Veronica Barcelona de Mendoza1, Emily Harville2, Jane Savage3, Gloria Giarratano4. 1. Tulane University School of Public Health and Tropical Medicine barcelonaveronica@yahoo.com. 2. Tulane University School of Public Health and Tropical Medicine. 3. Loyola University New Orleans. 4. Louisiana State University.
Abstract
PURPOSE: The objective of this study was to determine if complementary and alternative medicine therapies are associated with mental health in postdisaster environments. DESIGN: Pregnant women (N = 402) were interviewed between 2010 and 2012 as part of a larger cross-sectional study on hurricane recovery and models of prenatal care. METHODS: Symptoms of depression (Edinburgh Postnatal Depression Screen), prenatal anxiety (Revised Prenatal Distress Questionnaire), posttraumatic stress (PCL-S), and perceived stress (PSS) were examined. Logistic regression was used to adjust for income, race, education, parity, and age. The most commonly reported therapies were prayer, music, multivitamins, massage, and aromatherapy. FINDINGS: Mental illness symptoms were common (30.7% had likely depression, 17.4% had anxiety, and 9.0% had posttraumatic stress). Massage was protective for depression (Edinburgh Postnatal Depression Index [EDSI] >8; adjusted odds ratio [aOR] = 0.6, 95% confidence interval [CI] = 0.3-0.9), while use of aromatherapy (aOR = 1.9, 95% CI = 1.1-3.2) and keeping a journal (aOR = 1.9, 95% CI = 1.1-3.2) were associated with increased odds of depression. Aromatherapy was associated with symptoms of pregnancy-related anxiety (aOR = 2.0, 95% CI = 1.1-3.8). CONCLUSIONS: Symptoms of mental illness persist after disaster, when untreated. Nurses should consider assessing for complementary and alternative medicine utilization in pregnancy as a potentially protective factor for mental health symptoms.
PURPOSE: The objective of this study was to determine if complementary and alternative medicine therapies are associated with mental health in postdisaster environments. DESIGN: Pregnant women (N = 402) were interviewed between 2010 and 2012 as part of a larger cross-sectional study on hurricane recovery and models of prenatal care. METHODS: Symptoms of depression (Edinburgh Postnatal Depression Screen), prenatal anxiety (Revised Prenatal Distress Questionnaire), posttraumatic stress (PCL-S), and perceived stress (PSS) were examined. Logistic regression was used to adjust for income, race, education, parity, and age. The most commonly reported therapies were prayer, music, multivitamins, massage, and aromatherapy. FINDINGS:Mental illness symptoms were common (30.7% had likely depression, 17.4% had anxiety, and 9.0% had posttraumatic stress). Massage was protective for depression (Edinburgh Postnatal Depression Index [EDSI] >8; adjusted odds ratio [aOR] = 0.6, 95% confidence interval [CI] = 0.3-0.9), while use of aromatherapy (aOR = 1.9, 95% CI = 1.1-3.2) and keeping a journal (aOR = 1.9, 95% CI = 1.1-3.2) were associated with increased odds of depression. Aromatherapy was associated with symptoms of pregnancy-related anxiety (aOR = 2.0, 95% CI = 1.1-3.8). CONCLUSIONS: Symptoms of mental illness persist after disaster, when untreated. Nurses should consider assessing for complementary and alternative medicine utilization in pregnancy as a potentially protective factor for mental health symptoms.
Authors: Marci Lobel; Dolores Lacey Cannella; Jennifer E Graham; Carla DeVincent; Jayne Schneider; Bruce A Meyer Journal: Health Psychol Date: 2008-09 Impact factor: 4.267
Authors: Valérie A G Ventureyra; Sai-Nan Yao; Jean Cottraux; Ivan Note; Chantal De Mey-Guillard Journal: Psychother Psychosom Date: 2002 Jan-Feb Impact factor: 17.659