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Abstract:

Background: The use of Complementary and Alternative Medicines (CAM) has been reported by around half the patients undergoing medical treatment for chronic conditions. CAM use could be higher in people affected by bipolar disorders (BD). Some questions about CAM use in BD have not been investigated enough. We report here the results of an anonymous survey on CAM-use conducted among BD outpatients of two centers located in Argentina and Colombia. Methods: an anonymous self-survey was administrated to bipolar euthymic outpatients treated at each center. The survey included a self-report measure of adherence to psychiatric treatment and a modified version of CGI to asses satisfaction with the current treatment. Results: 200 patients completed the survey. Although samples differ in socio-economic profile, they do not differ in their reported CAM-usage (more than 40%). CAM-usage did not modify the adherence or satisfaction with the psychiatric treatment reported level. Thirty eight percent of those who were still resorting to CAM failed to inform it to their clinician. CAM-usage was rated as useful or very useful by 52% of patients. Limits: adherence to current medical treatment and satisfaction with current treatment were investigated by a self-reported instrument. Discussion: the prevalence of CAM usage found is similar to that of other studies. CAM usage seems to be ubiquitous, which takes to posit that a subgroup of patients may be in need of treatment with greater magical-religious components. Half of these patients were reluctant to disclose CAM use. Clinicians may need to consider coexistence between traditional treatments and CAM for these patients. © 2012 Elsevier B.V.

Registro:

Documento: Artículo
Título:Complementary and alternative medicines usage in bipolar patients from Argentina and Colombia: Associations with satisfaction and adherence to treatment
Autor:Strejilevich, S.A.; Sarmiento, M.J.; Scápola, M.; Gil, L.; Martino, D.J.; Gil, J.F.; Gómez-Restrepo, C.
Filiación:Favaloro University, Institute of Cognitive Neurology (INECO), Bipolar Disorders Program, Gurruchaga 2463 1 C, Congreso 2477 Dto D (1428), 1428 Buenos Aires, Capital Federal, Argentina
Institute of Cognitive Neurology (INECO), Buenos Aires, Argentina
Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia
Palabras clave:Alternative and complementary medicines; Bipolar disorders; Compliance; adult; alternative medicine; Argentina; article; bipolar disorder; bipolar I disorder; bipolar II disorder; Colombia; controlled study; disease association; female; health behavior; health survey; human; major clinical study; male; outpatient care; patient compliance; patient satisfaction; prevalence; priority journal; psychiatric treatment; psychoeducation; religion; self evaluation; self report; socioeconomics; traditional medicine; treatment failure; Adolescent; Adult; Argentina; Bipolar Disorder; Colombia; Complementary Therapies; Female; Health Care Surveys; Humans; Male; Middle Aged; Patient Compliance; Patient Satisfaction; Self Report; Young Adult
Año:2013
Volumen:149
Número:1-3
Página de inicio:393
Página de fin:397
DOI: http://dx.doi.org/10.1016/j.jad.2012.08.029
Título revista:Journal of Affective Disorders
Título revista abreviado:J. Affective Disord.
ISSN:01650327
CODEN:JADID
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_01650327_v149_n1-3_p393_Strejilevich

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Citas:

---------- APA ----------
Strejilevich, S.A., Sarmiento, M.J., Scápola, M., Gil, L., Martino, D.J., Gil, J.F. & Gómez-Restrepo, C. (2013) . Complementary and alternative medicines usage in bipolar patients from Argentina and Colombia: Associations with satisfaction and adherence to treatment. Journal of Affective Disorders, 149(1-3), 393-397.
http://dx.doi.org/10.1016/j.jad.2012.08.029
---------- CHICAGO ----------
Strejilevich, S.A., Sarmiento, M.J., Scápola, M., Gil, L., Martino, D.J., Gil, J.F., et al. "Complementary and alternative medicines usage in bipolar patients from Argentina and Colombia: Associations with satisfaction and adherence to treatment" . Journal of Affective Disorders 149, no. 1-3 (2013) : 393-397.
http://dx.doi.org/10.1016/j.jad.2012.08.029
---------- MLA ----------
Strejilevich, S.A., Sarmiento, M.J., Scápola, M., Gil, L., Martino, D.J., Gil, J.F., et al. "Complementary and alternative medicines usage in bipolar patients from Argentina and Colombia: Associations with satisfaction and adherence to treatment" . Journal of Affective Disorders, vol. 149, no. 1-3, 2013, pp. 393-397.
http://dx.doi.org/10.1016/j.jad.2012.08.029
---------- VANCOUVER ----------
Strejilevich, S.A., Sarmiento, M.J., Scápola, M., Gil, L., Martino, D.J., Gil, J.F., et al. Complementary and alternative medicines usage in bipolar patients from Argentina and Colombia: Associations with satisfaction and adherence to treatment. J. Affective Disord. 2013;149(1-3):393-397.
http://dx.doi.org/10.1016/j.jad.2012.08.029