Advancing Recognition of Fetal Alcohol Spectrum Disorders: the Proposed DSM-5 Diagnosis of “Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (ND-PAE)”

Olson, Heather Carmichael

doi:10.1007/s40474-015-0056-4

Cited by 27 publications

(14 citation statements)

References 65 publications

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“…2 The intent of this new diagnostic designation is to better capture the behavioral and mental health effects of in utero exposure to alcohol of individuals with and without the physical dysmorphia associated with prenatal alcohol exposure, in contrast to the term alcohol-related neurodevelopmental disorder, which applies only to individuals with neurobehavioral effects in the absence of physical dysmorphia effects. 3,4 This report outlines the clinical manifestations of ND-PAE that are most salient for the pediatric medical home, including identification of children in need of evaluation, diagnosis, comorbid or differential diagnosis, referral, and management. Although they do not represent AAP policy, specific suggestions are provided for assessment of maternal use of alcohol during pregnancy at routine pediatric visits.…”

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confidence: 99%

Neurobehavioral Disorder Associated With Prenatal Alcohol Exposure

et al. 2016

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Children and adolescents affected by prenatal exposure to alcohol who have brain damage that is manifested in functional impairments of neurocognition, self-regulation, and adaptive functioning may most appropriately be diagnosed with neurobehavioral disorder associated with prenatal exposure. This Special Article outlines clinical implications and guidelines for pediatric medical home clinicians to identify, diagnose, and refer children regarding neurobehavioral disorder associated with prenatal exposure. Emphasis is given to reported or observable behaviors that can be identified as part of care in pediatric medical homes, differential diagnosis, and potential comorbidities. In addition, brief guidance is provided on the management of affected children in the pediatric medical home. Finally, suggestions are given for obtaining prenatal history of in utero exposure to alcohol for the pediatric patient.

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confidence: 99%

Neurobehavioral Disorder Associated With Prenatal Alcohol Exposure

et al. 2016

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“…Before this addition, the only reference available for this purpose has been the International Classification of Diseases on its 10 th edition (ICD-10). This classification system includes two terms related to FASD, "foetal alcohol syndrome, dysmorphic" (Q86.0) and "newborn (suspected to be) affected by maternal use of alcohol" (P04.3) [13].…”

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confidence: 99%

Foetal Alcohol Spectrum Disorder (FASD) diagnostic guidelines: a neuropsychological diagnostic criteria review proposal

Bastons-Compta¹,

Astals²,

Garcı́a-Algar³

2016

J Neuropsychopharmacol Mental Health

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“…These are all important considerations to inform future research, which is urgently required to improve and unify the multiple and varied FASD diagnostic approaches currently implemented world‐wide (e.g. The Washington 4‐Digit Diagnostic Code, The Institute of Medicine diagnostic criteria, The Revised Canadian Guidelines and proposed criteria for the Diagnostic and Statistical Manual of Mental Disorders, currently listed in the section ‘conditions for further study’) . Ultimately, this is an important empirical question that needs to be comprehensively addressed through the analysis of currently available clinical data and systematic reviews and meta‐analyses of previously published research.…”

Section: Discussionmentioning

confidence: 99%

Outcomes and needs of health and education professionals following fetal alcohol spectrum disorder‐specific training

Reid

White

Hawkins

et al. 2019

J Paediatrics Child Health

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Aim Understanding professionals' views and needs can help advance service provision and improve future training opportunities, Therefore, the current study examined the experiences of Australian and New Zealand professionals who have attended fetal alcohol spectrum disorder (FASD)‐specific training and the impact of this training on their current practices. Methods A total of 52 health and education professionals from Australia and New Zealand completed an online survey that asked about their training experiences; changes in practice following training; their experiences implementing assessments in their workplace; and, for Australian professionals, their experiences of using the recently released Australian Guide to FASD diagnosis. Results Respondents described a range of perceived practice changes following training attendance. These included increases in: asking about alcohol use during pregnancy; providing referrals for assessments; providing assessments and consultation with other professionals regarding FASD diagnosis. Qualitative findings also demonstrated themes of increased knowledge, awareness and/or confidence about providing neurodevelopmental assessments and FASD diagnosis following training. Conclusions This is the first study to document training and practice experiences of Australian and New Zealand professionals in relation to FASD. Overall, training efforts were well received by professionals and were effective in changing professionals' self‐reported practice. Future investment in FASD‐specific training initiatives and increased resources to enable neurodevelopmental assessments for all complex presentations, including FASD, is warranted.

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Advancing Recognition of Fetal Alcohol Spectrum Disorders: the Proposed DSM-5 Diagnosis of “Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (ND-PAE)”

Cited by 27 publications

References 65 publications

Neurobehavioral Disorder Associated With Prenatal Alcohol Exposure

Neurobehavioral Disorder Associated With Prenatal Alcohol Exposure

Foetal Alcohol Spectrum Disorder (FASD) diagnostic guidelines: a neuropsychological diagnostic criteria review proposal

Outcomes and needs of health and education professionals following fetal alcohol spectrum disorder‐specific training

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