Altered State

Publication Title: 
Schmerz (Berlin, Germany)

BACKGROUND: The regular update of the guidelines on fibromyalgia syndrome, AWMF number 145/004, was scheduled for April 2017. METHODS: The guidelines were developed by 13 scientific societies and 2 patient self-help organizations coordinated by the German Pain Society. Working groups (n =8) with a total of 42 members were formed balanced with respect to gender, medical expertise, position in the medical or scientific hierarchy and potential conflicts of interest.

Langhorst, J.
Heldmann, P.
Henningsen, P.
Kopke, K.
Krumbein, L.
Lucius, H.
Winkelmann, A.
Wolf, B.
Häuser, W.
Publication Title: 

Introduction Despite empirical evidence for the efficacy of body-oriented yoga as add-on treatment for major depressive disorder (MDD), the specific mechanisms by which yoga leads to therapeutic changes remain unclear. By means of a systematic review, we evaluate how the field is progressing in its empirical investigation of mechanisms of change in yoga for MDD. Methods To identify relevant studies, a systematic search was conducted.

Meister, K.
Juckel, G.
Publication Title: 
Sleep Medicine Reviews

Restless legs syndrome (RLS) is defined as an irresistible urge to move the legs, which is usually accompanied by paresthesias or dysesthesias at least twice weekly, and affects 2%-4% of adults in Europe and North America. This systematic review assesses the current complementary and alternative options for RLS and the potential benefits of those treatments on sleep quality, mood disorder, and quality of life. A systematic search of the PubMed, Embase, Cochrane, and Web of Science databases was conducted.

Xu, Xiao-Min
Liu, Yang
Jia, Shi-Yu
Dong, Mei-Xue
Cao, Du
Wei, You-Dong
Publication Title: 
The American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association

This article is the first part of a systematic review of evidence for the effectiveness of cancer rehabilitation interventions within the scope of occupational therapy that address the activity and participation needs of adult cancer survivors. This article focuses on the importance of physical activity and symptom management. Strong evidence supports the use of exercise for cancer-related fatigue and indicates that lymphedema is not exacerbated by exercise.

Hunter, Elizabeth G.
Gibson, Robert W.
Arbesman, Marian
D'Amico, Mariana
Publication Title: 
International Journal of Geriatric Psychiatry

BACKGROUND: There is considerable literature on managing depression, burden and psychological morbidity in caregivers of people with dementia (CG). Anxiety has been a relatively neglected outcome measure but may require specific interventions. OBJECTIVE: To synthesise evidence regarding interventions that reduce anxiety in CGs. METHODS: Twenty-four studies met our inclusion criteria. We rated the methodology of studies, and awarded grades of recommendation (GR) for each type of intervention according to Centre for Evidence Based Medicine guidelines, from A (highest level of evidence) to D.

Cooper, Claudia
Balamurali, T. B. S.
Selwood, Amber
Livingston, Gill
Publication Title: 
The American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association

OBJECTIVE: We reviewed the efficacy of occupational therapy-related interventions for adults with rheumatoid arthritis. METHOD: We examined 51 Level I studies (19 physical activity, 32 psychoeducational) published 2000-2014 and identified from five databases. Interventions that focused solely on the upper or lower extremities were not included. RESULTS: Findings related to key outcomes (activities of daily living, ability, pain, fatigue, depression, self-efficacy, disease symptoms) are presented. Strong evidence supports the use of aerobic exercise, resistive exercise, and aquatic therapy.

Siegel, Patricia
Tencza, Melissa
Apodaca, Beverly
Poole, Janet L.
Publication Title: 
Current Rheumatology Reviews

Osteoarthritis of the knee is a major cause of disability among adults worldwide. Important treatment options include nonpharmacologic therapies, and especially symptom management strategies in which patients take an active role. Among these, mind-body therapies may have particular promise for alleviating the distressful symptoms associated with osteoarthritis of the knee. However, systematic reviews are lacking.

Selfe, Terry Kit
Innes, Kim E.
Publication Title: 
Complementary Therapies in Medicine

OBJECTIVES: Vasomotor symptoms (VMS), commonly reported during menopausal transition, negatively affect psychological health and health-related quality of life (HRQoL). While hormone therapy is an effective treatment, its use is limited by concerns about possible harms. Thus, many women with VMS seek nonhormonal, nonpharmacologic treatment options. However, evidence to guide clinical recommendations is inconclusive. This study reviewed the effectiveness of yoga, tai chi and qigong on vasomotor, psychological symptoms, and HRQoL in peri- or post-menopausal women.

Shepherd-Banigan, M.
Goldstein, K. M.
Coeytaux, R. R.
McDuffie, J. R.
Goode, A. P.
Kosinski, A. S.
Van Noord, M. G.
Befus, D.
Adam, S.
Masilamani, V.
Nagi, A.
Williams, J. W.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: This review supersedes the original Cochrane review first published in 2008 (Huertas-Ceballos 2008).Between 4% and 25% of school-aged children complain of recurrent abdominal pain (RAP) severe enough to interfere with their daily activities. No organic cause for this pain can be found on physical examination or investigation for the majority of such children. Although many children are managed by reassurance and simple measures, a large range of psychosocial interventions involving cognitive and behavioural components have been recommended.

Abbott, Rebecca A.
Martin, Alice E.
Newlove-Delgado, Tamsin V.
Bethel, Alison
Thompson-Coon, Joanna
Whear, Rebecca
Logan, Stuart
Publication Title: 
Complementary Therapies in Medicine

OBJECTIVE: To evaluate the scientific evidence on guggul for hyperlipidemia including expert opinion, folkloric precedent, history, pharmacology, kinetics/dynamics, interactions, adverse effects, toxicology, and dosing. METHODS: Electronic searches were conducted in nine databases, 20 additional journals (not indexed in common databases), and bibliographies from 50 selected secondary references. No restrictions were placed on language or quality of publications.

Ulbricht, Catherine
Basch, Ethan
Szapary, Philippe
Hammerness, Paul
Axentsev, Serguei
Boon, Heather
Kroll, David
Garraway, Levi
Vora, Mamta
Woods, Jen
Natural Standard Research Collaboration


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