Abstract
An increasing number of parents turn to homeopathy for treatment of their hyperactive child. Two publications, a randomised, partially blinded trial and a clinical observation study, conclude that homeopathy has positive effects in patients with attention deficit hyperactivity disorder (ADHD). The aim of this study was to obtain scientific evidence of the effectiveness of homeopathy in ADHD. A total of 83 children aged 6–16 years, with ADHD diagnosed using the Diagnostic and Statistical Manual of Mental Disorders-IV criteria, were recruited. Prior to the randomised, double blind, placebo controlled crossover study, they were treated with individually prescribed homeopathic medications. 62 patients, who achieved an improvement of 50% in the Conners’ Global Index (CGI), participated in the trial. Thirteen patients did not fulfill this eligibility criterion (CGI). The responders were split into two groups and received either verum for 6 weeks followed by placebo for 6 weeks (arm A), or vice-versa (arm B). At the beginning of the trial and after each crossover period, parents reported the CGI and patients underwent neuropsychological testing. The CGI rating was evaluated again at the end of each crossover period and twice in long-term follow-up. At entry to the crossover trial, cognitive performance such as visual global perception , impulsivity and divided attention, had improved significantly under open label treatment ( P<0.0001). During the crossover trial, CGI parent–ratings were significantly lower under verum (average 1.67 points) than under placebo ( P =0.0479). Long-term CGI improvement reached 12 points (63%, P <0.0001). Conclusion:The trial suggests scientific evidence of the effectiveness of homeopathy in the treatment of attention deficit hyperactivity disorder, particularly in the areas of behavioural and cognitive functions.
Similar content being viewed by others
Abbreviations
- ADHD :
-
attention deficit hyperactivity disorder
- CGI :
-
Conners’ global index
- CPRS :
-
Conners’ parent rating scale (long form)
- CTRS :
-
Conners teacher rating scale
- DSM-IV :
-
diagnostic and statistical manual of mental disorders
- K-ABC :
-
Kaufman assessment battery for children
- QCB :
-
questionnaire of change of behaviour
- TAP :
-
test battery for attention performance
- VLMT :
-
German version of the Rey auditory verbal learning test (RAVLT)
- WISC-III :
-
German version of Wechsler intelligence scale for children
References
Allen TF (1990) The Encyclopaedia of Pure Materia Medica, vol.. Jain, New Delhi
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders, DSM-IV, 4th edn. American Psychiatric Association, Washington,
von Bönninghausen C (2000) Bönninghausens therapeutisches Taschenbuch, revidierte Ausgabe. Hrsg. K-H. Gypser, Stuttgart
Brown H, Prescott R (1999) Applied mixed models in medicine. Wiley, Chichester, pp 261–294
Brue AW, Oakland TD (2002) Alternative treatments for attention deficit/hyperactivity disorder: does evidence support their use? Altern Ther Health Med 8: 68–74
Carte ET, Nigg JT, Hinshaw SP (1996) Neuropsychological functioning, motor speed, and language processing in boys with and without ADHD. J Abnorm Child Psychol 24: 481–498
Conners CK(1997) Conners rating scales (revised), technical manual. MHS, Toronto
Frei H, Thurneysen A. Treatment for hyperactive children: homeopathy and methylphenidate compared in a family setting. Brit Hom J 2001; 90: 183–188.
