Building an Evidence Base in Complementary and Integrative Healthcare for Child and Adolescent Psychiatry

Edwards, Emmeline; Mischoulon, David; Rapaport, Mark Hyman; Stussman, Barbara J; Weber, Wendy

doi:10.1016/j.chc.2013.03.007

Cited by 13 publications

(10 citation statements)

References 56 publications

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“…One surprising finding from our study is that chiropractic care was used as one of the most important CAM therapies for children with mental health issues. Although chiropractic care was reported as one of the most frequently used CAM therapies for many other medical conditions [ 3 , 67 , 68 ], few randomized control trials have reported significant clinical benefits of chiropractic practices among pediatric population, and the effectiveness of chiropractic care in reducing children’s mental health symptoms [ 69 – 71 ]. One possible explanation is that chiropractic care addresses all aspects of a child’s health issues and strives to restore balance.…”

Section: Discussionmentioning

confidence: 99%

“…Mental health issues (e.g., attention-deficit hyperactivity disorder (ADHD), anxiety/depression, chronic stress, and autism) in children have become a serious public health concern in the United States especially within the past few decades. According to the data from National Health Interview Survey (NHIS), the prevalence of ADHD in children and adolescents rose from 5.9% in 1998 to 8.2% in 2007 and 11.4% in 2011 [ 1 – 3 ]. Also, the proportion of teens with depression disorders increased from 26.1% in 2009 to 29.9% in 2015 [ 4 – 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Although these conventional approaches continue as the dominant medical model, recently many parents who have children with mental health issues have been reluctant to use these conventional methods because of their concern about the side effects, being stigmatized as failures, withdrawal symptoms, life-long reliance, and/or difficulty affording mental health counseling [ 22 – 24 ]. Instead, many parents have turned their children to a variety of complementary and alternative medicine (CAM) therapies (e.g., natural products, manipulative/body-based techniques, and mindfulness-based practices, etc.,), with the desire for a more natural and holistic treatment as well as the hope to minimize the risk of adverse effects caused by pharmaceutical medications [ 3 , 25 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

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Complementary and alternative medicine use among children with mental health issues: results from the National Health Interview Survey

Wang

Preisser

Chung

et al. 2018

BMC Complement Altern Med

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BackgroundMental health issues in children have become a serious public health concern in the U.S. within the past few decades. Emerging evidence suggests that Complementary and Alternative Medicine (CAM) can be beneficial for various mental health issues. However, little is known about the prevalence, reasons, and associated factors of CAM use among this population in the U.S. The purpose of this study is to examine the characteristics of CAM use among U.S. children with mental health issues.MethodsUtilizing the 2012 National Health Interview Survey data, we used descriptive analysis, Wald F-statistics, and multivariable survey logistic regression models to examine the prevalence, patterns, and associated factors of CAM use in children aged 4–17 (n = 10,233) adjusting for the complex sampling design.ResultsCAM use is more popular among children with mental health issues compared with those without (19.2% vs. 10.1%, p < 0.001). Herbal remedies (9.1%), mind-body therapies (5.5%), and chiropractic care (5.3%) were the most frequently used modalities. Primary reasons for children to use CAM are because they are helpful (69.2%), natural (55.9%), and holistic (44.7%). The majority of CAM users perceived CAM therapies are helpful. Predictors of CAM use are children who are female, whose parents had a higher educational level and socioeconomic status, and who had at least one co-morbid medical condition. Only 18.4% of CAM usage was recommended by medical doctors.ConclusionsApproximately 10 million parents of children with mental health issues reported the use of CAM therapies, mainly because of their desire for a more natural and holistic healthcare approach. Given that the majority of CAM users perceived CAM therapies as helpful, future studies should investigate the unique contributions of CAM in pediatric psychiatric care. Because a low percentage of CAM use was recommended by medical doctors, educational interventions designed to equip medical professionals with CAM knowledge and experience will be conducive to improving effective patient-physician communication in clinical settings. Since CAM use is reported as more prevalent by parents’ of children with higher education and family income, effective strategies designed to reduce disparities in accessing promising CAM therapies are warranted.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Complementary and alternative medicine use among children with mental health issues: results from the National Health Interview Survey

Wang

Preisser

Chung

et al. 2018

BMC Complement Altern Med

View full text Add to dashboard Cite

show abstract

“…However, the authors also reported that disparity in quality and lack of methodological details across studies made it difficult to interpret study findings . Edwards et al argued that well‐designed, adequately powered and suitably controlled clinical trials on promising complementary and integrative modalities are needed for children and adolescents with psychiatric conditions . The authors noted that the high prevalence of use of these therapies by families with children with mental health disorders warrants the need to explore these therapies further …”

mentioning

confidence: 99%

“…19 The authors noted that the high prevalence of use of these therapies by families with children with mental health disorders warrants the need to explore these therapies further. 19 Currently, no study has investigated the use of acupuncture for paediatric anxiety. 20 Anecdotal evidence from parents and practitioners indicate acupuncture may be a feasible and beneficial treatment for children and adolescents with anxiety.…”

mentioning

confidence: 99%