Use and Perceived Effectiveness of Complementary and Alternative Medicine to Treat and Manage the Symptoms of Autism in Children: A Survey of Parents in a Community Population
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OBJECTIVE: Parents of children with autism spectrum disorders (ASDs) often try a variety of treatments for their children, including complementary and alternative medicine (CAM). The objective of this study was to improve understanding of the frequency of CAM use by parents for their children with autism and to quantify the parents' perceived effectiveness of various CAM therapies in mitigating the health and functioning problems associated with autism. METHODS: Parents in southeastern Virginia were recruited for study participation from local autism organizations and a clinical practice where a large proportion of the patients are children with autism. Parents completed an online survey and answered questions about CAM use for their children with autism, and they rated the perceived effectiveness of each therapy. RESULTS: Of 194 parents surveyed, 80.9% reported that they had tried some form of CAM for their child with autism. Among CAM users, the most frequently used therapies were multivitamins (58.6%), the gluten-free casein-free diet (54.8%), and methyl B-12 injections (54.1%). The CAM therapies that received the highest average rating of effectiveness were sensory integration therapy, melatonin, and off-label use of prescription antifungal medications. CONCLUSION: CAM therapies were frequently used in this population, and many were perceived to be effective in helping to ease some of the health challenges associated with autism. CAM therapies for the autism population should be further studied in well-controlled clinical research settings to provide safety and efficacy data on treatments, as well as validated treatment options for those with ASD.
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Many children with autism spectrum disorder are thought to have tried intranasal oxytocin therapy on the basis of putatively promising data.
“Many children with autism spectrum disorder are thought to have tried intranasal oxytocin therapy33 on the basis of putatively promising data.”
From Intranasal Oxytocin in Children and Adolescents with Autism Spectrum Disorder (2021) · cites this paper as [33]
The use of nutritional supplements such as omega-3 fatty acids and multivitamins, as well as a gluten-free casein-free diet, is not supported by current scientific evidence.
“the use of nutritional supplements e.g., those containing omega-3 fatty acids [25], multivitamins, as well as a gluten-free casein-free diet [26], is not supported by the current scientific evidence”
From Dietary Patterns, Eating Behavior, and Nutrient Intakes of Spanish Preschool Children with Autism Spectrum Disorders (2021) · cites this paper as [26]
Cites
Management of Children With Autism Spectrum Disorders
Myers, S. M., Johnson, C. P., & the Council on Children With Disabilities (2007) · Pediatrics · doi:10.1542/peds.2007-2362 · Cited by 1,125 · see citing works
Buie, T., Campbell, D. B., Fuchs, G. J., Furuta, G. T., Levy, J., VandeWater, J., Whitaker, A. H., Atkins, D., Bauman, M. L., Beaudet, A. L., et al. (2010) · Pediatrics · doi:10.1542/peds.2009-1878c · Cited by 872 · see citing works
The Lifetime Distribution of the Incremental Societal Costs of Autism
Ganz, M. L. (2007) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.161.4.343 · Cited by 623 · see citing works
Krakowiak, P., Goodlin‐Jones, B. L., Hertz‐Picciotto, I., Croen, L., & Hansen, R. L. (2008) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2008.00650.x · Cited by 589 · see citing works
Brain enlargement is associated with regression in preschool-age boys with autism spectrum disorders
Nordahl, C., Lange, N., Li, D. D., Barnett, L. A., Lee, A. T., Buonocore, M., Simon, T., Rogers, S., Ozonoff, S., & Amaral, D. (2011) · Proceedings of the National Academy of Sciences of the United States of America · doi:10.1073/pnas.1107560108 · Cited by 232 · see citing works
Wong, H. H. L., & Smith, R. G. (2006) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0131-0 · Cited by 220 · see citing works
Complementary and Alternative Medicine Treatments for Children with Autism Spectrum Disorders
Levy, S. E., & Hyman, S. L. (2008) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2008.06.004 · Cited by 209 · see citing works
Liptak, G. S., Orlando, M., Yingling, J. T., Theurer-Kaufman, K. L., Malay, D. P., Tompkins, L. A., & Flynn, J. R. (2006) · Journal of Pediatric Health Care · doi:10.1016/j.pedhc.2005.12.008 · Cited by 180 · see citing works
Goin‐Kochel, R. P., Mackintosh, V. H., & Myers, B. J. (2009) · Research in Autism · doi:10.1016/j.rasd.2008.11.001 · Cited by 142 · see citing works
Parent-Pediatrician Communication about Complementary and Alternative Medicine Use for Children
Sibinga, E. M. S., Li, S. T., DUGGAN, A. K., & Wilson, M. E. H. (2004) · Clinical Pediatrics · doi:10.1177/000992280404300408 · Cited by 99 · see citing works
Christon, L., Mackintosh, V. H., & Myers, B. J. (2009) · Research in Autism · doi:10.1016/j.rasd.2009.09.013 · Cited by 97 · see citing works
Wong, V. (2008) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-008-0644-9 · Cited by 74 · see citing works
Epidemiology and Possible Causes of Autism
Jick, H., & Kaye, J. A. (2003) · Pharmacotherapy The Journal of Human Pharmacology and Drug Therapy · doi:10.1592/phco.23.15.1524.31955 · Cited by 67 · see citing works
Treatment of autistic children.
