Evidence-Based Reviews

Complementary treatments for anxiety: Beyond pharmacotherapy and psychotherapy

Current Psychiatry. 2018 July;17(7):29-30,32,34-36

References

1. Kessler RC, Berglund P, Demler O, et al. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62(6):593-602.
2. Masand PS, Gupta S. Long-term side effects of newer-generation antidepressants: SSRIs, venlafaxine, nefazodone, bupropion, and mirtazapine. Ann Clin Psychiatry. 2002;14(3):175-182.
3. Siddiqui R, Gawande S, Shende T, et al. SSRI-induced coagulopathy: is it reality? Therapeutic Advances in Psychopharmacology. 2011;1(6):169-174.
4. Brambilla P, Cipriani A, Hotopf M, et al. Side-effect profile of fluoxetine in comparison with other SSRIs, tricyclic and newer antidepressants: a meta-analysis of clinical trial data. Pharmacopsychiatry. 2005;38(2):69-77.
5. Slomski A. Blended CBT controls anxiety in cancer survivors. JAMA. 2017;318(4):323.
6. Forsell E, Bendix M, Holländare F, et al. Internet delivered cognitive behavior therapy for antenatal depression: a randomised controlled trial. J Affect Disord. 2017;221:56-64.
7. Lilliengren P, Johansson R, Town JM, et al. Intensive Short-Term Dynamic Psychotherapy for generalized anxiety disorder: A pilot effectiveness and process-outcome study. Clin Psychol Psychother. 2017;24(6):1313-1321.
8. Furtado M, Katzman MA. Neuroinflammatory pathways in anxiety, posttraumatic stress, and obsessive compulsive disorders. Psychiatry Res. 2015;229(1-2):37-48.
9. Spielberger CD, Gorsuch RL, Lushene R, et al. Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press; 1983.
10. Saper RB, Eisenberg DM, Davis RB, et al. Prevalence and patterns of adult yoga use in the United States: results of a national survey. Altern Ther Health Med. 2004;10(2):44-49.
11. Farmer J. Americanasana. Reviews in American history. 2012;40(1):145-158.
12. Field T, Diego M, Delgado J, et al. Yoga and social support reduce prenatal depression, anxiety and cortisol. J Bodyw Mov Ther: 2013;17(4):397-403.
13. Jorge MP, Santaella DF, Pontes IM, et al. Hatha Yoga practice decreases menopause symptoms and improves quality of life: a randomized controlled trial. Complement Ther Med. 2016;26:128-135.
14. Pinar R, Afsar F. Back massage to decrease state anxiety, cortisol level, blood pressure, heart rate and increase sleep quality in family caregivers of patients with cancer: a randomised controlled trial. Asian Pac J Cancer Prev. 2015;16(18):8127-8133.
15. Kuriyama H, Watanabe S, Nakaya, et al. Immunological and psychological benefits of aromatherapy massage. Evid Based Complement Alternat Med. 2005;2(2):179-184.
16. Setzer WN. Essential oils and anxiolytic aromatherapy. Nat Prod Commun. 2009;4(9):1305-1316.
17. Wu JJ, Cui Y, Yang YS, et al. Modulatory effects of aromatherapy massage intervention on electroencephalogram, psychological assessments, salivary cortisol and plasma brain-derived neurotrophic factor. Complement Ther Med. 2014;22(3):456-462.
18. Fine A. Forward. In: Fine A, ed. Handbook on animal-assisted therapy-theoretical foundations and guidelines for practice. 3rd ed. Academic Press; 2010:xvii-xviii.
19. Snipelisky D, Burton MC. Canine-assisted therapy in the inpatient setting. South Med J. 2014;107(4):265-273.
20. Polheber JP, Matchock RL. The presence of a dog attenuates cortisol and heart rate in the Trier Social Stress Test compared to human friends. J Behav Med. 2014;37(5):860-867.
21. Liu T, Qiang X, eds. Chinese medical Qigong. Philadelphia, PA: Singing Dragon; 2013:1-100,192,238,511.
22. Lee MS, Kang CW, Lim HJ, et al. Effects of Qi-training on anxiety and plasma concentrations of cortisol, ACTH, and aldosterone: a randomized placebo-controlled pilot study. Stress Health. 2004;20(5):243-248.
23. Hwang EY, Chung SY, Cho JH, et al. Effects of a brief Qigong-based stress reduction program (BQSRP) in a distressed Korean population: a randomized trial. BMC Complement Altern Med. 2013;13:113.
24. Oleson, T. Overview and history of auriculotherapy. In: Auriculotherapy manual: Chinese and Western systems of ear acupuncture. 4th ed. London: Churchill Livingstone; 2014:1.
25. Kuo SY, Tsai SH, Chen SL, et al. Auricular acupressure relieves anxiety and fatigue, and reduces cortisol levels in post-caesarean section women: a single-blind, randomised controlled study. Int J Nurs Stud. 2016;53:17-26.
26. Horan P. Introduction. In: Horan P. Empowerment through reiki: the path to personal and global transformation. 8th ed. Twin Lakes, WI: Lotus Press; 1998:13-15.
27. Bremner MN, Blake BJ, Wagner VD, et al. Effects of reiki with music compared to music only among people living with HIV. J Assoc Nurses AIDS Care. 2016;27(5):635-647.
28. Helmes JM. The basic, clinical, and speculative science of acupuncture. In: Acupuncture energetics: a clinical approach for physicians. Volume 1. Berkeley, CA: Medical Acupuncture Publishers; 1995:19-32.
29. Haddad-Rodrigues M, Spanó Nakano A, Stefanello J, et al. Acupuncture for anxiety in lactating mothers with preterm infants: a randomized controlled trial. Evid Based Complement Alternat Med. 2013;2013:169184. doi: 10.1155/2013/169184.
30. Zengin S, Kabul S, Al B, et al. Effects of music therapy on pain and anxiety in patients undergoing port catheter placement procedure. Complement Ther Med. 2013;21(6):689-696.
31. Urech C, Fink NS, Hoesli I, et al. Effects of relaxation on psychobiological wellbeing during pregnancy: a randomized controlled trial. Psychoneuroendocrinology. 2010;35(9):1348-1355.
32. Goleman D. The relaxation response. In: Mind body medicine: how to use your mind for better health. Yonkers, NY: Consumer Reports; 1993:125-149.
33. Galvin JA, Benson H, Deckro GR, et al. The relaxation response: reducing stress and improving cognition in healthy aging adults. Complement Ther Clin Pract. 2006;12(3):186-191.

