| 1. |
- Bergdahl, Lena, 1980-, et al.
(författare)
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Auricular acupuncture versus cognitive behavioural therapy in the discontinuation of hypnotic drug usage and treatment effects of anxiety-, depression and insomnia symptoms
- 2017
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Ingår i: European Journal of Integrative Medicine. - : Elsevier BV. - 1876-3820 .- 1876-3839. ; 16, s. 15-21
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: The interest in non-pharmacological interventions for insomnia disorder has increased. The aim was to assess the immediate treatment effects of auricular acupuncture (AA) and cognitive behavioural therapy for insomnia (CBT-i) regarding discontinuation of hypnotic usage and symptoms of anxiety, depression and insomnia.Method: Prospective randomised controlled study. Fifty-seven participants (mean age 61 years (SD 8.6)) with insomnia disorder and long-term use of non-benzodiazepine hypnotics received group-treatment with AA or CBT-i. Pre- and post-treatment measures included symptoms of anxiety, depression and insomnia via self-report questionnaires: Hospital Anxiety and Depression scale (HAD-A, HAD-D) and Insomnia Severity Index (ISI). Other sleep parameters and hypnotic consumption were measured with a sleep diary. Linear mixed models were performed to examine treatment effect over time within and between the groups.Results: Seventy-one percent of the AA participants and 84% of the CBT-i participants managed to discontinue their hypnotic drug consumption post-treatment. Symptoms of anxiety and depression decreased within the AA group (HAD-A (p < 0.05), HAD-D (p < 0.05)) and insomnia symptoms decreased within the CBT-i group (ISI (p < 0.001)). The only between-group difference occurred in ISI (p < 0.001), in favour of CBT-i. According to the within-group sleep diary results, the CBT-i group went to bed later (p < 0.001), fell asleep quicker (p < 0.05), increased their sleep efficiency (p < 0.001) and self-rated sleep quality (p < 0.05) post-treatment.Conclusions: Both groups ended/maintained low hypnotic drug consumption post-treatment. Short-term reductions occurred in the AA group in anxiety and depression symptoms and in the CBT-i group regarding insomnia symptoms.
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| 2. |
- Hoffren-Larsson, Riitta, et al.
(författare)
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Caring as an essential component in Rosen Method Bodywork - Clients' experiences of interpersonal interaction from a nursing theoretical perspective
- 2013
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Ingår i: European Journal of Integrative Medicine. - : Elsevier BV. - 1876-3820 .- 1876-3839. ; 5:6, s. 561-570
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Users of complementary (CAM) therapies frequently report satisfaction although scientific support for the efficacy of many therapies is lacking. This study investigates a relatively unexplored CAM therapy; Rosen Method Bodywork (RMB) from a new perspective. The treatment includes gentle physical touching of tense muscles as well as - the interpersonal interaction. The aim was to explore if caring is a part of the interpersonal interaction in RMB treatments by analyzing clients' experiences from a nursing theoretical framework. Methods: The study design is exploratory and qualitative. Data were collected by semi-structured interviews with eleven RMB clients with positive and negative experiences from the treatments. The interviews were content analyzed using the theoretical stages in a nursing theory to build the structure for categorizing the data. Results: Treatments where study participants declared satisfaction included supportive caring aspects. In these cases, trusted interpersonal relations and a secure environment were established, where the participants felt accepted regardless of their problems. The interpersonal interaction seems to contribute to participants' increased awareness of their own capacities and motivation to independently develop new ways to manage health-related problems. In contrast, participants who were dissatisfied with RMB described opposite experiences. This seems to result in termination of the therapy or a change of therapist. Conclusions: The results indicate that caring is an essential contextual component in RMB treatments. In future research, not only for RMB, but for similar CAM therapies, more attention should be paid to caring as an important part of the interpersonal interaction and the therapeutic experience. This article belongs to the Special Issue: 'IG000020'.
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| 3. |
- Howick, Jeremy, et al.
