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Library of Research Articles on Veterans and Complementary and Integrative Health Therapies

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Library of Research Articles on Veterans and Complementary and Integrative Health Therapies The VA Office of Patient Centered Care and Cultural Transformation’s and VA Complementary and Integrative Health Evaluation Center’s Library of Research Articles on Veterans and Complementary and Integrative Health Therapies April, 2020 1 Library of Research Articles on Veterans and Complementary and Integrative Health Therapies We are pleased to announce the VA Office of Patient Centered Care and Cultural Transformation’s (OPCC&CT) and VA Complementary and Integrative Health Evaluation Center’s (CIHEC) “Library of Research Articles on Veterans and Complementary and Integrative Health Therapies”. The Library is comprised of two sections: 1) Articles organized by type of CIH therapies, among the nine therapies that the VA considers medical treatments and 2) Articles organized by type of health outcome, among nine outcomes (i.e., pain, anxiety, depression, post-traumatic stress disorder (PTSD), substance/opioid abuse, stress and wellbeing, insomnia, suicide, and Veteran caregiver wellbeing and VA employee wellbeing). The Library provides the citation (with links to either the actual article or to its page in PubMed) as well as the abstract, if available. Although every attempt was made to include all relevant studies conducted, it is possible we missed some and will gladly include additional studies when found. The Library will be updated biannually, with the next update available in June 2020. It can be found at the OPCC&CT website at https://www.va.gov/wholehealth/ and the CIHEC website at https://www.hsrd.research.va.gov/centers/cshiip.cfm. For questions on the Library, please contact both Stephanie L. Taylor, PhD (Director of CIHEC) [email protected] and Mr. Mike McGowan at [email protected] if you have questions or additional relevant studies for inclusion. Library Sponsors Include: VA Office of Patient Centered Care & Cultural Transformation (OPCC&CT), Integrative Health Coordinating Center Alison Whitehead, MPH; [email protected] Melissa Jents, PhD; [email protected] https://www.va.gov/wholehealth/ VA Complementary and Integrative Health Evaluation Center (CIHEC) Director: Stephanie L. Taylor, PhD; [email protected] Co-Director: Steve Zeliadt, PhD; [email protected] https://www.queri.research.va.gov/national_partnered_evaluations/cih.cfm 2 CIH Therapies Acupuncture .................................................................................................................................................................................................4 Battlefield Acupuncture (BFA) ..................................................................................................................................................................13 Biofeedback ...............................................................................................................................................................................................21 Chiropractic Care .......................................................................................................................................................................................28 Guided Imagery .........................................................................................................................................................................................41 Clinical Hypnosis/Hypnotherapy ...............................................................................................................................................................42 Massage Therapy (Therapeutic Massage) .................................................................................................................................................45 Meditation (including mantram repetition) ................................................................................................................................................51 Mindfulness-based Stress Reduction (MBSR) ..........................................................................................................................................65 Mindfulness (other than MBSR) ...............................................................................................................................................................73 Tai chi/Qi gong ..........................................................................................................................................................................................85 Yoga ...........................................................................................................................................................................................................89 CIH Health Outcomes Pain ..........................................................................................................................................................................................................107 Anxiety .....................................................................................................................................................................................................149 Depression................................................................................................................................................................................................154 PTSD ........................................................................................................................................................................................................159 Substance/Opioid Abuse ..........................................................................................................................................................................191 Stress & Wellbeing ..................................................................................................................................................................................199 Insomnia ...................................................................................................................................................................................................203 Suicide......................................................................................................................................................................................................206 Veteran caregiver and VA employee Wellbeing .....................................................................................................................................208 3 Acupuncture Citation Abstract Arhin AO, Gallop K, Mann J, Cannon S, Although close associations between tinnitus and posttraumatic stress disorder (PTSD) among war veterans has been documented, there is Tran K, Wang MC. Acupuncture as a limited research that explores evidence-based, efficacious interventions to treat the condition in this particular population. This article presents a Treatment Option in Treating Posttraumatic case of three war veterans with PTSD symptoms who received a series of acupuncture treatments for tinnitus with positive outcomes. Even Stress Disorder-Related Tinnitus in though the article presents cases of only three veterans and was based on self-reports, there were very clear trends on how veterans with tinnitus War Veterans: A Case Presentation. J symptoms responded to acupuncture treatments. Information generated from this case presentation is a good starting place in exploring evidence- Holist Nurs. 2016 based approaches in treating tinnitus symptoms in war veterans with PTSD. BACKGROUND AND OBJECTIVES: Substance use disorder (SUD) is a major health issue, especially among military veterans. We previously reported the effects of auricular acupuncture and the relaxation response (RR) on reducing craving and anxiety following 10-week interventions among veterans who were in recovery from SUDs. Our current analysis examines effects following each intervention session and RR daily practice. METHODS: We conducted a three-arm randomized controlled trial on residents of a homeless veteran rehabilitation program. Sixty-Seven enroled participants were randomly assigned to acupuncture (n=23), RR (n=23), or usual care (n=21). Participants in the two intervention groups rated their degree of craving for substance on a scale of 1-10 and anxiety levels on a scale of 1-4 (total score 20-80) before and after each intervention session. Mixed effects regression models were used for analysis. RESULTS: Craving and anxiety levels decreased significantly following one session of acupuncture (-1.04, p=.0001; -8.83, p<.0001) or RR intervention (- .43, p=.02; -4.64, p=.03). The level of craving continued to drop with additional intervention sessions (regression coefficient b=-.10, p=.01, and b=-.10, p=.02 for acupuncture and RR groups, respectively). Number of daily practice days of RR-eliciting techniques is also associated with Chang BH, Sommers E. Acupuncture and reduction in craving ratings (b=-.02, p=.008). relaxation response for craving and anxiety CONCLUSIONS: reduction among military veterans in Findings demonstrate the value of attending regular acupuncture and RR-eliciting intervention sessions, as well as the daily practice of RR- recovery from substance use disorder. Am J eliciting techniques. Addict. 2014 Mar-Apr;23(2):129-36. doi: SCIENTIFIC SIGNIFICANCE: 10.1111/j.1521-0391.2013.12079.x. Epub Substance addiction is a complex disease and effective treatment remains a challenge. Our study findings add to the scientific evidence of these 2013 Aug 30. two non-pharmaceutical
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