Journal of Integrative and Complementary Medicine最新文献

Aim: This study was conducted to evaluate the effect of laughter yoga on blood glucose levels, disease perception, and perceived stress levels in patients with type 2 diabetes. Methods: The research is a randomized controlled trial with pretest-post-test control group. The population of the study was followed up with the diagnosis of type 2 diabetes mellitus (T2DM) in the endocrine outpatient clinics of a hospital in the western region of Turkey. The sample consisted of 100 patients (laughter yoga group = 50, control group = 50) determined by power analysis. Participants were assigned to each group through a process of simple randomization. Those in the laughter yoga group (LYG) participated in online eight laughter yoga sessions together with a diet program. The following statistical methods were used to evaluate data: percentage, mean and standard deviation, chi-square, independent-sample t test, and paired sample t test. Data collection was facilitated using a "Patient Identification Form," "The Brief Disease Perception Scale," and "The Perceived Stress Scale." Results: It was determined that the descriptive characteristics of the patients in the experimental and control groups were similar. According to the primary outcome, the postprandial blood glucose level of the patients in the LYG was (mean ± standard deviation [SD]: 98.17 ± 18.71) in the pretest; it decreased to (mean ± SD: 75.15 ± 9.65) in the post-test, and this difference was statistically significant (p < 0.001, effect size d: 1.628). While the mean blood glucose level of the patients in the control group was (mean ± SD: 102.17 ± 16.50) in the pretest, it increased to (Mean ± SD: 139.08 ± 15.65) in the post-test and this difference was statistically significant (p < 0.001, effect size d: 2.295). While the mean score of the Brief Disease Perception Scale post-test was (mean ± SD: 33.50 ± 4.51) points in the experimental group, it was (mean ± SD: 53.70 ± 4.15) points in the control group and the difference between them was statistically significant (p < 0.001). It was determined that the Perceived Stress Scale post-test mean score was (mean ± SD: 21.50 ± 4.54) points in the experimental group and (mean ± SD: 32.70 ± 4.15) points in the control group, and the difference between the groups was statistically significant (p < 0.001). It was determined that the negative illness perceptions and stress levels of the patients who applied laughter yoga were significantly reduced. Conclusion: Laughter yoga was found to reduce postprandial blood glucose levels, improve disease perception, and reduce stress levels in patients with T2DM.

Background: Although concussion symptoms often resolve within 4-6 weeks, for a minority of patients, persistent postconcussion symptoms (PPCS), such as headaches, fatigue, and mood disturbances, may continue for months or years following a head injury. Rehabilitation of this group-often female-is crucial for reducing health and gender disparities in concussion recovery. A recent report by the National Center for Complementary and Integrative Health showed that the use of complementary health approaches, such as yoga and meditation, has substantially increased in the last two decades. Little is known, however, about the acceptability of these approaches among female patients with concussion, who are most vulnerable to PPCS. This study evaluates the acceptability of a brain-injury-tailored yoga and meditation program for female patients with concussion. Methods: We conducted a cross-sectional survey of women in PINK Concussions, a social media support network for female patients with concussion. Along with demographic and concussion-related questions, participants were asked to elaborate on their interest/lack of interest. Data were analyzed subjectively using thematic analysis of open-text responses and objectively by text network analysis. Results: A total of 434 PINK Concussion members responded to the survey conducted from November 10 to 13, 2023, with 117 (27%) completing all questions. A majority (n = 97; 83%) expressed interest in the program, for reasons including prior yoga experience (n = 30), health/well-being benefits (n = 27), and balance/healing/mindfulness (n = 23). For participants who were not interested (n = 14; 12%), reasons included physical disabilities (n = 6), time constraints (n = 3), and enrollment in similar programs (n = 5). The text network analysis showed the central reason for participants' interest was "help," with connections to "exercise," "physical health," "mental health," "improving balance," and "feeling great." Conclusions: Most female patients with concussion in the PINK Concussion group were interested in a brain-injury-tailored yoga and meditation program, suggesting high acceptability for this group of patients with chronic concussion sequelae.

