Complementary and alternative medicine use in adults with autism spectrum disorder in Germany: results from a multi-center survey

Abstract Background Complementary and Alternative Medicine (CAM) is widely used both in the general population and for the treatment of somatic and psychiatric disorders. Studies on CAM use among patients with autism spectrum disorder (ASD) have so far only focused on children and adolescents. The a...

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Main Authors: Juliana Höfer, Falk Hoffmann, Inge Kamp-Becker, Charlotte Küpper, Luise Poustka, Stefan Roepke, Veit Roessner, Sanna Stroth, Nicole Wolff, Christian J. Bachmann
Format: Article
Language:English
Published: BMC 2019-02-01
Series:BMC Psychiatry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12888-019-2043-5
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author Juliana Höfer
Falk Hoffmann
Inge Kamp-Becker
Charlotte Küpper
Luise Poustka
Stefan Roepke
Veit Roessner
Sanna Stroth
Nicole Wolff
Christian J. Bachmann
author_facet Juliana Höfer
Falk Hoffmann
Inge Kamp-Becker
Charlotte Küpper
Luise Poustka
Stefan Roepke
Veit Roessner
Sanna Stroth
Nicole Wolff
Christian J. Bachmann
author_sort Juliana Höfer
collection DOAJ
description Abstract Background Complementary and Alternative Medicine (CAM) is widely used both in the general population and for the treatment of somatic and psychiatric disorders. Studies on CAM use among patients with autism spectrum disorder (ASD) have so far only focused on children and adolescents. The aim of this study was to investigate patterns of CAM use among adults with ASD. Methods A questionnaire survey concerning current and lifetime use of CAM was distributed to adults with ASD between November 2015 and June 2016. Participants diagnosed by experienced clinicians using the current diagnostic gold standard were recruited from four ASD outpatient clinics in Germany. Questionnaire data was then linked to supplementary clinical data. Results The final sample consisted of 192 adults (response: 26.8%) with a mean age of 31.5 years (80% male; diagnoses: Asperger’s syndrome (58%), childhood autism (27%), atypical autism (12%)). 45% of the respondents stated that they were currently using or had used at least one CAM modality in their life. Among the participants with lifetime CAM use, almost half had used two or more different types of CAM. Alternative medical systems (e.g. homeopathy, acupuncture) were most frequently used, followed by mind-body interventions (e.g. yoga, biofeedback, animal assisted therapy). Overall, 20% of respondents stated that they would like to try at least one listed CAM modality in the future. Conclusions This is the first study on CAM use in adults with ASD, demonstrating considerable CAM use in this population. Given the popularity of CAM, patients should be informed about the effectiveness and potentially dangerous side effects of CAM treatments, as evidence for the majority of CAM methods in ASD is still limited.
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spelling doaj.art-6bddee3cf0a34fcd89fdb1f0296e367e2022-12-22T03:57:11ZengBMCBMC Psychiatry1471-244X2019-02-011911810.1186/s12888-019-2043-5Complementary and alternative medicine use in adults with autism spectrum disorder in Germany: results from a multi-center surveyJuliana Höfer0Falk Hoffmann1Inge Kamp-Becker2Charlotte Küpper3Luise Poustka4Stefan Roepke5Veit Roessner6Sanna Stroth7Nicole Wolff8Christian J. Bachmann9Department of Health Services Research, Carl von Ossietzky University OldenburgDepartment of Health Services Research, Carl von Ossietzky University OldenburgDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Philipps University MarburgDepartment of Psychiatry, Charité - Universitätsmedizin Berlin, Campus Benjamin FranklinDepartment of Child and Adolescent Psychiatry, University Medical Center GöttingenDepartment of Psychiatry, Charité - Universitätsmedizin Berlin, Campus Benjamin FranklinDepartment of Child and Adolescent Psychiatry, Medical Faculty of the Technical University DresdenDepartment of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Philipps University MarburgDepartment of Child and Adolescent Psychiatry, Medical Faculty of the Technical University DresdenDepartment of Child and Adolescent Psychiatry, LVR-Klinikum Düsseldorf/ Heinrich-Heine University DüsseldorfAbstract Background Complementary and Alternative Medicine (CAM) is widely used both in the general population and for the treatment of somatic and psychiatric disorders. Studies on CAM use among patients with autism spectrum disorder (ASD) have so far only focused on children and adolescents. The aim of this study was to investigate patterns of CAM use among adults with ASD. Methods A questionnaire survey concerning current and lifetime use of CAM was distributed to adults with ASD between November 2015 and June 2016. Participants diagnosed by experienced clinicians using the current diagnostic gold standard were recruited from four ASD outpatient clinics in Germany. Questionnaire data was then linked to supplementary clinical data. Results The final sample consisted of 192 adults (response: 26.8%) with a mean age of 31.5 years (80% male; diagnoses: Asperger’s syndrome (58%), childhood autism (27%), atypical autism (12%)). 45% of the respondents stated that they were currently using or had used at least one CAM modality in their life. Among the participants with lifetime CAM use, almost half had used two or more different types of CAM. Alternative medical systems (e.g. homeopathy, acupuncture) were most frequently used, followed by mind-body interventions (e.g. yoga, biofeedback, animal assisted therapy). Overall, 20% of respondents stated that they would like to try at least one listed CAM modality in the future. Conclusions This is the first study on CAM use in adults with ASD, demonstrating considerable CAM use in this population. Given the popularity of CAM, patients should be informed about the effectiveness and potentially dangerous side effects of CAM treatments, as evidence for the majority of CAM methods in ASD is still limited.http://link.springer.com/article/10.1186/s12888-019-2043-5Autism spectrum disorderAutismComplementary and alternative medicineCAMPrevalenceAdults
spellingShingle Juliana Höfer
Falk Hoffmann
Inge Kamp-Becker
Charlotte Küpper
Luise Poustka
Stefan Roepke
Veit Roessner
Sanna Stroth
Nicole Wolff
Christian J. Bachmann
Complementary and alternative medicine use in adults with autism spectrum disorder in Germany: results from a multi-center survey
BMC Psychiatry
Autism spectrum disorder
Autism
Complementary and alternative medicine
CAM
Prevalence
Adults
title Complementary and alternative medicine use in adults with autism spectrum disorder in Germany: results from a multi-center survey
title_full Complementary and alternative medicine use in adults with autism spectrum disorder in Germany: results from a multi-center survey
title_fullStr Complementary and alternative medicine use in adults with autism spectrum disorder in Germany: results from a multi-center survey
title_full_unstemmed Complementary and alternative medicine use in adults with autism spectrum disorder in Germany: results from a multi-center survey
title_short Complementary and alternative medicine use in adults with autism spectrum disorder in Germany: results from a multi-center survey
title_sort complementary and alternative medicine use in adults with autism spectrum disorder in germany results from a multi center survey
topic Autism spectrum disorder
Autism
Complementary and alternative medicine
CAM
Prevalence
Adults
url http://link.springer.com/article/10.1186/s12888-019-2043-5
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