Hostname: page-component-848d4c4894-8bljj Total loading time: 0 Render date: 2024-06-16T08:30:22.408Z Has data issue: false hasContentIssue false
  • English
  • Français

Fetal alcohol spectrum disorders – an Irish perspective

Published online by Cambridge University Press:  13 June 2014

Nneka Orakwue ,
Fiona McNicholas  and
Kieran O'Malley
Nneka Orakwue
Affiliation:
Child and Adolescent Mental Health Service Hazel House, Kennedy Road Navan
Fiona McNicholas
Affiliation:
Lucena Clinic Rathgar and Our Lady's Hospital for Sick Children, Crumlin
Kieran O'Malley
Affiliation:
Our Lady's Hospital for Sick Children Crumlin, Ireland.
Get access Rights & Permissions [Opens in a new window]

Abstract

The impact of prenatal alcohol exposure is far reaching and transgenerational but is largely under diagnosed. This has been a major public health concern but remains an area that has lacked attention with regards service development and research in Ireland. There is a need for mental health professionals to have a good working knowledge of the range of deficits associated with prenatal alcohol exposure. Knowledge of these deficits will facilitate identification of affected children for early diagnosis and intervention. This paper reviews available literature on this topic using broad search criteria. The aim of this article is to create greater awareness among professionals working with children in Ireland considering the high rates of alcohol consumption and the fact that most cases of FASD present with chronic undiagnosed mental health problems.

