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      The Place of Complementary Medicine in the Treatment of Autistic Children

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          Abstract

          Objectives:

          The purpose of this study is to achieve a vision for autistic children and their parents aimed at generating interest in ideas such as “Sanitas Per Aquam” (SPA), massage and music therapy, which has begun to have widespread use and to attract attention.

          Methods:

          This cross-sectional, descriptive study was carried out with autistic children and their parents from February to April 2015 in Muğla, Turkey. The study was began by interviewing experts in the field and by developing a suitable assessment questionnaire. In order to direct the flow of conversation between the researchers and the autisitc children and their parents, the researchers conducted semi-structured face to face interviews in a form that had been determined by using reports in the literature and the opinions of experts in the field.

          Results:

          Forty two boys (84%) and eight girls (16%) with autism participated in our study. Children in the 0 ─ 7 age group spent long time in the bathroom ( P = 0.001). Boys liked to be hugged more than girls ( P = 0.01). Children ages 0 ─ 7 years liked bright lighting while those 15 years of age and older liked gloomy lighting ( P = 0.009). Except for these statistically significant sex- and age-related differences, no other statistically significant differences were noted in the parameters of this study. Although the result was not statistically significant, more children with mild autism disorder obeyed commands like inhale or exhale ( P = 0.051).

          Conclusion:

          Treatment for autism spectrum disorders is not yet fully possible, so many studies are being done to alleviate some symptoms and to improve the quality of life for individuals with autism and their families. As a result of our study, whether touching the areas the children want touched and listening to their favorite music are required to stimulate the brain remain as questions in our minds.

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          Most cited references23

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          Systematic review of prevalence studies of autism spectrum disorders.

          To quantitatively examine the influence of study methodology and population characteristics on prevalence estimates of autism spectrum disorders. Electronic databases and bibliographies were searched and identified papers evaluated against inclusion criteria. Two groups of studies estimated the prevalence of typical autism and all autism spectrum disorders (ASD). The extent of variation among studies and overall prevalence were estimated using meta-analysis. The influence of methodological factors and population characteristics on estimated prevalence was investigated using meta-regression and summarised as odds ratios (OR). Forty studies met inclusion criteria, of which 37 estimated the prevalence of typical autism, and 23 the prevalence of all ASD. A high degree of heterogeneity among studies was observed. The overall random effects estimate of prevalence across studies of typical autism was 7.1 per 10,000 (95% CI 1.6 to 30.6) and of all ASD was 20.0 per 10,000 (95% CI 4.9 to 82.1). Diagnostic criteria used (ICD-10 or DSM-IV versus other; OR = 3.36, 95% CI 2.07 to 5.46), age of the children screened (OR = 0.91 per year, 95% CI 0.83 to 0.99), and study location (e.g. Japan versus North America; OR = 3.60, 95% CI 1.73 to 7.46) were all significantly associated with prevalence of typical autism. Diagnostic criteria, age of the sample, and urban or rural location were associated with estimated prevalence of all ASD. Sixty one per cent of the variation in prevalence estimates of typical autism was explained by these models. Diagnostic criteria used, age of children screened, and study location may be acting as proxies for other study characteristics and require further investigation.
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            Piezoelectricity as a fundamental property of biological tissues.

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              Complementary and alternative medicine use in a large pediatric autism sample.

              Children and adolescents with autism spectrum disorder (ASD) often use complementary and alternative medicine (CAM), usually along with other medical care. This study aimed to determine associations of ASD diagnostic category, co-existing conditions, and use of medications with use of CAM. We used the Autism Speaks Autism Treatment Network patient registry, which collects information on CAM use, medical conditions, and psychotropic medication at enrollment. CAM was categorized as special diets versus "other" CAM; ASD was defined as autism, pervasive developmental disorder (PDD), or Asperger's. Gastrointestinal symptoms, seizure disorders, sleep problems, and medication use were determined from parent report. Child Behavior Checklist (CBCL) scores were used to measure behavioral symptoms. Logistic regression was used to determine associations of diagnostic category, other medical conditions, and medication use with CAM treatments, controlling for demographic characteristics. Of 3413 subjects in the registry as of April 2011, 3173 had complete data on CAM use: 896 (28%) reported any use; 548 (17%), special diets; and 643 (20%), other CAM. Higher rates of CAM use were associated with gastrointestinal symptoms (odds ratio [OR] = 1.88), seizures (OR = 1.58), and CBCL total score >70 (OR = 1.29). Children with PDD (OR = 0.62), Asperger's (OR = 0.66), or using medications (0.69) had lower rates. Children with ASD use more CAM when they have co-existing gastrointestinal symptoms, seizure disorders, and behavior problems. This study suggests the importance of asking about CAM use in children with ASD, especially those with complex symptoms.
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                Author and article information

                Contributors
                betulbattaloglu@mu.edu.tr
                Journal
                J Pharmacopuncture
                J Pharmacopuncture
                J Pharmacopunct
                10.3831
                Journal of Pharmacopuncture
                KOREAN PHARMACOPUNCTURE INSTITUTE
                2093-6966
                2234-6856
                March 2016
                : 19
                : 1
                : 28-36
                Affiliations
                [1 ]Muğla Sitki Kocman University Faculty of Tourism, Muğla, Turkey
                [2 ]Department of Biostatistic, Muğla Sitki Kocman University Faculty of Medicine, Muğla, Turkey
                [3 ]Department of Family Medicine, Muğla Sitki Kocman University Faculty of Medicine, Muğla, Turkey
                [4 ]Department of Psychiatry, Muğla Sitki Kocman University Faculty of Medicine, Muğla, Turkey
                [5 ]Department of Pediatry, Muğla Sitki Kocman University Faculty of Medicine, Muğla, Turkey
                Author notes
                * Corresponding Author Department of Family Medicine, Muğla Sitki Kocman University Faculty of Medicine, Muğla, Turkey. Tel: +90-252-214-1326 Fax: +90-252-211-1345 E-mail: betulbattaloglu@mu.edu.tr
                Article
                10.3831/KPI.2016.19.004
                4887749
                27280047
                28bea2b2-5490-44bf-982a-ebdc99367876
                Copyright ©2016, KOREAN PHARMACOPUNCTURE INSTITUTE

                This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 05 October 2015
                : 26 November 2015
                Categories
                Original Article

                autism spectrum disorders, autistic children, complementary alternative medicine, disabled children, mind-body therapies, sanitas per aquam

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