ДОПОВНЕННЯ ДО ЛІКУВАННЯ ТРИВОЖНИХ РОЗЛАДІВ: ІНТЕГРАЦІЯ ТРАДИЦІЙНИХ І НЕМЕДИКАМЕНТОЗНИХ ПІДХОДІВ
DOI:
https://doi.org/10.32782/2226-2008-2025-3-10Ключові слова:
тривожні розлади, когнітивно-поведінкова терапія, фармакотерапія, ароматерапія, фітотерапія, музична терапія, фізична активність, інтегроване лікуванняАнотація
У статті розглядаються тривожні розлади як одне з найпоширеніших психічних захворювань, яке значно впливає на фізичне здоров’я та якість життя людей. Фармакотерапія, хоч і є ефективною, часто має серйозні побічні ефекти, тому все більше пацієнтів звертаються до немедикаментозних методів лікування (таких як когнітивно-поведінкова терапія, ароматерапія з використанням ефірних олій, фітотерапія, музична терапія, фізична активність, йога та ін.). Матеріалами дослідження слугували дані метааналізів, рандомізованих контрольованих досліджень та оглядів літератури, що оцінювали вплив різних терапевтичних підходів на зниження тривожності з акцентом на оцінку ефективності, безпеки та можливостей інтеграції цих методів. Стаття підсумовує сучасні наукові дослідження та показує, що альтернативні підходи є перспективним напрямом для подальшого вивчення і застосування в клінічній практиці.
Посилання
Raventós B, Pistillo A, Reyes C, et al. Impact of the COVID-19 pandemic on diagnoses of common mental health disorders in adults in Catalonia, Spain: a population-based cohort study. BMJ open. 2022; 12 (4): e057866. doi: 10.1136/bmjopen-2021-057866.
Boiko DI, Skrypnikov AM, Shkodina AD, Hasan MM, Ashraf GM, Rahman MH. Circadian rhythm disorder and anxiety as mental health complications in post-COVID-19. Environ Sci Pollut Res Int. 2022; 29(19): 28062–28069. doi: 10.1007/s11356-021-18384-4.
Shlieienkova HO, Kulyk SА, Shevchenko NS, Cherkashyn MM, Golovina OV. Results of mental health screening of children who were forced to leave Ukraine in 2022. The Journal of V.N. Karazin Kharkiv National University. Series “Medicine”. 2024; 32(1(48)): 49–56. https://doi.org/10.26565/2313-6693-2024-48-05.
Lutsenko RV, Storozhenko OV, Sydorenko AG, Chechotina S.Yu, Lutsenko OA. The effect of 2-oxoindoline-3-glyoxylic acid derivatives on animals’ behavioral and autonomic reactions in the open field test. Egyptian Journal of Basic and Applied Sciences. 2023; 10(1): 537–544. doi.org/10.1080/2314808X.2023.2235853.
Lutsenko RV, Vlasova EV, Kolot EG, Gladka VM, Sidorenko AG. The exchange of monoamines during the experimental neurosis on the background of using of amide 2-hydroxy-n-naphthalen-1-yl-2-(2-oxo-,2-dihydroindol-3-ylidene). Wiadomosci lekarskie. 2017; 70(5): 895–900. PMID: 29203736.
Newson JJ, Hunter D, Thiagarajan TC. The Heterogeneity of Mental Health Assessment. Frontiers in psychiatry. 2020; 11: 76. doi.org/10.3389/fpsyt.2020.00076.
Pylypenko NG. Theoretical foundations and practical approaches to preventing and overcoming the negative mental consequences of crisis situations in the population during the war. Clinical and Preventive Medicine. 2022; 3(21): 34–41. https://doi.org/10.31612/2616-4868.3(21).2022.05.
Mori K, Kodaka F, Yamamoto A, et al. Characteristics of patients with anxiety disorder without selective serotonin reuptake inhibitor prescription over a two-year period of pharmacotherapy. Neuropsychopharmacol Rep. 2024; 44(1): 67–72. doi.org/10.1002/npr2.12379.
