Comparing Daily Living Skills in Adults with Fetal Alcohol Spectrum Disorder (FASD) to an IQ Matched Clinical Sample
J Popul Ther Clin Pharmacol Vol 18 (2)e397-e402; July 29, 2011
Original Research
Valerie Temple, Lauren Shewfelt, Leeping Tao, Josee Cassati, Linda Klevnik

Prenatal alcohol exposure is an established risk factor for cognitive deficits. Adults with FASD also have deficits in their Adaptive Daily Living skills (ADLs) relative to age-appropriate norms, but the degree to which this can be attributed to cognitive deficits is unclear.

To examine ADLs in adults with FASD and compare them to a group of clinic referred individuals with similar IQ scores but without FASD.

Fifteen adults with FASD and 15 IQ matched controls were included. Wechsler Intelligence tests were used to measure IQ, and the Adaptive Behavior Assessment System-II (ABAS-II) was used to measure ADLs. 

Compared to IQ matched controls, individuals with FASD had significantly lower overall ADLs (p=.03). Mean scores across all sub-domains on the ABAS-II were lower for the FASD group. Mean standard scores for ADLs in the FASD group were 11 points lower than mean IQ. In the control group, the difference was only 2 points.

Adults with FASD may have lower daily living skills than individuals with similar IQ scores. This suggests that IQ is not a good predictor of ADLs in adults with FASD. 

Key WordsFetal Alcohol, FASD, daily living skills, adaptive behaviour, adult

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