Objectives: This scoping review provides an overview of the current evidence base for trauma-informed yoga (TIY) for survivors of sexual, domestic, and interpersonal violence to document the spectrum of study designs, population and intervention characteristics, and associated results of TIY for trauma survivors. Methods: Authors utilized the scoping review methodology outlined by Arksey and O'Malley (2005). Pubmed and Scopus were searched initially conducted on August 16, 2022, and updated to include any new studies on March 25, 2025. Data extracted included study design, population characteristics, intervention specifics, and results. Authors devexbvgloped an innovative mnemonic to inform discussion of results: WELLNESS: Well-being; Empathy; Longevity (durability of therapeutic effect); Lessen trauma symptoms; Nurturing (self-compassion), Ease stress, Security, and Self-awareness). Results: The combined initial and updated literature searches yielded 4167 studies. Title and abstract screening netted 35 studies meeting review criteria. Full-text review netted 18 studies meeting criteria. Sexual, interpersonal, and domestic violence survivors who participated in TIY reported enhancement of physical and psychological function and well-being. Effects included increased sense of safety, self-compassion, personal growth, and self-regulation. Studies reported reduced depression, anxiety, negative thoughts, stress and trauma symptoms, and increased self-esteem; positive coping; improved relationships, better sleep and enhanced mindfulness; and sense of peace. Conclusion: TIY is beneficial to survivors of sexual, domestic, and interpersonal violence by promoting peaceful embodiment without retraumatization and enhancing affect regulation to decrease reactivity and agitation. The constellation of effects can improve the sequelae of trauma, and survivors may benefit from long-term TIY programming to ensure more robust improvement.

Purpose: This study evaluates the performance of large language models (LLMs) in the context of the Chinese National Traditional Chinese Medicine Licensing Examination (TCMLE). Materials and Methods: We compared the performances of different versions of Generative Pre-trained Transformer (GPT) and Enhanced Representation through Knowledge Integration (ERNIE) using historical TCMLE questions. Results: ERNIE-4.0 outperformed all other models with an accuracy of 81.7%, followed by ERNIE-3.5 (75.2%), GPT-4o (74.8%), and GPT-4 turbo (50.7%). For questions related to Western internal medicine, all models showed high accuracy above 86.7%. Conclusion: The study highlights the significance of cultural context in training data, influencing the performance of LLMs in specific medical examinations.

Objective: Capoeira is an Afro-Brasilian martial art as well as a music- and dance-based cultural practice. This article aims to establish a foundational framework for future research endeavors in the domain of Capoeira by conducting a comprehensive review of existing literature focused on the relationship between Capoeira and physical as well as mental health aspects. Methods: PubMed, PsychArticle, and Google Scholar were searched from January 01, 2012, until July 15, 2022. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Study selection and risk-of-bias judgments were performed by two authors independently. Only articles written in German or English language were eligible for this review. Geographical restrictions with regard to social status or gender were not made. Results: A total of 19 relevant studies meeting predetermined inclusion and exclusion criteria were identified for analysis. While robust studies specifically addressing the intersection of Capoeira and physical and mental health are currently lacking, this review reveals mixed findings. The impact of Capoeira on physical health (cardiovascular variables, flexibility, balance, bone density) appears inconclusive, contrasting with the more discernible positive effects observed on mental health outcomes (general health behavior/lifestyle, executive functions, conscious attention control, social skills, prosocial behavior, self-efficacy, self-confidence, resilience, anger, and aggressive behavior/aggression). Discussion: The concentration of studies within the Portuguese-speaking region raises the possibility of a geographic bias. Despite this limitation, this review suggests that Capoeira holds promise as a psychotherapeutic intervention. However, the need for further studies to establish its solid effectiveness is underscored. Conclusion: This review provides a synthesis of existing literature on Capoeira and its effects on physical and mental health. The observed trends warrant additional research, particularly in diverse geographic settings, to validate and extend our understanding of Capoeira's potential as a psychotherapeutic intervention.

Objectives: This study was conducted to bring psychedelic and biofield science into interdisciplinary dialogue and encourage scientific investigations of psychedelic therapy as a form of energy medicine. In thinking these two sites together, important resonances between both forms of therapy were highlighted which can help elucidate clearer therapeutic mechanisms across both therapies. Methods/Design: Comparative ethnographic methods and a repeated measures design were used to conduct this research over a period of 2 years. A total of 150 qualitative interviews with 135 participants present at psychedelic-assisted therapy retreats and 15 at biofield settings were conducted. All the participants belonged to different ethnic, racial, and religious backgrounds; age groups; and reported differing levels of illness and health. The data (ethnographer's field notes, audio and video archives, as well as background research conducted on each of the field sites) was then transcribed and collated, and resonant themes were highlighted. Interventions: The research was conducted at wellness retreat spaces in the Netherlands and in Mexico; across entheogenic substances such as ayahuasca/yage, psilocybin-containing mushrooms, as well as psilocybin-containing truffles; and in biofield settings in the United States and Europe that included practices such as Reiki. Results/Findings: Based on 2 years of ethnographic research at psychedelic-assisted therapy retreats and in biofield settings, this article proffers that interdisciplinary dialogue between both forms of therapy is vital in understanding intention and attention as temporally and conceptually distinct categories with divergent healing effects. The research also demonstrates intention and attention as embodied phenomenon as opposed to mental acts. Conclusions: Intention and attention are conceptually and temporally distinct embodied phenomenon, and these differences can be best understood through an interdisciplinary study across psychedelic and biofield therapies. Scientists studying these topics should take these distinctions into account to be able to more accurately understand healing mechanisms across both forms of therapy.

