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Evidence-based interventions for children and adolescents with fetal alcohol spectrum disorders - A systematic review

Forfatter(e)
Ordenewitz, L. K. Weinmann, T. Schluter, J. A. Moder, J. E. Jung, J. Kerber, K. Greif-Kohistani, N. Heinen, F. Landgraf, M. N.
År
2021
DOI
10.1016/j.ejpn.2021.02.001
Tidsskrift
European Journal of Paediatric Neurology
Sider
50-60
Kategori(er)
Kognisjon (hukommelse, oppmerksomhet og eksekutive funksjoner) Språk og motorikkSkoleprestasjoner
Tiltakstype(r)
Kosttilskudd og ernæring
Abstract

INTRODUCTION: : 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.

MATERIALS AND METHODS: : A comprehensive systematic literature search was conducted in several relevant databases to identify randomized-controlled intervention studies for children and adolescents with FASD.

RESULTS: : 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.

CONCLUSION: : 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.