Alternative and complementary medicine in neurological disorders and neurological disability patients: Prevalence, factors, opinions and reasons
Objectives: This cross-sectional study is aimed to investigate the prevalence of the use of complementary and alternative medicine (CAM), types of CAMs used, as well as reasons and factors found in patients with neurological diseases or neurological disability. Methods: An anonymous, self-administer...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Complementary Therapies in Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0965229923000079 |
| _version_ | 1811173469343186944 |
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| author | Paul Carrillo-Mora Marlene A. Rodríguez-Barragán Jimena Quinzaños-Fresnedo María del Refugio Pacheco-Gallegos María Soto-Lara Monserrat Velázquez-Ortega María Fernanda Villarreal-Azamar Ilse Jocelyn Aguirre-Medina Mariana Rubalcava-Gracia-Medrano |
| author_facet | Paul Carrillo-Mora Marlene A. Rodríguez-Barragán Jimena Quinzaños-Fresnedo María del Refugio Pacheco-Gallegos María Soto-Lara Monserrat Velázquez-Ortega María Fernanda Villarreal-Azamar Ilse Jocelyn Aguirre-Medina Mariana Rubalcava-Gracia-Medrano |
| author_sort | Paul Carrillo-Mora |
| collection | DOAJ |
| description | Objectives: This cross-sectional study is aimed to investigate the prevalence of the use of complementary and alternative medicine (CAM), types of CAMs used, as well as reasons and factors found in patients with neurological diseases or neurological disability. Methods: An anonymous, self-administered survey was designed to collect information about demographics, personal medical history, CAM usage habits, and different opinions about CAM vs. conventional medicine (CM). The survey was applied by non-medical personnel in a rehabilitation hospital to patients older than 18 years, with a confirmed diagnosis of neurological disorder or neurological disability. Results: 453 patients were included, 59.7 % were female. Mean age: 49 years (SD: 18.2). 200 patients (44.2 %) had a history of chronic diseases. Depression was found in 139 patients (30.7 %). Neurological disorders were: peripheral neuropathy: 97 (21.4 %), headache or migraine: 78 (17.2 %), neurodegenerative diseases: 69 (15.2 %) and stroke: 58 (12.8 %). 60.2 % (n = 273) had some degree of disability. Prevalence of CAM use was 36 % (n = 163). Most common CAMs were: Biological therapies: 133 (71.1 %), energy-based therapies: 63 (33.7 %) and body manipulation therapies: 51 (27.3 %). Reasons to use CAM were: “to complement the pharmacological treatment” (45 = 27.6 %), and “treatment failure with CM” (43 = 26.4 %). Finally, older age (p = 0.0280) and having a chronic disease (p = 0.0229) or depression (p < 0.001) were the factors associated with the current use of CAM. Conclusion: One third of patients with neurological pathologies use CAM, the most popular type of CAM is biologic therapies. As in other pathologies, CAM use was associated with older age, history of depression, and chronic diseases. Therefore, it is suggested that physicians routinely ask patients about the use of CAM, if they need more information about CAM, and even verify the possibility of drug interactions or adverse effects. |
| first_indexed | 2024-04-10T17:47:29Z |
| format | Article |
| id | doaj.art-53e5ddfad84e40e69790a15b59b51f0b |
| institution | Directory Open Access Journal |
| issn | 0965-2299 |
| language | English |
| last_indexed | 2024-04-10T17:47:29Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Complementary Therapies in Medicine |
| spelling | doaj.art-53e5ddfad84e40e69790a15b59b51f0b2023-02-03T04:55:53ZengElsevierComplementary Therapies in Medicine0965-22992023-03-0172102920Alternative and complementary medicine in neurological disorders and neurological disability patients: Prevalence, factors, opinions and reasonsPaul Carrillo-Mora0Marlene A. Rodríguez-Barragán1Jimena Quinzaños-Fresnedo2María del Refugio Pacheco-Gallegos3María Soto-Lara4Monserrat Velázquez-Ortega5María Fernanda Villarreal-Azamar6Ilse Jocelyn Aguirre-Medina7Mariana Rubalcava-Gracia-Medrano8División de Neurociencias Clínicas, Instituto Nacional de Rehabilitación “Luis Guillermo Ibarra Ibarra”, Mexico; Correspondence to: Clinical Neuroscience Division, Instituto Nacional de Rehabilitación “Luis Guillermo Ibarra Ibarra”, Calzada México-Xochimilco 289, Alcaldía de Tlalpan, México City 14389, Mexico.División de Rehabilitación Neurológica, Instituto Nacional de Rehabilitación “Luis Guillermo