Level of attitude toward complementary and alternative medicine among Iranian patients with multiple sclerosis.

  • Mohammad Hossein Harirchian Mail Department of Neurology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
  • Mohammad Ali Sahraian Department of Neurology, School of Medicine, Tehran University of Medical Sciences, Sina MS Center, Tehran, Iran.
  • Amir Hosseinkhani Department of Neurology, School of Medicine, Tehran University of Medical Sciences AND Iranian Center of Neurological Research, Tehran, Iran.
  • Nasibeh Amirzargar Department of Neurology, School of Medicine, Tehran University of Medical Sciences AND Iranian Center of Neurological Research, Tehran, Iran.
Keywords:
Alternative Medicine, Complementary Therapies, Multiple Sclerosis

Abstract

Background: Multiple sclerosis (MS) is an unpredictable neurological disease leading to severe disability in young adults.  The  majority of MS patients  use  complementary and     alternative medicine  (CAM)  as adjunct  to conventional  therapies.  This study  aimed  to  investigate the prevalence  of CAM utilization among  Iranian patients with MS and their attitude  toward the CAM usage.
Methods: A cross-sectional study was conducted on 119 definite MS patients referred to Tehran’s Imam Khomeini and Sina hospitals. A questionnaire was used to examine the association between   participants’  health-related factors and usage  of CAMs interventions.P value < 0.05 was considered statistically significant.
Results: Among the enrolled patients, 60% of the participants agreed with using CAM, 42% experienced  the usage of these treatments; out of whom 41% believed its efficiency and  18% reported exacerbation of symptoms. The mean  duration of disease diagnosis  and  mean  time from symptom onset  were both longer in users of CAM (P = 0.001). Most socio-demographic factors had no significant effect on the type of used CAM. However, Yoga was  significantly  more applied  in those with higher degree of education  (P = 0.002).
Conclusion: Regarding the widespread use of CAM by Iranian patients with MS, further researches  about  the safety  and  efficacy of  each  treatment  on  the  special outcomes  is recommended.