Cuijpers P, Cristea IA, Karyotaki E, Reijnders M, Huibers MJ. How effective are cognitive behavior therapies for major depression and anxiety disorders? A meta-analytic update of the evidence. World psychiatry. 2016; 15(3): 245–258. doi.org/10.1002/wps.20346.
Hofmann SG, Smits JA. Cognitive processes during fear acquisition and extinction in animals and humans: implications for exposure therapy of anxiety disorders. Clinical psychology review. 2008; 28 (2): 199–210. doi.org/10.1016/j.cpr.2007.04.009.
Bisson JI, Roberts NP, Andrew M, Cooper R, Lewis C. Psychological therapies for chronic post-traumatic stress disorder (PTSD) in adults. The Cochrane database of systematic reviews. 2013; 12: CD003388. https://doi.org/10.1002/14651858.CD003388.pub4.
Öst LG., Havnen A, Hansen B, Kvale G. Cognitive behavioral treatments of obsessive-compulsive disorder. A systematic review and meta-analysis of studies published 1993–2014. Clinical psychology review. 2015; 40: 156–169. https://doi.org/10.1016/j.cpr.2015.06.003.
Bhattacharya S, Goicoechea C, Heshmati S, Carpenter JK, Hofmann SG. Efficacy of Cognitive Behavioral Therapy for Anxiety-Related Disorders: A Meta-Analysis of Recent Literature. Current Psychiatry Reports. 2023; 25(1): 19–30. doi: 10.1007/s11920-022-01402-8.
Carpenter JK, Andrews LA, Witcraft SM, Powers MB, Smits JA, Hofmann SG. Cognitive behavioral therapy for anxiety and related disorders: A meta-analysis of randomized placebo-controlled trials. Depression and anxiety. 2018; 35(6): 502–514. doi: 10.1002/da.22728.
O’Shea M, Capon H, Skvarc D. A pragmatic preference trial of therapeutic yoga as an adjunct to group cognitive behaviour therapy versus group CBT alone for depression and anxiety. Journal of affective disorders. 2022; 307: 1–10. doi: 10.1016/j.jad.2022.03.028.
Gong M, Dong H, Tang Y, Huang W, Lu F. Effects of aromatherapy on anxiety: A meta-analysis of randomized controlled trials. Journal of affective disorders. 2020; 274: 1028–1040. doi:10.1016/j.jad.2020.05.118.
Tan L, Liao FF, Long LZ, et al. Essential oils for treating anxiety: a systematic review of randomized controlled trials and network meta-analysis. Front Public Health. 2023; 11: 1144404. doi: 10.3389/fpubh.2023.1144404.
Dold M, Möller HJ, Volz HP, et al. Baseline symptom severity and efficacy of Silexan in patients with anxiety disorders: A symptom-based, patient-level analysis of randomized, placebo-controlled trials. European psychiatry. 2024; 67(1): e23. doi: 10.1192/j.eurpsy.2024.16.
Kasper S, Anghelescu I, Dienel A. Efficacy of oral Silexan in patients with anxiety-related restlessness and disturbed sleep: A randomized, placebo-controlled trial. European Neuropsychopharmacology. 2015; 25(11): 1960–1967.
Sarris J, Stough C, Bousman CA, et al. Schweitzer Kava in the treatment of generalized anxiety disorder: a double-blind, randomized, placebo-controlled study. Journal of clinical psychopharmacology. 2013; 33(5): 643–648. doi: 10.1097/JCP.0b013e318291be67.
Mineo L, Concerto C, Patel D. Valeriana officinalis Root Extract Modulates Cortical Excitatory Circuits in Humans. Neuropsychobiology. 2017; 75(1): 46–51. doi: 10.1159/000480053.
Hieu TH, Dibas M, Surya Dila KA, Sherif NA., Hashmi MU, Mahmoud M et al. Therapeutic efficacy and safety of chamomile for state anxiety, generalized anxiety disorder, insomnia, and sleep quality: A systematic review and meta- analysis of randomized trials and quasi-randomized trials. Phytotherapy research: PTR. 2019; 33(6): 1604–1615. doi: https://doi.org/10.1002/ptr.6349.
