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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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Bibliographic Details
Published in:European journal of paediatric neurology 2021-07, Vol.33, p.50-60
Main Authors: Ordenewitz, Lisa K., Weinmann, Tobias, Schlüter, Julia A., Moder, Judith E., Jung, Jessica, Kerber, Katharina, Greif-Kohistani, Naschla, Heinen, Florian, Landgraf, Mirjam N.
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Language:English
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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.
ISSN:1090-3798
1532-2130
DOI:10.1016/j.ejpn.2021.02.001