Complementary alternative medicine for children with autism: a physician survey.
Half of doctors okay multivitamins for kids with autism, but most warn against chelation and vaccine delays—know the line.
01Research in Context
What this study did
Lancioni et al. (2009) mailed a short survey to U.S. physicians who care for children with autism. They asked which complementary or alternative treatments the doctors tell families to try, which ones they warn against, and which ones they stay silent on.
The survey listed common CAM choices like multivitamins, special diets, chelation, and delaying vaccines.
What they found
Half of the doctors said they encourage multivitamins. Most firmly discourage chelation and vaccine delays. Many stay neutral on special diets.
The paper simply tallies the answers; it does not test if the advice is right or wrong.
How this fits with other research
Höfer et al. (2017) later pooled 20 studies and found that up to 95 % of autistic youth already use some CAM, mainly vitamins or diets. That review includes the 2009 physician data, showing the two views—family use and doctor advice—sit side by side.
Senel (2010) asked Turkish parents about the same treatments one year later. Parents reported more benefits than harms, even for risky options like chelation. The matching topic but opposite respondent group gives a mirror image, not a clash.
Saral et al. (2023) recently found 88 % CAM use among U.S. families, a jump from the 74 % Dib et al. (2007) reported just two years before the physician survey. The trend line shows families moving faster than doctors, highlighting why clear counselling matters.
Why it matters
You will meet families already giving vitamins, trying diets, or wondering about chelation. This survey reminds you that physicians are split on what to endorse. Use the list as a quick safety map: feel confident supporting multivitamins, steer families away from chelation, and always ask, “What else are you doing?” so you can coordinate care and watch for interactions.
Want CEUs on This Topic?
The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.
Join Free →Add one question to your intake form: “List any vitamins, special diets, or alternative treatments your child uses.”
02At a glance
03Original abstract
Previous studies suggest over half of children with autism are using complementary alternative medicine (CAM). In this study, physicians responded (n = 539, 19% response rate) to a survey regarding CAM use in children with autism. Physicians encouraged multi-vitamins (49%), essential fatty acids (25%), melatonin (25%) and probiotics (19%) and discouraged withholding immunizations (76%), chelation (61%), anti-infectives (57%), delaying immunizations (55%) and secretin (43%). Physicians encouraging CAM were more likely to desire CAM training, inquire about CAM use, be female, be younger, and report greater autism visits, autism education and CAM knowledge. Physicians were more likely to desire CAM training, inquire about CAM and view CAM as a challenge for children with autism compared to children with other neurodevelopmental and chronic/complex conditions.
Journal of autism and developmental disorders, 2009 · doi:10.1007/s10803-009-0714-7