Bilgiç Ayhan, Cöngöloğlu Ayhan, Hergüner Sabri, Türkoğlu Serhat, Bahali Kayhan, Gürkan Kağan, Durukan İbrahim, Türkbay Tümer
Department of Child and Adolescent Psychiatry, Selçuk University Meram School of Medicine, Konya, Turkey.
Department of Child and Adolescent Psychiatry, Gülhane Military Medical Academy, Ankara, Turkey.
Noro Psikiyatr Ars. 2013 Sep;50(3):237-243. doi: 10.4274/npa.y6389. Epub 2013 Sep 1.
This study examined the prevalence of the use of different complementary and alternative medicine (CAM) strategies, families' attitudes and belief systems about the use of these strategies, and the economic burden of these strategies placed on family income in families of children with autism spectrum disorders (ASD).
A questionnaire survey concerning the use of CAM in children with ASD was administered to parents in the five different geographic locations in Turkey.
Of the 172 respondents, 56% had used at least one CAM therapy. The most frequently used CAM intervention was spiritual healing. Among the most reported reasons for seeking CAM were dissatisfaction with conventional interventions and a search for ways to enhance the effectiveness of conventional treatments. The most frequently reported source of recommendation for CAM was advice from family members. The mean economic burden of the CAM methods was a total of 4,005 Turkish lira ($2,670) in the sample using CAM. The CAM usage rate was lower in parents who suspected genetic/congenital factors for the development of ASD.
This study observed the importance of socioeconomic and cultural factors as well as parents' beliefs about the etiology of ASD in treatment decisions about CAM.
本研究调查了自闭症谱系障碍（ASD）患儿家庭中不同补充和替代医学（CAM）策略的使用 prevalence、家庭对这些策略使用的态度和信念体系，以及这些策略给家庭收入带来的经济负担。
对土耳其五个不同地理位置的家长进行了一项关于ASD患儿使用CAM的问卷调查。
在172名受访者中，56%的人至少使用过一种CAM疗法。最常使用的CAM干预是精神治疗。寻求CAM的最常见原因包括对传统干预措施的不满以及寻求提高传统治疗效果的方法。CAM最常被提及的推荐来源是家庭成员的建议。在使用CAM的样本中，CAM方法的平均经济负担总计为4005土耳其里拉（2670美元）。怀疑ASD发展存在遗传/先天性因素的家长中，CAM使用率较低。
本研究观察到社会经济和文化因素以及家长对ASD病因的信念在CAM治疗决策中的重要性。
