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Complementary and Integrative Medicine for Neurocognitive Disorders and Caregiver Health

PURPOSE OF REVIEW: Integrative medicine is the practice of combining conventional medical treatments with “alternative” or “complementary” therapies. Integrative psychiatry is a holistic, person-centered approach to neuropsychiatric disorders that emphasizes a person’s physical, emotional, interpers...

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Autores principales: Nguyen, Sarah A., Oughli, Hanadi Ajam, Lavretsky, Helen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9411083/
https://www.ncbi.nlm.nih.gov/pubmed/35962927
http://dx.doi.org/10.1007/s11920-022-01355-y
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author Nguyen, Sarah A.
Oughli, Hanadi Ajam
Lavretsky, Helen
author_facet Nguyen, Sarah A.
Oughli, Hanadi Ajam
Lavretsky, Helen
author_sort Nguyen, Sarah A.
collection PubMed
description PURPOSE OF REVIEW: Integrative medicine is the practice of combining conventional medical treatments with “alternative” or “complementary” therapies. Integrative psychiatry is a holistic, person-centered approach to neuropsychiatric disorders that emphasizes a person’s physical, emotional, interpersonal, behavioral, nutritional, environmental, and spiritual dimensions to achieve well-being. Older adults are more prone to physical injury, interpersonal loss, chronic illnesses, and physical and cognitive decline that can manifest as anxiety, depression, with functional decline and inability to care for self. Additionally, stress of caring for older adults with dementia can adversely affect caregivers’ health. Although integrative approaches are perceived as safer and less stigmatizing, it is important to understand the risks and benefits of such therapies for older adults with neurocognitive disorders and their caregivers. RECENT FINDINGS: Here, we summarize the results of the recent clinical trials and meta-analyses that provide evidence for integrative approaches to treating older adults with cognitive disorders and their caregivers which include 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 effectiveness for cognitive disorders and caregiver stress. Vitamins and supplements are the most popular integrative intervention, but there is mixed evidence supporting their use and the concern for herb (supplement)-drug interactions. While there is increasing popularity of integrative treatments, 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 integrative interventions particularly for cognitive disorders and caregiver stress and well-being.
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spelling pubmed-94110832022-08-27 Complementary and Integrative Medicine for Neurocognitive Disorders and Caregiver Health Nguyen, Sarah A. Oughli, Hanadi Ajam Lavretsky, Helen Curr Psychiatry Rep Geriatric Disorders (JA Cheong, Section Editors) PURPOSE OF REVIEW: Integrative medicine is the practice of combining conventional medical treatments with “alternative” or “complementary” therapies. Integrative psychiatry is a holistic, person-centered approach to neuropsychiatric disorders that emphasizes a person’s physical, emotional, interpersonal, behavioral, nutritional, environmental, and spiritual dimensions to achieve well-being. Older adults are more prone to physical injury, interpersonal loss, chronic illnesses, and physical and cognitive decline that can manifest as anxiety, depression, with functional decline and inability to care for self. Additionally, stress of caring for older adults with dementia can adversely affect caregivers’ health. Although integrative approaches are perceived as safer and less stigmatizing, it is important to understand the risks and benefits of such therapies for older adults with neurocognitive disorders and their caregivers. RECENT FINDINGS: Here, we summarize the results of the recent clinical trials and meta-analyses that provide evidence for integrative approaches to treating older adults with cognitive disorders and their caregivers which include 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 effectiveness for cognitive disorders and caregiver stress. Vitamins and supplements are the most popular integrative intervention, but there is mixed evidence supporting their use and the concern for herb (supplement)-drug interactions. While there is increasing popularity of integrative treatments, 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 integrative interventions particularly for cognitive disorders and caregiver stress and well-being. Springer US 2022-08-13 2022 /pmc/articles/PMC9411083/ /pubmed/35962927 http://dx.doi.org/10.1007/s11920-022-01355-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Geriatric Disorders (JA Cheong, Section Editors)
Nguyen, Sarah A.
Oughli, Hanadi Ajam
Lavretsky, Helen
Complementary and Integrative Medicine for Neurocognitive Disorders and Caregiver Health
title Complementary and Integrative Medicine for Neurocognitive Disorders and Caregiver Health
title_full Complementary and Integrative Medicine for Neurocognitive Disorders and Caregiver Health
title_fullStr Complementary and Integrative Medicine for Neurocognitive Disorders and Caregiver Health
title_full_unstemmed Complementary and Integrative Medicine for Neurocognitive Disorders and Caregiver Health
title_short Complementary and Integrative Medicine for Neurocognitive Disorders and Caregiver Health
title_sort complementary and integrative medicine for neurocognitive disorders and caregiver health
topic Geriatric Disorders (JA Cheong, Section Editors)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9411083/
https://www.ncbi.nlm.nih.gov/pubmed/35962927
http://dx.doi.org/10.1007/s11920-022-01355-y
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