A State of Double Jeopardy: Impact of Prenatal Alcohol Exposure and Adverse Environments on the Social Communicative Abilities of School-Age Children With Fetal Alcohol Spectrum Disorder Purpose This article is a retrospective examination of environmental risk, language performance, and narrative discourse data from a clinical database of school-age children with fetal alcohol spectrum disorder (FASD). Method A case-defined diagnostic approach for measuring and reporting the full spectrum of disabilities in children with prenatal alcohol ... Clinical Forum
Clinical Forum  |   April 01, 2007
A State of Double Jeopardy: Impact of Prenatal Alcohol Exposure and Adverse Environments on the Social Communicative Abilities of School-Age Children With Fetal Alcohol Spectrum Disorder
 
Author Affiliations & Notes
  • Truman E. Coggins
    University of Washington, Seattle
  • Geralyn R. Timler
    University of Buffalo, NY
  • Lesley B. Olswang
    University of Washington, Seattle
  • Contact author: Truman E. Coggins, 1417 N.E. 42nd Street, Seattle, WA 98105. E-mail: tec@u.washington.edu
Article Information
Special Populations / Genetic & Congenital Disorders / Language Disorders / Social Communication & Pragmatics Disorders / Clinical Forum
Clinical Forum   |   April 01, 2007
A State of Double Jeopardy: Impact of Prenatal Alcohol Exposure and Adverse Environments on the Social Communicative Abilities of School-Age Children With Fetal Alcohol Spectrum Disorder
Language, Speech, and Hearing Services in Schools, April 2007, Vol. 38, 117-127. doi:10.1044/0161-1461(2007/012)
History: Received September 30, 2005 , Accepted May 25, 2006
 
Language, Speech, and Hearing Services in Schools, April 2007, Vol. 38, 117-127. doi:10.1044/0161-1461(2007/012)
History: Received September 30, 2005; Accepted May 25, 2006
Web of Science® Times Cited: 47

Purpose This article is a retrospective examination of environmental risk, language performance, and narrative discourse data from a clinical database of school-age children with fetal alcohol spectrum disorder (FASD).

Method A case-defined diagnostic approach for measuring and reporting the full spectrum of disabilities in children with prenatal alcohol exposure is presented. Demographic, environmental, language, and social communication (as reflected by narrative discourse) data are reported for a large cohort of children with FASD between the ages of 6;0 (years;months) and 12;0.

Results Children with FASD are a heterogeneous group with varying levels of compromise. The data demonstrate a substantial comorbidity between the effects of prenatal alcohol exposure and adverse caregiving environments. The data further reveal that school-age children with FASD often exhibit clinically meaningful deficits in language and social communication.

Clinical Implication Children with FASD may be particularly vulnerable to language and social communication deficits as a result of prenatal alcohol exposure and atypical or adverse social interactive experiences. Comprehensive assessment is recommended. Dynamic and functional assessment paradigms may document the language and social communicative deficits in children with FASD and other clinical populations with complex neurodevelopmental profiles.

ACKNOWLEDGMENTS
This project was facilitated by Grant 6T73MC00041-11-01 from the Interdisciplinary Leadership Training in Neurodevelopmental and Related Disabilities, HRSA MCH Bureau, John F. McLaughlin, MD, Principal Investigator; Grant P30 HD0227 from the National Institute of Child Health and Human Development, Michael Guralnick, PhD, Principal Investigator; and Grant 8945-0 from the FAS Diagnostic & Prevention Network, Washington State Division of Alcohol and Substance Abuse, Susan J. Astley, PhD, Principal Investigator. Special thanks to Kristin Daniels and our colleagues at the University of Washington FAS/DPN.
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