Psychosocial outcomes of fetal alcohol syndrome in adulthood.

Abstract:

BACKGROUND AND OBJECTIVE:Primary disabilities in children prenatally exposed to alcohol have a major impact on their daily life. It is suggested that these issues persist into adulthood, but few studies have addressed the outcome in adults with prenatal exposure, especially those with fetal alcohol syndrome (FAS). The aim of this follow-up study was to investigate outcome variables, such as education, employment, health, and criminal acts, in 79 adults diagnosed with FAS. METHODS:We carried out a national register-based study of 79 adults with an FAS diagnosis, at a mean age of 32. Education, social adjustment, and mental health outcomes were analyzed and compared with 3160 comparison individuals matched on age, gender, and place of birth. RESULTS:The FAS group was much more likely to have received special education (25% vs 2%), be unemployed (51% vs 15%), and receive a disability pension (31% vs 3%) than the comparisons, but the levels of criminal offenses were similar. The FAS group had higher hospital admission rates for alcohol abuse (9% vs 2%) and psychiatric disorders (33% vs 5%) and was more likely to be prescribed psychotropic drugs (57% vs 27%). CONCLUSIONS:Swedish children with FAS have quite diverse psychosocial outcomes in adulthood, considerably worse than for majority population peers. Potential risk and protective factors within the FAS group deserve study to enable development of effective interventions.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Rangmar J,Hjern A,Vinnerljung B,Strömland K,Aronson M,Fahlke C

doi

10.1542/peds.2014-1915

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

e52-8

issue

1

eissn

0031-4005

issn

1098-4275

pii

peds.2014-1915

journal_volume

135

pub_type

杂志文章
  • Effectiveness of nebulized beclomethasone in preventing viral wheezing: an RCT.

    abstract:OBJECTIVE:The goal of this study was to evaluate the effectiveness of nebulized beclomethasone in preventing the recurrence of viral wheezing. METHODS:The study was designed as a randomized, double-blind, placebo-controlled trial. Outpatient children aged 1 to 5 years with at least 1 episode of viral wheezing in the l...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.2013-2404

    authors: Clavenna A,Sequi M,Cartabia M,Fortinguerra F,Borghi M,Bonati M,ENBe Study Group.

    更新日期:2014-03-01 00:00:00

  • Report of the National Institute of Neurological Disorders and Stroke workshop on perinatal and childhood stroke.

    abstract::The National Institute of Neurological Disorders and Stroke and the Office of Rare Disorders sponsored a workshop on perinatal and childhood stroke in Bethesda, Maryland, on September 18 and 19, 2000. This was an international workshop to bring together experts in the field of perinatal and childhood stroke. Topics co...

    journal_title:Pediatrics

    pub_type:

    doi:10.1542/peds.109.1.116

    authors: Lynch JK,Hirtz DG,DeVeber G,Nelson KB

    更新日期:2002-01-01 00:00:00

  • Tobacco counseling at well-child and tobacco-influenced illness visits: opportunities for improvement.

    abstract:OBJECTIVE:To assess the frequency of clinician-reported delivery of counseling for avoidance of child environmental tobacco smoke (ETS) exposure and tobacco use at periodic well-child visits and at illness visits for asthma and otitis media (OM). METHODS:Combined data from the National Ambulatory Medical Care Survey a...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.111.2.e162

    authors: Tanski SE,Klein JD,Winickoff JP,Auinger P,Weitzman M

    更新日期:2003-02-01 00:00:00

  • Fibromyalgia syndrome in children and adolescents: clinical features at presentation and status at follow-up.

    abstract:OBJECTIVES:To 1) describe the characteristic features of fibromyalgia syndrome (FS) in a pediatric population, 2) note similarities and differences with FS in adults, and 3) determine outcome after treatment. SETTING AND DESIGN:The Pediatric Rheumatology Clinic at the University of Rochester Medical Center is staffed ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.101.3.377

    authors: Siegel DM,Janeway D,Baum J

    更新日期:1998-03-01 00:00:00

  • Chemical-biological terrorism and its impact on children: a subject review. American Academy of Pediatrics. Committee on Environmental Health and Committee on Infectious Diseases.

    abstract::There is an increasing threat that chemical and biological weapons will be used on a civilian population in an act of domestic terrorism. Casualties among adults and children could be significant in such an event. Federal, state, and local authorities have begun extensive planning to meet a chemical-biological inciden...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.105.3.662

    authors:

