Coriale Giovanna, Fiorentino Daniela, Di Lauro Francesca, Marchitelli René, Scalese Bruna, Fiore Marco, Maviglia Marcello, Ceccanti Mauro
Riv Psichiatr. 2013 Sep-Oct;48(5):359-69. doi: 10.1708/1356.15062.
It is now known that exposure to alcohol in utero produces a wide spectrum of morphological and behavioural outcomes in the offspring, commonly referred as fetal alcohol spectrum disorders (FASD). A large body of literature documents cognitive deficits and behavioural-emotional difficulties in children with FASD. Researchers have found that individuals with FASD often experience a range of adverse life outcomes, called secondary disabilities, which include disrupted school experience, troubles with the law, confinement, inappropriate sexual behaviours on repeated occasions, and alcohol/drug related problems. Additionally, despite considerable data published on cognitive and behavioural disabilities in children with FASD, relatively little information is available on behavioural or pharmacological interventions for alcohol affected children. This paper will provide a comprehensive review of the neuropsychological and behavioural effects of prenatal alcohol exposure, including a discussion of the emerging neurobehavioral profile. Finally, we will summarize published intervention studies of FASD focusing on their strengths and weaknesses.
现在已知,子宫内接触酒精会在后代中产生广泛的形态和行为后果,通常称为胎儿酒精谱系障碍(FASD)。大量文献记录了患有FASD的儿童存在认知缺陷以及行为 - 情感方面的困难。研究人员发现,患有FASD的个体经常会经历一系列不良生活后果,即所谓的继发性残疾,包括学业中断、法律问题、监禁、多次不当性行为以及与酒精/药物相关的问题。此外,尽管已发表了大量关于患有FASD儿童的认知和行为残疾的数据,但关于酒精影响儿童的行为或药物干预的信息相对较少。本文将全面综述产前酒精暴露的神经心理学和行为影响,包括对新兴神经行为特征的讨论。最后,我们将总结已发表的针对FASD的干预研究,重点阐述其优缺点。