Prevalence and predictors of herbal medicine use in adults experiencing anxiety: A critical review of the literature

Erica McIntyre, Anthony Saliba, Karl Wiener, Jerome Sarris

Research output: Contribution to journalArticle

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Abstract

Objective: Anxiety disorders are the most prevalent group of mental health disorders. Having anxiety has been found to predict the use of CAM (including herbal medicines), and anxiety has been identified as one of the most common health problems treated with CAM. This review aims to: determine the prevalence rates of herbal medicine use in adults experiencing anxiety, and to identify and critically discuss the beliefs and attitudes that predict herbal medicine use in this cohort.
Method: A critical literature review was conducted. Studies that met the inclusion criteria were identified with a comprehensive search across a range of databases.
Results: Eight studies were found across four countries reporting the prevalence of herbal medicine use in people experiencing anxiety — use ranged from 2.39% to 22%. No studies were found that explored attitudes and beliefs as predictors of herbal medicine use in adults with anxiety specifically. Therefore, the criteria were expanded to include other cohorts. Seventeen cross-sectional studies were found, with only one of the studies measuring herbal medicine use specifically, and the remaining studies measuring herbal medicine use within the umbrella of CAM. Three main categories of beliefs and attitudes were identified: belief systems/philosophies, treatment beliefs and attitudes, and control and empowerment beliefs and attitudes.
Conclusions: Herbal medicines are being used to treat anxiety symptoms to varying degrees, with people experiencing worse anxiety symptoms using more herbal medicines. Future research on herbal medicine prevalence in adults with anxiety needs to be valid and comparable using standardized definitions and measures. It is hypothesized that personal control over health, satisfaction with the medical encounter and treatment outcome may be important predictors of herbal medicine use in adults with anxiety, and may help explain why those with more severe anxiety are using more herbal medicines. This is an important area for future research.
Original languageEnglish
Pages (from-to)38-48
Number of pages11
JournalAdvances in Integrative Medicine
Volume2
Issue number1
DOIs
Publication statusPublished - Apr 2015

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Herbal Medicine
Anxiety
Health
Anxiety Disorders
Mental Disorders
Mental Health
Cross-Sectional Studies
Databases

Cite this

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title = "Prevalence and predictors of herbal medicine use in adults experiencing anxiety: A critical review of the literature",
abstract = "Objective: Anxiety disorders are the most prevalent group of mental health disorders. Having anxiety has been found to predict the use of CAM (including herbal medicines), and anxiety has been identified as one of the most common health problems treated with CAM. This review aims to: determine the prevalence rates of herbal medicine use in adults experiencing anxiety, and to identify and critically discuss the beliefs and attitudes that predict herbal medicine use in this cohort.Method: A critical literature review was conducted. Studies that met the inclusion criteria were identified with a comprehensive search across a range of databases.Results: Eight studies were found across four countries reporting the prevalence of herbal medicine use in people experiencing anxiety — use ranged from 2.39{\%} to 22{\%}. No studies were found that explored attitudes and beliefs as predictors of herbal medicine use in adults with anxiety specifically. Therefore, the criteria were expanded to include other cohorts. Seventeen cross-sectional studies were found, with only one of the studies measuring herbal medicine use specifically, and the remaining studies measuring herbal medicine use within the umbrella of CAM. Three main categories of beliefs and attitudes were identified: belief systems/philosophies, treatment beliefs and attitudes, and control and empowerment beliefs and attitudes.Conclusions: Herbal medicines are being used to treat anxiety symptoms to varying degrees, with people experiencing worse anxiety symptoms using more herbal medicines. Future research on herbal medicine prevalence in adults with anxiety needs to be valid and comparable using standardized definitions and measures. It is hypothesized that personal control over health, satisfaction with the medical encounter and treatment outcome may be important predictors of herbal medicine use in adults with anxiety, and may help explain why those with more severe anxiety are using more herbal medicines. This is an important area for future research.",
keywords = "Anxiety disorders, Attitudes, Beliefs, Complementary medicine, Herbal medicine, Prevalence",
author = "Erica McIntyre and Anthony Saliba and Karl Wiener and Jerome Sarris",
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year = "2015",
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doi = "10.1016/j.aimed.2015.04.002",
language = "English",
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Prevalence and predictors of herbal medicine use in adults experiencing anxiety : A critical review of the literature. / McIntyre, Erica; Saliba, Anthony; Wiener, Karl; Sarris, Jerome.

