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Evidence-based interventions for children and adolescents with fetal alcohol spectrum disorders – A systematic review
Brain function deficits cause strong negative impacts for the everyday lives of children and adolescents with fetal alcohol spectrum disorders (FASD). Therefore, evidence-based intervention programs that are specifically designed for patients with FASD are needed but still scarce. The aim of the pre...
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Published in: | European journal of paediatric neurology 2021-07, Vol.33, p.50-60 |
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Main Authors: | , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Brain function deficits cause strong negative impacts for the everyday lives of children and adolescents with fetal alcohol spectrum disorders (FASD). Therefore, evidence-based intervention programs that are specifically designed for patients with FASD are needed but still scarce. The aim of the presented article is a systematic literature review of evidence-based intervention strategies for children and adolescents with FASD.
A comprehensive systematic literature search was conducted in several relevant databases to identify randomized-controlled intervention studies for children and adolescents with FASD.
We identified 25 randomized-controlled studies regarding interventions in FASD. Overall, evidence indicating that some therapeutic interventions are effective in children and adolescents with FASD was found. Even though evidence-based interventions rarely lead to improvements of performance into a “normal range”, those measures can alleviate negative consequences of prenatal alcohol exposure and relieve daily burdens.
There are only a few randomized-controlled trials regarding therapy research for children and adolescents with FASD. Their results indicate that especially the combination of parent and child sessions present a promising approach for the treatment of FASD. Positive treatment effects of interventions seem to be domain specific, except for interventions regarding self-regulation or social interaction.
•There are only few randomized-controlled intervention studies for children with FASD.•Training of neurocognitive skills affected improves the outcome of patients.•The combination of parent and child sessions seems to be a promising approach.•Interventions should focus on stress reduction, information and adaptive skills.•Further research on effective intervention designs is needed, especially in Europe. |
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ISSN: | 1090-3798 1532-2130 |
DOI: | 10.1016/j.ejpn.2021.02.001 |