Keywords

AlcoholFetal Alcohol SyndromeAlcohol Related Neurodevelopmental DisorderFetal Alcohol Spectrum Disorders
Type
Continuing Professional Development
Information
Irish Journal of Psychological Medicine , Volume 27 , Issue 4 , December 2010 , pp. i - v
Copyright
Copyright © Cambridge University Press 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Lemoine., H, Borteyru, J, Menuet, J.Les enfants de parents alcooliques: Anomalies observees a propos de 1 27 cas {Children of alcoholic parents: Abnormalities observed in 127 cases}. Quest Medicale. 1968;21:478–82.Google Scholar
2.Jones, KL, Smith, DW.Recognition of the fetal alcohol syndrome in early infancy. Lancet. 1973 Nov 3;302(7836):999–1001.CrossRefGoogle Scholar
3.Stratton, K, Howe, CJ, PC, aB.Fetal Alcohol Syndrome: Diagnosis, epidermiology, prevention and treatment. Institute of Medicine, National Academy Press, Washington DC. 1996.Google Scholar
4.Streissguth, AP, O'Malley, K.Neuropsychiatric implications and long-term consequences of fetal alcohol spectrum disorders. Semin Clin Neuropsychiatry. 2000 Jul;5(3):177–90.CrossRefGoogle ScholarPubMed
5.Astley, SJ, Clarren, SK.Diagnosing the full spectrum of fetal alcohol-exposed individuals: introducing the 4-digit diagnostic code. Alcohol Alcohol. 2000 Jul-Aug;35(4):400–10.CrossRefGoogle ScholarPubMed
6.Centre, for, Disease, Control. Use of international classification of diseases coding to identify fetal alcohol syndrome-Indian Health Service Facilities 1981–1992. Morbidity and Mortality Weekly Report. 1995 April 7;44(13):253–5, 61.Google Scholar
7.Chudley, AE, Conry, J, Cook, JL, Loock, C, Rosales, T, LeBlanc, N.Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis. CMAJ. 2005 Mar 1 ;172(5 Suppl):S1–S21.CrossRefGoogle ScholarPubMed
8.Mukherjee, RAS, Hollins, S, Turk, J.Psychiatric Co-Morbidity in Fetal Alcohol Syndrome. Psychiatric Bulletin. 2006 May 1;30(5) : 194–5.CrossRefGoogle Scholar
9.Sampson, PD, Streissguth, AP, Bookstein, FL, Little, RE, Clarren, SK, Dehaene, P, et al.Incidence of fetal alcohol syndrome and prevalence of alcohol-related neurodevelopmental disorder. Teratology, 1997 Nov;56(5):317–26.3.0.CO;2-U>CrossRefGoogle ScholarPubMed
10.Donnellan, E. Marriage and birth rates soared during the boom. Irish Times. 2008 November 29 2008.Google Scholar
11. Irish Health Research Board Report. 2007 Nov.Google Scholar
12.Donnelly, JC, Cooley, SM, Walsh, TA, Sarkar, R, Durnea, U, Geary, MP.Illegal drug use, smoking and alcohol consumption in a low-risk Irish primigravid population. J Perinat Med. 2008;36(1):70–2.CrossRefGoogle Scholar
13.Daly, SF, Kiely, J, Clarke, TA, Matthews, TG.Alcohol and cigarette use in a pregnant Irish population. Ir Med J. 1992 Dec;85(4):156–7.Google Scholar
14.Barry, S, Kearny, A, Lawlor, E, McNamee, E, Barry, J.The Coombe Women Hospital Study of Alcohol and Illicit drug Use, 1988–2005. Dublin 2006.Google Scholar
15. Government urged to put pregnancy warning on alcohol. RTE News; 2008 [cited 2010 25th April]; Available from: http://www.rte.ie/news/2008/0909/alcohol.html.Google Scholar
16.Caetano, R, Ramisetty-Mikler, S, Floyd, LR, McGrath, C.The epidemiology of drinking among women of child-bearing age. Alcohol Clin Exp Res. 2006 Jun;30(6):1023–30.CrossRefGoogle ScholarPubMed
17. Strategic Task Force on Alcohol. STFA Report on Alcohol 2002.Google Scholar
18.Maier, SE, West, JR.Drinking patterns and alcohol-related birth defects. Alcohol Res Health. 2001;25(3):168–74.Google ScholarPubMed
19.Goransson, M, Magnusson, A, Bergman, H, Rydberg, U, Heilig, M.Fetus at risk: prevalence of alcohol consumption during pregnancy estimated with a simple screening method in Swedish antenatal clinics. Addiction. 2003 Nov;98(11):1513–20.CrossRefGoogle ScholarPubMed
20.Leonardson, GR, Loudenburg, R, Struck, J.Factors predictive of alcohol use during pregnancy in three rural states. Behav Brain Funct. 2007;3:8.CrossRefGoogle ScholarPubMed
21.Enoch, MA, Goldman, D.The genetics of alcoholism and alcohol abuse. Curr Psychiatry Rep. 2001 Apr;3(2):144–51.CrossRefGoogle ScholarPubMed
22.Warren, KR, Li, TK.Genetic polymorphisms: impact on the risk of fetal alcohol spectrum disorders. Birth Defects Res A Clin Mol Teratol. 2005 Apr;73(4):195–203.CrossRefGoogle ScholarPubMed
23.Stueve, A, O'Donnell, LN.Early alcohoi initiation and subsequent sexual and alcohol risk behaviors among urban youths. Am J Public Health. 2005 May;95(5):887–93.CrossRefGoogle Scholar
