School of Physical Education, Pingdingshan University, Pingdingshan, Henan Province, 467000, PR China; University of North Carolina at Chapel Hill, Department of Physical Medicine & Rehabilitation, Chapel Hill, NC, 27516, USA.
Colorado State University, Department of Health & Exercise Science, Fort Collins, CO, 80523, USA.
Complement Ther Med. 2020 Mar;49:102352. doi: 10.1016/j.ctim.2020.102352. Epub 2020 Feb 19.
To examine the prevalence, patterns, and factors associated with CAM use among children with ADHD.
We used data from the 2012 and 2017 National Health Interview Survey. Descriptive statistics, Wald F chi-square test, and multivariable logistic regression were performed.
Approximately 8.4 % of U.S. children had ADHD in 2017. Children with ADHD had greater CAM use than those without (p < 0.05). Meditation (10.8 %), yoga (9.6 %), and deep breathing (7.3 %) were the most commonly used mind-body CAM modalities in ADHD children in 2017, with their use increased 468 %, 433 %, and 192 %, respectively, since 2012. Nearly all children experiencing ADHD (91.9 %) have comorbid psychiatric disorders, and they are more likely to use CAM than those without comorbidities (p < .0001). Less than one-third of the respondents disclosed children's CAM use to their medical doctors. Among children with ADHD, CAM use is generally not correlated with conventional medical care use, except for a significant inverse relationship between CAM use and use of prescription medication for more than three months.
The use of mind-body CAM modalities has substantially increased among children with ADHD, compared to those without ADHD, from 2012 to 2017. Parents' reasons for the use of CAM among their children with ADHD included their unique function in reducing ADHD symptoms and their lack of unwanted side-effects. It is imperative to improve effective communication between health care providers and ADHD patients and their parents, in order to understand patients' values and preferences for using CAM therapies as a natural holistic therapy for ADHD.
研究 ADHD 儿童 CAM 使用的流行率、模式和相关因素。
我们使用了 2012 年和 2017 年全国健康访谈调查的数据。进行了描述性统计、Wald F 卡方检验和多变量逻辑回归分析。
2017 年，约有 8.4%的美国儿童患有 ADHD。患有 ADHD 的儿童比没有 ADHD 的儿童更倾向于使用 CAM（p<0.05）。冥想（10.8%）、瑜伽（9.6%）和深呼吸（7.3%）是 2017 年 ADHD 儿童最常用的身心 CAM 方式，自 2012 年以来，它们的使用率分别增加了 468%、433%和 192%。几乎所有患有 ADHD 的儿童（91.9%）都伴有精神科共病，他们比没有共病的儿童更有可能使用 CAM（p<0.0001）。不到三分之一的受访者向他们的医生透露了孩子的 CAM 使用情况。在 ADHD 儿童中，CAM 的使用通常与常规医疗保健的使用无关，除了 CAM 的使用与使用处方药物超过三个月呈显著负相关。
与 2012 年相比，2017 年 ADHD 儿童使用身心 CAM 方式的比例显著增加。父母选择为患有 ADHD 的孩子使用 CAM 的原因包括 CAM 在缓解 ADHD 症状方面的独特作用，以及其缺乏不必要的副作用。至关重要的是，要改善医疗保健提供者与 ADHD 患者及其父母之间的有效沟通，以了解患者对使用 CAM 疗法的价值观和偏好，作为 ADHD 的一种自然整体疗法。
