Homeopathic medical practice for anxiety and depression in primary care: the EPI3 cohort study

BMC Complementary and Alternative Medicine

Research Article

Gerard Duru¹  Michel Rossignol²  Anne-Marie Magnier³  Jacques Massol⁴  France Lert⁵  Bernard Begaud⁶  Lucien Abenhaim⁷  Bernard Avouac⁸  Lamiae Grimaldi-Bensouda⁹  Didier Guillemot^1,10  Frederic Rouillon^1,11 

[1] Cyklad group, 16 Rue André Le Nôtre, 69140, Rillieux-la-Pape, France;Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Purvis Hall, 1020 Pine Avenue West, H3A 1A2, Montreal, QC, Canada;Faculty of Medicine, University Pierre and Marie Curie, 4 Place Jussieu, 75005, Paris, France;Faculty of Medicine, University of Franche Comté, 9 Rue Ambroise Paré, 25000, Besançon, France;INSERM U1018, Centre for Epidemiology and Population Health, Hôpital Paul Brousse, Bât 15/16, 16 Avenue Paul Vaillant Couturier, 94807, Villejuif, France;INSERM U657, University Victor Segalen Bordeaux 2, 146 rue Léo Saignat, 33076, Bordeaux, France;LA-SER Europe Limited, 66 Chiltern St, W1U 4JT, London, UK;Department of Epidemiology, London School of Hygiene & Tropical Medicine, Keppel St, WC1E 7HT, London, Bloomsbury, UK;LA-SER, 10 place de Catalogne, 75014, Paris, France;LA-SER, 10 place de Catalogne, 75014, Paris, France;Conservatoire national des arts et métiers (CNAM), 292 Rue Saint-Martin, 75003, Paris, France;Pasteur Institute, 28 rue du Docteur Roux, 75015, Paris, France;University of Paris-île-de-France-Ouest, 9 boulevard d’Alembert 78280, Guyancourt, France;Sainte-Anne Hospital, University of Paris V René Descartes, 100 rue de la Santé, 75674, Paris, France;

关键词: Anxiety;    Depression;    Homeopathy;    Primary care;   

DOI  :  10.1186/s12906-016-1104-2

 received in 2014-11-02, accepted in 2016-04-24,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThe purpose of the study was to compare utilization of conventional psychotropic drugs among patients seeking care for anxiety and depression disorders (ADDs) from general practitioners (GPs) who strictly prescribe conventional medicines (GP-CM), regularly prescribe homeopathy in a mixed practice (GP-Mx), or are certified homeopathic GPs (GP-Ho).MethodsThis was one of three epidemiological cohort studies (EPI3) on general practice in France, which included GPs and their patients consulting for ADDs (scoring 9 or more in the Hospital Anxiety and Depression Scale, HADS). Information on all medication utilization was obtained by a standardised telephone interview at inclusion, 1, 3 and 12 months.ResultsOf 1562 eligible patients consulting for ADDs, 710 (45.5 %) agreed to participate. Adjusted multivariate analyses showed that GP-Ho and GP-Mx patients were less likely to use psychotropic drugs over 12 months, with Odds ratio (OR) = 0.29; 95 % confidence interval (CI): 0.19 to 0.44, and OR = 0.62; 95 % CI: 0.41 to 0.94 respectively, compared to GP-CM patients. The rate of clinical improvement (HADS <9) was marginally superior for the GP-Ho group as compared to the GP-CM group (OR = 1.70; 95 % CI: 1.00 to 2.87), but not for the GP-Mx group (OR = 1.49; 95 % CI: 0.89 to 2.50).ConclusionsPatients with ADD, who chose to consult GPs prescribing homeopathy reported less use of psychotropic drugs, and were marginally more likely to experience clinical improvement, than patients managed with conventional care. Results may reflect differences in physicians’ management and patients’ preferences as well as statistical regression to the mean.

【 授权许可】

CC BY   
© Grimaldi-Bensouda et al. 2016