A survey of herbal use in children with attention-deficit-hyperactivity disorder or depression

Pharmacotherapy. 2003 Feb;23(2):222-30. doi: 10.1592/phco.


Objective: To examine whether herbal medicines were given to children or adolescents receiving care for attention-deficit-hyperactivity disorder or depression.

Methods: Between October 2000 and July 2001, a 23-item questionnaire was administered in five community mental health centers in Texas. Parents or primary caregivers of children who received a psychiatric assessment were sought for participation. One hundred seventeen caregivers completed a questionnaire. The main outcome measure was primary caregivers' self-report of the use of herbal therapy in their children.

Results: The lifetime prevalence of herbal therapy in patients was 20% (23 patients). Eighteen patients (15%) had taken herbal medicines during the past year. Recommendations from a friend or relative resulted in the administration of herbal medicines by 61% of 23 caregivers. Herbal medicines were given most frequently for a behavioral condition, with ginkgo biloba, echinacea, and St. John's wort most prevalent. Almost 83% of caregivers gave herbal medicines alone, whereas 13% gave herbal medicines with prescription drugs. Most caregivers (78%) supervised the administration of herbal therapy in their children; the children's psychiatrists (70%), pediatricians (56%), or pharmacists (74%) typically were not aware of the use.

Conclusions: Most caregivers supervised herbal therapy in their children, without communication with a health professional. A need exists for better communication between health professionals and caregivers regarding the use of herbal therapy.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Attention Deficit Disorder with Hyperactivity / drug therapy*
  • Child
  • Child Health Services
  • Colorado
  • Depression / drug therapy*
  • Drug Interactions
  • Echinacea
  • Female
  • Ginkgo biloba
  • Humans
  • Hypericum
  • Male
  • Physician-Patient Relations*
  • Phytotherapy / statistics & numerical data*
  • Plant Preparations / administration & dosage*
  • Surveys and Questionnaires
  • Texas


  • Plant Preparations