El uso de las terapias alternativas y complementarias en población mexicana con trastornos depresivos y de ansiedad: Resultados de una encuesta en la Ciudad de México.

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Bibliographic Details
Title:	El uso de las terapias alternativas y complementarias en población mexicana con trastornos depresivos y de ansiedad: Resultados de una encuesta en la Ciudad de México.
Alternate Title:	The use of alternative and complementary therapies on the Mexican population with depressive and anxiety disorders: results of a survey in Mexico City.
Authors:	Gorn, Shoshana Berenzon¹ berenz@imp.edu.mx, Navarro, Sarahí Alanís¹, Solano, Nayelhi Saavedra¹
Source:	Salud Mental. mar2009, Vol. 32 Issue 2, p107-115. 9p. 6 Charts.
Subjects:	ALTERNATIVE medicine, AFFECTIVE disorders, MENTAL depression, HEALTH surveys, ANXIETY
Geographic Terms:	MEXICO City (Mexico), MEXICO
Abstract (English):	The use of therapeutic methods and assistance different from the officially recognized ones, in addition to self-care practices, has remained constant throughout history. The extensive interest in so-called alternative or complementary medicine (ACM) has occurred as a result of their growing use in various countries. International literature reports the growing use of alternative and/or complementary treatments by persons with emotional disorders, particularly depression or anxiety. Commonly mentioned alternatives include relaxation techniques, physical therapies, herbal treatment, chiropractice and spiritual healing. The National Survey on Psychiatric Epidemiology undertaken in Mexico (2002) reported that 6.5% of the individuals with affective disorders in the 12 months prior to the study used some kind of alternative medicine. This occurred in 7.3% of the individuals with anxiety disorders and 3.9% of those with disorders associated with substance use. Information from surveys conducted in Mexico City showed that from 18% to 20% of the individuals with depressive disorders, 18% had physical disorders and over a quarter of those with anxiety problems seek a solution to their suffering in various types of alternative medicine. The aim of this study is therefore to determine the therapeutic resources used by the population to treat emotional problems and to analyze the prevalence of these practices in individuals with anxiety or depressive disorders. Method The study was conducted on the inhabitants of six neighborhoods in Mexico City. They were all selected on the basis of the criteria established in a multi-stage, stratified random sample design. The stratification variable used was socio-economic level. The questionnaire included four sections: 1) socio-demographic characteristics; 2) use of 10 self-care and/or alternative service resources related to the presence of emotional disorder; 3) characteristics of the resources or services use and 4) prevalence of depressive and anxiety disorders. The ethical guidelines followed in this research included obtaining verbal informed consent and providing a clear explanation about the objectives of the research, and the way the dwelling and the persons were selected. The researchers stressed the interviewee's freedom to cancel the interview and guaranteed the confidential handling of the information. The diagnoses of mental disorders were obtained on the basis of the ICD-10 criteria. For the analysis of service use, the therapies were grouped into two categories, self care (home remedies, self-medication, physical activities, etc.) and alternative and/or complementary services (self-help groups, traditional Mexican medicine, clergy, etc.)..… [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	El uso de instancias asistenciales y terapéuticas diferentes a las oficialmente reconocidas, además de las prácticas de autocuidado, han mostrado su vigencia a lo largo de la historia. En la bibliografía nacional e internacional se reporta un creciente uso de medicinas alternativas y/o complementarias, principalmente entre personas con trastornos de depresión o ansiedad. Derivado de lo anterior, el objetivo del presente trabajo es conocer, mediante una encuesta en hogares, cuáles son los recursos terapéuticos y asistenciales que utiliza la población para tratar problemas emocionales, así como analizar la prevalencia de estas prácticas en personas con trastornos de ansiedad o depresión. Método La investigación se realizó entre los habitantes de seis colonias de la Ciudad de México. El trabajo de campo comprendió el periodo de agosto de 2006 a marzo de 2007. La selección de los entrevistados se hizo con un diseño muestral aleatorio estratificado y multietápico. La variable de estratificación fue el nivel socioeconómico. Originalmente se planteó la inclusión de tres niveles con el objetivo de hacer comparaciones entre ellos. Sin embargo, debido a la dificultad de acceder a la población de estrato alto, se seleccionaron colonias representativas de nivel socioeconómico bajo y medio alto. El instrumento estuvo conformado por cuatro secciones:1) datos sociodemográficos; 2) uso de diez recursos de autoatención y/o servicios alternativos ante la presencia de malestares emocionales; 3) características de los recursos o servicios utilizados y 4) prevalencia de trastornos depresivos y de ansiedad (a partir de los criterios del ICD-10). Entre los cuidados éticos se consideró el consentimiento informado de manera verbal y se enfatizó en la libertad del entrevistado para suspender la entrevista. Se aseguró el manejo confidencial de la información. Para el análisis del uso de servicios, las terapias se agruparon en dos categorías: prácticas de autocuidado (remedios caseros, automedicación, actividades físicas, etc.) y servicios alternativos y/o complementarios (grupos de autoayuda, medicina tradicional mexicana, consejeros espirituales, etc.). Resultados De las 361 personas entrevistadas, el 45.9% fueron hombres y el 54.1% mujeres. La media de edad fue de 45 años, el 54% representó al estrato medio-alto y el 46% al bajo. El 19.5% de la muestra cumplió los criterios diagnósticos de uno o más trastornos alguna vez en la vida (12.7% hombres y 25.1% mujeres)..… [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	The use of therapeutic methods and assistance different from the officially recognized ones, in addition to self-care practices, has remained constant throughout history. The extensive interest in so-called alternative or complementary medicine (ACM) has occurred as a result of their growing use in various countries. International literature reports the growing use of alternative and/or complementary treatments by persons with emotional disorders, particularly depression or anxiety. Commonly mentioned alternatives include relaxation techniques, physical therapies, herbal treatment, chiropractice and spiritual healing. The National Survey on Psychiatric Epidemiology undertaken in Mexico (2002) reported that 6.5% of the individuals with affective disorders in the 12 months prior to the study used some kind of alternative medicine. This occurred in 7.3% of the individuals with anxiety disorders and 3.9% of those with disorders associated with substance use. Information from surveys conducted in Mexico City showed that from 18% to 20% of the individuals with depressive disorders, 18% had physical disorders and over a quarter of those with anxiety problems seek a solution to their suffering in various types of alternative medicine. The aim of this study is therefore to determine the therapeutic resources used by the population to treat emotional problems and to analyze the prevalence of these practices in individuals with anxiety or depressive disorders. Method The study was conducted on the inhabitants of six neighborhoods in Mexico City. They were all selected on the basis of the criteria established in a multi-stage, stratified random sample design. The stratification variable used was socio-economic level. The questionnaire included four sections: 1) socio-demographic characteristics; 2) use of 10 self-care and/or alternative service resources related to the presence of emotional disorder; 3) characteristics of the resources or services use and 4) prevalence of depressive and anxiety disorders. The ethical guidelines followed in this research included obtaining verbal informed consent and providing a clear explanation about the objectives of the research, and the way the dwelling and the persons were selected. The researchers stressed the interviewee's freedom to cancel the interview and guaranteed the confidential handling of the information. The diagnoses of mental disorders were obtained on the basis of the ICD-10 criteria. For the analysis of service use, the therapies were grouped into two categories, self care (home remedies, self-medication, physical activities, etc.) and alternative and/or complementary services (self-help groups, traditional Mexican medicine, clergy, etc.)..… [ABSTRACT FROM AUTHOR]
ISSN:	01853325