Sinha D, Efron D
Centre for Community Child Health, Royal Children's Hospital, Melbourne, Victoria, Australia.
J Paediatr Child Health. 2005 Jan-Feb;41(1-2):23-6. doi: 10.1111/j.1440-1754.2005.00530.x.
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.
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.
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.
Complementary and alternative medicines are commonly used in children with ADHD. Paediatricians should inquire about the use of CAM, and use available resources to help guide families in their therapeutic choices.
在普通人群中，补充和替代医学（CAM）的使用正在增加。注意力缺陷多动障碍（ADHD）是一种慢性疾病，对儿童的功能有重大影响且无法治愈，因此许多家庭可能会在某个阶段尝试使用补充和替代医学。我们旨在确定：（i）多动症儿童临床样本中补充和替代医学的终生使用率；（ii）家长对补充和替代医学治疗多动症有效性的看法；（iii）告知儿科医生的家长比例。
样本取自2003年5月至9月在墨尔本皇家儿童医院门诊就诊的5 - 17岁多动症患者。向同意参与的家庭发放了一份包含20个问题的调查问卷。
共发放105份调查问卷，回收75份（回复率71.4%）。儿童平均年龄为11.1岁（标准差2.9，范围5.0 - 16.9岁）；65名（86.7%）为男孩。50个（67.6%）家庭报告目前或过去使用过补充和替代医学。在报告的23种不同疗法中，最常见的是改良饮食（33个家庭）、维生素和/或矿物质（16个）、膳食补充剂（12个）、芳香疗法（12个）和脊椎按摩疗法（10个）。报告的有效性各不相同。在选择补充和替代医学时，最常被认为重要的因素是减轻症状（40个家庭）、增强传统治疗的效果（30个）和避免副作用（29个）。50个家庭中有32个（64%）报告他们告知了儿科医生他们使用补充和替代医学的情况。
补充和替代医学在多动症儿童中普遍使用。儿科医生应询问补充和替代医学的使用情况，并利用现有资源帮助指导家庭做出治疗选择。
