Improving executive functioning in children with fetal alcohol spectrum disorders
| Autor: | Rachel Greenbaum, Gideon Koren, Kelly Nash, Joanne Rovet, Sara A. Stevens, Judith Weiner |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Parents medicine.medical_specialty Time Factors Emotions Fetal alcohol syndrome Executive Function Fetal alcohol Cognition Social skills Pregnancy Surveys and Questionnaires Developmental and Educational Psychology medicine Humans Cognitive rehabilitation therapy Child Social Behavior Psychiatry Cognitive Behavioral Therapy Delayed treatment medicine.disease Treatment Outcome Neuropsychology and Physiological Psychology Fetal Alcohol Spectrum Disorders Pediatrics Perinatology and Child Health Female Psychology Follow-Up Studies Program Evaluation |
| Zdroj: | Child Neuropsychology. 21:191-209 |
| ISSN: | 1744-4136 0929-7049 |
| Popis: | An extensive body of literature has documented executive function (EF) impairments in children with fetal alcohol spectrum disorders (FASD); however, few studies have aimed specifically at improving EF. One treatment program that shows promise for children with FASD is the Alert Program for Self-Regulation®, which is a 12-week treatment specifically designed to target self-regulation, a component of EF. The present study sought to examine if Alert would produce improvements in self-regulation that would generalize to other aspects of EF, behavior, and social skills in children with FASD. Twenty-five children aged 8-12 years diagnosed with an FASD were assigned in alternating sequence to either an immediate treatment (TXT) or a delayed treatment control (DTC) group. Both groups received a comprehensive evaluation of EF at baseline and upon completing therapy (TXT), or after a 12- to 14-week interval from baseline (DTC). Parents also completed questionnaires assessing EF and behavior at both time points. For the TXT group only, parent questionnaires were readministered at 6-month follow-up. At the 12-week follow-up, the TXT group displayed significant improvements in inhibitory control and social cognition. Parents of children in the TXT group reported improved behavioral and emotional regulation, as well as reduced externalizing behavior problems. These behavioral improvements along with further improved parent-rated inhibitory control was maintained at the 6-month follow-up. The EF disabilities in children with FASD can be remediated through a targeted treatment approach aimed at facilitating self-regulation skills. |
| Databáze: | OpenAIRE |
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