Evidence map›Paper›PMID 40402334›Full record

ArticleSleep & breathing = Schlaf & Atmung2025

A cross-sectional study on the use of complementary and alternative medicine in insomnia patients referred to psychiatric clinics in Iran.

Kiarash Zare, Arvin Hedayati, Yussef Hashemi, Zahra Ostovari, Mohammad Mehdi Naghizadeh, Mohammad Hashem Hashempur, Seyed Hamdollah Mosavat

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Article in Sleep & breathing = Schlaf & Atmung, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kiarash ZareStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Arvin HedayatiResearch Center for Psychiatry and Behavioral Science, Shiraz University of Medical Sciences, Shiraz, Iran.
Yussef HashemiStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Zahra OstovariSchool of Medicine, Fasa University of Medical Sciences, Fasa, Iran.
Mohammad Mehdi NaghizadehNon-Communicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran.
Mohammad Hashem HashempurResearch Center for Traditional Medicine and History of Medicine, Department of Persian Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. hashempur@gmail.com.
Seyed Hamdollah MosavatResearch Center for Traditional Medicine and History of Medicine, Department of Persian Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. hamdi_88114@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to investigate the prevalence and types of Complementary and Alternative Medicine (CAM) utilization among Iranian patients referred to psychiatric clinics with self-reported insomnia. It also sought to explore demographic characteristics, attitude of the patients to CAM, the factors influencing patients' decision to use CAM, and factors thought to be linked to the adoption of CAM in this patient population.

methodsA cross-sectional study was conducted between July 2023 and October 2023 on 217 patients at outpatient academic psychiatric clinics affiliated with Shiraz University of Medical Sciences. Data was collected using the Persian version of the international questionnaire to measure use of complementary and alternative medicine (I-CAM-IR), assessing CAM usage, motives, specific modalities, and sources of exposure. Descriptive statistics were employed to analyze demographic characteristics, while Chi-square tests and logistic regression analyses were used to assess associations between demographic factors and CAM usage.

resultsA total of 217 patients were initially recruited for the study; however, 12 participants were excluded due to incomplete or invalid data, resulting in a final sample of 205 participants included in the analysis. Of 205 participants, 68.3% reported CAM use, with herbal medicines (73.6%), Persian medicine (45.7%), vitamins and minerals (43.6%), and cupping (10.7%) being prominent modalities. Significant associations were observed between CAM use and demographic factors such as age (P = 0.006), gender (P < 0.001), education (P = 0.006), occupation (P = 0.002), father and mother education levels (P < 0.001, P = 0.015), and family income (P = 0.019). Most CAM users (78.1%) did not inform healthcare providers about their CAM use, with perceived effectiveness mainly focused on health promotion (80.6%).

conclusionThis study reveals a substantial prevalence of CAM utilization among insomnia patients in psychiatric clinics of Iran, with demographic factors influencing CAM use. Healthcare providers should consider incorporating discussions about CAM into insomnia management strategies and be prepared to address patient preferences for complementary treatments. Future research should further explore the impact and outcomes of CAM utilization in managing insomnia to optimize patient care in psychiatric settings.

Indexed as

Complementary TherapiesPatient Acceptance of Health CareSleep Initiation and Maintenance DisordersAdultCross-Sectional StudiesFemaleHumansIranMaleMiddle AgedReferral and ConsultationSurveys and QuestionnairesYoung AdultComplementary and alternative medicineHerbal medicineInsomniaIranSleep initiation and maintenance disordersTraditional Persian medicineVitamins and minerals

Identifiers

PMID40402334

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.