A Survey of Herbal Use in Children with Attention‐Deficit—Hyperactivity Disorder or Depression

Cala, Suzanne; Crismon, M. Lynn; Baumgartner, Jennifer

doi:10.1592/phco.23.2.222.32092

Cited by 50 publications

(22 citation statements)

References 28 publications

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“…More than 46% of the children from the urban and industrialised area of greater Milan making up our study population received CAM, a percentage that is similar to that found by other authors in children with chronic or recurrent diseases, and higher than that usually observed in the general paediatric population (1)(2)(3)(4)(5)(6)(7)(8)(9). Although CAM use can significantly vary from country to country so that the data derived from this study cannot be generalized, they seem to confirm the view that parents se1f-prescribe or agree with a paediatrician's prescription of CAM mainly when they have to face well-known clinical situations for which conventional medicine does not offer any definite solutions.…”

Section: Discussionsupporting

confidence: 89%

Use of Complementary and Alternative Medicine in Children with Recurrent Acute Otitis Media in Italy

Marchisio

Bianchini

Galeone

et al. 2011

Int J Immunopathol Pharmacol

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Controlling environmental factors, chemoprophylaxis, immunoprophylaxis and surgery are considered possible means of preventing recurrent acute otitis media (RAOM), but there are no available data concerning the paediatric use of complementary and alternative medicine (CAM). We evaluated the uses of CAM (homeopathy and/or herbal medicine) as means of preventing AOM in children with a history of RAOM. Eight hundred and forty Italian children with RAOM (~3 episodes in six months) aged 1-7 years were surveyed in 2009 using a face-to-face questionnaire, filled by parents or caregivers, that explored the prevalence, determinants, reasons, cost, and perceived safety and efficacy of CAM. About one-half (46%) of the children used CAM, significantly more than the number who used immunoprophylaxis (influenza vaccine 15%; p<0.05), PCV-7 34%; p< 0.05) or chemoprophylaxis (2%; p<0.001). Use of CAM in the family was the only important factor positively associated with the use of CAM in children (adjusted OR 7.94; 95% CI: 5.26-11.99).The main reasons for using CAM were a fear of the adverse effects of conventional medicine (40%) and to increase host defences (20%). CAM was widely seen as safe (95%) and highly effective (68%). CAM prescribers were paediatricians in 50.7% of cases; self-initiation was reported by 23% of respondents. CAM expenditure was between €25 and €50/ month in 27.6% of cases and~€50/month in 16%. Children with RAOM should be considered among the categories of subjects likely to be using CAM. Together with the fact that paediatricians are the main prescribers, this is worrying because of the current lack of evidence regarding the efficacy, safety and cost-effectiveness of CAM in the prevention of RAOM.The use ofcomplementary and alternative medicine (CAM) in paediatrics has grown dramatically in the Western world over recent years. It has been shown that approximately 20-40% of healthy children seen in outpatient paediatric clinics (1-3) and more than 50% of children with chronic, recurrent or incurable conditions use CAM, almost always in conjunction with mainstream medicine (4-10). Most families use

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Section: Discussionsupporting

confidence: 89%

Use of Complementary and Alternative Medicine in Children with Recurrent Acute Otitis Media in Italy

Marchisio

Bianchini

Galeone

et al. 2011

Int J Immunopathol Pharmacol

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“…The drug is labeled in Germany for the treatment of children 12 years and above and is often indicated for depression and related disorders, including anxiety and irritability. Hypericum is available in both prescription and over-the-counter products, and most of it is used as self-medication (Beckmann et al 2000;Cala et al 2003).…”

Section: Introduction R Ecent Policy Developments By the Europeanmentioning

confidence: 99%

Antidepressant Use in Children and Adolescents in Germany

Fegert

Kölch

Zito

et al. 2006

Journal of Child and Adolescent Psychopharmacology

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Prescription patterns in Germany reveal predominate use of St. John's Wort and TCAs, which contrasts sharply with U.S. patterns, wherein SSRIs predominate. Also, in the United States, unlike Germany, 5-9- and 10-14 year olds receive sizable proportions of ATDs. Labeling status (only herbal hypericum preparations and TCAs are labeled for the treatment of depression in children and adolescents in Germany) and cost restrictions appear to influence the prescribing pattern of doctors in Germany. Recent treatment recommendations of national and international regulatory agencies need to take into account the different national situations.

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“…In the general pediatric population, studies show that the majority of parents do not disclose CAM use to their child's HCP (Cala, Crismon, & Baumgartner, 2003;Crawford et al, 2006;Heuschkel et al, 2002;Lanski, Greenwald, Perkins, & Simon, 2003;Madsen et al, 2003;Ottolini et al, 2001;Pitetti, Singh, Hornyak, Garcia, & Herr, 2001;Sawni-Sikand, Schubiner, & Thomas, 2002;Spigelblatt & Laine-Ammara, 1994;Wilson & Klein, 2002). The most frequently reported barriers to CAM disclosure, among the general population as well as families with children, were a feeling that the HCP did not need to know about CAM use, fear of a negative response from the HCP, and the HCP did not ask (Prussing, Sobo, Walker, Dennis, & Kurtin, 2004;Robinson & McGrail, 2004;Shaw, Thompson, & Sharp, 2006).…”

mentioning

confidence: 99%

Don't Ask, Don't Tell: Parental Nondisclosure of Complementary and Alternative Medicine and Over-the-Counter Medication Use in Children's Asthma Management

Sidora-Arcoleo¹,

Yoos²,

Kitzman³

et al. 2008

Journal of Pediatric Health Care

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A Survey of Herbal Use in Children with Attention‐Deficit—Hyperactivity Disorder or Depression

Abstract: Most caregivers supervised herbal therapy in their children, without communication with a health professional. A need exists for better communication between health professionals and caregivers regarding the use of herbal therapy.

Cited by 50 publications

References 28 publications

Use of Complementary and Alternative Medicine in Children with Recurrent Acute Otitis Media in Italy

Use of Complementary and Alternative Medicine in Children with Recurrent Acute Otitis Media in Italy

Antidepressant Use in Children and Adolescents in Germany

Don't Ask, Don't Tell: Parental Nondisclosure of Complementary and Alternative Medicine and Over-the-Counter Medication Use in Children's Asthma Management

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