Grizzle JE (1965) The two-period change-over design and its use in clinical trials. Biometrics 21: 467–480
Gross-Tsur V, Lahad A, Shalev R (2003) Use of complementary medicine in children with attention deficit hyperactivity disorder and epilepsy. Pediatr Neurol 29: 53–55
Hahnemann CFS (1989) Organon der Heilkunst, 6th edn. Haug, Heidelberg
Helmstaedter C, Lendt M, Lux S (2001) Verbaler Lern- und Merkfähigkeitstest (VLMT). Beltz Test Gmbh, Göttingen
Kaufman AS, Kaufman NL (1983) Kaufman Assessment Battery for Children (K-ABC). AGS Publishing, Circle Pines
Kinsbourne M (1973) School problems. Paediatrics 52: 679–710
Kleijnen J, Knipschild P (1991) Clinical trials of homeopathy. BMedJ 302: 316–323
Lahey BB, Applegate B, McBurnett K, Biederman J, Greenhill L, Hynd GW, Barkley RA, Newcorn J, Jensen P, Richters J (1994) DSM-IV field trials for attention deficit hyperactivity disorder in children and adolescents. Am J Psychiatry 151: 1673–1685
Lamont J (1997) Homeopathic treatment of attention deficit disorder. Br Hom J 86: 196–200
Largo R (1993) Zürcher neuromotorische Untersuchung. Abteilung für Wachstum und Entwicklung, Universitäts-Kinderklinik, Zürich
Lattmann P, Schneider A (1995) Informationen für den Prüfer zur Durchführung klinischer Versuche mit Heilmitteln in der Schweiz. SGCI, Zürich
Linde K, Clausius N, Ramirez G, Melchart D, Eitel F, Hedges LV, Jonas WB (1997) Are the clinical effects of homeopathy placebo effects? A meta-analysis of controlled trials. Lancet 350: 834–843
Mehta MA, Goodyer IM, Sahakian BJ (2004) Methylphenidate improves working memory and set shifting in AD/HD: relationships to baseline memory capacity. J Child Psychol Psychiatry 45: 293–305
Minder P (2003) The Q-potencies, a comprehensive and profound way of medication in homeopathy. Schweiz Zschr GanzheitsMedizin 15: 348–353
Seidman LJ, Biederman J, Monuteaux MC, Weber W, Faraone SV (2000) Neuropsychological functioning in nonreferred siblings of children with attention deficit/hyperactivity disorder. J Abnorm Psychol 109: 252–265
Senn S (1993) Cross-over Trials in Clinical Research. Wiley, Chichester, pp 12–13
Snyder SM, John F, Xenakis SN (2004) Validation of ADHD rating scales. J Am Acad Child Adolesc Psychiatry 43: 1189–1190
Stewart-Williams S, Podd J (2004) The placebo effect: dissolving the expectancy versus conditioning debate. Psychol Bull 130: 324–340
Tewes U, Schallberger U, Rossmann K (1999) Hamburg Wechsler Intelligenztest für Kinder III (HAWIK-III). Hogrefe, Göttingen
Verbeke G, Molenberghs G (1997) Linear mixed models in practice. Springer, Berlin Heidelberg New York
World Medical Association (2002) Declaration of Helsinki. Washington
Zimmermann P, Fimm B (1992) Testbatterie zur Aufmerksamkeitsprüfung TAP, Handbuch. Psychologische Testsysteme PsyTest, Freiburg
Acknowledgements
We sincerely thank all patients and families who took part in this trial for the enormous amount of time they sacrificed for travelling, testing and treatment sessions as well as for their patience in observing symptoms. Sincere thanks also to Jacqueline Ryffel and her staff at Spagyros for preparing and mailing the medications and placebos to the patients. Many thanks to Martina Frei for her contribution in the starting phase of the study and to Carol Lim for her substantial help in the preparation of the manuscript. This study was financed by grants of the following foundations and institutions: Gertrude von Meissner Foundation, Basel; Software AG Foundation, Darmstadt; Hans Eggenberger Foundation, Zürich; SNE Foundation, Solothurn; Fondation Homéopathie Pierre Schmidt Genève; PanMedion Foundation, Zürich; Spagyros AG, Gümligen; Gudjons Laboratory, Stadtbergen; Swiss Federal Railways (SBB), Berne.
Author information
Authors and Affiliations
Corresponding authors
Rights and permissions
About this article
Cite this article
Frei, H., Everts, R., von Ammon, K. et al. Homeopathic treatment of children with attention deficit hyperactivity disorder: a randomised, double blind, placebo controlled crossover trial. Eur J Pediatr 164, 758–767 (2005). https://doi.org/10.1007/s00431-005-1735-7
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00431-005-1735-7