In: Advances in Integrative Medicine, Vol. 2, No. 1, 04.2015, p. 38-48.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Prevalence and predictors of herbal medicine use in adults experiencing anxiety

T2 - A critical review of the literature

AU - McIntyre, Erica

AU - Saliba, Anthony

AU - Wiener, Karl

AU - Sarris, Jerome

N1 - Includes bibliographical references.

PY - 2015/4

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N2 - Objective: Anxiety disorders are the most prevalent group of mental health disorders. Having anxiety has been found to predict the use of CAM (including herbal medicines), and anxiety has been identified as one of the most common health problems treated with CAM. This review aims to: determine the prevalence rates of herbal medicine use in adults experiencing anxiety, and to identify and critically discuss the beliefs and attitudes that predict herbal medicine use in this cohort.Method: A critical literature review was conducted. Studies that met the inclusion criteria were identified with a comprehensive search across a range of databases.Results: Eight studies were found across four countries reporting the prevalence of herbal medicine use in people experiencing anxiety — use ranged from 2.39% to 22%. No studies were found that explored attitudes and beliefs as predictors of herbal medicine use in adults with anxiety specifically. Therefore, the criteria were expanded to include other cohorts. Seventeen cross-sectional studies were found, with only one of the studies measuring herbal medicine use specifically, and the remaining studies measuring herbal medicine use within the umbrella of CAM. Three main categories of beliefs and attitudes were identified: belief systems/philosophies, treatment beliefs and attitudes, and control and empowerment beliefs and attitudes.Conclusions: Herbal medicines are being used to treat anxiety symptoms to varying degrees, with people experiencing worse anxiety symptoms using more herbal medicines. Future research on herbal medicine prevalence in adults with anxiety needs to be valid and comparable using standardized definitions and measures. It is hypothesized that personal control over health, satisfaction with the medical encounter and treatment outcome may be important predictors of herbal medicine use in adults with anxiety, and may help explain why those with more severe anxiety are using more herbal medicines. This is an important area for future research.

AB - Objective: Anxiety disorders are the most prevalent group of mental health disorders. Having anxiety has been found to predict the use of CAM (including herbal medicines), and anxiety has been identified as one of the most common health problems treated with CAM. This review aims to: determine the prevalence rates of herbal medicine use in adults experiencing anxiety, and to identify and critically discuss the beliefs and attitudes that predict herbal medicine use in this cohort.Method: A critical literature review was conducted. Studies that met the inclusion criteria were identified with a comprehensive search across a range of databases.Results: Eight studies were found across four countries reporting the prevalence of herbal medicine use in people experiencing anxiety — use ranged from 2.39% to 22%. No studies were found that explored attitudes and beliefs as predictors of herbal medicine use in adults with anxiety specifically. Therefore, the criteria were expanded to include other cohorts. Seventeen cross-sectional studies were found, with only one of the studies measuring herbal medicine use specifically, and the remaining studies measuring herbal medicine use within the umbrella of CAM. Three main categories of beliefs and attitudes were identified: belief systems/philosophies, treatment beliefs and attitudes, and control and empowerment beliefs and attitudes.Conclusions: Herbal medicines are being used to treat anxiety symptoms to varying degrees, with people experiencing worse anxiety symptoms using more herbal medicines. Future research on herbal medicine prevalence in adults with anxiety needs to be valid and comparable using standardized definitions and measures. It is hypothesized that personal control over health, satisfaction with the medical encounter and treatment outcome may be important predictors of herbal medicine use in adults with anxiety, and may help explain why those with more severe anxiety are using more herbal medicines. This is an important area for future research.

KW - Anxiety disorders

KW - Attitudes

KW - Beliefs

KW - Complementary medicine

KW - Herbal medicine

KW - Prevalence

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DO - 10.1016/j.aimed.2015.04.002

M3 - Article

VL - 2

SP - 38

EP - 48

JO - Advances in Integrative Medicine

JF - Advances in Integrative Medicine

SN - 2212-9626

IS - 1

ER -