Fetal alcohol syndrome in adolescents and adults
Fetal alcohol syndrome in adolescents and adults
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DOI：
10.1001/jama.1991.03460150065025
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发表时间：
1991-04
影响因子：
3.8
通讯作者：
A. Streissguth;J. Aase;S. Clarren;S. Randels;R. A. LaDue;David W. Smith
中科院分区：
文献类型：
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作者：
A. Streissguth;J. Aase;S. Clarren;S. Randels;R. A. LaDue;David W. Smith
胎儿酒精综合征是一种特殊的可识别的畸形模式。本文报告61例青少年和成人酒精畸形症的临床表现。青春期过后，胎儿酒精综合征或胎儿酒精影响患者的脸部没有那么明显。患者倾向于保持矮小和小头畸形，尽管他们的体重有点接近平均体重。他们的平均智商为68，但智商得分的范围相差很大。平均的学习能力处于二至四年级水平，算术缺陷是最常见的特征。不适应行为，如判断力差，注意力不集中，难以感知社交线索等都很常见。家庭环境非常不稳定。胎儿酒精综合症不仅仅是一种儿童疾病；可以预见，这种疾病会长期发展到成年，在这种情况下，适应不良的行为是管理的最大挑战。
Fetal alcohol syndrome is a specific recognizable pattern of malformation. Manifestations in 61 adolescents and adults suffering from alcohol teratogenesis are presented. After puberty, the faces of patients with fetal alcohol syndrome or fetal alcohol effects were not as distinctive. Patients tended to remain short and microcephalic, although their weight was somewhat closer to the mean. The average IQ was 68, but the range of IQ scores widely varied. Average academic functioning was at the second- to fourth-grade levels, with arithmetic deficits most characteristic. Maladaptive behaviors such as poor judgment, distractibility, and difficulty perceiving social cues were common. Family environments were remarkably unstable. Fetal alcohol syndrome is not just a childhood disorder; there is a predictable long-term progression of the disorder into adulthood, in which maladaptive behaviors present the greatest challenge to management.