Parenting by individuals with fetal alcohol spectrum disorders and neurobehavioral outcomes in their offspring.
Parenting by individuals with fetal alcohol spectrum disorders and neurobehavioral outcomes in their offspring.
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患有胎儿酒精谱系障碍的个体的养育及其后代的神经行为结果。
DOI：
10.1111/acer.15256
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发表时间：
2024
期刊：
影响因子：
--
通讯作者：
Coles,ClaireD
中科院分区：
文献类型：
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作者：
Ritfeld,GabyJ;Wang,Michael;Shapiro,Zvi;Kable,JulieA;Coles,ClaireD
背景与产前酒精暴露相关的神经行为健康损害现在已知会持续到成年。然而，人们对这些障碍如何影响个体的养育能力和后代的神经行为健康知之甚少。本研究比较了父母与胎儿酒精谱系障碍（FASD）与社会经济相匹配，nonexposed父母的养育和家庭支持的措施，并评估神经行为健康的儿童在这两个groups.MethodsForty‐ 9亲子二人组被招募从一个纵向队列的低社会经济地位。测量指标包括养育方式和维度问卷、家庭支持量表、深入的心理社会史、儿科症状自评量表（PSC;父母和孩子的报告），Achenbach儿童行为检查表（CBCL），儿童的筛选精神病学评估，NIH儿童认知成套测验，Vineland适应性行为量表-第三版照顾者评级表，和创伤事件筛选量表结果FASD父母的两个后代的认知功能均受损（= 81.1，SD = 13.0）和对照父母（= 79.9，SD = 16.1），但尽管有类似的损害，FASD父母的孩子比对照组更不可能有个性化的教育计划。两组的适应功能均充分（暴露组= 92.1，SD = 15.4，对照组= 94.3，SD = 12.3），两组的CBCL和PSC评分均在正常范围内。这两组的父母都表现出了一种权威性的育儿风格。尽管在这两个群体的不良童年经历的频率相似，父母与FASD不太可能认识到他们的孩子的不良experiences.ConclusionParents与FASD显示显着的优势，包括一个主要的权威的养育方式。然而，与社会经济学匹配的对照组相比，FASD的父母对儿童创伤认识不足，对发展服务利用不足，尽管有类似的神经认知障碍。患有FASD的父母的适应功能障碍可能会转化为儿童与父母沟通的困难，并限制对神经行为问题和宣传技能的洞察力。有必要识别和支持患有FASD的父母，以根据他们的个人优势和困难优化他们的养育能力。
BackgroundThe neurobehavioral health impairments associated with prenatal alcohol exposure are now known to persist through adulthood. However, little is known about how these impairments affect individuals' parenting abilities and the neurobehavioral health of their offspring. This study compares parents with fetal alcohol spectrum disorder (FASD) with socioeconomically matched, nonexposed parents on measures of parenting and family support and assesses the neurobehavioral health of the children in both groups.MethodsForty‐nine parent–child dyads were recruited from a longitudinal cohort of low socioeconomic status. Measures included the Parenting Styles and Dimensions Questionnaire, Family Support Scale, an in‐depth psychosocial history, the Pediatric Symptom Checklist (PSC; parent and child reports), the Achenbach Child Behavior Checklist (CBCL), a screening psychiatric evaluation of the child, the NIH Toolbox Cognition Battery for Children, The Vineland Adaptive Behavior Scales‐Third Edition caregiver rating form, and the Traumatic Events Screening Inventory (parent and child reports).ResultsCognitive functioning was impaired for both offspring of parents with FASD ( = 81.1, SD = 13.0) and control parents ( = 79.9, SD = 16.1), but despite similar impairments, children of parents with FASD were less likely to have an Individualized Education Plan than controls. Adaptive functioning was adequate for both groups ( = 92.1, SD = 15.4 in exposed vs. = 94.3, SD = 12.3 in controls) and CBCL and PSC scores in both groups were within normal limits. Parents in both groups showed a predominantly authoritative parenting style. Despite a similar frequency of adverse childhood experiences in both groups, parents with FASD were less likely to recognize their child's adverse experiences.ConclusionParents with FASD display notable strengths including a predominantly authoritative parenting style. However, parents with FASD underrecognize child trauma and underutilize developmental services compared to socioeconomically matched controls, despite similar neurocognitive impairments. Impairments in adaptive functioning in parents with FASD may translate into difficulties with child–parent communication and limit both insight into neurobehavioral problems and advocacy skills. There is a need to identify and support parents with FASD to optimize their parenting abilities in the context of their individual strengths and difficulties.