Cascade, E. F., Kalali, A. H., & Feifel, D. (2008) · Europe PMC (PubMed Central) · Cited by 4 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Identification, Evaluation, and Management of Children With Autism Spectrum Disorder
Hyman, S. L., Levy, S. E., Myers, S. M., COUNCIL ON CHILDREN WITH DISABILITIES, S. O. D. A. B. P., Kuo, D. Z., Apkon, S., Davidson, L. F., Ellerbeck, K. A., Foster, J. E. A., Noritz, G. H., et al. (2020) · Pediatrics · doi:10.1542/peds.2019-3447 · Cited by 1,548 · see citing works
Intranasal Oxytocin in Children and Adolescents with Autism Spectrum Disorder
Sikich, L., Kolevzon, A., King, B. H., McDougle, C. J., Sanders, K. B., Kim, S.-J., Spanos, M., Chandrasekhar, T., Trelles, M. D. P., Rockhill, C. M., et al. (2021) · New England Journal of Medicine · doi:10.1056/nejmoa2103583 · Cited by 314 · see citing works
Melatonin: From Pharmacokinetics to Clinical Use in Autism Spectrum Disorder
Lalanne, S., Fougerou-Leurent, C., Anderson, G. M., Schroder, C. M., Nir, T., Chokron, S., Delorme, R., Claustrat, B., Bellissant, E., Kermarrec, S., et al. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22031490 · Cited by 90 · see citing works
Cai, Q., Feng, L., & Yap, K. Z. (2017) · Psychiatry and Clinical Neurosciences · doi:10.1111/pcn.12627 · Cited by 77 · see citing works
Plaza-Diaz, J., Flores-Rojas, K., Torre-Aguilar, M. J. D. L., Gomez-Fernández, A. R., Martín-Borreguero, P., Perez-Navero, J. L., Gil, A., & Gil-Campos, M. (2021) · Nutrients · doi:10.3390/nu13103551 · Cited by 56 · see citing works
Pistollato, F., Forbes-Hernández, T. Y., Iglesias, R. C., Ruíz, R., Elexpuru-Zabaleta, M., Cianciosi, D., Giampieri, F., & Battino, M. A. (2019) · Pharmacological Research · doi:10.1016/j.phrs.2019.104579 · Cited by 48 · see citing works
Gluten and Autism Spectrum Disorder
Croall, I. D., Hoggard, N., & Hadjivassiliou, M. (2021) · Nutrients · doi:10.3390/nu13020572 · Cited by 50 · see citing works
Wang, C., Preisser, J. S., Chung, Y., & Li, K. (2018) · BMC Complementary and Alternative Medicine · doi:10.1186/s12906-018-2307-5 · Cited by 43 · see citing works
The prevalence of gluten free diet use among preschool children with autism spectrum disorder
Rubenstein, E., Schieve, L. A., Bradley, C., DiGuiseppi, C. G., Moody, E. J., Thomas, K. C., & Daniels, J. L. (2017) · Autism Research · doi:10.1002/aur.1896 · Cited by 36 · see citing works
Parents’ Use of Complementary Health Approaches for Young Children with Autism Spectrum Disorder
