Yıl: 2013 Cilt: 50 Sayı: 3 Sayfa Aralığı: 237 - 243 Metin Dili: İngilizce

Use of Complementary and Alternative Medicine in Children with Autism Spectrum Disorders: A Multicenter Study

Öz:
ntroduction: This study examined the prevalence of the use of different complementary and alternative medicine (CAM) strategies, families attitudes and belief systems about the use of these strategies, and the economic burden of these strategies placed on family income in families of children with autism spectrum disorders (ASD). Method: A questionnaire survey concerning the use of CAM in children with ASD was administered to parents in the five different geographic locations in Turkey. Results: Of the 172 respondents, 56% had used at least one CAM therapy. The most requently used CAM intervention was spiritual healing. Among the most reported easons for seeking CAM were dissatisfaction with conventional interventions and a search for ways to enhance the effectiveness of conventional treatments. The most frequently reported source of recommendation for CAM was advice from amily members. The mean economic burden of the CAM methods was a total of 4,005 Turkish lira ($2,670) in the sample using CAM. The CAM usage rate was lower n parents who suspected genetic/congenital factors for the development of ASD. Conclusion: This study observed the importance of socioeconomic and cultural actors as well as parents beliefs about the etiology of ASD in treatment decisions about CAM. (Arc­hi­ves of Neu­ropsy­chi­atry 2013; 50: 237-243)
Anahtar Kelime:

Otizm Spektrum Bozukluğu Olan Çocuklarda Tamamlayıcı ve Alternatif Tıp Uygulamaları: Çok Merkezli Bir Çalışma

