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Table of Contents
Vol. 36, No. 1, 2011
Issue release date: February 2011
Free Access
Neuroepidemiology 2011;36:46–51
(DOI:10.1159/000322949)

Patterns of Mind-Body Therapies in Adults with Common Neurological Conditions

Erwin Wells R.a · Phillips R.S.b · McCarthy E.P.b
aDepartment of Neurology and bDivision of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass., USA
email Corresponding Author

Abstract

Background: Over 40% of adults with common neurological conditions use complementary and alternative medicine, and mind-body therapies are the most commonly used form. Our objective was to describe mind-body use in adults with common neurological conditions. Methods: We compared mind-body use between adults with and without common neurological conditions (regular headaches, migraines, back pain with sciatica, strokes, dementia, seizures or memory loss) using the 2007 National Health Interview Survey of 23,393 sampled American adults. Results: Adults with common neurological conditions used mind-body therapies more frequently than those without (24.5 vs. 16.6%, p < 0.0001); differences persisted after adjustment. Deep breathing exercises, meditation and yoga were used most frequently. Nearly 70% of the adults with common neurological conditions did not discuss their mind-body use with their health care provider. Those with neurological conditions used mind-body therapies more than those without these conditions because of provider recommendation (26 vs. 13%) or because conventional treatments were perceived ineffective (12 vs. 4%) or too costly (7 vs. 2%), respectively. Conclusions: Mind-body therapies are used more frequently among adults with common neurological conditions, more often when conventional treatments were perceived ineffective. More research is warranted on the efficacy of mind-body use for common neurological conditions.


 goto top of outline Key Words

  • Mind-body therapies
  • Headache
  • Migraine
  • Back pain
  • Stroke
  • Dementia
  • Seizures
  • Memory impairment
  • Epidemiology

 goto top of outline Abstract

Background: Over 40% of adults with common neurological conditions use complementary and alternative medicine, and mind-body therapies are the most commonly used form. Our objective was to describe mind-body use in adults with common neurological conditions. Methods: We compared mind-body use between adults with and without common neurological conditions (regular headaches, migraines, back pain with sciatica, strokes, dementia, seizures or memory loss) using the 2007 National Health Interview Survey of 23,393 sampled American adults. Results: Adults with common neurological conditions used mind-body therapies more frequently than those without (24.5 vs. 16.6%, p < 0.0001); differences persisted after adjustment. Deep breathing exercises, meditation and yoga were used most frequently. Nearly 70% of the adults with common neurological conditions did not discuss their mind-body use with their health care provider. Those with neurological conditions used mind-body therapies more than those without these conditions because of provider recommendation (26 vs. 13%) or because conventional treatments were perceived ineffective (12 vs. 4%) or too costly (7 vs. 2%), respectively. Conclusions: Mind-body therapies are used more frequently among adults with common neurological conditions, more often when conventional treatments were perceived ineffective. More research is warranted on the efficacy of mind-body use for common neurological conditions.

Copyright © 2010 S. Karger AG, Basel


 goto top of outline References
  1. National center for alternative and complementary medicine: ‘What is CAM?’ http://nccam.nih.gov/health/whatiscam/.
  2. Dusek JA, Benson H: Mind-body medicine: a model of the comparative clinical impact of the acute stress and relaxation responses. Minn Med 2009;92:47–50.

    External Resources

  3. Mohr DC, Hart SL, Julian L, Cox D, Pelletier D: Association between stressful life events and exacerbation in multiple sclerosis: a meta-analysis. BMJ 2004;328:731.
  4. Wilson RS, Evans DA, Bienias JL, Mendes de Leon CF, Schneider JA, Bennett DA: Proneness to psychological distress is associated with risk of Alzheimer’s disease. Neurology 2003;61:1479–1485.
  5. Wober C, Wober-Bingol C: Triggers of migraine and tension-type headache. Handb Clin Neurol 2010;97:161–172.