    更新日期:2000-03-01 00:00:00

  • Antenatal phenobarbital therapy and neonatal outcome. I: Effect on intracranial hemorrhage.

    abstract:OBJECTIVE:To evaluate the effect of antenatal phenobarbital (PB) therapy on neonatal intracranial hemorrhage (ICH) in preterm infants. DESIGN:Prospective, randomized, controlled trial. SETTING:Single institution study. SUBJECTS AND INTERVENTIONS:Women in preterm labor ( < 35 weeks' gestation) were assigned to contro...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Shankaran S,Cepeda E,Muran G,Mariona F,Johnson S,Kazzi SN,Poland R,Bedard MP

    更新日期:1996-05-01 00:00:00

  • Psychosocial functioning in children and young adults with juvenile arthritis.

    abstract::A questionnaire survey of 363 children and young adults with juvenile arthritis was conducted to assess the relations among disease severity, psychosocial functioning, and adjustment in three age groups--primary school, high school, and young adult. Parents were surveyed separately to determine which characteristics o...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Ungerer JA,Horgan B,Chaitow J,Champion GD

    更新日期:1988-02-01 00:00:00

  • Sudden child death and 'healthy' affected family members with medium-chain acyl-coenzyme A dehydrogenase deficiency.

    abstract::A family is described in which the father and three (and probably all four) of his children had a decreased capacity for the oxidation of medium-chain fatty acids. One of the children suddenly died at the age of 16 months following an episode of a rapidly deteriorating Reye syndrome-like illness with hypoketotic hypog...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Duran M,Hofkamp M,Rhead WJ,Saudubray JM,Wadman SK

    更新日期:1986-12-01 00:00:00

  • The medical cost of abusive head trauma in the United States.

    abstract:OBJECTIVES:Health consequences of shaken baby syndrome, or pediatric abusive head trauma (AHT), can be severe and long-lasting. We aimed to estimate the multiyear medical cost attributable to AHT. METHODS:Using Truven Health MarketScan data, 2003-2011, we identified children 0 to 4 years old with commercial or Medicai...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2014-0117

    authors: Peterson C,Xu L,Florence C,Parks SE,Miller TR,Barr RG,Barr M,Steinbeigle R

    更新日期:2014-07-01 00:00:00

  • Delayed cord clamping in very preterm infants reduces the incidence of intraventricular hemorrhage and late-onset sepsis: a randomized, controlled trial.

    abstract:OBJECTIVE:This study compared the effects of immediate (ICC) and delayed (DCC) cord clamping on very low birth weight (VLBW) infants on 2 primary variables: bronchopulmonary dysplasia (BPD) and suspected necrotizing enterocolitis (SNEC). Other outcome variables were late-onset sepsis (LOS) and intraventricular hemorrha...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2005-1706

    authors: Mercer JS,Vohr BR,McGrath MM,Padbury JF,Wallach M,Oh W

    更新日期:2006-04-01 00:00:00

  • Twenty-year follow-up of antenatal corticosteroid treatment.

    abstract:OBJECTIVE:To study late side effects of antenatal corticosteroid treatment on health and sexual development in subjects 20 to 22 years old. METHODS:A follow-up study among young adults whose mothers had, because of a threatening delivery, participated in a randomized, double-blind, placebo- controlled trial of betamet...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1542/peds.105.6.e77

    authors: Dessens AB,Haas HS,Koppe JG

    更新日期:2000-06-01 00:00:00

  • Effect of cow's milk on the gastrointestinal tract: a persistent dilemma for the pediatrician.

    abstract::The confusing area of cow's milk intolerance is explored in an attempt to define the various mechanisms whereby milk affects gastrointestinal function, resulting in clinical symptoms (diarrhea, vomiting, gastrointestinal bleeding, etc.). The adverse reaction of infants to cow's milk ingestion may relate to lactose int...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Eastham EJ,Walker WA

    更新日期:1977-10-01 00:00:00

  • Overt glucocorticoid excess due to inhaled corticosteroid therapy.

    abstract::Inhaled corticosteroids have become an important therapeutic option in the treatment of childhood asthma. The preparations currently available for pediatric use (beclomethasone dipropionate and triamcinolone acetonide) do not, in general, cause significant hypothalamic-pituitary-adrenal axis suppression and physical s...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Hollman GA,Allen DB

    更新日期:1988-03-01 00:00:00

  • The Use of Pyridostigmine in a Child With Chronic Intestinal Pseudo-Obstruction.