(författare)
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Positive "framing" as a powerful medication for pain : A meta-analysis of randomized trials
- 2016
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Ingår i: European Journal of Integrative Medicine. - : Elsevier. - 1876-3820 .- 1876-3839. ; 8, s. 57-59
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: A growing body of evidence suggests that positive framing–inducing positive expectations about the outcome of treatments can reduce pain symptoms. However there is no pooled estimate of the effect size of positive framing for treating pain. Such an estimate is useful to understand the extent to which positive expectations can enhance usual care.Methods: We extracted data from a recent systematic review of interventions that modified all "context factors" (including but not limited to) inducing positive expectations) in adults suffering from pain. The systematic review concluded that positive expectations were effective, but did not pool the results so no effect size was provided. Two authors independently extracted data from the studies and conducted the analysis. Our primary outcome was patient self-reported pain.Results: 10 randomized trials were eligible for meta-analysis. In the trials with continuous outcomes the standardized effect size was −0.39 (95% confidence interval −0.68 to −0.10, p = 0.009, I2 = 79%), suggesting reduced pain on average in groups in which positive expectations were induced. The effect size was similar in magnitude but was not statistically significant when we excluded studies deemed to have a high risk of bias (standard effect size −0.31, 95% CI −0.65 to 0.02, p = 0.07, I2 = 77%).Conclusion: The effect of inducing positive expectations is comparable to the effects of some pharmacological drugs. However many of the studies had a high risk of bias, and heterogeneity was significant. Future research is warranted including investigating ways to implement this evidence into patient care in an ethical way.
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| 4. |
- Jong, Miek C, 1968-, et al.
(författare)
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Attitudes towards Integrative Medicine among Healthcare Professionals in the Netherlands
- 2011
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Ingår i: European Journal of Integrative Medicine. - : Elsevier BV. - 1876-3820 .- 1876-3839. ; 3:3, s. e209-e217
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundDespite the growing interest for integrative medicine (IM), no data are available about the attitudes of healthcare professionals towards IM.ObjectivesTo assess the attitudes of healthcare professionals towards IM.MethodsA convenience, volunteer sample was surveyed using a digital 47-item questionnaire on the key components of IM: 1. The doctor–patient relationship; 2. Patients’ responsibility in own healing; 3. Use of CAM therapies; 4. Healing environment.ResultsOf the 162 respondents, the majority were part of medical staff (51%), worked in a hospital (39%), in psychiatry/psychology (28%) and were women (54%). Most respondents (98%) believed that IM components: Doctor–patient relationship and patients’ responsibility for own healing process, were of high importance for healthcare. The other IM components, CAM use and healing environment, were found to be of importance by a lower percentage of responders (64% and 70%, respectively). 88% respondents regarded IM an important innovation in healthcare, despite the fact that 63% of them were not familiar with IM. The majority believed that patients should be informed about all possible treatments (94%), including CAM (84%). Of the CAM therapies listed, most considered lifestyle (90%) and mind-body therapies (54%) to be complementary to conventional treatment. Chi-square analysis demonstrated that familiarity with IM and being a female (among others) were predisposing factors for a positive attitude towards IM.ConclusionsThis survey among a convenient sample of Dutch healthcare professionals showed a relatively positive attitude towards IM. The outcome of this study may be useful to further implementation of IM in healthcare.
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| 5. |
- Jong, Miek C., 1968-, et al.
(författare)
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Integrative medicine in Dutch curative and long-term healthcare centres : Mapping the field
- 2019
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Ingår i: European Journal of Integrative Medicine. - : Elsevier BV. - 1876-3820 .- 1876-3839. ; 28, s. 14-19
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Little is known about integration of Complementary and Alternative Medicine (CAM) in the Dutch healthcare system. The aim of the present study was to investigate how Integrative Medicine (IM) is practiced and how CAM is integrated with conventional medicine in curative and long-term healthcare centres in the Netherlands.Methods: A mixed methodology was applied, including a systematic internet search, an online survey and focus groups among healthcare professionals. Results: Most hospitals (92%) offered some form of CAM to treat anxiety (72%), restlessness (68%), pain (65%), sleeping problems (50%), stress (48%) and fatigue (36%). Mostly offered modalities were relaxation exercises (88%), art therapy (44%) and mindfulness (42%). Similar percentages of CAM use were found in other healthcare centres. Most CAM modalities were implemented without organizational vision, guidelines or protocols. Only 5% of implemented CAM was labelled as IM. Focus groups with health care professionals revealed the need to increase knowledge and to develop a vision for integration of CAM with conventional medicine, as well as to support effectiveness research in this area.Conclusions: This study is the first in the Netherlands to quantitatively map the extent of CAM integration in conventional health care. The number of CAM interventions offered at conventional health care settings was surprisingly high. However, integration was fragmented. Guidelines, education and research programs are needed to further integration of CAM, preferably organised in a Dutch Consortium for IM.
