{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T06:27:36Z","timestamp":1787120856611,"version":"build-2736575974"},"reference-count":36,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Mental disorders pose a substantial global health burden. Complementary and Integrative Medicine (CIM) is widely used; however, data on CIM use in mental disorders are limited. The aim was to investigate CIM prevalence, usage patterns, disclosure, and perceived benefits among individuals with mental disorders in Germany.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted among adults with psychiatric disorders in Germany between June 2023 and August 2024. Participants were recruited through a nationwide anonymous online survey and on-site surveys in randomly selected outpatient psychiatric, psychosomatic, and psychotherapeutic settings in Berlin and Brandenburg. The 33-item questionnaire assessed lifetime and current CIM use, diagnostic and sociodemographic characteristics, physician disclosure, recommendation sources, and perceived effectiveness. Associations were analysed using logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seven hundred sixty-eight participants (mean age 43.2\u202fyears; 77.3% female) completed the questionnaire. Lifetime CIM use was 92.3, and 68.1% reported current use. The most commonly used approaches (lifetime use) were meditation (63.9%), yoga (60.8%), and dietary supplements (59.1%); positive experiences were highest for meditation (76.9%) and yoga (74.6%). Among CIM users, 60.9% informed their physician. Physician awareness was associated with more favourable CIM evaluations (adjusted OR 2.69, 95% CI 1.63\u20134.49). Recommendations were mainly based on self-directed research (59.9%) and friends\u2019 advice (31.2%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CIM use among individuals with mental disorders is highly prevalent and predominantly self-initiated. However, many patients do not disclose their CIM use to clinicians. Physician awareness of patients\u2019 CIM use was associated with more positive patient-reported evaluations, suggesting that proactive enquiry and open communication about CIM use may facilitate safer and more coordinated care. Further clinical research is required to evaluate the effectiveness, safety, and potential interactions of commonly used CIM approaches in psychiatric care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1882619","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T05:46:32Z","timestamp":1787118392000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Use of complementary and integrative medicine for mental disorders\u2013a cross-sectional study in Germany"],"prefix":"10.3389","volume":"13","author":[{"given":"Julia","family":"Siewert","sequence":"first","affiliation":[{"name":"Institute of Social Medicine, Epidemiology and Health Economics, Charit\u00e9 \u2013 University Medical Center Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin","place":["Berlin, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Wackermann","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine, Epidemiology and Health Economics, Charit\u00e9 \u2013 University Medical Center Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin","place":["Berlin, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katja","family":"Icke","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine, Epidemiology and Health Economics, Charit\u00e9 \u2013 University Medical Center Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin","place":["Berlin, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Volz","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine, Epidemiology and Health Economics, Charit\u00e9 \u2013 University Medical Center Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin","place":["Berlin, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Teut","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine, Epidemiology and Health Economics, Charit\u00e9 \u2013 University Medical Center Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin","place":["Berlin, Germany"]},{"name":"Institute of Social Medicine and Epidemiology, The Brandenburg Medical School Theodor Fontane","place":["Brandenburg\/Neuruppin, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benno","family":"Brinkhaus","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine, Epidemiology and Health Economics, Charit\u00e9 \u2013 University Medical Center Berlin, Corporate Member of Freie Universit\u00e4t Berlin and Humboldt-Universit\u00e4t zu Berlin","place":["Berlin, Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"ref1","volume-title":"Over a Billion People Living with Mental Health Conditions \u2013 Services Require Urgent Scale-Up","year":"2025"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"486","DOI":"10.1186\/s12888-025-06932-y","article-title":"Global burden of mental disorders in 204 countries and territories, 1990-2021: results from the global burden of disease study 2021","volume":"25","author":"Fan","year":"2025","journal-title":"BMC Psychiatry"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e879","DOI":"10.1016\/S2214-109X(24)00563-1","article-title":"Data gaps in prevalence rates of mental health conditions around the world: a retrospective analysis of nationally representative data","volume":"13","author":"Casella","year":"2025","journal-title":"Lancet Glob 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