Lindly, O. J., Thorburn, S., Heisler, K., Reyes, N., & Zuckerman, K. E. (2017) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-017-3432-6 · Cited by 33 · see citing works
Smith, C. A., Parton, C., King, M., & Gallego, G. (2020) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-019-2805-0 · Cited by 32 · see citing works
Exploring Dietary Interventions in Autism Spectrum Disorder
Pérez-Cabral, I. D., Bernal-Mercado, A. T., Islas-Rubio, A. R., Suárez-Jiménez, G. M., Robles-García, M. Á., Puebla-Duarte, A. L., & Del‐Toro‐Sánchez, C. L. (2024) · Foods · doi:10.3390/foods13183010 · Cited by 35 · see citing works
Sources and content of popular online videos about autism spectrum disorders
Kollia, B., Kamowski-Shakibai, M. T., Basch, C. H., & Clark, A. (2017) · Health Promotion Perspectives · doi:10.15171/hpp.2017.41 · Cited by 30 · see citing works
Matthews, J. S., & Adams, J. B. (2023) · Journal of Personalized Medicine · doi:10.3390/jpm13101448 · Cited by 29 · see citing works
on behalf of the ISACA guideline working group, De Crescenzo, F., D’Alò, G. L., Morgano, G. P., Minozzi, S., Mitrova, Z., Saulle, R., Cruciani, F., Fulceri, F., Davoli, M., et al. (2020) · Health and Quality of Life Outcomes · doi:10.1186/s12955-020-01284-5 · Cited by 52 · see citing works
Assistência de enfermagem à criança autista: revisão integrativa
Magalhães, J. M., Lima, F. S. V., Silva, F. R. D. O., Rodrigues, A. B. M., & Gomes, A. V. (2020) · Enfermería Global · doi:10.6018/eglobal.356741 · Cited by 25 · see citing works
on behalf of the ISACA guideline working group, D’Alò, G. L., Crescenzo, F. D., Minozzi, S., Morgano, G. P., Mitrova, Z., Scattoni, M. L., Amato, L., Davoli, M., & Schünemann, H. J. (2020) · Health and Quality of Life Outcomes · doi:10.1186/s12955-020-01354-8 · Cited by 23 · see citing works
de la Torre‐Aguilar, M. J., Gómez-Fernández, A., Flores‐Rojas, K., Martín-Borreguero, P., Mesa, M. D., Pérez-Navero, J. L., Olivares, M. M., Gil, Á., & Gil‐Campos, M. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2022.790250 · Cited by 23 · see citing works
An, S., Kanderzhanova, A., Akhmetovа, A. S., Foster, F., & Chan, C. K. (2020) · Autism · doi:10.1177/1362361320923494 · Cited by 21 · see citing works
Ethical and Legal Considerations of Alternative Neurotherapies
Nagappan, A., Kalokairinou, L., & Wexler, A. (2021) · AJOB Neuroscience · doi:10.1080/21507740.2021.1896601 · Cited by 21 · see citing works
Autism Spectrum Disorder and Cannabidiol: Have We Seen This Movie Before?