    abstract::Chronic intestinal pseudo-obstruction is a rare disorder that affects the motility of the gastrointestinal tract. It results in acute or subacute intestinal obstruction symptoms in the absence of mechanical lesion. It can lead to intestinal failure in children with significant strain on nutrition, growth, and developm...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-0007

    authors: Choudhury A,Rahyead A,Kammermeier J,Mutalib M

    更新日期:2018-04-01 00:00:00

  • A single-blinded, randomized comparison of laparoscopic versus open hernia repair in children.

    abstract:OBJECTIVE:The role of laparoscopic surgery in pediatric inguinal hernia repair is unclear. We aimed to compare day-case laparoscopic hernia repair with open repair. METHODS:A prospective, single-blinded randomized study in children aged 4 months to 16 years with unilateral inguinal hernia was performed. The primary ou...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2007-3752

    authors: Koivusalo AI,Korpela R,Wirtavuori K,Piiparinen S,Rintala RJ,Pakarinen MP

    更新日期:2009-01-01 00:00:00

  • Mirrored symptoms in mother and child with chronic fatigue syndrome.

    abstract:OBJECTIVE:Our aim with this study was to assess the relation between chronic fatigue syndrome in adolescents and fatigue and associated symptoms in their fathers and mothers, more specifically the presence of chronic fatigue syndrome-like symptoms and psychologic distress. METHOD:In this cross-sectional study, 40 adol...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-2307

    authors: van de Putte EM,van Doornen LJ,Engelbert RH,Kuis W,Kimpen JL,Uiterwaal CS

    更新日期:2006-06-01 00:00:00

  • Specialized assessments for children in foster care.

    abstract:OBJECTIVE:To investigate the differences in health problems identified and health services received by children newly entering foster care who participated in a comprehensive multidisciplinary program, compared with children newly entering foster care who received customary community-based services. METHODS:Using a 2-...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.106.1.59

    authors: Horwitz SM,Owens P,Simms MD

    更新日期:2000-07-01 00:00:00

  • Fatal Haemophilus influenzae endocarditis diagnosed by echocardiography in an infant.

    abstract::A 1-year-old boy was admitted to the hospital with Haemophilus influenzae meningitis. On the second hospital day a heart murmur heard on admission seemed louder. No signs of congestive heart failure were present. An echocardiogram demonstrated a persistent echo-dense mass behind the anterior leaflet of the mitral valv...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Laird WP,Nelson JD,Weinberg AG,Huffines FD

    更新日期:1979-09-01 00:00:00

  • The delivery of immunizations and other preventive services in private practices.

    abstract:OBJECTIVES:To measure the proportion of children cared for in private practices who are fully immunized and have been screened for anemia, tuberculosis (TB), and lead poisoning by 2 years of age. DESIGN:Cross-sectional chart review. SETTING:Fifteen private pediatric practices in central North Carolina (11 chosen rand...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Bordley WC,Margolis PA,Lannon CM

    更新日期:1996-04-01 00:00:00

  • Association of consumption of fried food away from home with body mass index and diet quality in older children and adolescents.

    abstract:OBJECTIVES:Rates of overweight have increased dramatically among children in the United States. Although an increase in consumption of food prepared away from home has paralleled overweight trends, few data exist relating food prepared away from home to change in BMI in children. The goals of this study were to (1) exa...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-2732

    authors: Taveras EM,Berkey CS,Rifas-Shiman SL,Ludwig DS,Rockett HR,Field AE,Colditz GA,Gillman MW

    更新日期:2005-10-01 00:00:00

  • Improving depression screening for adolescents with type 1 diabetes.

    abstract:OBJECTIVE:Depression is common among adolescents, but rates increase significantly in the presence of chronic health conditions. Outpatient screening for depression is recommended but rarely formally conducted due to barriers of implementation. METHODS:To provide a model for depression screening of youth with chronic ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-0681

    authors: Corathers SD,Kichler J,Jones NH,Houchen A,Jolly M,Morwessel N,Crawford P,Dolan LM,Hood KK

    更新日期:2013-11-01 00:00:00

  • Increased blood pressure following pupillary dilation with 2.5% phenylephrine hydrochloride in preterm infants.

    abstract::Heart rate and blood pressure changes following 0.5% tropicamide and 2.5% phenylephrine hydrochloride were evaluated in seven ill preterm infants (birth weight, 910 to 2,060 gm; gestational age, 26 to 36 weeks) during the first day of life. Each infant was monitored continuously for 30 minutes before and for 75 minute...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Lees BJ,Cabal LA

