Comparing psychiatric routine care and integrative psychiatry – A study protocol for a prospective observational study (INTEGRAL). Issue 1 (March 2023)

• Record Type: Journal Article
• Authors: Rezo, A.; Wagner, P.; Sanchez, A.; Brunnhuber, S.; Pedrosa Gil, F.; Rapp, M.A.
• Is Part Of: Advances in integrative medicine. Volume 10:Issue 1(2023)
• Page Start: 15
• Page End: 21
• Publication Date: 2023-03
• Subjects: ANOVA Analysis of variance -- BSI-53 Brief Symptom Inventory -- CAM Complementary and Alternative Medicine -- CHIME-D Connectedness, Hope, Identity, Meaning in life, Empowerment and Difficulties -- COVID-19 Coronavirus disease 2019 -- CGI Clinical Global Impression -- DRKS Deutsches Register Klinischer Studien -- DSM Diagnostic and Statistical Manual of Mental Disorders -- eCRF Electronic Clinical Research Record Form -- EDC Electronic Data Capture -- FFP-2 Filtering face piece particle type 2 -- GLMM Generalized linear mixed model -- HCPs Health care professionals -- ICD International Classification of Diseases -- INTEGRAL Integrative Medicine for Mental Health -- ITT Intention-to-treat -- MAR Missing at random -- NIMH National Institutes of Mental Health -- RDoC Research Domain Criteria -- TAU Treatment-as-usual -- URL Uniform Resource Locator -- US United States -- WHO World Health Organization; Complementary therapies -- Integrative medicine -- Mental disorders -- Observational study -- Psychiatry; Integrative medicine -- Periodicals; Alternative medicine -- Periodicals; Integrative Medicine -- Periodicals; Alternative medicine; Integrative medicine; Periodicals; 615.505
• DOI: 10.1016/j.aimed.2023.02.003
• Languages: English
• ISSNs: 2212-9588

Abstract

Abstract: Introduction: In recent years, complementary and alternative medicine therapies have been increasingly studied for their effectiveness, and there are more and more studies supporting the use of some practices in the psychiatric setting. Despite the high acceptability and interest of patients using a holistic approach to recover from mental health issues, complementary and alternative medicine therapies are not yet integrated in the conventional treatment. This study investigates the potential of an integrative psychiatry approach compared to treatment as usual in a heterogeneous inpatient population. Methods: INTEGRAL is an observational study comparing two psychiatric hospitals. In total 240 inpatients with a diagnosis of a mental disorder (substance use, schizophrenia, depression, anxiety, post-traumatic stress and somatoform disorder) will be included. One hospital offers standard therapy, the other one has established an integrative medicine approach combining conventional treatment with CAM. The integrative approach provides a non-standardized complex patient-centered mental health care. Outcomes will be assessed at three time points and focus on the following three frameworks: severity of disease, personal recovery and trans-diagnostic phenomena. Discussion: To our knowledge and research, this study is the first prospective observational study comparing psychiatric routine care and integrative psychiatry and will give us a glimpse of the effects on severity of disorders, trans-diagnostic symptoms and recovery in different psychiatric inpatient populations in the short and long term. The study may help to optimize the treatment of patients suffering from severe mental illness in providing a patient-centered approach with a diversity of evidence-based practices.