Complementary alternative medicine use among Chinese Americans: Findings from a community mental health service population
ABSTRACT Complementary alternative medicine use among Asian Americans is widespread, yet poorly understood. This study explored its use among Chinese Americans reporting mental health symptoms.
A cross-sectional survey determined the prevalence and correlates of complementary alternative medicine use in an urban sample seen at a community mental health service.
Out of 153 Chinese-American patients, 126 (82%) reported current use of complementary therapies (megavitamin therapy, 46%; herbal medicine, 43%; massage, acupuncture, and spiritual healing, about 25% each). Compared with nonusers, users were older, female, employed, less well functioning physically, and less acculturated.
Growing immigrant populations and increasing mental health services consumption by members of ethnic-racial groups in the United States call for more attention to complementary alternative medicine use and its potential to aid conventional medical and mental services delivery.
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ABSTRACT: Depression has been identified as one of the most frequent indications for CAM use and is a strong predictor of CAM use. The present article provides a critical review of CAM use for depressive disorders including bipolar depression by addressing prevalence of CAM use and CAM users׳ characteristics, motivation, decision-making and communication with healthcare providers. A comprehensive search of 2003-2014 international literature in the Medline, CINAHL, AMED, and SCOPUS databases was conducted. The search was confined to peer-reviewed articles published in English with abstracts and reporting new empirical research findings regarding CAM use and depressive disorders. A considerable level of CAM use was observed among both general and clinical populations of people suffering from depressive disorders, many of whom use CAM concurrently with their conventional medicine. In particular, high rates of CAM use were found among those with bipolar disorder, an illness known to cause substantial impairments in health-related quality of life. Concomitant prescription medication use ranged from 0.52% to as high as 100%. Study design such as the inclusion of bipolar and depression in the same diagnostic category hamper the differentiation and attribution of CAM usage for symptoms. Findings of our review show that enduring impairments in function and persistence of symptoms (as reflected by increased CAM use proportional to severity of illness and comorbidity) are the impetus for sufferers of depressive illness to seek out CAM. The psychosocial factors associated with CAM use in depressive illnesses and severe mental illness are yet to be established. Subsequent research amongst those with depressive disorders would be informative in clarifying the range of motivations associated with mental illness. Copyright © 2015 Elsevier B.V. All rights reserved.Journal of Affective Disorders 03/2015; 179:101-113. DOI:10.1016/j.jad.2015.03.031 · 3.71 Impact Factor
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ABSTRACT: Introduction: Psychiatric/psychosocial rehabilitation (PSR) aims to facilitate the recovery of people with serious mental illness (SMI), and consists of enhancing and maintaining adaptive skills and supports of people with SMI so that they can be satisfied and successful in their environments of choice. The objective of our paper is to review PSR in relation to various health care environments, specifically in relation to mental, substance use-related, physical (medical and dental), and complementary and alternative medicine (CAM) health care environments. The primary questions we pose for this review are: 1. What are PSR and related practices regarding these health care environments? 2. What are PSR outcomes regarding these health care environments? 3. What are predictors of these outcomes? Method: Data collection consisted of a systematic review of PSR in relation to these health care environments. Data analysis consisted of a narrative review (a meta-analysis was not conducted due to the wide diversity of PSR practices and outcome measures found). Results: PSR is effective in relation to mental health care environments and is promising in relation to substance userelated and physical (medical and dental) health care environments. There is no rigorous study of PSR in relation to CAM health care environments. Conclusion: PSR in relation to health care environments is helpful for people with SMI. Further research on PSR in general, and in relation to CAM health care environments in particular, is needed.Current Psychiatry Reviews 06/2013; 9(3):214-259. DOI:10.2174/1573400511309030007
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ABSTRACT: Chinese are less likely to use mental health care than other ethnic groups in the Netherlands, yet present more serious symptoms at the first consultation. However, the reason for these differences is unknown because of the scarcity of research. This doctoral research sets out to fill this gap in our knowledge and to shed light on mental health care utilisation among this group. It further examines the adequacy of Dutch mental health care services for them. Results show that Chinese in the Netherlands regard Dutch health care as their primary method of managing general and mental health problems. The beliefs expressed about mental illness did not seem to differ from those current in the West in ways that would form a major barrier to seeking help from mainstream services. Although cultural differences have been observed, which can create barriers to mutual understanding between professionals and Chinese health service users, they are not such as to prevent Chinese from accepting and benefiting from Dutch health care. Results also suggest that the main barriers have to do with practical factors, e.g. low Dutch proficiency, lack of knowledge of the health system, language and communication problems. Other barriers include lack of cultural sensitivity among professionals, and the failure of the health system to take steps to overcome these problems. Furthermore, Chinese in the Netherlands form a heterogeneous group, in terms of origins, sub-cultures, migration patterns, socio-economic status and integration levels. Service providers should take the diversity of the Chinese group into account and pay more attention to issues such as communication barriers, entitlement to care, knowledge of the health care system, attitudes of professionals and discrimination.07/2014; Utrecht University., ISBN: 9789039361900