Alternative treatments for depression: Empirical support and relevance to women

R. Munber, John JB Allen, M. M. Morris

Research output: Contribution to journalArticle

Abstract

Background: This article is a critical review of the efficacy of selected alternative treatments for unipolar depression including exercise, stress management techniques, acupuncture, St. John's wort, bright light, and sleep deprivation. Issues related to women across the life span, including pregnancy and lactation, are highlighted. Data Sources: Evidence of efficacy is based on randomized controlled trials. A distinction is made between studies that address depressive symptoms and studies that address depressive disorders. The review emphasizes issues related to effectiveness, such as treatment availability, acceptability, safety, and cost and issues relevant to women, Data Synthesis: Exercise, stress reduction methods, bright light exposure, and sleep deprivation hold greater promise as adjuncts to conventional treatment than as monotherapies for major depression. The evidence to date is not sufficiently compelling to suggest the use of St. John's wort in favor of or as an alternative to existing U.S. Food and Drug Administration-regulated compounds. Initial evidence suggests that acupuncture might be an effective alternative monotherapy for major depression, single episode. Conclusion: This review indicates that some unconventional treatments hold promise as alternative or complementary treatments for unipolar depression in women and have the potential to contribute to its long-term management. Additional research is needed before further recommendations can be made, and there is an urgent need to carefully document and report the frequency of minor and major side effects.

Original languageEnglish (US)
Pages (from-to)118
Number of pages1
JournalPrimary Care Companion to the Journal of Clinical Psychiatry
Volume4
Issue number3
StatePublished - 2002
Externally publishedYes

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Depression
Depressive Disorder
Hypericum
Sleep Deprivation
Acupuncture
Exercise
Therapeutics
Light
Information Storage and Retrieval
United States Food and Drug Administration
Lactation
Randomized Controlled Trials
Safety
Costs and Cost Analysis
Pregnancy
Research

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Alternative treatments for depression : Empirical support and relevance to women. / Munber, R.; Allen, John JB; Morris, M. M.

In: Primary Care Companion to the Journal of Clinical Psychiatry, Vol. 4, No. 3, 2002, p. 118.

Research output: Contribution to journalArticle

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