Deferred diagnosis in children assessed for fetal alcohol spectrum disorder
| Autor: | Hasu Rajani, Gail Andrew, Katherine Flannigan, Teresa O'Riordan, Jacqueline Pei, Carmen Rasmussen, Brent Symes, Kamaldeep Gill, Audrey McFarlane |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Background information Canada Pediatrics medicine.medical_specialty Adolescent Neuropsychological Tests Affect (psychology) 03 medical and health sciences 0302 clinical medicine Pregnancy Risk Factors Intervention (counseling) Developmental and Educational Psychology medicine Humans 0501 psychology and cognitive sciences Cognitive skill Child Brain function Retrospective Studies Behavior 05 social sciences Infant Mean age Neuropsychology and Physiological Psychology Fetal Alcohol Spectrum Disorders Child Preschool Prenatal Exposure Delayed Effects Prenatal alcohol exposure Fetal Alcohol Spectrum Disorder Female Psychology 030217 neurology & neurosurgery 050104 developmental & child psychology |
| Zdroj: | Applied Neuropsychology: Child. 8:213-222 |
| ISSN: | 2162-2973 2162-2965 |
| DOI: | 10.1080/21622965.2018.1427094 |
| Popis: | Early intervention for individuals with FASD is paramount, thus exploring factors that affect the diagnostic process is critical. This process can be complicated by challenges gathering background information, accurately evaluating higher-level cognitive skills across ages, and teasing apart the impact of life adversities from the effects of prenatal alcohol exposure. This study is a retrospective file review of 154 children (44% female; mean age 8.4 years, range 1.0 to 16.9) deferred at their first FASD assessment, and 51 (43% female; mean 9.9 years, range 2.7 to 17.2) who returned for a second assessment. Data was collected from three Canadian FASD clinics to explore reasons for deferral, the clinical profile of deferred children, why some returning children were diagnosed while others were not, and changes between assessments. Results suggest that deferred children initially lacked evidence of abnormalities sufficient for a diagnosis, presented with areas of relative neurobehavioral strength and difficulty, and children eventually diagnosed with FASD showed significantly more impaired brain function (p |
| Databáze: | OpenAIRE |
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