24.Floyd, RL, Decoufle, P, Hungerford, DW.Alcohol use prior to pregnancy recognition. Am J Prev Med. 1999 Aug;17(2):101–7.CrossRefGoogle ScholarPubMed
25.Mattson, SN, Riley, EP.Parent ratings of behavior in children with heavy prenatal alcohol exposure and IQ-matched controls. Alcohol Clin Exp Res. 2000 Feb;24(2):226–31.Google ScholarPubMed
26.Sood, B, Delaney-Black, V, Covington, C, Nordstrom-Klee, B, Ager, J, Templin, T, et al.Prenatal alcohol exposure and childhood behavior at age 6 to 7 years: I. dose-response effect. Pediatrics. 2001 Aug;108(2):E34.CrossRefGoogle ScholarPubMed
27.Fast, DK, Conry, J, Loock, CA.Identifying fetal alcohol syndrome among youth in the criminal justice system. J Dev Behav Pediatr. 1999 Oct;20(5):370–2.CrossRefGoogle ScholarPubMed
28.Nash, K, Rovet, J, Greenbaum, R, Fantus, E, Nulman, I, Koren, G.Identifying the behavioural phenotype in Fetal Alcohol Spectrum Disorder: sensitivity, specificity and screening potential. Arch Womens Ment Health. 2006 Jul;9(4):181–6.CrossRefGoogle ScholarPubMed
29.Rasmussen, C, Talwar, V, Loomes, C, Andrew, G.Brief report: lie-telling in children with fetal alcohol spectrum disorder. J Pediatr Psychol. 2008 Mar;33(2):220–5.CrossRefGoogle ScholarPubMed
30.O'Malley, K. In ADHD and Fetal Alcohol Spectrum Disorders (FASD): New York: Nova Science Publishers: 2nd printing: 2008:51–67.Google Scholar
31.O'Connor, MJ, Paley, B.The relationship of prenatal alcohol exposure and the postnatal environment to child depressive symptoms. J Pediatr Psychol. 2006 Jan-Feb;31(1):50–64.CrossRefGoogle ScholarPubMed
32.Fryer, SL, McGee, CL, Matt, GE, Riley, EP, Mattson, SN.Evaluation of psychopathological conditions in children with heavy prenatal alcohol exposure. Pediatrics. 2007 Mar;119(3):e733–41.CrossRefGoogle ScholarPubMed
33.Lohr, JB, Bracha, HS.Can schizophrenia be related to prenatal exposure to alcohol? Some speculations. Schizophr Bull. 1989;15(4):595–603.CrossRefGoogle ScholarPubMed
34.Mattson, SN, Riley, EP, Gramling, L, Delis, DC, Jones, KL.Heavy prenatal alcohol exposure with or without physical features of fetal alcohol syndrome leads to IQ deficits. J Pediatr. 1997 Nov;131(5):718–21.CrossRefGoogle ScholarPubMed
35.Streissguth, AP, Barr, HM, Olson, HC, Sampson, PD, Bookstein, FL, Burgess, DM.Drinking during pregnancy decreases word attack and arithmetic scores on standardized tests: adolescent data from a population-based prospective study. Alcohol Clin Exp Res. 1994 Apr;18(2):248–54.CrossRefGoogle ScholarPubMed
36.McGee, CL, Fryer, SL, Bjorkquist, OA, Mattson, SN, Riley, EP.Deficits in social problem solving in adolescents with prenatal exposure to alcohol. Am J Drug Alcohol Abuse. 2008;34(4):423–31.CrossRefGoogle ScholarPubMed
37.Mattson, SN, Riley, EP, Delis, DC, Stern, C, Jones, KL.Verbal learning and memory in children with fetal alcohol syndrome. Alcohol Clin Exp Res. 1996 Aug;20(5):810–6.CrossRefGoogle ScholarPubMed
38.Franklin, L, Deitz, J, Jirikowic, T, Astley, S.Children with fetal alcohol spectrum disorders: problem behaviors and sensory processing. Am J Occup Ther. 2008 May-Jun;62(3):265–73.CrossRefGoogle ScholarPubMed
39.Streissguth, AP, Barr, J, Kogan, J, Bookstein, F.Primary and secondary disabilities in Fetal Alcohol Syndrome. In Streissguth, A and Kanter, J (Eds) The Challenge of fetal alcohol syndrome: ovecoming secondary disabilities Seattle, WA University of Washington Press. 1997:25–9.Google Scholar
40.Impey, L, editor. Obstetric and Gynaecology. 2nd ed. Oxford: Blackwell Publishing Ltd 2004Google Scholar
41.Symonds, EM, Symonds, IM, editors. Essential Obstetrics and Gynaecology. 4th ed: Churchill Livingstone; 2004.Google Scholar
42.Jacobson, JL, Jacobson, SW.Prenatal Alcohol Exposure and Neuro behavioural Development, Where is the threshold? Alcohol Health and Research World. 1994;18(1):30.Google Scholar
43.Barr, HM, Bookstein, FL, O'Malley, KD, Connor, PD, Huggins, JE, Streissguth, AP.Binge drinking during pregnancy as a predictor of psychiatric disorders on the Structured Clinical Interview for DSM-IV in young adult offspring. Am J Psychiatry. 2006 Jun;163(6):1061–5.CrossRefGoogle ScholarPubMed
44.E L, Abel, editor. Fetal Alcohol Abuse Syndrome: New York press; 1998.Google Scholar
45.Coles, CD, Kable, JA, Drews-Botsch, C, Falek, A.Early identification of risk for effects of prenatal alcohol exposure. J Stud Alcohol. 2000 Jul;61(4):607–16.CrossRefGoogle ScholarPubMed
46.O'Keane, V.Planning perinatal psychiatry services for Ireland. Irish Journal of Psychological Medicine. 2010;27(1):3–5.CrossRefGoogle ScholarPubMed