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Complementary and alternative therapies in
childhood attention and hyperactivity problems.
Chan E, Rappaport LA, Kemper KJ.

• 62 of 114 (54) parents reported using CAM
• Parents who used CAM rated a "natural therapy"
  and "having more control over treatments"
  significantly more important in their choice of
  therapy than parents who did not use CAM.
• 2003 Feb24(1)4-8

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Complementary and alternative medicine use in
children with attention deficit hyperactivity
disorder. D Sinha, D Efron

• 75 children with ADHD. Fifty (67.6) families
  reported current or past CAM use.
• Volume 41 Issue 1-2 Page 23-26, January 2005

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????? ???????, ???? ???? ?????-?????, ?????
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Attention-Deficit-Disorder (ADD) ?-
Attention-Deficit-Hyperactivity-Disorder (ADHD)

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  ???-????,?????? ????? ??-???? .

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40- ADHD
120
40 -ADD
40 Placebo
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A Preliminary Study of the Effect of Pyridoxine
(B-6) on ADHD. Coleman M, Steinberg G, Tippett
J, et al. Biol Psychiaty 197914741-751.

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  ????? ((double-blind, ?????-?????, CROSSOVER

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?????? B-6

• each child received placebo, low and high doses
  of methylphenidate, and low and high doses of B6
  in a 21-week period.
• Results showed that serotonin blood levels
  increased dramatically on B6, and teacher ratings
  showed a 90 level of statistical trend in favor
  of B6 being slightly more effective than
  methylphenidate.

serotonin
B6-low
B6-high
Each child
Methylphenidate- low
Methylphenidate-high
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Effects of a Few Food Diet in Attention Deficit
Disorder.Carter CM, Urbanowicz M, Hemsley R,
Mantilla L, Strobel S, Graham PJ, Taylor E. Arch
Dis Child 1993 Nov69(5)564-8.

• research has made the connection with foods and
  ADHD. Seventy-eight children with hyperactive
  behavior were placed on an elimination diet.
  Fifty-nine (76) of the children improved in
  behavior.

59-(76)
78
18

• These 59 children who responded were then
  challenged with various foods and some food
  additives. It was found the additive containing
  foods were the worst offenders (70 reacted).

59-(76)
78
41 (70)
19
Foods

• chocolate (64),
• cow's milk (64),
• orange (57),
• tomato (22)
• egg (18).

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Food additives and hyperactive behaviour in
3-year-old and 8/9-year-old children in the
community a randomised, double-blinded,
placebo-controlled trial

• The Lancet 2007 3701560-1567

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Food Additives Linked To Hyperactivity In Children

• 153 three-year-olds and 144 eight-year-olds
  living in the city of Southampton

just fruit juice
153(3 y)
297
food colours and benzoate preservative
144(8 y)
diet free from the additives Over a six-week
period
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• Interpretation
• Artificial colours or a sodium benzoate
  preservative (or both) in the diet result in
  increased hyperactivity in 3-year-old and
  8/9-year-old children in the general population.

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Acupuncture Alternative treatments for adults
with attention-deficit hyperactivity
disorder(ADHD). Ann N Y Acad Sci 200193131041

• Laser acupuncture promising pilot data for
  attention deficit hyperactivity disorder

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Massage therapy improves mood and behavior of
students with attention- deficit/hyperactivity
disorder.Khilnani, S., Field, T.,
Hernandez-Reif, M., Schanberg, S. (2003).
Adolescence, 38, 623-38.

• METHOD 30 children and adolescents (7 18)
  diagnosed (ADHD).
• The children were randomly assigned to a
  wait-list control and a massage group.
• massage therapy for 20 minutes twice per week
  over the course of one month.

massage
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Waiting control
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• RESULTS Mood state improved for the massage but
  not the control.
• The massage group also improved in classroom
  behavior in the areas of the Conners Teacher
  Rating Scales
• on anxiety, daydreaming and hyperactivity.

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The effects of yoga on the attention and behavior
of boys with Attention-Deficit/ hyperactivity
Disorder (ADHD). Jense, P. Kenny, D. (2004).
Journal of Attention Disorder, 7, 205-16.

• METHOD 19 Boys diagnosed with ADHD were
  randomly assigned to a 20-session yoga group (n
  11) or a control group (cooperative activities n
  8).
• Boys were assessed pre- and post-intervention on
  the Conners' Parent and Teacher Rating Scales.

11-yoga
19
8-cooperative activity
35

• RESULTS Significant improvements from pre-test
  to post-test were found for the yoga, but not for
  the control group
• on five subscales of the Conners' Parent Rating
  Scales
• Oppositional, Emotional Lability,
  Restless/Impulsive and ADHD Index.

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