青春期および成人における胎児アルコール症候群
A P Streissguth1, J M Aase, S K Clarren
1Department of Psychiatry, Child Development/Mental Retardation Center, Seattle, WA.
JAMA
|April 17, 1991
まとめ
胎児アルコール症候群 (FAS) は,明確な顔の変形や発達上の問題を提示します. 長期的には,FASの個人は認知機能の欠陥と適応不良の行動を経験し,成人期に重要な管理課題を提示します.
科学分野:
- 神経科学は神経科学である.
- 発達小児科 発達小児科
- 公衆衛生は公衆衛生である.
背景:
- 胎児アルコール症候群 (FAS) は,先天性欠陥の主要な予防可能な原因です.
- 妊娠中のアルコールの暴露は,神経発達障害のスペクトルにつながる可能性があります.
- FASの長期的な症状を理解することは,効果的な管理に不可欠です.
研究 の 目的:
- 青少年および成人の胎児アルコールテロトゲネシスの症状を記述する.
- 幼児期を超えてFASを持つ個人の身体的,認知的,行動的結果を特徴付ける.
- 成人集団におけるFASの管理における課題を強調する.
主な方法:
- 胎児アルコール症候群または胎児アルコール症候群と診断された61人の若者や成人の臨床データの遡及分析.
- 身体的特徴,認知機能 (IQ),学力,行動パターンの評価.
- 家族の環境安定性の評価.
主要な成果:
- 顔の特徴は,FASを有する個体において,思春期以降に,より顕著になくなります.
- 一貫した発見には,身長が短く,小頭症があり,体重は平均に近い.
- 平均IQは68で,大きな差異があり,学術的機能は2年生から4年生までの平均レベルであり,特に算数の欠陥があった.
- 適応不良な行動 (判断力低下,注意散漫性,社会的シューズ障害) と不安定な家庭環境が一般的であった.
結論:
- 胎児アルコール症候群は,成人期への進行を予測できる生涯にわたる状態です.
- 適応不良の行動は,FASの成人の主な管理課題を代表しています.
- 早期の介入と継続的なサポートは,FASの患者にとって生涯にわたって不可欠です.
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