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Journal of Neurology

, Volume 257, Issue 11, pp 1822–1831 | Cite as

Complementary and alternative medicine use among US adults with common neurological conditions

  • Rebecca Erwin WellsEmail author
  • Russell S. Phillips
  • Steven C. Schachter
  • Ellen P. McCarthy
Original Communication

Abstract

Our objective was to determine patterns, reasons for, and correlates of complementary and alternative medicine (CAM) use in US adults with common neurological conditions. We compared CAM use between adults with and without common neurological conditions (regular headaches, migraines, back pain with sciatica, strokes, dementia, seizures, or memory loss) using the 2007 National Health Interview Survey of 23,393 sampled US adults. Adults with common neurological conditions used CAM more frequently than those without (44.1 vs. 32.6%, p < 0.0001); differences persisted after adjustment. For each CAM modality, adults with common neurological conditions were more likely to use CAM than those without these conditions. Nearly half of adults with back pain with sciatica, memory loss, and migraines reported use of CAM. Mind/body therapies were used the most; alternative medical systems were used the least. Over 50% of adults with common neurological conditions who used CAM had not discussed their use with their health care provider. Those with neurological conditions used CAM more often than those without because of provider recommendation, or because conventional treatments were perceived ineffective or too costly. Significant correlates of CAM use among adults with common neurological conditions include higher than high school education, anxiety in the prior year, living in the west, being a former smoker, and light alcohol use. CAM is used more frequently among adults with common neurological conditions than those without. More research on the efficacy of CAM use for common neurological conditions is warranted.

Keywords

Complementary and alternative medicine (CAM) Sciatic back pain Headaches Seizures Stroke Dementia 

Notes

Acknowledgments

Dr. Wells was supported by an institutional National Research Service Award Number T32AT000051 from the National Center for Complementary and Alternative Medicine (NCCAM) at the National Institutes of Health. Dr. Phillips was supported by a Mid-Career Investigator Award K24AT000589 and Dr. McCarthy was supported by R03AT002236, also from NCCAM. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Center for Complementary and Alternative Medicine or the National Institutes of Health.

Conflicts of interest statement

The authors declare that they have no conflict of interest.

