Neurobehavioral Disorder Associated With Prenatal Alcohol Exposure

• Type of Material: Article
• Authors: Joseph F. Hagan, University of Vermont; Tatiana Balachova, University of Oklahoma; Jacquelyn Bertrand, Centers for Disease Control and Prevention; Ira Chasnoff, Children’s Research Triangle; Elizabeth Dang, Centers for Disease Control and Prevention; Daniel Fernandez-Baca, University of Florida; Julie Kable, Emory University; Barry Kosofsky, Weill Cornell Medical College; Yasmin N. Senturias, University of North Carolina; Natasha Singh, Centers for Disease Control and Prevention; Mark Sloane, Western Michigan University; Carol Weitzman, Yale Medical School; Jennifer Zubler, Centers for Disease Control and Prevention
• Language: English
• Date: 2016-10
• Publisher: American Academy of Pediatrics
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2016 by the American Academy of Pediatrics.
• Final Published Version (URL): http://dx.doi.org/10.1542/peds.2015-1553
• Title of Journal or Parent Work: Pediatrics
• ISSN: 0031-4005
• Volume: 138
• Issue: 4
• Start Page: e20151553
• End Page: e20151553
• Grant/Funding Information: FUNDING: Supported by Cooperative Agreement 5U58DD000587, funded by the Centers for Disease Control and Prevention.
• Keywords: DEFICIT/HYPERACTIVITY DISORDER; SPECTRUM DISORDERS; ATTENTION-DEFICIT-HYPERACTIVITY; Life Sciences & Biomedicine; BINGE DRINKING; PREVALENCE; Science & Technology; CHILDREN; FETAL ALCOHOL; INTERVENTION; PREGNANCY; UNITED-STATES; Pediatrics
• Research Categories: Biology, Neuroscience; Psychology, Behavioral; Health Sciences, Public Health

Abstract

Children and adolescents affected by prenatal exposure to alcohol who have brain damage that is manifested in functional impairments of neurocognition, self-regulation, and adaptive functioning may most appropriately be diagnosed with neurobehavioral disorder associated with prenatal exposure. This Special Article outlines clinical implications and guidelines for pediatric medical home clinicians to identify, diagnose, and refer children regarding neurobehavioral disorder associated with prenatal exposure. Emphasis is given to reported or observable behaviors that can be identified as part of care in pediatric medical homes, differential diagnosis, and potential comorb idities. In addition, brief guidance is provided on the management of affected children in the pediatric medical home. Finally, suggestions are given for obtaining prenatal history of in utero exposure to alcohol for the pediatric patient.