Salgado, C. A., & Castellanos, D. (2018) · Global Pediatric Health · doi:10.1177/2333794x18815412 · Cited by 17 · see citing works
Zisman, C. R., Patti, M. A., Kalb, L. G., Stapp, E. K., Eck, K. V., Volk, H. E., & Holingue, C. (2020) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2020.102527 · Cited by 16 · see citing works
Alookaran, J., Liu, Y., Auchtung, T. A., Tahanan, A., Hessabi, M., Asgarisabet, P., Rahbar, M. H., Fatheree, N. Y., Pearson, D. A., Mansour, R., et al. (2021) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0000000000003349 · Cited by 16 · see citing works
Parental use of conventional and complementary therapy for autism in Jordan
Masri, A. T., Khatib, F. A., Al-Qudah, A. A., Nafi, O., Almomani, M. A., Bashtawi, M. A., Alomari, F., Qutifan, S., & Qutifan, A. (2019) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2019.102275 · Cited by 14 · see citing works
Marsden, R. E. F., Francis, J. R., & Garner, I. (2019) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-019-04035-8 · Cited by 11 · see citing works
Güner, Ü. Ç., Günay, U., & Acar, M. D. (2021) · Research in Autism · doi:10.1016/j.rasd.2021.101847 · Cited by 11 · see citing works
Γώγου, Μ., & Kolios, G. C. (2019) · Journal of the American College of Nutrition · doi:10.1080/07315724.2019.1635920 · Cited by 10 · see citing works
Alqudimat, M. R., Toupin‐April, K., Hundert, A. S., Jibb, L., Victor, C. J., Nathan, P. C., & Stinson, J. (2020) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2020.102520 · Cited by 7 · see citing works
Trifa, M., Tumin, D., Walia, H., Lemanek, K. L., Tobias, J. D., & Bhalla, T. (2018) · Journal of Pain Research · doi:10.2147/jpr.s156585 · Cited by 7 · see citing works
Angell, A. M., Lindly, O. J., Floríndez, D. C., Floríndez, L. I., Duker, L. I. S., Zuckerman, K. E., Yin, L., & Solomon, O. (2023) · Autism · doi:10.1177/13623613231163056 · Cited by 7 · see citing works
Fungi: Friend or Foe? A Mycobiome Evaluation in Children With Autism and Gastrointestinal Symptoms
Alookaran, J. J., Liu, Y., Auchtung, T. A., Tahanan, A., Hessabi, M., Asgarisabet, P., Rahbar, M. H., Fatheree, N. Y., Pearson, D. A., Mansour, R., et al. (2022) · Digital Commons-TMC (Texas Medical Center) · Cited by 6 · see citing works
Assistência de enfermagem à criança com autismo
Nunes, A. K. A., Sousa, F. D. C. A., da Silva, F. L., da Silva, W. C., Hernandes, L. F., da Silva, M. G. S., da Silva, P. G. S., Pereira, T. J. D. S., Silva, L. N. S., & da Silva, E. B. (2020) · Research Society and Development · doi:10.33448/rsd-v9i11.10114 · Cited by 5 · see citing works
Möhrle, D., Murari, K., Rho, J. M., & Cheng, N. (2024) · Neuroscience · doi:10.1016/j.neuroscience.2024.10.001 · Cited by 4 · see citing works
Ventura, G., Battistuz, E., Posocco, F., Cossovel, F., Ghirardo, S., Barbi, E., & Cozzi, G. (2020) · Acta Paediatrica · doi:10.1111/apa.15379 · Cited by 4 · see citing works
Lange, K. W., & Reißmann, A. (2021) · Journal of Food Bioactives · doi:10.31665/jfb.2021.15277 · Cited by 4 · see citing works
The Treatment of Sleep Problems Using Melatonin
MacLean, J. E., & Malow, B. A. (2022) · Springer eBooks · doi:10.1007/978-3-030-99134-0_15 · Cited by 2 · see citing works
Çakır, G., Altay, N., & Törüner, E. K. (2022) · Journal of Traditional Medical Complementary Therapies · doi:10.5336/jtracom.2022-93011 · Cited by 1 · see citing works
Tavukçu, D., & Kaya, S. (2025) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-025-07024-2 · Cited by 1 · see citing works
Hatahet, M., & Sárváry, A. (2026) · Children · doi:10.3390/children13010132 · Cited by 1 · see citing works
Baig, A. A. (2019) · American Journal of Biomedical Science & Research · doi:10.34297/ajbsr.2019.04.000826 · Cited by 1 · see citing works
