非自杀性自伤的中医探索:一个叙事回顾。

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Zhehao Chen, Weidong Jin, Haihan Chen, Fengli Sun
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引用次数: 0

摘要

背景:非自杀性自伤(non - suicide self injury, NSSI)既是一种单一的症状,也是其他精神疾病的表现。抗抑郁药物不仅没有治疗效果,而且会加重或诱发青少年的自伤行为,使其治疗变得困难。主要研究目的:探讨以中医为基础(单独或结合西药)治疗和管理自伤的方法,并评价其作为一种有效替代治疗方法的前景。方法/设计:本研究为叙述性回顾。检索中文数据库中的中国生物医学数据库(CBM)、中国知网(CNKI)、万方数据库、中国社会科学引文索引(CSSCI)和英文PubMed数据库中的相关研究。检索词为非自杀性自伤和中医。检索关系是OR/AND。根据纳入和排除标准选择研究。背景:本研究在浙江省精神卫生中心进行。参与者:本叙述性综述中包括的研究对象。干预:基于中医的诊断和治疗方法。主要观察指标:探讨中医范畴内自伤的病因病机及临床证候。结果:自伤被认为是一种情绪-思维障碍。基于中医的方法包括对自伤临床综合征的研究,包括自伤动物模型的使用,使用适当的评估量表诊断该综合征,以及使用基于中医的治疗方法进行治疗。结论:提出了中医治疗自伤的研究方法。根据中医原理,自伤属于“抑郁”证。中医在自伤诊断和治疗中的结合,可以改善预后。关键词:中西医结合;精神疾病;叙事评论;非自杀式自虐行为;中医。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring Traditional Chinese Medicine for Non-Suicidal Self-Injury: A Narrative Review.

Background: Non-suicidal self-injury (NSSI) is both a single syndrome and a manifestation of other mental illnesses. Antidepressant drugs not only have no therapeutic effect but also aggravate or trigger self-injurious behavior in adolescents, making their treatment difficult.

Primary study objective: To explore Traditional Chinese Medicine (TCM) based approaches (alone or in combination with Western medicine) to treat and manage NSSI, and evaluate its prospects as an effective alternative treatment.

Methods/design: The study is a narrative review. The Chinese Biomedical Database (CBM), China National Knowledge Infrastructure (CNKI), WANFANG, and Chinese Social Sciences Citation Index (CSSCI) in the Chinese database, and the PubMed database in English were searched for relevant studies. The retrieval words were non-suicidal self-injury and Traditional Chinese Medicine. The retrieval relationship is OR/AND. Studies were selected based on inclusion and exclusion criteria.

Setting: The study was carried out in Zhejiang Provincial Mental Health Center.

Participants: The subjects of the studies included in this narrative review.

Intervention: TCM-based diagnostic and treatment approaches.

Primary outcome measures: To assess the etiology, pathogenesis, and clinical syndrome of NSSI within the scope of TCM.

Results: NSSI is considered an emotion-thought disorder. The TCM-based approach encompasses the study of the clinical syndrome of NSSI, including the use of animal models of NSSI, diagnosis of the syndrome using an appropriate evaluation scale, and treatment using TCM-based therapeutics.

Conclusion: The study methods of TCM for NSSI have been proposed. According to the principles of TCM, NSSI belongs to the "Depression" syndrome. The incorporation of TCM in diagnosing and treating NSSI can improve the outcomes.

Keywords: Integrative medicine; Mental illness; Narrative review; Non-suicidal self-injury; Traditional Chinese medicine.

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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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