Öz:
Giriş: Bu çalışmada otizm spektrum bozukluğu (OSB) olan çocuklarda tamamlayıcve alternatif tıp (TAT) uygulamalarının kullanım sıklığı, ailelerin bu uygulamalahakkındaki tutum ve inançları ve bu uygulamaların aile bütçesine olan ekonomik yükü incelendi. Yöntem: Bu amaçlara ulaşılması için Türkiye nin beş farklı bölgesinde OSB lçocuklarda TAT uygulamaları hakkında çocukların ebeveynlerine bir ankeuygulandı Bulgular: Yüz yetmiş iki kişilik örneklemin %56 sının TAT uygulamalarını kullandığsaptandı. En sık kullanılan TAT yönteminin dua okutma olduğu belirlendi. TAT yöntemlerine başvurma nedeni olarak en sık konvansiyonel tedavilerin tatmin edicolmaması ve konvansiyonel tedavilerin etkinliğinin arttırılması isteği gösterildiTAT uygulamaları hakkında en fazla bilgi alınan kaynağın ise aile bireyleri olduğu belirtildi. TAT uygulamalarını kullananlarda bu uygulamaların toplam maliyeti 4005 Türk lirası (2670 dolar) olarak belirlendi. TAT kullanım oranı OSB gelişimi açısından genetik/konjenital faktörleri suçlayanlarda daha düşüktü. Sonuç: Bu çalışma sosyoekonomik ve kültürel faktörlerin ve ebeveynlerin OSB etiyolojisi hakkındaki inançlarının TAT yöntemlerine başvuru açısından önemingöstermektedir. (Nö­rop­si­ki­yat­ri Ar­fli­vi 2013; 50: 237-243)
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Lazoff T, Zhong L, Piperni T, Fombonne E. Prevalence of pervasive developmental disorders among children at the English Montreal School Board. Can J Psychiatry 2010; 55:715-720.
  • Veenstra-Vanderweele J, Christian SL, Cook EH Jr. Autism as a paradigmatic complex genetic disorder. Annu Rev Genomics Hum Genet 2004; 5:379-405.
  • Levy SE, Hyman SL. Use of complementary and alternative treatments for children with autistic spectrum disorders is increasing. Pediatr Ann 2003; 32:685-691.
  • Steyaert JG, De la Marche W. What’s new in autism? Eur J Pediatr 2008; 167:1091-1101.
  • Kılınçaslan A, Tutkunkardaş MD, Mukaddes NM. Complementary and alternative treatments of attention deficit hyperactivity disorder. Archives of Neuropsychiatry 2011; 48:94-102.
  • Hanson E, Kalish LA, Bunce E, Cuntis C, McDaniel S, Ware j, Petry J. Use of complementary and alternative medicine among children diagnosed with autism spectrum disorder. J Autism Dev Disord 2007; 37:628-636.
  • Harrington JW, Rosen L, Garnecho A, Patrick PA. Parental perceptions and use of complementary and alternative medicine practices for children with autistic spectrum disorders in private practice. J Dev Behav Pediatr 2006; 27(Suppl 2):156-161.
  • Wong HH. Smith RG. Patterns of complementary and alternative medical therapy use in children diagnosed with autism spectrum disorders. J Autism Dev Disord 2006; 36:901-909.
  • Liptak GS, Orlando M, Yingling JT, Theurer-Kaufman KL, Malay DP, Tompkins LA, Flynn JR. Satisfaction with primary health care received by families of children with developmental disabilities. J Pediatr Health Care 2006; 20:245-252.
  • Committee on Children with Disabilities. American Academy of Pediatrics. Counseling families who choose complementary and alternative medicine for their child with chronic illness or disability. Pediatrics 2001; 107:598-601.
  • Bilgiç A, Uslu R, Kartal OÖ. Comparison of toddlers with pervasive developmental disorders and developmental delay based on Diagnosis Classification: 0-3 Revised. Archives of Neuropsychiatry 2011; 48:188-194.
  • Astin JA. Why patients use alternative medicine: results of a national study. JAMA 1998; 279: 1548-1553.
  • Petry JJ, Finkel R. Spirituality and choice of health care practitioner. J Altern Complement Med 2004; 10:939-945.
  • Wong WC. Use of complementary and alternative medicine (CAM) in autism spectrum disorder (ASD): comparison of Chinese and western culture (Part A). J Autism Dev Disord 2009; 39:454-463.
  • Şenel HG. Parents’ views and experiences about complementary and alternative medicine treatments for their children with autistic spectrum disorder. J Autism Dev Disord 2010; 40:494-503
  • American Psychiatric Association. Task Force on DSM-IV. Diagnostic and statistical manual of mental disorders: DSM-IV-TR. 4th ed. Washington, DC: American Psychiatric Association; 2000.
  • Levy SE, Mandell DS, Merhar S, Ittenbach RF, Pinto-Martin JA. Use of complementary and alternative medicine among children recently diagnosed with autistic spectrum disorder. J Dev Behav Pediatr 2003; 24:418-423.
  • Nickel R. Controversial therapies for young children with developmental disabilities. Infants Young Children 1996; 8:29-40.
  • Referans to non-medical persons of the patients treated in psychiatry clinic of Erzurum Numune Hospital, for their mental disorders. Düşünen Adam: Psikiyatri ve Nörolojik Bilimler Dergisi 1992; 5:24-28.
  • Green VA, Pituch KA, Itchon J, Choi A, O’Reilly M, Sigafoos J. Internet survey of treatments used by parents of children with autistic. Res Dev Disabil 2006; 27:70-84.
  • Akins RS, Angkustsiri K, Hansen RL. Complementary and alternative medicine in autism: An evidence-based approach to negotiating safe and efficacious interventions with families. Neurotherapeutics 2010; 7:307-319.
  • Sibinga EM, Ottolini MC, Duggan AK, Wilson MH. Parent-pediatrician communication about complementary and alternative medicine use for children. Clin Pediatr (Phila) 2004; 43:367-373.
  • Cohen MH, Kemper KJ. Complementary therapies in pediatrics: a legal perspective. Pediatrics 2005; 115:774-780.
  • Levy SE, Hyman SL. Novel treatments for autistic spectrum disorders. Ment Retard Dev Disabil Res Rev 2005; 11:131-142.
APA BİLGİÇ A, CÖNGÖLOĞLU M, HERGÜNER S, TÜRKOĞLU S, BAHALI M, GÜRKAN K, DURUKAN İ, TÜRKBAY T (2013). Use of Complementary and Alternative Medicine in Children with Autism Spectrum Disorders: A Multicenter Study. Nöropsikiyatri Arşivi, 50(3), 237 - 243.
Chicago BİLGİÇ Ayhan,CÖNGÖLOĞLU MEHMET AYHAN,HERGÜNER Sabri,TÜRKOĞLU SERHAT,BAHALI MUSTAFA KAYHAN,GÜRKAN Kaan,DURUKAN İBRAHİM,TÜRKBAY Tümer Use of Complementary and Alternative Medicine in Children with Autism Spectrum Disorders: A Multicenter Study. Nöropsikiyatri Arşivi 50, no.3 (2013): 237 - 243.
MLA BİLGİÇ Ayhan,CÖNGÖLOĞLU MEHMET AYHAN,HERGÜNER Sabri,TÜRKOĞLU SERHAT,BAHALI MUSTAFA KAYHAN,GÜRKAN Kaan,DURUKAN İBRAHİM,TÜRKBAY Tümer Use of Complementary and Alternative Medicine in Children with Autism Spectrum Disorders: A Multicenter Study. Nöropsikiyatri Arşivi, vol.50, no.3, 2013, ss.237 - 243.
AMA BİLGİÇ A,CÖNGÖLOĞLU M,HERGÜNER S,TÜRKOĞLU S,BAHALI M,GÜRKAN K,DURUKAN İ,TÜRKBAY T Use of Complementary and Alternative Medicine in Children with Autism Spectrum Disorders: A Multicenter Study. Nöropsikiyatri Arşivi. 2013; 50(3): 237 - 243.
Vancouver BİLGİÇ A,CÖNGÖLOĞLU M,HERGÜNER S,TÜRKOĞLU S,BAHALI M,GÜRKAN K,DURUKAN İ,TÜRKBAY T Use of Complementary and Alternative Medicine in Children with Autism Spectrum Disorders: A Multicenter Study. Nöropsikiyatri Arşivi. 2013; 50(3): 237 - 243.
IEEE BİLGİÇ A,CÖNGÖLOĞLU M,HERGÜNER S,TÜRKOĞLU S,BAHALI M,GÜRKAN K,DURUKAN İ,TÜRKBAY T "Use of Complementary and Alternative Medicine in Children with Autism Spectrum Disorders: A Multicenter Study." Nöropsikiyatri Arşivi, 50, ss.237 - 243, 2013.
ISNAD BİLGİÇ, Ayhan vd. "Use of Complementary and Alternative Medicine in Children with Autism Spectrum Disorders: A Multicenter Study". Nöropsikiyatri Arşivi 50/3 (2013), 237-243.