Complementary and alternative therapies for pediatric attention deficit hyperactivity disorder: a descriptive review
H Russell Searight1, Kayla Robertson, Todd Smith
1Department of Psychology, Lake Superior State University, 650 West Easterday Avenue, Sault Sainte Marie, MI 49783, USA.
Insights
Complementary and alternative medicine (CAM) offers options for Attention Deficit Hyperactivity Disorder (ADHD). Some evidence suggests omega-3 fatty acids, zinc, and neurofeedback may be effective ADHD treatments.
Area of Science:
- Pediatrics
- Neuroscience
- Integrative Medicine
Background:
- Attention Deficit Hyperactivity Disorder (ADHD) affects 6-8% of children, presenting with impulsivity, distractibility, and inattention.
- While stimulant medication is the standard ADHD treatment, public controversy and parental interest in alternatives persist.
- Family physicians and pediatricians manage most pediatric ADHD cases, facing patient queries about various therapies.
Purpose of the Study:
- To review complementary and alternative medicine (CAM) therapies for ADHD.
- To summarize current research on the effectiveness of these CAM approaches.
- To aid healthcare professionals in advising patients and parents on ADHD treatment options.
Main Methods:
- Literature review of CAM therapies for ADHD.
- Description of therapies including herbal preparations, supplements, neuro-feedback, and mindfulness.
- Assessment of research quality and evidence for efficacy.
Main Results:
- Research on CAM for ADHD is often limited by small sample sizes and lack of double-blind, placebo-controlled trials.
- Some evidence suggests potential efficacy for omega-3 fatty acids, zinc supplements, and neuro-feedback.
- Other CAM therapies like herbal preparations, sugar restriction, cognitive training, meditation, and green space exposure have less robust research support.
Conclusions:
- CAM therapies are of significant interest to parents of children with ADHD.
- While conventional treatments remain primary, certain CAM interventions show preliminary promise.
- Further high-quality research is needed to establish the efficacy and safety of CAM for ADHD.
Abstract:
Attention deficit hyperactivity disorder (AD/HD), characterized by impulsivity, distractibility, and inattention, has an estimated pediatric population prevalence of 6-8%. Family physicians and pediatricians evaluate and treat the majority of children with this condition. The evidence-based treatment of choice for ADHD, stimulant medication, continues to be a source of public controversy. Surveys suggest that among parents of children with ADHD, there is considerable interest in complementary and alternative medicine (CAM). These therapies include herbal preparations, mineral supplements, sugar restriction, and polyunsaturated fatty acids. Other AD/HD therapies include neuro-feedback, cognitive training, mindfulness meditation, and exposure to "green space." In order to assist physicians and mental health professionals in responding to patient and parent queries, this paper briefly describes these CAM therapies and current research regarding their effectiveness. While investigations in this area are hampered by research design issues such as sample size and the absence of double-blind placebo-controlled trials, there is some evidence that omega three fatty acids, zinc supplements, and neuro-feedback may have some efficacy.
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