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Wiley InterScience

Journal of Paediatrics and Child Health

Journal of Paediatrics and Child Health

Volume 41 Issue 1-2, Pages 23 - 26

Published Online: 25 Jan 2005

Journal compilation © 2010 Paediatrics and Child Health Division (Royal Australasian College of Physicians)



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Complementary and alternative medicine use in children with attention deficit hyperactivity disorder
D Sinha 1 and D Efron 1,2,3
  1 Centre for Community Child Health, Royal Children's Hospital,   2 Murdoch Children's Research Institute and   3 Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia
 Correspondence: Dr Daryl Efron, Royal Children's Hospital, Flemington Road, Parkville, Victoria 3052, Australia. Fax: +61 3 9345 5900; email: daryl.efron@rch.org.au
Copyright 2005 Division of Paediatrics (The Royal Australasian College of Physicians)
KEYWORDS
Attention deficit hyperactivity disorder • complementary and alternative medicine

ABSTRACT

Objectives:  The use of complementary and alternative medicines (CAM) is increasing in the general population. Attention deficit hyperactivity disorder (ADHD) is a chronic condition that has a major impact on children's functioning and has no cure, therefore many families may try CAM at some stage. We aimed to determine (i) the lifetime incidence of CAM use in a clinical sample of children with ADHD; (ii) parents' perceptions of the effectiveness of CAM for ADHD; and (iii) the proportion who informed their paediatrician.

Methods:   The sample was drawn from patients aged 5−17 years with ADHD attending Royal Children's Hospital, Melbourne outpatient clinics from May to September 2003. A 20-item survey was posted to consenting families.

Results:  From 105 surveys, 75 were returned (response rate 71.4%). Mean child age was 11.1 (SD 2.9, range 5.0−16.9) years; 65 (86.7%) were boys. Fifty (67.6%) families reported current or past CAM use. Of the 23 different therapies reported, the most common were modified diet (33 families), vitamins and/or minerals (16), dietary supplements (12), aromatherapy (12) and chiropractics (10). Reported effectiveness was variable. The factors most frequently rated as important in choosing CAM were minimizing symptoms (40 families), adding to the benefit of conventional treatment (30) and avoiding side-effects (29). Thirty-two (64%) of 50 families reported that they informed their paediatrician of their CAM use.

Conclusion:  Complementary and alternative medicines are commonly used in children with ADHD. Paediatricians should enquire about the use of CAM, and use available resources to help guide families in their therapeutic choices.


Accepted for publication 10 August 2004.

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1440-1754.2005.00530.x About DOI

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