References

  1. 1.
    Barnes PM, Powell-Griner E, McFann K, Nahin RL (2004) Complementary and alternative medicine use among adults: United States, 2002. Adv Data:1–19Google Scholar
  2. 2.
    Bertisch SM, Wee CC, Phillips RS, McCarthy EP (2009) Alternative mind-body therapies used by adults with medical conditions. J Psychosom Res 66:511–519CrossRefPubMedGoogle Scholar
  3. 3.
    Brunelli B, Gorson KC (2004) The use of complementary and alternative medicines by patients with peripheral neuropathy. J Neurol Sci 218:59–66CrossRefPubMedGoogle Scholar
  4. 4.
    Campbell JK, Penzien DB, Wall EM (2000) Evidence-based guidelines for migraine headache: behavioral and physical treatments. US Headache Consortium 2000Google Scholar
  5. 5.
    CDC National Center for Health Statistics (2007) national health interview survey 2007 survey description document ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/NHIS/2007/srvydesc.pdf. Accessed 8 January 2009
  6. 6.
    CDC National Center for Health Statistics (2008) national health interview survey 2007 imputed family income http://www.cdc.gov/NCHS/nhis/2007imputedincome.htm. Accessed 8 January 2009
  7. 7.
    Chou R, Huffman LH, American Pain Society, American College of Physicians (2007) Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med 147:492–504PubMedGoogle Scholar
  8. 8.
    Ernst E (2002) The risk-benefit profile of commonly used herbal therapies: Ginkgo, St. John’s Wort, Ginseng, Echinacea, Saw Palmetto, and Kava. Ann Intern Med 136:42–53PubMedGoogle Scholar
  9. 9.
    Farlow MR (2007) Alzheimer’s disease. In: Miller MF (ed) Continuum. Lippincott Williams & Wilkins, Hagerstown, pp 39–68Google Scholar
  10. 10.
    Health, United States 2007 (2007) http://www.cdc.gov/nchs/data/hus/hus07.pdf. Accessed 14 July 2009
  11. 11.
    Jallon P (2002) Epilepsy and epileptic disorders, an epidemiological marker? Contribution of descriptive epidemiology. Epileptic Disord 4:1–13PubMedGoogle Scholar
  12. 12.
    Jeret JS, Bluth M (2002) Stroke following chiropractic manipulation: report of 3 cases and review of the literature. Cerebrovasc Dis 13:210–213CrossRefPubMedGoogle Scholar
  13. 13.
    John PJ, Sharma N, Sharma CM, Kankane A (2007) Effectiveness of yoga therapy in the treatment of migraine without aura: a randomized controlled trial. Headache 47:654–661CrossRefPubMedGoogle Scholar
  14. 14.
    Konstantinou K, Dunn KM (2008) Sciatica: review of epidemiological studies and prevalence estimates. Spine (Phila Pa 1976) 33:2464–2472Google Scholar
  15. 15.
    Kushi LH, Fee RM, Folsom AR, Mink PJ, Anderson KE, Sellers TA (1997) Physical activity and mortality in postmenopausal women. JAMA 277:1287–1292CrossRefPubMedGoogle Scholar
  16. 16.
    Liow K, Ablah E, Nguyen JC, Sadler T, Wolfe D, Tran KD, Guo L, Hoang T (2007) Pattern and frequency of use of complementary and alternative medicine among patients with epilepsy in the midwestern United States. Epilepsy Behav 10:576–582CrossRefPubMedGoogle Scholar
  17. 17.
    Manheimer E, White A, Berman B, Forys K, Ernst E (2005) Meta-analysis: acupuncture for low back pain. Ann Intern Med 142:651–663PubMedGoogle Scholar
  18. 18.
    Miller MF, Bellizzi KM, Sufian M, Ambs AH, Goldstein MS, Ballard-Barbash R (2008) Dietary supplement use in individuals living with cancer and other chronic conditions: a population-based study. J Am Diet Assoc 108:483–494CrossRefPubMedGoogle Scholar
  19. 19.
    Paul SL, Srikanth VK, Thrift AG (2007) The large and growing burden of stroke. Curr Drug Targets 8:786–793CrossRefPubMedGoogle Scholar
  20. 20.
    Rasmussen BK (2001) Epidemiology of headache. Cephalalgia 21:774–777CrossRefPubMedGoogle Scholar
  21. 21.
    Ryan M, Johnson MS (2002) Use of alternative medications in patients with neurologic disorders. Ann Pharmacother 36:1540–1545CrossRefPubMedGoogle Scholar
  22. 22.
    Samuels N, Finkelstein Y, Singer SR, Oberbaum M (2008) Herbal medicine and epilepsy: proconvulsive effects and interactions with antiepileptic drugs. Epilepsia 49:373–380CrossRefPubMedGoogle Scholar
  23. 23.
    Santilli V, Beghi E, Finucci S (2006) Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion: a randomized double-blind clinical trial of active and simulated spinal manipulations. Spine J 6:131–137CrossRefPubMedGoogle Scholar
  24. 24.
    Schachter SC (2008) Complementary and alternative medical therapies. Curr Opin Neurol 21:184–189CrossRefPubMedGoogle Scholar
  25. 25.
    Schwartz CE, Laitin E, Brotman S, LaRocca N (1999) Utilization of unconventional treatments by persons with MS: is it alternative or complementary? Neurology 52:626–629PubMedGoogle Scholar
  26. 26.
    Shinto L, Yadav V, Morris C, Lapidus JA, Senders A, Bourdette D (2006) Demographic and health-related factors associated with complementary and alternative medicine (CAM) use in multiple sclerosis. Mult Scler 12:94–100CrossRefPubMedGoogle Scholar
  27. 27.
    Wahbeh H, Elsas SM, Oken BS (2008) Mind-body interventions: applications in neurology. Neurology 70:2321–2328CrossRefPubMedGoogle Scholar
  28. 28.
    Wasner M, Klier H, Borasio GD (2001) The use of alternative medicine by patients with amyotrophic lateral sclerosis. J Neurol Sci 191:151–154CrossRefPubMedGoogle Scholar
  29. 29.
    Yeh GY, Davis RB, Phillips RS (2006) Use of complementary therapies in patients with cardiovascular disease. Am J Cardiol 98:673–680CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Rebecca Erwin Wells
    • 1
    • 3
    Email author
  • Russell S. Phillips
    • 2
  • Steven C. Schachter
    • 3
  • Ellen P. McCarthy
    • 2
  1. 1.Division for Research and Education in Complementary and Integrative Medical Therapies, Osher Research Center, Harvard Medical School, Landmark Center401 Park Drive, Suite 22A-WestBostonUSA
  2. 2.Division of General Medicine and Primary Care, Department of MedicineBeth Israel Deaconess Medical Center, Harvard Medical SchoolBostonUSA
  3. 3.Department of NeurologyBeth Israel Deaconess Medical Center, Harvard Medical SchoolBostonUSA

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