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| 6. |
- Jonsson, Kristoffer, 1982-, et al.
(författare)
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Characterizing the experience of flotation-REST (Restricted Environmental Stimulation Technique) treatment for generalized anxiety disorder (GAD) : A phenomenological study
- 2017
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Ingår i: European Journal of Integrative Medicine. - : Elsevier BV. - 1876-3820 .- 1876-3839. ; 12, s. 53-59
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Tidskriftsartikel (refereegranskat)abstract
- Among the anxiety disorders Generalized Anxiety Disorder (GAD) is currently the most treatment resistant, suggesting that treatment protocols could be enhanced. A promising treatment of GAD is flotation-REST (Restricted Environmental Stimulation Technique), which in earlier studies has been shown to alleviate symptoms in GAD. Although, research on flotation-REST as a treatment of GAD has shown promising results no study has explored how the treatment is experienced. By applying a phenomneological perspective the present study aims to characterize the experience of undergoing flotation-REST treatment while suffering from GAD. Nine participants with GAD, as defined with self-report measures, participated. Data was collected by semi-structured interviews that were conducted after the completion of a twelve session treatment profram with flotaiton-REST. The Empirical Phenomenological Psychological (EPP) method was usedfor gathering and analyzing the data. The analysis resulted in six themes that characterize the experience of undergoing a flotation-REST treatment while having GAD: (1) obstacles in treatment, (2) a relaxed and safe vantage point, (3) non-ordinary states of consciousness, (4) connecting with oneself, (5) new attitudes and coping strategies, (6) enhanced life-quality. The results highlights that flotation-REST treatment of GAD was experienced as a comprehensive processes that were both challenging and pleasant. The results indicated that the method positively affected symptoms and the core issue associated with GAD on an experiential level. The present study also genereated some initial understanding regarding potential mechanisms that migh mediate and maintain positive treatment effects when flotation-REST is applied as an intervention of GAD.
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| 7. |
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| 8. |
- Kjellgren, Anette, 1959-, et al.
(författare)
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Does flotation-rest (restricted environmental stimulation technique) have an effect on sleep?
- 2020
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Ingår i: European Journal of Integrative Medicine. - New York, USA : Elsevier. - 1876-3820 .- 1876-3839. ; 33, s. 1-7
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Forskningsöversikt (refereegranskat)abstract
- Introduction: Some therapies described within alternative and complementary medicine are advertised as sleep-promoting, including flotation-REST (Restricted Environmental Stimulation Technique). Flotation-REST induces deep relaxation through sensory isolation in a water-filled tank and is plausibly reported to mitigate insomnia problems, which have consistently been associated with stress, worry and arousal. However, the effects of flotation-REST have not been previously summarised. The aim of this systematic review was to investigate the efficacy of flotation-REST on sleep in clinical and non-clinical samples. Methods: A systematic search for studies on flotation-REST, involving at least one sleep-related variable, was conducted in the databases PubMed, Google Scholar, Web of Science and PsychINFO. Thirteen full-text articles met the inclusion criteria and were considered for eligibility. Nine were included in the current review. The methodological quality of the studies was assessed using a structured checklist, and a standard data extraction sheet was used to summarize the ratings. Results: In all included studies, flotation-REST demonstrated beneficial effects on sleep, both in clinical and nonclinical samples. In two studies, the effects were maintained 4 or 6 months post-treatment. The quality of the sleep outcome measures were, however, low in most studies, particularly regarding the participants' nightly sleep habits, self-reported sleep problems and insomnia diagnosis. Conclusions: Flotation-REST may be a promising treatment for insomnia symptoms, but more controlled studies with established sleep measures, and on populations with clinically verified insomnia, are needed.
