Common developmental trajectories and clinical identification of children with fetal alcohol spectrum disorders: A synthesis of the literature.

Advances in drug and alcohol research Pub Date : 2023-04-03 eCollection Date: 2023-01-01 DOI:10.3389/adar.2023.10877
Douglas Waite, Larry Burd
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Abstract

At an estimated prevalence of up to five percent in the general population, fetal alcohol spectrum disorders (FASD) are the most common neurodevelopmental disorder, at least if not more prevalent than autism (2.3%). Despite this prevalence in the general population, pediatricians and other developmental specialists have thus far failed to diagnose this disability, leaving most children and adults without the supports provided for most other disabilities. This paper will provide a review of clinically relevant literature that describes the developmental challenges of children with fetal alcohol spectrum disorders and addresses similarities to and differences of FASD from other neurodevelopmental disorders such as autism and attention deficit hyperactivity disorder. A subsequent discussion will describe how a diagnosis of an FASD can establish a basis for understanding the developmental and behavioral challenges of children with an FASD, and how specific interventions can help support child development and maximize adult independence.

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胎儿酒精谱系障碍儿童的常见发育轨迹和临床鉴定:文献综述
据估计,胎儿酒精谱系障碍(FASD)在普通人群中的患病率高达5%,是最常见的神经发育障碍,如果不是比自闭症(2.3%)更普遍的话,使得大多数儿童和成年人得不到为大多数其他残疾提供的支持。本文将对临床相关文献进行综述,这些文献描述了胎儿酒精谱系障碍儿童的发育挑战,并阐述了FASD与其他神经发育障碍(如自闭症和注意力缺陷多动障碍)的异同。随后的讨论将描述FASD的诊断如何为理解FASD儿童的发展和行为挑战奠定基础,以及具体的干预措施如何帮助支持儿童发展并最大限度地提高成人独立性。
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