Do pediatricians recognize fetal alcohol spectrum disorders in children with developmental and behavioral problems?

Journal of Developmental and Behavioral Pediatrics : JDBP
Pat RojmahamongkolCarol Weitzman

Abstract

Limited studies have examined pediatricians' knowledge, attitudes, and practice about fetal alcohol spectrum disorders (FASDs), and none have examined alcohol-related neurodevelopmental disabilities (ARND). This study examined whether pediatricians consider FASDs in children with developmental and behavioral problems. All 149 pediatricians, 55 males and 94 females, in New Haven County, CT, were contacted to complete a web-based survey. They were given cases of preschool boys with (1) fetal alcohol syndrome (FAS), (2) ARND, and (3) Williams Syndrome (WS) and asked to provide a diagnosis and rate their confidence in this. They could access up to 7 additional pieces of information. Sixty-six pediatricians responded (44.3%), and 46 had complete data (30.9%). Eight (17.4%) correctly identified FAS and 29 (63.1%) ARND. Significantly fewer pediatricians diagnosed FAS versus ARND and WS (p < .001), and they were less confident in identifying FAS and ARND than WS (10.9 % and 45.7% vs. 73.9%, p < .01). After viewing the photographs with sentinel dysmorphology and case description, respondents were more likely to diagnose WS (37%) versus FAS (19.6%) (p = .064), less confident in their diagnosis (p = .009), and required more information to...Continue Reading

References

Jan 1, 1992·Journal of Substance Abuse·B A MorseL C Kaplan
Jun 29, 2002·Journal of Child Neurology·Petter StrømmeKjersti Ramstad
Aug 17, 2004·Journal of Developmental and Behavioral Pediatrics : JDBP·Ann P StreissguthJulia Kogan Young
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Oct 29, 2014·Pediatrics·Philip A MayH Eugene Hoyme

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Citations

Sep 15, 2016·Wiley Interdisciplinary Reviews. Developmental Biology·C LovelyJohann Eberhart
Aug 18, 2017·Biochemistry and Cell Biology = Biochimie Et Biologie Cellulaire·Yohaan FernandesJohann K Eberhart
Nov 28, 2019·Birth Defects Research·Charles Benjamin Lovely
May 2, 2017·Journal of Developmental and Behavioral Pediatrics : JDBP·Deland WeyrauchLarry Burd
Sep 28, 2017·Journal of Pediatric Neuropsychology·Leila Glass, Sarah N Mattson
Nov 6, 2021·Genesis : the Journal of Genetics and Development·Yohaan Fernandes, C Ben Lovely

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