Reiki touch therapy

Reiki touch therapy originated in Japan. In this therapy, healers apply a light touch or hover their hands above an individual’s body to help direct energy.²⁶

The effects of reiki touch therapy were recently evaluated in a U.S. study.²⁷ Researchers randomly assigned 37 patients with human immunodeficiency virus to an experimental group that received 30 minutes of reiki touch therapy plus music therapy 6 times a week for 10 weeks, or to a music therapy–only control group. Patients who received reiki touch therapy had a significant decrease in STAI scores. Patients in this group also had a statistically significant drop in salivary cortisol levels after the first week.²⁷

Acupuncture

Acupuncture is the application of needles to specific areas on the body. Acupuncture has been proposed to activate pain receptors, thereby producing an analgesic response.²⁸

Researchers in Brazil randomly assigned 57 lactating women with preterm infants to an experimental group that received acupuncture or to a control group that received sham acupuncture.²⁹ Treatment was administered at 5 points on the ear unilaterally for 5 minutes once a week for 16 months. Custom-made needles that did not actually puncture the skin were used in the sham group; a toothpick was used to create the sensation of needle perforations. STAI scores were reduced in both groups, although there was no statistically significant difference in scores between the acupuncture and sham groups.²⁹

Music therapy

Music has been long believed to have beneficial psychological effects. In Turkey, researchers evaluated the effects of music therapy in 100 oncology patients who received port catheters.³⁰ Patients were randomly assigned to an experimental group that received music therapy throughout the procedure or to a control group that received normal care. Patients who listened to music during port catheter placement had significantly reduced STAI scores and serum cortisol levels compared with those in the control group.³⁰

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Complementary treatments for anxiety: Beyond pharmacotherapy and psychotherapy

References

Reiki touch therapy

Acupuncture

Music therapy

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