Park S, Lee S, Howard S, Yi J. Technology-Based Music Interventions to Reduce Anxiety and Pain Among Patients Undergoing Surgery or Procedures: Systematic Review of the Literature. JMIR Mhealth Uhealth. 2024;12: e48802. doi: https://doi.org/10.2196/48802.
See C, Ng M, Ignacio J. Effectiveness of music interventions in reducing pain and anxiety of patients in pediatric and adult emergency departments: A systematic review and meta-analysis. International emergency nursing. 2023; 66: 101231. doi: https://doi.org/10.1016/j.ienj.2022.101231.
Lucibello KM, Parker J, Heisz JJ. Examining a training effect on the state anxiety response to an acute bout of exercise in low and high anxious individual. Journal of affective disorders. 2019; 247: 29–35. doi: https://doi.org/10.1016/j.jad.2018.12.063.
Martínez-Calderon J, Casuso-Holgado MJ, Muñoz-Fernandez MJ, Garcia-Muñoz C, Heredia-Rizo AM. Yoga-based interventions may reduce anxiety symptoms in anxiety disorders and depression symptoms in depressive disorders: a systematic review with meta-analysis and meta-regression. British journal of sports medicine. 2023. 57(22): 1442–1449. doi: https://doi.org/10.1136/bjsports-2022-106497.
Li H, Rodríguez-Nieto G, Chalavi S, Seer C, Mikkelsen M, Edden RAE, Swinnen SP. MRS-assessed brain GABA modulation in response to task performance and learning. Behavioral and brain functions: BBF. 2024; 20 (1): 22. doi: https://doi.org/10.1186/s12993-024-00248-9.
Trkulja V, Barić H. Current Research on Complementary and Alternative Medicine (CAM) in the Treatment of Anxiety Disorders: An Evidence-Based Review. Advances in experimental medicine and biology. 2020; 1191: 415–449. doi: https://doi.org/10.1007/978-981-32-9705-0_22.
Sun X, Zhang J, Wang Y, Zhang X, Li S, Qu Z, Zhang H. The impact of humor therapy on people suffering from depression or anxiety: An integrative literature review. Brain Behav. 2023; 139(9): e3108. doi: https://doi.org/10.1002/brb3.3108.
Genç H, Saritas S. The effects of watching comedy videos on anxiety and vital signs in surgical oncology patients. Explore (New York, N.Y.). 2020; 16(6): 401–406. doi: https://doi.org/10.1016/j.explore.2020.02.009.
Tagalidou N, Distlberger E, Loderer V, Laireiter AR. Efficacy and feasibility of a humor training for people suffering from depression, anxiety, and adjustment disorder: a randomized controlled trial. BMC psychiatry. 2019; 19(1): 93. doi: https://doi.org/10.1186/s12888-019-2075-x.
Sliman R, Kasem Ali Sliman R, Meiri N, Pillar G. Medical clowning in hospitalized children: a meta-analysis. World Journal of Pediatrics. 2023; 19(11): 1055–1061. doi: https://doi.org/10.1007/s12519-023-00720-y.
Javed T, Khan AS., Jarral NA, Taqi Z, Raza M, Shahid Z. Medical Clowning: A Cost-Effective Way to Reduce Stress Among Children Undergoing Invasive Procedures. Cureus. 2021; 13(10): e18886. doi: https://doi.org/10.7759/cureus.18886.
Armat MR, Emami Zeydi A, Mokarami H, Nakhlband A, Hojjat SK. The impact of laughter yoga on depression and anxiety among retired women: a randomized controlled clinical trial. Journal of women & aging. 2022; 34(1): 31–42. doi: https://doi.org/10.1080/08952841.2020.1774225.
Bennett PN, Hussein WF, Reiterman M, Yu J, Schiller B. The effects of laughter therapy on depression symptoms in patients undergoing center hemodialysis: A pragmatic randomized controlled trial. Hemodialysis international. 2020; 24(4): 541–549. doi: https://doi.org/10.1111/hdi.12870.
Tener D, Ofir S, Lev-Wiesel R, Franco NL, Avi On. Seriously clowning: Medical clowning interaction with children undergoing invasive examinations in hospitals. Social work in health care. 2016; 55(4): 296–313. doi: https://doi.org/10.1080/00981389.2016.1141826.
