Sensory Processing and Adaptive Behavior Deficits of Children Across the Fetal Alcohol Spectrum Disorder Continuum
Sensory Processing and Adaptive Behavior Deficits of Children Across the Fetal Alcohol Spectrum Disorder Continuum
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DOI：
10.1111/j.1530-0277.2010.01177.x
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发表时间：
2010-06-01
影响因子：
3.2
通讯作者：
Keightley, Michelle
中科院分区：
文献类型：
--
作者：
Carr, Joshua L.;Agnihotri, Sabrina;Keightley, Michelle
背景：产前酒精暴露可能对儿童在学业成就、社会化和自我照顾方面取得成功所必需的适应行为的发展产生不利影响。人们发现感觉处理能力会影响孩子成功执行适应行为的能力。目前的研究探讨了在诊断为部分胎儿酒精综合征（pFAS），酒精相关神经发育障碍（ARND）或产前暴露于酒精（PEA）但不符合FASD诊断标准的儿童之间是否观察到感觉处理能力，适应行为和神经认知功能的显着差异。方法：对部分儿童的短感觉轮廓（SSP）、适应行为评定系统（ABAS-Ⅱ）、韦氏智力量表（第四版）和韦氏学龄前和小学智力量表（第三版）进行二次分析（WISC-IV/WPPSI-III）评分的46名3至14岁的pFAS、ARND或PEA儿童。与PEA组相比，诊断为pFAS和ARND的儿童感觉处理缺陷更大。与PEA组相比，ARND诊断的儿童在适应行为方面得分明显更差。pFAS儿童的知觉/操作智商得分显著低于ARND或PEA儿童。在FASD的诊断类别中，没有发现智商分数和适应行为之间的相关性。SSP和ABAS-II scores.Conclusions之间存在显着的正相关性：无论在FASD伞下收到的诊断，功能的困难，不能观察到使用传统的智能措施，支持指导方针，广泛的标准化评估时，包括筛查儿童FASD。
Background:Prenatal alcohol exposure can have detrimental effects on a child's development of adaptive behaviors necessary for success in the areas of academic achievement, socialization, and self-care. Sensory processing abilities have been found to affect a child's ability to successfully perform adaptive behaviors. The current study explored whether significant differences in sensory processing abilities, adaptive behavior, and neurocognitive functioning are observed between children diagnosed with partial Fetal Alcohol Syndrome (pFAS), Alcohol-Related Neurodevelopmental Disorder (ARND), or children who were prenatally exposed to alcohol (PEA), but did not meet criteria for an FASD diagnosis. The influence of IQ on adaptive behavior as well as further exploration of the relationship between sensory processing and adaptive behavior deficits among these children was also examined.Methods:A secondary analysis was conducted on some of the Short Sensory Profile (SSP) scores, Adaptive Behavior Assessment System-Second Edition (ABAS-II) scores, and Wechsler Intelligence Scale-Fourth Edition/Wechsler Preschool and Primary Scale of Intelligence-Third Edition (WISC- IV/WPPSI-III) scores of 46 children between 3 and 14 years of age with pFAS, ARND, or who were PEA.Results:Greater sensory processing deficits were found in children with a diagnosis of pFAS and ARND compared to those in the PEA group. Children with an ARND diagnosis scored significantly worse on measures of adaptive behavior than the PEA group. Children with pFAS scored significantly lower than children with ARND or PEA on perceptual/performance IQ. No correlation was found between IQ scores and adaptive behaviors across the FASD diagnostic categories. A significant positive correlation was found between SSP and ABAS-II scores.Conclusions:Regardless of the diagnosis received under the FASD umbrella, functional difficulties that could not be observed using traditional measures of intelligence were found, supporting guidelines that a broad range of standardized assessments be included when screening children for FASD.