“…Studies have demonstrated an increased incidence of substance-abuse disorders in patients with FASDs (Grant et al, 2013;Streissguth et al, 2004). Regarding alcohol-related problems, it has been reported that PAE predicts problems with alcohol in offspring at 14 and 21 years of age (Baer, Barr, Bookstein, Sampson, & Streissguth, 1998;Baer, Sampson, Barr, Connor, & Streissguth 2003). Yates, Cadoret, Troughton, Stewart, & Giunta (1998) examined the impact of PAE on substance dependence in a study with adoptees.…”