    External Resources

  6. Wells RE, Phillips RS, Schachter SC, McCarthy EP: Complementary and alternative medicine use among US adults with common neurological conditions. J Neurol 2010;257:1822–1831.
  7. CDC national center for health statistics national health interview survey 2007 survey description document. ftp://ftp.cdcgov/pub/Health_Statistics/NCHS/Dataset_Docu mentation/NHIS/2007/srvydesc.pdf.
  8. Bertisch SM, Wee CC, Phillips RS, McCarthy EP: Alternative mind-body therapies used by adults with medical conditions. J Psychosom Res 2009;66:511–519.
  9. Yeh GY, Davis RB, Phillips RS: Use of complementary therapies in patients with cardiovascular disease. Am J Cardiol 2006;98:673–680.
  10. CDC national center for health statistics national health interview survey 2007 imputed family income. http://www.cdcgov/NCHS/nhis/2007imputedincome.htm.
  11. Kushi LH, Fee RM, Folsom AR, Mink PJ, Anderson KE, Sellers TA: Physical activity and mortality in postmenopausal women. JAMA 1997;277:1287–1292.
  12. Health, United States 2007. http://www. cdcgov/nchs/data/hus/hus07.pdf.
  13. Wahbeh H, Elsas SM, Oken BS: Mind-body interventions: applications in neurology. Neurology 2008;70:2321–2328.
  14. Campbell JK, Penzien DB, Wall EM, US headache consortium: Evidence-based guidelines for migraine headache: behavioral and physical treatments. 2000. http://www.aan.com.
  15. Chou R, Huffman LH, American Pain Society, American College of Physicians: Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med 2007;147:492–504.
  16. Birdee GS, Legedza AT, Saper RB, Bertisch SM, Eisenberg DM, Phillips RS: Characteristics of yoga users: results of a national survey. J Gen Intern Med 2008;23:1653–1658.
  17. Kanodia AK, Legedza AT, Davis RB, Eisenberg DM, Phillips RS: Perceived benefit of complementary and alternative medicine (CAM) for back pain: a national survey. J Am Board Fam Med 2010;23:354–362.

 goto top of outline Author Contacts

Rebecca Erwin Wells, MD
Department of Neurology
Beth Israel Deaconess Medical Center, Harvard Medical School
330 Brookline Avenue, Boston, MA 02215 (USA)
Tel. +1 617 632 8917, Fax +1 617 632 8920, E-Mail rwells@bidmc.harvard.edu


 goto top of outline Article Information

Received: July 29, 2010
Accepted: November 22, 2010
Published online: December 22, 2010
Number of Print Pages : 6
Number of Figures : 2, Number of Tables : 1, Number of References : 17


 goto top of outline Publication Details

Neuroepidemiology

Vol. 36, No. 1, Year 2011 (Cover Date: February 2011)

Journal Editor: Feigin V.L. (Auckland)
ISSN: 0251-5350 (Print), eISSN: 1423-0208 (Online)

For additional information: http://www.karger.com/NED


Copyright / Drug Dosage / Disclaimer

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

Abstract

Background: Over 40% of adults with common neurological conditions use complementary and alternative medicine, and mind-body therapies are the most commonly used form. Our objective was to describe mind-body use in adults with common neurological conditions. Methods: We compared mind-body use between adults with and without common neurological conditions (regular headaches, migraines, back pain with sciatica, strokes, dementia, seizures or memory loss) using the 2007 National Health Interview Survey of 23,393 sampled American adults. Results: Adults with common neurological conditions used mind-body therapies more frequently than those without (24.5 vs. 16.6%, p < 0.0001); differences persisted after adjustment. Deep breathing exercises, meditation and yoga were used most frequently. Nearly 70% of the adults with common neurological conditions did not discuss their mind-body use with their health care provider. Those with neurological conditions used mind-body therapies more than those without these conditions because of provider recommendation (26 vs. 13%) or because conventional treatments were perceived ineffective (12 vs. 4%) or too costly (7 vs. 2%), respectively. Conclusions: Mind-body therapies are used more frequently among adults with common neurological conditions, more often when conventional treatments were perceived ineffective. More research is warranted on the efficacy of mind-body use for common neurological conditions.