PRÁTICAS INTEGRATIVAS E COMPLEMENTARES EM SAÚDE (PICS): USO COMUM DENTRO DA COMUNIDADE AUTISTA
Candido, L. A. P., & de Aráoz, S. M. M. (2019) · South American Journal of Basic Education, Technical and Technological
Views of Mothers with Children with Special Needs on Complementary and Alternative Medicine Methods
Aydın, S., & Emre, O. (2023) · Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi · doi:10.21565/ozelegitimdergisi.1173890
Corcoran, J., & Wolk, C. B. (2023) · Oxford University Press eBooks · doi:10.1093/oso/9780197653562.003.0006
Antoine, M. D. (2024) · University of Ottawa Journal of Medicine · doi:10.18192/uojm.v13i1.6430
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Kurnaz, E., Yıldırım, H. A., Çavuşoğlu, T., & Görgün, B. (2025) · Pamukkale University Journal of Education · doi:10.9779/pauefd.1513958
Hanish, A., Freudenburg, S. M., Klein, A. J., Stappert, D. J., & Shade, M. Y. (2025) · Journal for Specialists in Pediatric Nursing · doi:10.1111/jspn.70010
D’Alò, G. L., Crescenzo, F. D., Minozzi, S., Morgano, G. P., Mitrova, Z., Scattonni, M. L., Amato, L., Davoli, M., & Schünemann, H. J. (2020) · Figshare · doi:10.6084/m9.figshare.12143976
D’Alò, G. L., Crescenzo, F. D., Minozzi, S., Morgano, G. P., Mitrova, Z., Scattonni, M. L., Amato, L., Davoli, M., & Schünemann, H. J. (2020) · Figshare · doi:10.6084/m9.figshare.12143958
D’Alò, G. L., Crescenzo, F. D., Minozzi, S., Morgano, G. P., Mitrova, Z., Scattonni, M. L., Amato, L., Davoli, M., & Schünemann, H. J. (2020) · Figshare · doi:10.6084/m9.figshare.12143949
D’Alò, G. L., Crescenzo, F. D., Minozzi, S., Morgano, G. P., Mitrova, Z., Scattonni, M. L., Amato, L., Davoli, M., & Schünemann, H. J. (2020) · Figshare · doi:10.6084/m9.figshare.12143952
D’Alò, G. L., Crescenzo, F. D., Minozzi, S., Morgano, G. P., Mitrova, Z., Scattonni, M. L., Amato, L., Davoli, M., & Schünemann, H. J. (2020) · Figshare · doi:10.6084/m9.figshare.12143970
D’Alò, G. L., Crescenzo, F. D., Minozzi, S., Morgano, G. P., Mitrova, Z., Scattonni, M. L., Amato, L., Davoli, M., & Schünemann, H. J. (2020) · Figshare · doi:10.6084/m9.figshare.12143961
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Demir, M. H. B. (2026) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.1616996
Dong, D., Vohra, S., Jou, H., & Thompson-Hodgetts, S. (2026) · Global Advances in Integrative Medicine and Health · doi:10.1177/27536130261448873
Dong, D., Xu, L., Thompson-Hodgetts, S., Jou, H., & Vohra, S. (2026) · Global Advances in Integrative Medicine and Health · doi:10.1177/27536130261487432
- Authors
- Hopf, K. P., Madren, E., & Santianni, K. A.
- Affiliations
- Independent contractor.
- Bayview Physicians Group, Chesapeake, VA.
- Corresponding author
- Hopf, Kathleen Pillsbury
- Venue
- The Journal of Alternative and Complementary Medicine
- Publisher
- SAGE Publications
- Published
- 2016-01
- Volume
- 22
- Issue
- 1
- Pages
- 25-32
- ISSN
- 1075-5535 (ISSN-L)
- 1557-7708
- PMC
- PMC4739350
- OpenAlex
- W2206459738
- Cited by
- 58
- References
- 14
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 3 · 2023: 4 · 2022: 5 · 2021: 8 · 2020: 15 · 2019: 7 · 2018: 3 · 2017: 5
- FWCI
- 5.24
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Alternative and Complementary Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- complementary and alternative medicine, autism spectrum disorder, children with autism, multivitamins, gluten-free casein-free diet, sensory integration therapy, melatonin, symptom management
- MeSH terms
- Adolescent, Adult, Complementary Therapies, Autistic Disorder, Child, Child, Preschool, Female, Humans, Male, Middle Aged, Parents, Surveys and Questionnaires, Virginia, Cohort Studies, Patient Satisfaction
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