Use of Complementary and Alternative Medicine among adult patients for depression in Taiwan

J Affect Disord. 2008 Dec;111(2-3):360-5. doi: 10.1016/j.jad.2008.03.010. Epub 2008 Apr 28.

Abstract

Background: This descriptive exploratory study investigated the prevalence and type of Complementary and Alternative Medicine (CAM) use among older Taiwanese patients with a diagnosis of depression.

Method: Self-report questionnaire.

Results: A convenience sample of 206 in-patients (98% response rate) completed the survey. Nearly 70% (69.9%) reported using at least one form of CAM in the past 12 months. Twenty-one kinds of CAM were identified in the treatment of depression, the most common being herbal medicines, spiritual healing, and folk remedies. Only one-third (35.4%, n=73) had discussed CAM use with their psychiatrists. Participants with mild to moderate depression tended to use more CAM than participants with severe depression (GDS-SF: Cramer's V=-.233; HDRS: Cramer's V=.201).

Conclusions: This study confirms the high prevalence of CAM use among older adults with a diagnosis of depression in Taiwan. The popularity of CAM appears to be a consequence of people's preference for a more holistic approach to health care. CAM use needs to be explicitly discussed between patients and health professionals as part of ongoing assessment, patient education and management.

Publication types

  • Comparative Study

MeSH terms

  • Age Factors
  • Aged
  • Antidepressive Agents / therapeutic use
  • Asian People / psychology*
  • Asian People / statistics & numerical data
  • Attitude to Health
  • Combined Modality Therapy
  • Complementary Therapies* / statistics & numerical data
  • Depressive Disorder / diagnosis
  • Depressive Disorder / epidemiology
  • Depressive Disorder / therapy*
  • Depressive Disorder, Major / diagnosis
  • Depressive Disorder, Major / epidemiology
  • Depressive Disorder, Major / therapy
  • Female
  • Holistic Health
  • Hospitalization
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Taiwan / epidemiology

Substances

  • Antidepressive Agents