The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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  • Recent Comments

    Psychological treatment for cystic fibrosis

    Cochrane reviewers report, “no clear evidence exists on the best psychological interventions to help people with cystic fibrosis.”

    First, the details.

    • The reviewers identified 13 studies of 529 participants.
    • Treatments included the following.
      • Gene pre-test education counseling for relatives of those with cystic fibrosis
      • Biofeedback, massage and music therapy to assist physiotherapy
      • Behavioral and educational interventions to improve diet and airway clearance
      • Self-administration of medication and education to promote independence, knowledge and quality of life
      • Systemic interventions promoting psychosocial functioning

    And, the results.

    • There was no consistent effect on lung function, although one small study reported biofeedback-assisted breathing re-training helped improve some lung function measurements.
    • There’s some evidence that relatives accept genetic testing for carrier status using home-based information leaflets and testing.
    • Some evidence that behavioral therapy improves emotional outcomes in people with cystic fibrosis and their caregivers.
    • Psychoeducational treatment improves knowledge in the short term.
    • It also appears that educational and behavioral treatments can aid nutrition and growth.

    The bottom line?
    10 years ago, the life expectancy of a person with cystic fibrosis was about 18 years. Today it’s 35 years.

    As people with cystic fibrosis survive longer, there’s a need to identify treatments to help them meet their needs and improve long-term management. The treatments reviewed here are largely concerned with those issues.

    Obviously, more work in this area is needed.

    7/26/08 19:40 JR

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