Towards Identifying A Characteristic Neurospsychological Profile for Fetal Alcohol Spectrum Disorders. Specific Caregiver-and Teacher-Rating
J Popul Ther Clin Pharmacol Vol 20 (1);e53-e62; March 4, 2013
Original Research
Sara A Stevens, Kelly Nash, Ellen Fantus, Irena Nulman, Joanne Rovet, Gideon Koren

Objectives
This study compares the behavioral profile of children with fetal alcohol spectrum disorder (FASD) who were diagnosed using the Canadian Guidelines with children with prenatal alcohol exposure who did not meet criteria for a FASD diagnosis.

Methods and Procedures
To accomplish this, we used caregiver and teacher questionnaires evaluating different aspects of behavior. Investigated were 170 children, 109 who received a diagnosis of FASD (Diagnosed Group) and 61 who did not (Non-Diagnosed Group). On the caregiver report, children in the Diagnosed Group had more internalizing and externalizing problems on the CBCL, more executive function difficulties on the BRIEF and more attention problems on the Conner’s Rating Scale, compared to the Non-Diagnosed Group. On teacher report, children in the Diagnosed Group had more internalizing and externalizing problems on the TRF and more attention problems on the Conner’s Rating Scale, compared to the Non-Diagnosed Group. For both informants, more children in the Diagnosed group had scores in the clinically elevated range.

Conclusion
Overall, the present results identify key caregiver- and teacher-rated profiles of children with FASD diagnoses. These profiles will aid in better understanding, diagnosing and providing focused treatment approaches for children with FASD.

Key Words: Fetal Alcohol Spectrum Disorder, caregiver, teacher, neuropsychological tests, behavior

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