Introduction: Survivors from racially and ethnically diverse backgrounds tend to experience cancer-related fatigue (CRF) at higher rates than non-Hispanic Whites (NHWs), often leading to a decline in quality of life (QOL). It is crucial to consider the impact their marginalized identities have on cancer outcomes. Although yoga has shown promise as a supportive intervention for CRF and QOL, existing research has largely centered on NHW populations. This study seeks to evaluate the impact of yoga on CRF and QOL among racially and ethnically diverse survivors and compare outcomes with NHW survivors. Methods: This study used data from two randomized controlled trials (RCTs; n = 1,153) examining a 4-week Yoga for Cancer Survivors (YOCAS) intervention designed to address insomnia in survivors. YOCAS integrates elements of gentle Hatha and Restorative Yoga, featuring breathing techniques, mindful movement, and posture alignment, for 150 min each week for 4 weeks. Survivors were eligible if they (1) were age 21+, (2) were randomized to YOCAS^©®, (3) identified as Hispanic or a non-Hispanic person of color, and (4) provided evaluable data on the Functional Assessment for Chronic Illness Therapy-Fatigue and Functional Assessment for Cancer Therapy-General at pre- and postintervention. Results: Forty-nine participants were eligible (mean age = 53; 96% female; 79% stage 0-II cancer; 74% breast cancer). Participants reported nonclinically meaningful improvements in overall CRF improvement (1.55, standard deviation [SD] = 14.67, p < 0.061), total QOL (3.04, SD = 0.055, p < 0.055), the emotional component of QOL (0.85, SD = 6.3, p < 0.061), and significant improvements in the physical component of QOL (1.32, SD = 7.0, p < 0.035). Session attendance averaged six out of eight sessions. Participants also engaged in an additional self-guided yoga practice at home each week. Most (86%) participants expressed that the program was beneficial in managing symptoms and indicated they would suggest it to survivors. Discussion: Findings suggest: (1) YOCAS^©® has the potential to alleviate fatigue and enhance QOL in racially and ethnically diverse survivors; (2) while participation rates remain modest, there is openness to yoga; and (3) diverse survivors are capable of completing a 4-week yoga program, report it as useful for controlling symptoms, and are likely to suggest it to survivors. Future research should include well-powered RCTs to verify YOCAS^©®'s effects on CRF and QOL in these populations.

Introduction: This scoping review evaluated the efficacy/effectiveness and utilization of complementary and integrative health (CIH) therapies for pain management within the Military Health System (MHS). Specifically, it aimed to assess evidence-based modalities such as acupuncture, biofeedback, hypnosis, massage therapy, meditation, guided imagery, Tai Chi/Qi Gong, and yoga, which are part of the Veterans Administration's (VA) Whole Health program. The goal was to determine their effectiveness in military service members and understand their utilization in the MHS, as well as explore CIH research in the MHS to identify gaps. Methods: A comprehensive search of PubMed, Embase, and Ovid All EBM Reviews databases was conducted for studies published from January 1, 2014 to March 22, 2024. The search focused on CIH therapies related to pain management in military populations, yielding 433 studies. After screening for eligibility, 53 studies were included for detailed review. Studies included randomized controlled trials, case studies, large database analyses, and retrospective chart reviews. Exclusion criteria eliminated nonpeer-reviewed articles, not pain-related, not related to one of the prespecified CIH modalities (acupuncture, biofeedback, hypnosis, massage therapy, meditation, guided imagery, Tai Chi/Qi Gong, and yoga), and those not specific to the MHS. The review did not address bias due to the heterogeneity of study designs included. Results: The review identified significant evidence supporting the use of CIH modalities for pain management. Acupuncture, particularly Battlefield Acupuncture, showed immediate reduction in pain score for both acute and chronic pain. Studies of massage therapy and biofeedback demonstrated efficacy/effectiveness in reducing pain and improving functional outcomes in various musculoskeletal and stress-related disorders. Meditation and yoga were shown to be effective for chronic pain, stress management, and enhancing overall well-being. Utilization data indicated a steady increase in CIH therapy use across military facilities. Discussion: CIH therapies, particularly acupuncture, massage therapy, and yoga, appear to be effective nonpharmacologic interventions for pain management in military populations. Their growing utilization reflects the recognition of their benefits in managing chronic pain and improving quality of life among service members. Further research is needed to standardize practices and optimize utilization across the MHS. Registration of Protocol: PROSPERO 2024 CRD4202453685, 29 April 2024, https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024536853.