Kemper Kathi J, Gardiner Paula, Birdee Gurjeet S
Department of Pediatrics, Ohio State University College of Medicine, Columbus, Ohio.
Acad Pediatr. 2013 Nov-Dec;13(6):540-5. doi: 10.1016/j.acap.2013.05.001.
Use of complementary and alternative medical (CAM) therapies is common among adults with mental health concerns, but little is known about CAM use among adolescents with mental health concerns.
Data from the 2007 National Health Interview Survey were analyzed for youth from 7 to 17 years old. The study focused on 3 common mental health conditions: attention-deficit/hyperactivity disorder (ADHD), anxiety, and depression. CAM therapy use was identified by criteria from the National Institutes of Health National Center for Complementary and Alternative Medicine.
In a sample of 5651 individuals, representing 7 million youth, with 1 or more mental health concerns in the past 12 months, 28.9% used 1 or more types of CAM therapy, excluding vitamins/minerals. In contrast, only 11.6% of those without mental health concerns reported CAM therapy use (P < .05). Among youth with 1 or more mental health conditions, the most commonly used CAM therapies were mind-body therapies (16.3%) and biologically based therapies (11%); use was higher for therapies that could be directly accessed (18.6%) than for therapies delivered in groups (11.8%) or through a health professional (10.2%). In the multivariable regression model, demographic factors significantly associated with CAM therapy use were higher household income, higher parental education, having other chronic health conditions, use of prescription medications, and difficulty affording mental health counseling.
Readily accessible CAM therapies are commonly used by youth with ADHD, depression, and anxiety, particularly those who have comorbid chronic health conditions, receive prescription medications, and have difficulty affording counseling. Clinicians can use these data to guide inquiries and counseling. Researchers should explore the longitudinal relationship between access to coordinated care within a medical home and use of CAM therapies among youth with mental health concerns.
在有心理健康问题的成年人中，补充和替代医学（CAM）疗法的使用很普遍，但对于有心理健康问题的青少年使用CAM疗法的情况却知之甚少。
对2007年全国健康访谈调查中7至17岁青少年的数据进行分析。该研究聚焦于3种常见的心理健康状况：注意力缺陷多动障碍（ADHD）、焦虑症和抑郁症。CAM疗法的使用根据美国国立卫生研究院补充和替代医学国家中心的标准来确定。
在一个代表700万青少年的5651名个体样本中，在过去12个月里有1种或更多心理健康问题，28.9%的人使用了1种或更多类型的CAM疗法（不包括维生素/矿物质）。相比之下，没有心理健康问题的人中只有11.6%报告使用了CAM疗法（P <.05）。在有1种或更多心理健康状况的青少年中，最常用的CAM疗法是身心疗法（16.3%）和基于生物的疗法（11%）；可直接获得的疗法的使用率（18.6%）高于团体提供的疗法（11.8%）或通过健康专业人员提供的疗法（10.2%）。在多变量回归模型中，与CAM疗法使用显著相关的人口统计学因素包括家庭收入较高、父母教育程度较高、患有其他慢性健康状况、使用处方药以及难以负担心理健康咨询费用。
患有ADHD、抑郁症和焦虑症的青少年，特别是那些患有慢性健康合并症、接受处方药治疗且难以负担咨询费用的青少年，通常会使用容易获得的CAM疗法。临床医生可以利用这些数据来指导询问和咨询。研究人员应探索在医疗之家获得协调护理与有心理健康问题的青少年使用CAM疗法之间的纵向关系。
