Sawni Anju
Division of Adolescent Medicine, Department of Pediatrics, Children's Hospital of Michigan, Wayne State University School of Medicine, 3901 Beaubien Boulevard, Detroit, MI 48301, USA.
Adolesc Med State Art Rev. 2008 Aug;19(2):313-26, xi.
The use of complementary and alternative medicine (CAM) for treatment of attention-deficit/hyperactivity disorder (ADHD) has increased both by parents and health care providers. Despite scientific evidence supporting the effectiveness of stimulants in the treatment of ADHD, the use of stimulants has received negative publicity and, for many parents, is worrisome. Concerns regarding adverse effects and the prospect of long-term use of pharmacologic treatments make many parents uncomfortable thus they seek "alternative treatments." With the information explosion produced by the Internet, marketing for alternative therapies such as herbal remedies, elimination diets, and food supplements for ADHD has increased. Many people use CAM because they are attracted to the CAM philosophies and health beliefs, dissatisfied with the process or results of conventional treatments, or concerned about adverse effects of stimulants. Although some scientific evidence exists regarding some CAM therapies, for most there are key questions regarding safety and efficacy of these treatments in children. The aim of this article is to provide a general overview and focus on the evidence-based studies of CAM modalities that are commonly used for ADHD.
家长和医疗服务提供者对使用补充和替代医学（CAM）治疗注意力缺陷多动障碍（ADHD）的情况都有所增加。尽管有科学证据支持兴奋剂在治疗ADHD方面的有效性，但兴奋剂的使用却受到了负面宣传，而且对许多家长来说，这令人担忧。对药物治疗的不良反应以及长期使用前景的担忧让许多家长感到不安，因此他们寻求“替代疗法”。随着互联网带来的信息爆炸，针对ADHD的草药疗法、排除饮食法和食品补充剂等替代疗法的营销有所增加。许多人使用补充和替代医学是因为他们被补充和替代医学的理念和健康观念所吸引，对传统治疗的过程或结果不满意，或者担心兴奋剂的不良反应。尽管关于一些补充和替代医学疗法存在一些科学证据，但对于大多数疗法来说，这些治疗方法在儿童中的安全性和有效性存在关键问题。本文的目的是提供一个总体概述，并聚焦于常用于ADHD的补充和替代医学模式的循证研究。
