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      Use of Traditional Chinese Medicine for Patients Diagnosed with Postpartum Depression: A Nationwide Population-Based Study

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          Abstract

          Postpartum depression (PPD) is one of most common postnatal complications, affecting approximately 10%–15% of women after childbirth annually. Traditional Chinese medicine (TCM) has been gaining popularity as the choice of treatment for PPD in Taiwan. Hence, our aim was to analyze the utilization of TCM among PPD patients in Taiwan. A cross-sectional study was conducted using a random sample of one million beneficiaries selected from the Taiwanese National Health Insurance Research Database. We identified patients with PPD who had received either TCM treatment or non-TCM treatment from the database during 2000–2012. Multivariate logistic regression analysis was used to identify the factors associated with the use of TCM. A total of 653 patients with PPD were enrolled. The majority of patients with PPD were 26–30 years old, lived in a highly urbanized area of Taipei, had a monthly income <20,000 NT$, and were private enterprise employees. Around 52.7% of PPD patients had the motivation to seek TCM services. Younger women, who resided in central and southern Taiwan and who had used TCM one year before PPD diagnosis, were more likely to use TCM services. PPD patients who underwent TCM treatment had a lower overall medical expenditure than non-TCM users. Most TCM users chose simple Chinese herbal medicine. The coexisting factors that made PPD patients to seek TCM services were respiratory or oral infections. We demonstrated the characteristics of those that seek TCM for PPD, which may provide useful insights to health care providers towards resource allocation.

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          Theory of traditional Chinese medicine and therapeutic method of diseases.

          Traditional Chinese medicine, including herbal medicine and acupuncture, as one of the most important parts in complementary and alternative medicine (CAM), plays the key role in the formation of integrative medicine. Why do not the modern drugs targeting the specificity of diseases produce theoretical effects in clinical observation? Why does not the traditional Chinese medicine targeting the Zheng (syndrome) produce theoretical effects in clinic? There should have some reasons to combine Western medicine with Chinese herbal medicine so as to form the integrative medicine. During the integration, how to clarify the impact of CAM theory on Western medicine has become an emergent topic. This paper focuses on the exploration of the impact of theory of traditional Chinese medicine on the therapy of diseases in Western medicine.
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            SSRI Antidepressant Medications

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              Prevalence of postpartum depression and interventions utilized for its management

              Introduction Postpartum depression is a mood disorder that affects approximately 10–15% of adult mothers yearly. This study sought to determine the prevalence of postpartum depression and interventions utilized for its management in a Health facility in Ghana. Methods A descriptive cross-sectional study design using a quantitative approach was used for the study. The study population included mothers and healthcare workers. Simple random sampling technique was used to select 257 mothers, while a convenience sampling technique was used to select 56 health workers for the study. A Patient Health Questionnaire was used to screen for depression and a structured questionnaire comprising closed-ended questions was used to collect primary data on the interventions for the management of postpartum depression. Data were analyzed using statistical software SPSS version 16.0. Results Postpartum depression was prevalent among 7% of all mothers selected. The severity ranged from minimal depression to severe depression. Psychosocial support proved to be the most effective intervention (p = 0.001) that has been used by the healthcare workers to reduce depressive symptoms. Conclusion Postpartum depression is prevalent among mothers although at a lower rate and psychosocial support has been the most effective intervention in its management. Postpartum depression may affect socialization behaviors in children and the mother, and it may lead to thoughts of failure leading to deeper depression. Frequent screening exercises for postpartum depression should be organized by authorities of the hospitals in conjunction with the Ministry of Health.
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                Author and article information

                Contributors
                Journal
                Evid Based Complement Alternat Med
                Evid Based Complement Alternat Med
                ECAM
                Evidence-based Complementary and Alternative Medicine : eCAM
                Hindawi
                1741-427X
                1741-4288
                2020
                20 July 2020
                20 July 2020
                : 2020
                : 7060934
                Affiliations
                1Graduate Institute of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan
                2Department of Chinese Medicine, Show Chwan Memorial Hospital, Changhua 50008, Taiwan
                3Management Office for Health Data, China Medical University Hospital, Taichung 40447, Taiwan
                4College of Medicine, China Medical University, Taichung 40402, Taiwan
                5Department of Neurology, Yuanlin Christian Hospital, Yuanlin 51052, Taiwan
                Author notes

                Guest Editor: Zulqarnain Baloch

                Author information
                https://orcid.org/0000-0001-7069-8510
                https://orcid.org/0000-0001-9926-3668
                https://orcid.org/0000-0001-7058-0985
                https://orcid.org/0000-0003-3892-0497
                Article
                10.1155/2020/7060934
                7387955
                32765632
                711fc6bb-7957-4322-b85a-bee2c7424a3a
                Copyright © 2020 Jung-Miao Li et al.

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 16 May 2020
                : 24 June 2020
                : 3 July 2020
                Funding
                Funded by: Ministry of Health and Welfare
                Award ID: MOHW 109-TDU-B-212-114004
                Funded by: MOST Clinical Trial Consortium for Stroke
                Award ID: MOST 108-2321-B-039-003-
                Funded by: Tseng-Lien Lin Foundation, Taichung, Taiwan
                Categories
                Research Article

                Complementary & Alternative medicine
                Complementary & Alternative medicine

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