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Moderate Prenatal Alcohol Exposure and Quantification of Social Behavior in Adult Rats
Published on: December 14, 2014
Latent classes of neurodevelopmental profiles and needs in children and adolescents with prenatal alcohol exposure
Kaitlyn McLachlan1, Meenu Minhas2, Chantel Ritter1
1Department of Psychology, University of Guelph, Guelph, Ontario, Canada.
Insights
This study identified four distinct subgroups of children with prenatal alcohol exposure (PAE) and fetal alcohol spectrum disorder (FASD), revealing varied neurodevelopmental needs to guide personalized interventions.
Area of Science:
- Neurodevelopmental Disorders
- Clinical Psychology
- Pediatric Health
Background:
- Fetal alcohol spectrum disorder (FASD) is a common neurodevelopmental disorder from prenatal alcohol exposure (PAE).
- Heterogeneity in FASD complicates accurate assessment, diagnosis, and intervention.
- Identifying distinct subgroups is crucial for tailored support.
Purpose of the Study:
- To identify classes of children and adolescents with PAE based on neurodevelopmental functioning patterns.
- To characterize these subgroups using latent class analysis (LCA).
- To inform clinical services and personalized treatment approaches for FASD.
Main Methods:
- Latent class analysis (LCA) was used to identify neurodevelopmental functioning patterns.
- Data from 1440 children and adolescents (ages 6-17) with confirmed PAE were analyzed.
- The Canadian National FASD Database provided retrospective cross-sectional cohort data (2016-2020).
Main Results:
- An optimal four-class solution was identified: Global needs, Regulation needs, Cognitive needs, and Attention needs.
- The Global and Regulation needs groups showed the highest probabilities of clinical needs.
- Subgroups exhibited distinguishable patterns of neurodevelopmental impairment, ranging from severe to relatively low.
Conclusions:
- Four distinct subgroups of children with PAE assessed for FASD were identified in Canada.
- Findings can guide clinicians in identifying specific service pathways for subgroups.
- Personalized treatment approaches may improve outcomes for children with FASD.
Background:
Fetal alcohol spectrum disorder (FASD) resulting from prenatal alcohol exposure (PAE) is a common neurodevelopmental disorder, but substantial interindividual heterogeneity complicates timely and accurate assessment, diagnosis, and intervention. The current study aimed to identify classes of children and adolescents with PAE assessed for FASD according to their pattern of significant neurodevelopmental functioning across 10 domains using latent class analysis (LCA), and to characterize these subgroups across clinical features.
Methods:
Data from the Canadian National FASD Database, a large ongoing repository of anonymized clinical data received from diagnostic clinics across Canada, was analyzed using a retrospective cross-sectional cohort design. The sample included 1440 children and adolescents ages 6 to 17 years (M = 11.0, SD = 3.5, 41.7% female) with confirmed PAE assessed for FASD between 2016 and 2020.
Results:
Results revealed an optimal four-class solution. The Global needs group was characterized by high overall neurodevelopmental impairment considered severe in nature. The Regulation and Cognitive needs groups presented with moderate but substantively distinguishable patterns of significant neurodevelopmental impairment. The Attention needs group was characterized by relatively low probabilities of significant neurodevelopmental impairment. Both the Global and Regulation needs groups also presented with the highest probabilities of clinical needs, further signifying potential substantive differences in assessment and intervention needs across classes.
Conclusions:
Four relatively distinct subgroups were present in a large heterogeneous sample of children and adolescents with PAE assessed for FASD in Canada. These findings may inform clinical services by guiding clinicians to identify distinct service pathways for these subgroups, potentially increasing access to a more personalized treatment approach and improving outcomes.
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