fatigue is a pervasive and debilitating symptom of multiple sclerosis (MS) that severely impairs quality of life and daily functioning. This emphasizes the essential need for complementary therapies that go beyond conventional therapies. Although acupuncture is gaining popularity in MS management, there is a critical lack of rigorous research on its effectiveness in alleviating symptoms.</p></div><div><h3>Methods</h3><p>A comprehensive literature search was conducted across multiple databases, focusing on studies evaluating acupuncture's effectiveness in alleviating fatigue in MS patients. Key outcomes measured in the analysis included fatigue, quality of life, and disability.</p></div><div><h3>Results</h3><p>Six studies were included in the analysis, consisting of two observational studies and four randomized controlled trials. The analysis focused on evaluating acupuncture's efficacy in alleviating fatigue induced by MS. Despite variations in acupuncture protocols, outcome metrics, and control conditions, our meta-analysis revealed that acupuncture significantly reduces fatigue (MD: −0.92, 95 % CI: −1.36 to −0.47, p &lt; 0.0001) and enhances quality of life (SMD: 0.91, 95 % CI: 0.07–1.74, p = 0.03), underscoring its potential as a therapeutic intervention in the management of MS.</p></div><div><h3>Conclusion</h3><p>The meta-analysis suggests a notable improvement in MS-related fatigue following acupuncture, both compared to controls and pre-treatment levels, positioning it as a potential adjunct therapy. However, the prevalent risk of bias in these studies necessitates further high-quality research, along with studies involving larger patient cohorts, to definitively ascertain acupuncture's efficacy and safety in this context.</p></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101902"},"PeriodicalIF":2.2,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educating adolescents on preventing substance use: The role of 24-h movement behaviors ─ data from 2021 Youth Risk Behavior Surveillance","authors":"Yaozhong Cheng ,&nbsp;Yourui Huang ,&nbsp;Gang Zhang ,&nbsp;Jiangang Sun","doi":"10.1016/j.ctcp.2024.101904","DOIUrl":"10.1016/j.ctcp.2024.101904","url":null,"abstract":"<div><h3>Background</h3><p>Little is known about how adhering to the health guidelines for physical activity (PA), screen time (ST), and sleep duration (SD) relates to substance use in adolescents. Thus, this study aims to explore the potential association between adherence to the 24-h movement behavior (24-h MB) guidelines and substance use among adolescents.</p></div><div><h3>Methods</h3><p>Data from the 2019 Youth Risk Behavior Surveillance was analyzed. Participants reported their weekly PA, ST, SD, and substance use (alcohol and smoking) over the past 30 days. The mean age in the total participants was 15.56, and 48.03 % of the participants were females. Logistic regression was used in this study to explore the potential association between 24-h MB and substance use. Odds ratios (ORs) were reported alongside a 95 % confidence interval to enhance understanding of the observed association.</p></div><div><h3>Results</h3><p>Only 2.22 % participants adhered to all three 24-h MB guidelines, while 47.99 % did not follow any guidelines. Notably, there was no significant difference in the odds of cigarette smoking between participants who followed none of the guidelines and those who followed some or all of them. Nevertheless, adherence to one or more guidelines was found to be associated with higher odds of abstaining from alcohol consumption compared to non-adherence (one guidelines: OR = 1.17 [1.08, 1.28], two guidelines: OR = 1.28 [1.13, 1.44]).</p></div><div><h3>Conclusions</h3><p>Adhering to 24-h MB guidelines may reduce adolescents’ alcohol consumption, but the adherence was not significantly associated with smoking. Longitudinal studies are needed to confirm these findings. These results can inform adolescent health policies and interventions aimed at reducing substance use from the perspective of healthy time-use behaviors, which can be used for researchers and educator.</p></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101904"},"PeriodicalIF":2.2,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142163159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between adherence to 24-hour movement guidelines and socio-emotional competence among preschool children: A cross-sectional study","authors":"Xinxin Wang,&nbsp;Pingzhi Ye,&nbsp;Tianqi Qiao","doi":"10.1016/j.ctcp.2024.101901","DOIUrl":"10.1016/j.ctcp.2024.101901","url":null,"abstract":"<div><h3>Background</h3><p>This study investigated the association between adherence to 24-h movement guidelines and socioemotional competence among Chinese preschool children.</p></div><div><h3>Methods</h3><p>A total of 1288 parents of Chinese preschoolers (54.64 % boys, 45.36 % girls; M_age = 4.48, SD = 0.97) reported the time their children spent on physical activity (PA), screen time (ST), and sleep duration (SD), and completed questionnaires measuring socioemotional competence. Multiple logistic regression analyses were used to explore the associations between individual and combined measures of PA, ST, and SD, and the risk of low socioemotional competence.</p></div><div><h3>Results</h3><p>The risk of low socioemotional competence was significantly lower for children aged 4 (odds ratio [OR] = 0.47, 95 % CI: 0.31–0.71), 5 (OR = 0.23, 95 % CI: 0.15–0.35), and 6 (OR = 0.16, 95 % CI: 0.10–0.25) compared to 3-year-olds. Children with a family income level higher than 20,000CNY had a significantly lower risk of low socioemotional competence than those with a family income level not higher than 3000CNY (OR = 0.21, 95 % CI: 0.08–0.59). Urban residency was associated with significantly lower odds of low socioemotional competence than rural residency (OR = 0.41, 95 % CI: 0.21–0.82). Adherence to the PA-only guidelines (OR = 0.45, 95 % CI: 0.22–0.94), SD-only guidelines (OR = 0.25, 95 % CI: 0.08–0.72), ST + SD guidelines (OR = 0.33, 95 % CI: 0.16–0.67), and PA + ST + SD guidelines (OR = 0.36, 95 % CI: 0.18–0.70) were associated with a lower risk of low socioemotional competence. In addition, among boys, only adherence to the PA + ST + SD guidelines (OR = 0.36, 95 % CI: 0.14–0.90) was associated with a lower risk of low socioemotional competence. Among girls, adherence to SD guidelines only (OR = 0.22, 95 % CI: 0.04–0.90), ST + SD guidelines (OR = 0.17, 95 % CI: 0.06–0.49), and PA + ST + SD guidelines (OR = 0.37, 95 % CI: 0.14–0.91) were all associated with a lower risk of low socioemotional competence.</p></div><div><h3>Conclusions</h3><p>Adhering to 24-h movement guidelines is crucial for enhancing socioemotional competence in preschool children, especially girls. Interventions should focus on promoting physical activity, reducing screen time, and ensuring adequate sleep.</p></div>","PeriodicalId":48752,"journal":{"name":"Complementary Therapies in Clinical Practice","volume":"57 ","pages":"Article 101901"},"PeriodicalIF":2.2,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142136910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}