This review will focus on CAM therapies for sleep disorders in older adults. Furthermore, under these guidelines, these products cannot claim treatment effects for specific disease processes in their marketing or advertising. Standardization of compounds across different research studies is thus not always consistent, and some products may not contain the ingredients they advertise. According to these guidelines, these compounds are not required to undergo purity, safety or efficacy testing.
It is also important to note that many CAM therapies, in particular the biologically based practices and some forms of alternative medical systems, are regulated under the Dietary Supplemental and Education Act of 1994. 5) Energy medicine that emphasizes the use of energy fields including bio-electromagnetic based therapies. An example would be massage-based therapies. 4) Manipulative and body-based practices which rely on movement of select parts of the body. This is a broad category that can include meditation, tai chi, yoga and biofeedback. 3) Mind-body medicine which uses systems of thought that can affect bodily functions. 2) Biologically based practices that consist of compounds often found in nature, such as herbal products. These include acupuncture, ayurveda, or homeopathy. The classification method used by NCCAM consists of five broad domains: 1) Alternative medical systems that are based on a set of theories and practices that have generally developed apart from conventional medicine.
There exist several hundred different forms of CAM therapy ( Figure 1). 2ĭiagram of complimentary and alternative medicine subtypes An example of this would be the growth of clinical patient support groups, or the use of some forms of cognitive-behavioral therapy as mainstream medical treatments. 2 Inherent in this definition of CAM is a concept of change: what is considered to be a CAM therapy today may become a conventional form of treatment in the future. 1 CAM therapies are defined by the National Center for Complimentary and Alternative Medicine (NCCAM) as “a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine.” 2 While the terms are often used synonymously, a more accurate statement is that complementary medicines are “used together with conventional medicine”, while alternative medicines are “used in place of conventional medicine ( Figure 1). In the 2 nd century AD, for example, the prominent ancient Greek physician Galen (Claudius Galenus) prescribed valerian for insomnia. Complimentary and alternative medicines (CAM) have a long history of use for the treatment of sleep disorders.
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