Emerging Complementary and Integrative Therapies for Geriatric Mental Health
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Geriatric Disorders (M Sajatovic and A Aftab, Section Editors)
Emerging Complementary and Integrative Therapies for Geriatric Mental Health Sarah A. Nguyen, MD Helen LAvretsky, MD, MS* Address * Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles; 760 Westwood Plaza, Los Angeles, CA, 90095, USA Email: [email protected]
* Springer Nature Switzerland AG 2020
This article is part of the Topical Collection on Geriatric Keywords Geriatric depression I Anxiety I Cognition I Complementary, alternative, integrative medicine
Abstract Purpose The use of complementary and integrative medicine (CIM) is on the rise among diverse populations of older adults in the USA. CIM is commonly perceived as safer, less expensive, and more culturally acceptable. There is a growing body of evidence to support the use of CIM, especially mind-body therapies, diet and nutritional supplements used for mental disorders of aging. Recent findings We summarize the results of the recent clinical trials and meta-analyses that provide the evidence for the role of CIM in treating older adults with mood or cognitive disorders that includes the use of diet and supplements, and mind-body therapies. Summary Dietary and mind-body therapies have become increasingly popular and show the strongest evidence of efficacy for mood and cognitive disorders. Although the use of vitamins and supplements is the most popular CIM practice, only mixed evidence supports their use with additional concerns for herb (supplement)-drug interactions. Despite increasing use of CIM by the general population, information to guide clinicians providing care for older adults remains limited with variable scientific rigor of the available RCTs for a large number of commonly used CIM interventions for the mental health of older adults.
Geriatric Disorders (M Sajatovic and A Aftab, Section Editors)
Introduction Acceptance and use of complementary and integrative medicine (CIM) therapies is growing, especially among the Baby Boomers cohort born in 1946– 1964, and later birth cohorts [1]. CIM has been widely used in many different cultures dating back to the eighteenth century, starting with homeopathy and ancient healing traditions, such as Traditional Oriental Medicine (TOM) (e.g., Traditional Chinese Medicine (TCM), acupuncture, shiatsu, and reiki), Indian systems of healthcare (e.g., Ayurveda and yoga), and Native American healing practices (e.g., Sweat Lodge and Talking Circles). All integrative practices share the belief that wellbeing is a state of balance in the spheres encompassing the spiritual, physical, and mental/emotional functioning that can be achieved by leading a balanced healthy lifestyle ensured by proper nutrition, exercise, sleep habits, and the ability to regulate stress response via meditation or other mind-body practices. Because CIM is often considered to be a natural and safer option compared to conventional medicine in addressing common health conditions, these interventions
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