TY - JOUR
KW - Adolescent
KW - Adult
KW - Anxiety
KW - Anxiety/therapy
KW - Cohort Studies
KW - Depression
KW - Depressive Disorder/therapy
KW - Female
KW - Homeopathy
KW - Humans
KW - Male
KW - Middle Aged
KW - primary care
KW - Primary Health Care
KW - Psychotropic Drugs/therapeutic use
KW - Young Adult
AU - L. Grimaldi-Bensouda
AU - L. Abenhaim
AU - J. Massol
AU - D. Guillemot
AU - B. Avouac
AU - G. Duru
AU - F. Lert
AU - A. M. Magnier
AU - M. Rossignol
AU - F. Rouillon
AU - B. Begaud
AU - EPI3-LA-SER Group
A1 - 
AB - BACKGROUND: The purpose of the study was to compare utilization of conventional psychotropic drugs among patients seeking care for anxiety and depression disorders (ADDs) from general practitioners (GPs) who strictly prescribe conventional medicines (GP-CM), regularly prescribe homeopathy in a mixed practice (GP-Mx), or are certified homeopathic GPs (GP-Ho). METHODS: This was one of three epidemiological cohort studies (EPI3) on general practice in France, which included GPs and their patients consulting for ADDs (scoring 9 or more in the Hospital Anxiety and Depression Scale, HADS). Information on all medication utilization was obtained by a standardised telephone interview at inclusion, 1, 3 and 12 months. RESULTS: Of 1562 eligible patients consulting for ADDs, 710 (45.5 %) agreed to participate. Adjusted multivariate analyses showed that GP-Ho and GP-Mx patients were less likely to use psychotropic drugs over 12 months, with Odds ratio (OR) = 0.29; 95 % confidence interval (CI): 0.19 to 0.44, and OR = 0.62; 95 % CI: 0.41 to 0.94 respectively, compared to GP-CM patients. The rate of clinical improvement (HADS <9) was marginally superior for the GP-Ho group as compared to the GP-CM group (OR = 1.70; 95 % CI: 1.00 to 2.87), but not for the GP-Mx group (OR = 1.49; 95 % CI: 0.89 to 2.50). CONCLUSIONS: Patients with ADD, who chose to consult GPs prescribing homeopathy reported less use of psychotropic drugs, and were marginally more likely to experience clinical improvement, than patients managed with conventional care. Results may reflect differences in physicians' management and patients' preferences as well as statistical regression to the mean.
BT - BMC complementary and alternative medicine
C5 - General Literature
CY - England
DO - 10.1186/s12906-016-1104-2
JF - BMC complementary and alternative medicine
N2 - BACKGROUND: The purpose of the study was to compare utilization of conventional psychotropic drugs among patients seeking care for anxiety and depression disorders (ADDs) from general practitioners (GPs) who strictly prescribe conventional medicines (GP-CM), regularly prescribe homeopathy in a mixed practice (GP-Mx), or are certified homeopathic GPs (GP-Ho). METHODS: This was one of three epidemiological cohort studies (EPI3) on general practice in France, which included GPs and their patients consulting for ADDs (scoring 9 or more in the Hospital Anxiety and Depression Scale, HADS). Information on all medication utilization was obtained by a standardised telephone interview at inclusion, 1, 3 and 12 months. RESULTS: Of 1562 eligible patients consulting for ADDs, 710 (45.5 %) agreed to participate. Adjusted multivariate analyses showed that GP-Ho and GP-Mx patients were less likely to use psychotropic drugs over 12 months, with Odds ratio (OR) = 0.29; 95 % confidence interval (CI): 0.19 to 0.44, and OR = 0.62; 95 % CI: 0.41 to 0.94 respectively, compared to GP-CM patients. The rate of clinical improvement (HADS <9) was marginally superior for the GP-Ho group as compared to the GP-CM group (OR = 1.70; 95 % CI: 1.00 to 2.87), but not for the GP-Mx group (OR = 1.49; 95 % CI: 0.89 to 2.50). CONCLUSIONS: Patients with ADD, who chose to consult GPs prescribing homeopathy reported less use of psychotropic drugs, and were marginally more likely to experience clinical improvement, than patients managed with conventional care. Results may reflect differences in physicians' management and patients' preferences as well as statistical regression to the mean.
PP - England
PY - 2016
SN - 1472-6882; 1472-6882
SP - 125
T1 - Homeopathic medical practice for anxiety and depression in primary care: the EPI3 cohort study
T2 - BMC complementary and alternative medicine
TI - Homeopathic medical practice for anxiety and depression in primary care: the EPI3 cohort study
U1 - General Literature
U2 - 27145957
U3 - 10.1186/s12906-016-1104-2
VL - 16
VO - 1472-6882; 1472-6882
Y1 - 2016
ER -