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| 9. |
- Muller, Jasmin, 1968-, et al.
(författare)
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Mechanical massage and mental training program effect employees' heart rate, blood pressure and fingertip temperature : An exploratory pilot study
- 2016
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Ingår i: European Journal of Integrative Medicine. - : Elsevier. - 1876-3820 .- 1876-3839. ; 8:5, s. 762-768
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Inability to relax and recover is suggested to be a key factor for stress-related health problems. This study aimed to investigate possible effects of mechanical massage and mental training, used either separately or in combination during working hours. Methods: Employees were randomly assigned to one of the following groups: i) Mechanical massage combined with mental training (n = 19), ii) Mechanical massage (n = 19), iii) Mental training (n = 19), iv) Pause (n = 19), v) Control (n = 17). The study lasted for eight weeks. Heart rate, blood pressure and fingertip temperature were measured at start, after four and after eight weeks. Results: Between-group analysis showed that heart rate differed significantly between the groups after 4 weeks (p = 0.020) and tended to differ after eight weeks (p = 0.072), with lowest levels displayed in the massage group and the control group. Blood pressure and fingertip temperature did not differ between the groups. Within-group analysis showed that mechanical massage decreased heart rate (p = 0.038) and blood pressure (systolic p = 0.019, diastolic p = 0.026) and increased fingertip temperature (p = 0.035). Mental training programs reduced heart rate (p = 0.036). Combining the two methods increased diastolic blood pressure (p = 0.028) and decreased fingertip temperature (p = 0.031). The control group had a significant decrease in systolic blood pressure during the first four weeks of the study (p = 0.038) Conclusion: Receiving mechanical massage and listening to mental training programs, either separately or in combination, during working hours had some positive effects on the employees’ heart rate, blood pressure and fingertip temperature. The effects were especially strong for employees who received mechanical massage only.
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| 10. |
- Skogar, O, et al.
(författare)
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"Effects of Tactile Touch on pain, sleep and health related quality of life in Parkinsons disease with chronic pain": A randomized, controlled and prospective study
- 2013
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Ingår i: European Journal of Integrative Medicine. - : Elsevier. - 1876-3820 .- 1876-3839. ; 5:2, s. 141-152
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Parkinsons disease (PD) is often associated with chronic PD related pain. Complementary medicine are widely used but randomized, controlled and prospective studies of the effects are sparse. less thanbrgreater than less thanbrgreater thanAims of the study: To compare the effects of Tactile Touch (TT) with Rest to Music (RTM) in PD patients with chronic pain and to describe effects within groups. less thanbrgreater than less thanbrgreater thanPatients and methods: A 34 week controlled randomized and prospective trial compared the effects of TT with RTM in 45 (29 TT and 16 RTM) patients with PD and chronic pain. The whole body tactile stimulation method was performed for each individual patient by the same therapist for 10 times during the first 8 weeks. The RTM group received the same therapy except for the tactile stimulation. Pharmacotherapy was kept unchanged. Participants were assessed at pre- and post-intervention for pain, sleep patterns and health related quality of life (HRQoL). less thanbrgreater than less thanbrgreater thanResults: Differences between TT and RTM groups were few. Total PDSS significantly improved within the TT but not in the RTM-group. No significant differences between groups were seen in pain parameters, although significant improvements were seen within the TT-group after the intervention period. There were significant improvements within both groups in HRQoL and between groups in the items physical role and social functioning 4 weeks after screening. less thanbrgreater than less thanbrgreater thanConclusions: No significant differences between the TT and RTM groups were seen. Only in single aspects did patients with PD and chronic pain have more benefit more from CAM therapy with TT in combination with RTM.
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