Treat Lauren, Liesinger Juliette, Ziegenfuss Jeanette Y, Humeniuk Katherine, Prasad Kavita, Tilburt Jon C
Mayo Medical School, Mayo Clinic, Rochester, Minnesota (Dr Treat), United States.
Healthcare Policy and Research Unit, Mayo Clinic (Ms Liesinger), United States.
Glob Adv Health Med. 2014 Jan;3(1):18-24. doi: 10.7453/gahmj.2013.001.
Recent literature suggests that one in nine children in the United States uses some type of complementary and alternative medicine (CAM). Children with challenging neurological conditions such as headache, migraine, and seizures may seek CAM in their attempts at self-care. Our objective was to describe CAM use in children with these conditions.
We compared use of CAM among children aged 3 to 17 years with and without common neurological conditions (headaches, migraines, seizures) where CAM might plausibly play a role in their self-management using the 2007 National Health Interview Survey (NHIS) data.
Children with common neurological conditions reported significantly more CAM use compared to the children without these conditions (24.0% vs 12.6%, P<.0001). Compared to other pediatric CAM users, children with neurological conditions report similarly high use of biological therapies and significantly higher use of mind-body techniques (38.6% vs 20.5%, P<.007). Of the mind-body techniques, deep breathing (32.5%), meditation (15.1%), and progressive relaxation (10.1%) were used most frequently.
About one in four children with common neurological conditions use CAM. The nature of CAM use in this population, as well as its risks and benefits in neurological disease, deserve further investigation.
近期文献表明,美国每九名儿童中就有一名使用某种类型的补充和替代医学(CAM)。患有头痛、偏头痛和癫痫等具有挑战性的神经疾病的儿童可能会在自我护理过程中寻求补充和替代医学。我们的目的是描述患有这些疾病的儿童使用补充和替代医学的情况。
我们使用2007年全国健康访谈调查(NHIS)数据,比较了3至17岁患有和未患有常见神经疾病(头痛、偏头痛、癫痫)的儿童对补充和替代医学的使用情况,在这些疾病中,补充和替代医学可能在自我管理中发挥作用。
与没有这些疾病的儿童相比,患有常见神经疾病的儿童报告使用补充和替代医学的比例显著更高(24.0%对12.6%,P<0.0001)。与其他使用补充和替代医学的儿科患者相比,患有神经疾病的儿童报告使用生物疗法的比例同样很高,使用身心调节技术的比例显著更高(38.6%对20.5%,P<0.007)。在身心调节技术中,深呼吸(32.5%)、冥想(15.1%)和渐进性放松(10.1%)使用最为频繁。
约四分之一患有常见神经疾病的儿童使用补充和替代医学。该人群使用补充和替代医学的性质及其在神经疾病中的风险和益处值得进一步研究。