Use of Integrative Medicine in the United States Military Health System.

Use of Integrative Medicine in the United States Military Health System. Evid Based Complement Alternat Med. 2017;2017:9529257 Authors: Madsen C, Vaughan M, Koehlmoos TP Abstract Integrative medicine (IM) is a model of care which uses both conventional and nonconventional therapies in a "whole person" approach to achieve optimum mental, physical, emotional, spiritual, and environmental health, and is increasingly popular among patients and providers seeking to relieve chronic or multifactorial conditions. The US Department of Defense (DoD) shows particular interest in and usage of IM for managing chronic conditions including the signature "polytrauma triad" of chronic pain, traumatic brain injury (TBI), and posttraumatic stress disorder (PTSD) among its beneficiaries in the Military Health System (MHS). These modalities range from conventional nondrug, nonsurgical options such as cognitive-behavioral therapy to nonconventional options such as acupuncture, chiropractic, and mind-body techniques. These are of particular interest for their potential to relieve symptoms without relying on opiates, which impair performance and show high potential for abuse while often failing to provide full relief. This review describes the use of IM in the MHS, including definitions of the model, common therapies and potential for use, and controversy surrounding the practice. More research is needed to build a comprehensive usage analysis, which in turn ...
Source: Evidence-based Complementary and Alternative Medicine - Category: Complementary Medicine Tags: Evid Based Complement Alternat Med Source Type: research

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CONCLUSIONS: The nature and duration of symptoms exhibited by veterans may be associated with their experience of heightened risks. Exposure to severe or prolonged trauma seems to be associated with chronic multi-symptom illness, symptoms of post-traumatic stress and somatic expressions of pain that may delay or complicate the recovery process. PMID: 29925460 [PubMed - as supplied by publisher]
Source: Psychological Medicine - Category: Psychiatry Authors: Tags: Psychol Med Source Type: research
Conditions:   Chronic Pain;   Depression;   PTSD;   Injuries;   Illness, Chronic;   Physical Disability Intervention:   Behavioral: Resilience and Well-Being Program Sponsor:   VA Puget Sound Health Care System Recruiting
Source: - Category: Research Source Type: clinical trials
In Reply Drs Roth and Hofmann comment on how motivational factors may have influenced the outcomes of our recent randomized clinical trial comparing prolonged exposure therapy with present-centered therapy in active duty military with PTSD. We agree that motivational factors are important and may help explain the more modest outcomes observed for prolonged exposure and other evidence-based PTSD treatments in military personnel compared with civilians. Other reasons may include the repeated and yet varied nature of military combat trauma, the type of trauma, the use of multiple medications, and comorbid conditions such as h...
Source: JAMA - Category: General Medicine Source Type: research
We, the pediatricians and pediatric nurse practitioners of Pediatric Health Associates, take seriously our mission to care for children ’s health. We deeply value the relationships that we form over time with our patients and their families. We are honored to serve as primary care pediatricians for our communities by offering families guidance about normal growth and development of childhood and adolescence, emphasizing preventive care and health maintenance, and supporting and caring for children and their families through periods of acute or chronic illness, disability, or injury.We are dedicated to supporting, pro...
Source: Pediatric Health Associates - Category: Pediatrics Source Type: news
Have you ever heard of the term biofeedback, or read it somewhere and wondered what it actually was? Biofeedback is a technique that involves using visual or auditory feedback to gain control over our involuntary bodily functions, or functions we don’t even think about consciously on a daily basis. This may include gaining voluntary control over such things as heart rate, muscle tension, blood flow, pain perception and blood pressure. The ultimate goal is to help you improve your well-being and quality of life. During a biofeedback session, electrodes are attached to your skin, and therefore they are non-invasive. Fi...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Brain and Behavior Mental Health and Wellness Stress Treatment Biofeedback stress reduction Source Type: blogs
CONCLUSIONS: mTBI is strongly associated with pain intensity and pain interference in this sample. However, the effect appears to be mediated by other common mTBI comorbidities: PTSD, depression, anxiety and sleep disturbance. PMID: 29883191 [PubMed - as supplied by publisher]
Source: Brain Injury - Category: Neurology Tags: Brain Inj Source Type: research
CONCLUSIONS: Although differences in characteristics exist which were not adjusted for, participants with historical mTBI have greater symptomatology and life functioning difficulties compared with non-TBI. Performance measures were less dissimilar between groups. These findings will guide further research within this accruing cohort. PMID: 29851515 [PubMed - as supplied by publisher]
Source: Brain Injury - Category: Neurology Tags: Brain Inj Source Type: research
BACKGROUND: Chronic pain conditions and posttraumatic stress disorder (PTSD) commonly co-occur and are associated with opioid use disorder (OUD). The aims of this paper were to identify prevalence estimates of OUD among individuals with and without PTSD an...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
A history of trauma, including sexual assault, increases risk for several serious mental health and chronic medical conditions in women, a nearly 400-person study suggests.Medscape Medical News
Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: Psychiatry News Source Type: news
CONCLUSIONS: The results of the study show that fibromyalgic patients with PTSD report more potentially traumatic events, avoidance symptoms, numbing, arousal, maladaptive coping and personality characteristics compared to patients with partial or without PTSD; these results could indicate that loss and/or trauma events represent a risk factor for the development of symptoms of FM in genetically predisposed individuals. PMID: 29745889 [PubMed - as supplied by publisher]
Source: Clinical and Experimental Rheumatology - Category: Rheumatology Tags: Clin Exp Rheumatol Source Type: research
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