Ibarra Ibarra”, MexicoDivisión de Rehabilitación Neurológica, Instituto Nacional de Rehabilitación “Luis Guillermo Ibarra Ibarra”, MexicoDivisión de Rehabilitación Neurológica, Instituto Nacional de Rehabilitación “Luis Guillermo Ibarra Ibarra”, MexicoFacultad de Medicina, Universidad Nacional Autónoma de México, México City, MexicoFacultad de Medicina, Universidad Nacional Autónoma de México, México City, MexicoFacultad de Medicina, Universidad Nacional Autónoma de México, México City, MexicoFacultad de Medicina, Universidad Nacional Autónoma de México, México City, MexicoFacultad de Medicina, Universidad Nacional Autónoma de México, México City, MexicoObjectives: This cross-sectional study is aimed to investigate the prevalence of the use of complementary and alternative medicine (CAM), types of CAMs used, as well as reasons and factors found in patients with neurological diseases or neurological disability. Methods: An anonymous, self-administered survey was designed to collect information about demographics, personal medical history, CAM usage habits, and different opinions about CAM vs. conventional medicine (CM). The survey was applied by non-medical personnel in a rehabilitation hospital to patients older than 18 years, with a confirmed diagnosis of neurological disorder or neurological disability. Results: 453 patients were included, 59.7 % were female. Mean age: 49 years (SD: 18.2). 200 patients (44.2 %) had a history of chronic diseases. Depression was found in 139 patients (30.7 %). Neurological disorders were: peripheral neuropathy: 97 (21.4 %), headache or migraine: 78 (17.2 %), neurodegenerative diseases: 69 (15.2 %) and stroke: 58 (12.8 %). 60.2 % (n = 273) had some degree of disability. Prevalence of CAM use was 36 % (n = 163). Most common CAMs were: Biological therapies: 133 (71.1 %), energy-based therapies: 63 (33.7 %) and body manipulation therapies: 51 (27.3 %). Reasons to use CAM were: “to complement the pharmacological treatment” (45 = 27.6 %), and “treatment failure with CM” (43 = 26.4 %). Finally, older age (p = 0.0280) and having a chronic disease (p = 0.0229) or depression (p < 0.001) were the factors associated with the current use of CAM. Conclusion: One third of patients with neurological pathologies use CAM, the most popular type of CAM is biologic therapies. As in other pathologies, CAM use was associated with older age, history of depression, and chronic diseases. Therefore, it is suggested that physicians routinely ask patients about the use of CAM, if they need more information about CAM, and even verify the possibility of drug interactions or adverse effects.http://www.sciencedirect.com/science/article/pii/S0965229923000079Complementary alternative therapiesNeurological diseasesLatin AmericaDisabilitySurvey |
| spellingShingle | Paul Carrillo-Mora Marlene A. Rodríguez-Barragán Jimena Quinzaños-Fresnedo María del Refugio Pacheco-Gallegos María Soto-Lara Monserrat Velázquez-Ortega María Fernanda Villarreal-Azamar Ilse Jocelyn Aguirre-Medina Mariana Rubalcava-Gracia-Medrano Alternative and complementary medicine in neurological disorders and neurological disability patients: Prevalence, factors, opinions and reasons Complementary Therapies in Medicine Complementary alternative therapies Neurological diseases Latin America Disability Survey |
| title | Alternative and complementary medicine in neurological disorders and neurological disability patients: Prevalence, factors, opinions and reasons |
| title_full | Alternative and complementary medicine in neurological disorders and neurological disability patients: Prevalence, factors, opinions and reasons |
| title_fullStr | Alternative and complementary medicine in neurological disorders and neurological disability patients: Prevalence, factors, opinions and reasons |
| title_full_unstemmed | Alternative and complementary medicine in neurological disorders and neurological disability patients: Prevalence, factors, opinions and reasons |
| title_short | Alternative and complementary medicine in neurological disorders and neurological disability patients: Prevalence, factors, opinions and reasons |
| title_sort | alternative and complementary medicine in neurological disorders and neurological disability patients prevalence factors opinions and reasons |
| topic | Complementary alternative therapies Neurological diseases Latin America Disability Survey |
| url | http://www.sciencedirect.com/science/article/pii/S0965229923000079 |
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