Premium
Neuropsychological Deficits in Adolescents with Fetal Alcohol Syndrome: Clinical Findings
Author(s) -
Olson Heather Carmichael,
Feldman Julie J.,
Streissguth Ann P.,
Sampson Paul D.,
Bookstein Fred L.
Publication year - 1998
Publication title -
alcoholism: clinical and experimental research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.267
H-Index - 153
eISSN - 1530-0277
pISSN - 0145-6008
DOI - 10.1111/j.1530-0277.1998.tb05909.x
Subject(s) - fetal alcohol syndrome , neuropsychology , psychology , cognitive flexibility , prenatal alcohol exposure , developmental psychology , cognition , fetal alcohol , clinical psychology , audiology , alcohol , psychiatry , medicine , biochemistry , chemistry
Understanding the nature of cognitive deficits among adolescent patients with fetal alcohol syndrome (FAS) can direct future research on assessment and intervention. In an exploratory study, nine non‐retarded teenagers with FAS were administered tests of IQ and adaptive behavior, and neuropsychological tests presumed sensitive to alcohol effects. Their performance was compared with psychometric norms and to data from a sample of 174 adolescents with minimal or no prenatal alcohol exposure. These nonretarded FAS patients commonly showed behavior problems, decreased social competence, and poor school performance. Neuropsychological testing revealed significant deficits, although no one neuropsychological profile characterized all patients and not all tests revealed problems. Relatively intact performance was observed in procedural memory, some measures of reaction time, and some reading measures. Deficits were seen on attentional and memory tasks tapping visual‐spatial skills, short‐term auditory attention and memory, declarative learning, and cognitive flexibility and planning. Difficulties in processing speed and accuracy were also seen. Comparison with a subgroup of 52 nonalcohol‐exposed or minimally alcohol‐exposed adolescents with a similar range of IQ scores demonstrated that deficits among these FAS patients were not fully explained by a general lowering of IQ.