    更新日期:1981-08-01 00:00:00

  • Expanding the availability of extracorporeal cardiopulmonary resuscitation.

    abstract::A healthy 14-year-old presented to an emergency department in Alaska, complaining of shortness of breath, chest pain, and 72 hours of malaise and headache. On admission, her blood pressure was 80/50 mm Hg, and she had cool extremities. Electrocardiography revealed wide-complex ventricular tachycardia. She underwent sy...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2011-2371

    authors: McMullan DM

    更新日期:2013-03-01 00:00:00

  • Epidemiologic features of the presentation of critical congenital heart disease: implications for screening.

    abstract:OBJECTIVE:Critical congenital heart disease has been proposed as a target of newborn screening. This study aimed to define the incidence and timing of significant physiologic compromise attributable to critical congenital heart disease as well as the distribution of vulnerable lesions. These descriptive parameters must...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-0421

    authors: Schultz AH,Localio AR,Clark BJ,Ravishankar C,Videon N,Kimmel SE

    更新日期:2008-04-01 00:00:00

  • Antecedents of neonatal encephalopathy in the Vermont Oxford Network Encephalopathy Registry.

    abstract:BACKGROUND:Neonatal encephalopathy (NE) is a major predictor of death and long-term neurologic disability, but there are few studies of antecedents of NE. OBJECTIVES:To identify antecedents in a large registry of infants who had NE. METHODS:This was a maternal and infant record review of 4165 singleton neonates, gest...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-0714

    authors: Nelson KB,Bingham P,Edwards EM,Horbar JD,Kenny MJ,Inder T,Pfister RH,Raju T,Soll RF

    更新日期:2012-11-01 00:00:00

  • Prenatal detection of neuroblastoma: a ten-year experience from the Dana-Farber Cancer Institute and Children's Hospital.

    abstract:OBJECTIVES:To assess the relative frequency of, the clinical and pathological correlates in, and the prognosis of the subset of infants with neuroblastoma who were identified initially by prenatal ultrasonography. DESIGN:Retrospective review of all patients with neuroblastoma evaluated between 1982 and 1992. SETTING:...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Ho PT,Estroff JA,Kozakewich H,Shamberger RC,Lillehei CW,Grier HE,Diller L

    更新日期:1993-09-01 00:00:00

  • Early violent death among delinquent youth: a prospective longitudinal study.

    abstract:OBJECTIVE:Youth processed in the juvenile justice system are at great risk for early violent death. Groups at greatest risk, ie, racial/ethnic minorities, male youth, and urban youth, are overrepresented in the juvenile justice system. We compared mortality rates for delinquent youth with those for the general populati...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-1459

    authors: Teplin LA,McClelland GM,Abram KM,Mileusnic D

    更新日期:2005-06-01 00:00:00

  • Pediatric tuberculosis: what needs to be done to decrease morbidity and mortality.

    abstract:OBJECTIVE:Tuberculosis (TB) control programs have been less successful among children than among adults in the United States. Between 1992 and 1997, the rate of decline of TB cases among 0- to 14-year-old children was less than the rate of decline among any other age group of US-born persons. Because of the higher prev...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.106.1.e1

    authors: Heymann SJ,Brewer TF,Wilson ME,Colditz GA,Fineberg HV

    更新日期:2000-07-01 00:00:00

  • Prolonged episodes of hypoxemia in preterm infants undetectable by cardiorespiratory monitors.

    abstract:OBJECTIVE:To determine whether episodes of prolonged hypoxemia occur without prolonged apneic pauses (> or = 20 seconds) and without bradycardia (pulse rate, < or = 100 beats per minute) in apparently well preterm infants. METHODS:Long-term recordings of arterial oxygen saturation as measured by pulse oximetry (SpO2),...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Poets CF,Stebbens VA,Richard D,Southall DP

    更新日期:1995-06-01 00:00:00

  • Cardiac effects of dexamethasone in very low birth weight infants.

    abstract:OBJECTIVE:To characterize the cardiac effects of dexamethasone in very low birth weight infants. DESIGN:Prospective, randomized, placebo-controlled, double-blind trial. Enrolled subjects were randomized to receive either a 42-day tapering course of dexamethasone or a saline placebo. Echocardiographic measurements were...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Bensky AS,Kothadia JM,Covitz W

    更新日期:1996-06-01 00:00:00