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reply from zaritaHi Krystal, when looking for information about the safety, effectiveness, and possible side effects of different CAM therapies, one excellent resource is the National Center for Complementary and Integrative Health (NCCIH). To better inform patients, their studies have shown the pros and cons of herbal supplements, allowing them to make informed decisions about these potentially dangerous medicines. For example, the antidepressant and birth control pill St. John’s Wort can have serious interactions with one another, increasing the risk of adverse effects or decreasing the effectiveness of both drugs. It’s crucial for both patients and providers to leverage resources like the NCCIH to assess the efficacy and safety of CAM practices. These platforms can help reduce the risks associated with unregulated products and allow for informed decision-making
Reference
National Center for Complementary and Integrative Health. (n.d.). Complementary, alternative, or integrative health: What’s in a name
Reply from FRANCISCO
Hi Krystal,
I had a similar worry to yours about CAM treatments not being safe or having little to no data behind them. However, with some research, I found that many CAMs tend to be light physical activity. One study found that CAM therapies are generally safe and also effective (CAM, 2024). Safe activities included yoga and meditation. Data is limited and time will tell if more research can help support these early findings.
Reference
Complementary and alternative medicine. (2024). National Cancer Institute. https://www.cancer.gov/about-cancer/treatment/cam
Reply from Nallely
Stress is an evident psychophysiological impact on our health. In the medical field, stress is an ongoing factor that can often leave to burn out and ultimately pour into our personal lives. Stress can occur at different levels and has different signs. Some of the psychophysiological impacts include triggering the autonomic nervous system in fight or flight response (Schneiderman et al., 2005). Our fight or flight response can include increased heart rate, rapid breathing, and sweating. In addition, stress can lead to anxiety, adrenaline, and even illness. In evidence-based stress management intervention that apply to clinical practice are relaxation techniques. One of the relaxation techniques that I utilize is deep breathing exercises. I personally use this technique and educate my patients on it for their anxiety, anger, and overall stress. Deep breathing exercises assist with tachycardia and rapid breathing to decrease the stress in the moment. Studies have shown how breathing practices impact the autonomic nervous system which can lead to a reduction in stress (Bentley et al., 2023). Overall, breathing exercises can be utilized in any given moment without required equipment and gives a moment of relaxation while decreasing increased vital signs.
Reference
Bentley, T. G. K., D’Andrea-Penna, G., Rakic, M., Arce, N., LaFaille, M., Berman, R., Cooley, K., & Sprimont, P. (2023). Breathing Practices for Stress and Anxiety Reduction: Conceptual Framework of Implementation Guidelines Based on a Systematic Review of the Published Literature. Brain sciences, 13(12), 1612. https://doi.org/10.3390/brainsci1312161Links to an external site.
Schneiderman, N., Ironson, G., & Siegel, S. D. (2005). Stress and health: psychological, behavioral, and biological determinants. Annual review of clinical psychology, 1, 607–628. https://doi.org/10.1146/annurev.clinpsy.1.102803.1.
Reply from Gholamreza
Stress has profound psychophysiological impacts, influencing both mental and physical health. Psychophysiological aspects of stress include the activation of the hypothalamic-pituitary-adrenal (HPA) axis, which leads to the release of cortisol, a stress hormone that affects various bodily functions such as metabolism, immune response, and brain function (McEwen, 2019). Chronic stress can result in elevated cortisol levels, contributing to conditions such as hypertension, cardiovascular diseases, and mental health disorders like anxiety and depression.
In clinical practice, evidence-based stress management interventions include mindfulness-based stress reduction (MBSR), cognitive-behavioral therapy (CBT), and relaxation techniques such as deep breathing and progressive muscle relaxation. MBSR has been shown to reduce stress and improve psychological well-being by enhancing mindfulness and reducing rumination (Khoury et al., 2015). CBT helps patients reframe negative thought patterns and develop coping strategies, effectively reducing symptoms of stress and anxiety. Relaxation techniques can decrease physiological arousal, promoting relaxation and reducing stress-related symptoms. These interventions are effective in managing stress, improving patients’ overall health and quality of life.
References
Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., Chapleau, M. A., Paquin, K., & Hofmann, S. G. (2015). Mindfulness-based therapy: A comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763-771.
McEwen, B. S. (2019). Stressed or stressed out: What is the difference? Journal of Psychiatry & Neuroscience, 30(5), 315-318.
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