Department of Educational Psychology, University of Alberta, Edmonton, AB, Canada.
J Ment Health. 2011 Oct;20(5):438-48. doi: 10.3109/09638237.2011.577113. Epub 2011 Jul 22.
High numbers of individuals with Fetal Alcohol Spectrum Disorders (FASD) have been described as having mental health problems.
This article summarizes research about mental health problems in FASD and considers related developmental and environmental issues.
A computer-based literature search was conducted in the databases Medline, PsycINFO, Google Scholar, Academic Search Complete, and Education Resources Information Centre for articles addressing the prevalence and types of mental health issues in individuals affected by FASD.
High rates of mental disorders within the FASD and prenatal alcohol exposure (PAE) population were found to be consistently reported for both internalizing and externalizing disorders. Moreover, problems that emerge in childhood may reflect a convergence of genetic, environmental, and neurophysiological factors that persist into adulthood.
Researchers are beginning to document the impacts of PAE on later mental health development. Further longitudinal study is needed to determine whether there is an increasing severity of mental health deficits and consequences with age, and whether any such changes reflect increasingly deteriorating environmental factors or brain-based factors. Additionally, research is needed to design interventions to better address the unique mental health needs of this population.
大量患有胎儿酒精谱系障碍（FASD）的个体被描述为存在心理健康问题。
本文总结了 FASD 患者心理健康问题的研究，并考虑了相关的发育和环境问题。
在 Medline、PsycINFO、Google Scholar、Academic Search Complete 和 Education Resources Information Centre 数据库中进行了计算机文献检索，以获取有关 FASD 个体心理健康问题的普遍性和类型的文章。
一致报告称，FASD 和产前酒精暴露（PAE）人群中存在较高的精神障碍发生率，包括内化和外化障碍。此外，在儿童时期出现的问题可能反映了遗传、环境和神经生理因素的融合，这些因素一直持续到成年期。
研究人员开始记录 PAE 对后期心理健康发展的影响。需要进一步的纵向研究来确定是否随着年龄的增长，心理健康缺陷和后果的严重程度会增加，以及任何此类变化是否反映出环境因素或基于大脑的因素日益恶化。此外，需要开展研究来设计干预措施，以更好地满足这一人群的独特心理健康需求。