References

1. Olsen SA. A review of complementary and alternative medicine (CAM) by people with multiple sclerosis. Occup Ther Int 2009; 16(1): 57-70
2. Nylander A, Hafler DA. Multiple sclerosis. J Clin Invest 2012; 122(4): 1180-8
3. Samkoff LM, Goodman AD. Symptomatic management in multiple sclerosis. Neurol Clin 2011; 29(2): 449-63
4. Abedidni M, Habibi Saravi R, Zarvani A, Farahmand M. Epidemiologic study of multiple sclerosis in Mazandaran, Iran, 2007. J Mazandaran Univ Med Sci 2008; 18(66): 82-6.
5. Yadav V, Shinto L, Bourdette D. Complementary and alternative medicine for the treatment of multiple sclerosis. Expert Rev Clin Immunol 2010; 6(3): 381-95
6. Apel-Neu A, Zettl UK. Complementary and alternative medicine in multiple sclerosis. J Neurol 2008; 255(Suppl 6): 82-6
7. National Institute for Clinical Excellence. Multiple Sclerosis. Understanding NICE Guidance-Information for People with Multiple Sclerosis, Their Families and Carers, and The Public. London, UK: National Institute for Clinical Excellence; 2003.
8. Giveon SM, Liberman N, Klang S, Kahan E. A survey of primary care physicians' perceptions of their patients' use of complementary medicine. Complement Ther Med 2003; 11(4): 254-60.
9. Sirois FM, Gick ML. An investigation of the health beliefs and motivations of complementary medicine clients. Soc Sci Med 2002; 55(6): 1025-37 Sirois FM, Gick ML. An investigation of the health beliefs and motivations of complementary medicine clients. Soc Sci Med 2002; 55(6): 1025-37
10. Shinto L, Yadav V, Morris C, Lapidus JA, Senders A, Bourdette D. The perceived benefit and satisfaction from conventional and complementary and alternative medicine (CAM) in people with multiple sclerosis. Complement Ther Med 2005; 13(4): 264-72.
11. Salamonsen A, Launso L, Kruse TE, Eriksen SH. Understanding unexpected courses of multiple sclerosis among patients using complementary and alternative medicine: A travel from recipient to explorer. Int J Qual Stud Health Well -being 2010; 5.
12. Noseworthy JH, Lucchinetti C, Rodriguez M, Weinshenker BG. Multiple Sclerosis. N Engl J Med 2000; 343(13): 938-52.
13. Astin JA. Why patients use alternative medicine: results of a national study. JAMA 1998; 279(19): 1548-53.
14. Apel A, Greim B, Konig N, Zettl UK. Frequency of current utilisation of complementary and alternative medicine by patients with multiple sclerosis. J Neurol 2006; 253(10): 1331-6.
15. Mohr DC, Hart SL, Julian L, Cox D, Pelletier D. Association between stressful life events and exacerbation in multiple sclerosis: a meta-analysis. BMJ 2004; 328(7442): 731.
16. Skovgaard L, Bjerre L, Haahr N, Paterson C, Launso L, Boesen F, et al. An investigation of multidisciplinary complex health care interventions--steps towards an integrative treatment model in the rehabilitation of people with multiple sclerosis. BMC Complement Altern Med 2012; 12: 50.
17. Stoll SS, Nieves C, Tabby DS, Schwartzman R. Use of therapies other than disease-modifying agents, including complementary and alternative medicine, by patients with multiple sclerosis: a survey study. J Am Osteopath Assoc 2012; 112(1): 22-8.
18. Wapf V, Busato A. Patients' motives for choosing a physician: comparison between conventional and complementary medicine in Swiss primary care. BMC Complementary and Alternative Medicine 2007; 7(1): 41.
19. Marrie RA, Hadjimichael O, Vollmer T. Predictors of alternative medicine use by multiple sclerosis patients. Mult Scler 2003; 9(5): 461-6.
20. Ghafari S, Ahmadi F, Nabavi M, Anoshirvan K, Memarian R, Rafatbakhsh M. Effectiveness of applying progressive muscle relaxation technique on quality of life of patients with multiple sclerosis. J Clin Nurs 2009; 18(15): 2171-9.
21. Huntley A. A review of the evidence for efficacy of complementary and alternative medicines in MS. Int MS J 2006; 13(1): 5-12, 4.
22. Nayak S, Matheis RJ, Schoenberger NE, Shiflett SC. Use of unconventional therapies by individuals with multiple sclerosis. Clin Rehabil 2003; 17(2): 181-91.
23. Leong EM, Semple SJ, Angley M, Siebert W, Petkov J, McKinnon RA. Complementary and alternative medicines and dietary interventions in multiple sclerosis: what is being used in South Australia and why? Complement Ther Med 2009; 17(4): 216-23.
24. Shinto L, Yadav V, Morris C, Lapidus JA, Senders A, Bourdette D. Demographic and health-related factors associated with complementary and alternative medicine (CAM) use in multiple sclerosis. Mult Scler 2006; 12(1): 94-100.
25. Schwarz S, Knorr C, Geiger H, Flachenecker P. Complementary and alternative medicine for multiple sclerosis. Mult Scler 2008; 14(8): 1113-9.
26. Ben-Arye E, Karkabi S, Shapira C, Schiff E, Lavie O, Keshet Y. Complementary medicine in the primary care setting: Results of a survey of gender and cultural patterns in Israel. Gend Med 2009; 6(2): 384-97.
27. Berkman CS, Pignotti MG, Cavallo PF, Holland NJ. Use of Alternative Treatments by People with Multiple Sclerosis. Neurorehabil Neural Repair 1999; 13(4): 243-54.
28. Esmonde L, Long AF. Complementary therapy use by persons with multiple sclerosis: benefits and research priorities. Complement Ther Clin Pract 2008; 14(3): 176-84.
29. Bjelakovic G, Nikolova D, Gluud LL, Simonetti RG, Gluud C. Mortality in randomized trials of antioxidant supplements for primary and secondary prevention: systematic review and meta- analysis. JAMA 2007; 297(8): 842-57.
How to Cite
1.
Harirchian MH, Sahraian MA, Hosseinkhani A, Amirzargar N. Level of attitude toward complementary and alternative medicine among Iranian patients with multiple sclerosis. Curr J Neurol. 13(1):13-18.
Section
Special Articles