 goto top of outline Author Contacts

Rebecca Erwin Wells, MD
Department of Neurology
Beth Israel Deaconess Medical Center, Harvard Medical School
330 Brookline Avenue, Boston, MA 02215 (USA)
Tel. +1 617 632 8917, Fax +1 617 632 8920, E-Mail rwells@bidmc.harvard.edu


 goto top of outline Article Information

Received: July 29, 2010
Accepted: November 22, 2010
Published online: December 22, 2010
Number of Print Pages : 6
Number of Figures : 2, Number of Tables : 1, Number of References : 17


 goto top of outline Publication Details

Neuroepidemiology

Vol. 36, No. 1, Year 2011 (Cover Date: February 2011)

Journal Editor: Feigin V.L. (Auckland)
ISSN: 0251-5350 (Print), eISSN: 1423-0208 (Online)

For additional information: http://www.karger.com/NED


Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

References

  1. National center for alternative and complementary medicine: ‘What is CAM?’ http://nccam.nih.gov/health/whatiscam/.
  2. Dusek JA, Benson H: Mind-body medicine: a model of the comparative clinical impact of the acute stress and relaxation responses. Minn Med 2009;92:47–50.

    External Resources

  3. Mohr DC, Hart SL, Julian L, Cox D, Pelletier D: Association between stressful life events and exacerbation in multiple sclerosis: a meta-analysis. BMJ 2004;328:731.
  4. Wilson RS, Evans DA, Bienias JL, Mendes de Leon CF, Schneider JA, Bennett DA: Proneness to psychological distress is associated with risk of Alzheimer’s disease. Neurology 2003;61:1479–1485.
  5. Wober C, Wober-Bingol C: Triggers of migraine and tension-type headache. Handb Clin Neurol 2010;97:161–172.

    External Resources

  6. Wells RE, Phillips RS, Schachter SC, McCarthy EP: Complementary and alternative medicine use among US adults with common neurological conditions. J Neurol 2010;257:1822–1831.
  7. CDC national center for health statistics national health interview survey 2007 survey description document. ftp://ftp.cdcgov/pub/Health_Statistics/NCHS/Dataset_Docu mentation/NHIS/2007/srvydesc.pdf.
  8. Bertisch SM, Wee CC, Phillips RS, McCarthy EP: Alternative mind-body therapies used by adults with medical conditions. J Psychosom Res 2009;66:511–519.
  9. Yeh GY, Davis RB, Phillips RS: Use of complementary therapies in patients with cardiovascular disease. Am J Cardiol 2006;98:673–680.
  10. CDC national center for health statistics national health interview survey 2007 imputed family income. http://www.cdcgov/NCHS/nhis/2007imputedincome.htm.
  11. Kushi LH, Fee RM, Folsom AR, Mink PJ, Anderson KE, Sellers TA: Physical activity and mortality in postmenopausal women. JAMA 1997;277:1287–1292.
  12. Health, United States 2007. http://www. cdcgov/nchs/data/hus/hus07.pdf.
  13. Wahbeh H, Elsas SM, Oken BS: Mind-body interventions: applications in neurology. Neurology 2008;70:2321–2328.
  14. Campbell JK, Penzien DB, Wall EM, US headache consortium: Evidence-based guidelines for migraine headache: behavioral and physical treatments. 2000. http://www.aan.com.
  15. Chou R, Huffman LH, American Pain Society, American College of Physicians: Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med 2007;147:492–504.
  16. Birdee GS, Legedza AT, Saper RB, Bertisch SM, Eisenberg DM, Phillips RS: Characteristics of yoga users: results of a national survey. J Gen Intern Med 2008;23:1653–1658.
  17. Kanodia AK, Legedza AT, Davis RB, Eisenberg DM, Phillips RS: Perceived benefit of complementary and alternative medicine (CAM) for back pain: a national survey. J Am Board Fam Med 2010;23:354–362.