Use of complementary and alternative medicine among children recently diagnosed with autistic spectrum disorder

Susan E Levy1, David S Mandell, Stephanie Merhar

  • 1Regional Autism Center, The Children's Hospital of Philadelphia, Pennsylvania 19104, USA.

Insights

Over 30% of children with autism use complementary and alternative medicine (CAM). Clinicians should discuss CAM early, as some forms may be harmful, and certain factors influence its use.

Area of Science:

  • Pediatric Health
  • Autism Spectrum Disorder
  • Complementary and Alternative Medicine (CAM)

Background:

  • Autism Spectrum Disorder (ASD) diagnosis rates are increasing.
  • Complementary and Alternative Medicine (CAM) use is common in pediatric populations.
  • Understanding CAM use in newly diagnosed ASD cases is crucial for clinical practice.

Purpose of the Study:

  • To determine the prevalence of CAM use in children with suspected or recent autism diagnoses.
  • To identify factors associated with CAM use and potentially harmful CAM use in this population.
  • To inform clinical practice regarding early discussions about CAM.

Main Methods:

  • Retrospective chart review of 284 children at a Regional Autism Center.
  • Analysis of demographic and clinical data to identify correlates of CAM use.
  • Categorization of CAM use into general and potentially harmful types.

Main Results:

  • Over 30% of children utilized some form of CAM.
  • Approximately 9% of children used potentially harmful CAM therapies.
  • An additional diagnosis was linked to lower CAM use, while being Latino was associated with higher use.
  • Prior provider visits predicted potentially harmful CAM use.

Conclusions:

  • CAM use is prevalent in children recently diagnosed with autism.
  • Clinicians should proactively discuss CAM with families early in the assessment process.
  • Further research is needed on cultural influences and the impact of prior healthcare interactions on CAM decisions.

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