Neuropsychological evaluation of children and adolescents with fetal alcohol spectrum disorders in the Brazilian population.

IF 1.4 4区 心理学 Q4 CLINICAL NEUROLOGY
Applied Neuropsychology: Child Pub Date : 2025-04-01 Epub Date: 2023-11-15 DOI:10.1080/21622965.2023.2279202
Martina V Kovács, Yury V M Lages, Breno S Vieira, Helenice Charchat-Fichman, J Landeira-Fernandez, Thomas E Krahe
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引用次数: 0

Abstract

Fetal Alcohol Spectrum Disorder (FASD) is a collective name for lifelong physical and neurodevelopmental problems caused by the gestational consumption of alcohol affecting fetal development. In Brazil, the lack of awareness among healthcare professionals, and the scarcity of suitable diagnostic tools and trained clinicians, can contribute to the underestimation of FASD prevalence and severity. The present review aims to map and analyze studies conducted in Brazil on children and adolescents with FASD or a history of prenatal alcohol exposure (PAE). Additionally, it intends to report the psychometric properties of the neurodevelopmental assessment tools applied in the selected articles. Searches were carried out in the databases Scielo, LILACS, PePSIC, EMBASE, PsycINFO, Web of Science, selecting original clinical studies that have investigated the neurodevelopment of this population. From a total of 175 studies, ten articles fit the inclusion criteria in which 18 instruments were identified. The most reported deficits were related to language, general intelligence quotient (IQ), adaptive behavior, attention, and visual perception. Our results point to the need for more clinical research on FASD in Brazil, as well as for the standardization and validation of neurodevelopmental assessment tools for the accurate diagnosis of FASD in Brazil.

巴西人群中胎儿酒精谱系障碍儿童和青少年的神经心理学评价
胎儿酒精谱系障碍(FASD)是由妊娠期饮酒影响胎儿发育引起的终身身体和神经发育问题的统称。在巴西,卫生保健专业人员缺乏认识,缺乏合适的诊断工具和训练有素的临床医生,可能导致对FASD患病率和严重程度的低估。本综述旨在绘制和分析在巴西对患有FASD或有产前酒精暴露史的儿童和青少年进行的研究。此外,它打算报告所选文章中应用的神经发育评估工具的心理测量特性。在Scielo, LILACS, PePSIC, EMBASE, PsycINFO, Web of Science数据库中进行检索,选择了调查该人群神经发育的原始临床研究。从总共175项研究中,有10篇文章符合纳入标准,其中确定了18种工具。大多数报告的缺陷与语言、一般智商(IQ)、适应性行为、注意力和视觉感知有关。我们的研究结果表明,巴西需要更多的FASD临床研究,以及标准化和验证巴西FASD的准确诊断的神经发育评估工具。
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来源期刊
Applied Neuropsychology: Child
Applied Neuropsychology: Child CLINICAL NEUROLOGY-PSYCHOLOGY
CiteScore
4.00
自引率
5.90%
发文量
47
期刊介绍: Applied Neuropsychology: Child publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in children. Full-length articles and brief communications are included. Case studies of child patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.
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