Linguistic and communicative performance in population with Fetal Alcohol Spectrum Disorders. Case Study
- Yuri E. Vega-Rodríguez Universidad del Bío-Bío https://orcid.org/0000-0001-5136-0696
- Elena Garayzabal-Heinze Universidad Autónoma de Madrid https://orcid.org/0000-0001-7534-9141
- Esther Moraleda-Sepúlveda Universidad Complutense de Madrid https://orcid.org/0000-0001-5486-9455
Abstract
Fetal Alcohol Spectrum Disorders (FASD) are a set of clinical manifestations that include growth, physical, behavioral and cognitive deficits that have an impact on the development of language, speech and communication. The present study aims to examine the language and communication characteristics of 19 cases of individuals with FASD aged 6 to 17 years. The PEABODY and CELF-5 tests were used. The results of the PEABODY test showed a group score of VIQ=71, which is considered moderately low. For the CELF-5 test, all indices were below average in all language skills assessed in the test. The population with FASD presents a profile of linguistic and communicative impairments that affect their performance in different developmental contexts. The limitations in these skills have a significant impact on the way they perform in social interactions and in their daily lives.
Downloads
References
Alcantud-Marín, F., & Alonso-Esteban, Y. (2012). Actitudes y conocimientos sobre las consecuencias del consumo de bebidas alcohólicas durante la gestación y la lactancia en profesionales socio-sanitarios de la ciudad de Valencia. Revista Españoola de Drogodependencias, 37(4), 411-429. https://roderic.uv.es/rest/api/core/bitstreams/ba381e9c-2a39-41b8-a14d-a0b9df5a9749/content
Alcantud-Marín, F., Alonso-Esteban, Y., & Jiménez-Pina, E. (2012). Trastornos del desarrollo asociados con la exposición al alcohol durante el embarazo y la lactancia Francisco Alcantud Marín. En Ulzama (Vol. 2). Nau Llibres. https://naullibres.com/wp-content/uploads/2019/06/9788476429037_L33_23.pdf
Alex, K., & Feldmann, R. (2012). Children and Adolescents with Fetal Alcohol Syndrome (FAS): Better social and emotional Integration after Early Diagnosis. Klinische Padiatrie, 224(2), 66-71. https://doi.org/10.1055/s-0031-1299682
AlHammadi, F. S. (2017). Prediction of child language development: A review of literature in early childhood communication disorders. Lingua, 199, 27-35. https://doi.org/10.1016/j.lingua.2017.07.007
Burd, L. (2016). FASD and ADHD: Are they related and How? BMC Psychiatry, 16(1), 325. https://doi.org/10.1186/s12888-016-1028-x
Burden, M. J., Jacobson, J. L., Westerlund, A., Lundahl, L. H., Morrison, A., Dodge, N. C., Klorman, R., Nelson, C. A., Avison, M. J., & Jacobson, S. W. (2010). An event-related potential study of response inhibition in ADHD with and without prenatal alcohol exposure. Alcoholism: Clinical and Experimental Research, 34(4), 617-627. https://doi.org/10.1111/j.1530-0277.2009.01130.x
Callejón-Póo, L., Boix, C., López-Sala, A., Colomé, R., Fumadó, V., & Sans, A. (2012). Perfil neuropsicológico de niños adoptados internacionalmente en Cataluña. Anales de Pediatria, 76(1), 23-29. https://doi.org/10.1016/j.anpedi.2011.07.023
Chasnoff, I. J., Wells, A. M., & King, L. (2015). Misdiagnosis and Missed Diagnoses in Foster and Adopted Children with Prenatal Alcohol Exposure. Pediatrics, 135(2), 264-270. https://doi.org/10.1542/peds.2014-2171
Chudley, A. E., Conry, J., Cook, J. L., Loock, C., Rosales, T., & Leblanc, N. (2005). Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis. CMAJ-JAMC Canadian Medical Association Journal, 172(5), S1-S21. https://doi.org/10.1503/cmaj.1040302
Church, M. W., & Kaltenbach, J. A. (1997). Hearing, Speech, Language, and Vestibular Disorders in the Fetal Alcohol Syndrome: A Literature Review. Alcoholism: Clinical and Experimental Research, 21(3), 495-512. https://doi.org/10.1111/j.1530-0277.1997.tb03796.x
Coggins, T., Timler, G., & Olswang, L. (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, 38(2), 117-127. https://doi.org/10.1044/0161-1461(2007/012)
Colom, J., Segura-García, L., Bastons-Compta, A., Astals, M., Andreu-Fernandez, V., Barcons, N., Vidal, R., Ibar, A. I., Fumadó, V., Gómez, N., Russiñol, A., & Garcia-Algar, O. (2021). Prevalence of Fetal Alcohol Spectrum Disorders (FASD) among Children Adopted from Eastern European Countries: Russia and Ukraine. International Journal of Environmental Research and Public Health, 18, 1388. https://doi.org/10.3390/ijerph18041388
Connolly, S. C., Millians, M., Peterman, R., & Shillingsburg, M. A. (2016). The Clinical application of applied behavior analysis in a child with partial fetal alcohol syndrome: A case study. Clinical Case Studies, 15(3), 225-242. https://doi.org/10.1177/1534650116632298
Coriale, G., Fiorentino, D., Di Lauro, F., Marchitelli, R., Scalese, B., Fiore, M., Maviglia, M., & Ceccanti, M. (2013). Fetal Alcohol Spectrum Disorder (FASD): Neurobehavioral profile, indications for diagnosis and treatment. Rivista di Psichiatria, 48(5), 359-369. https://doi.org/10.1708/1356.15062
De Beer, M., Kritzinger, A., & Zsilavecz, U. (2010). Young children with fetal alcohol spectrum disorder-communication profiles. South African Journal of Communication Disorders, 57, 33-42. https://doi.org/https://doi.org/10.4102/sajcd.v57i1.47
del Campo, M., Kable, J. A., Coles, C. D., Suttie, M., Chambers, C. D., & Bandoli, G. (2024). Secondary physical features in children with FASD. European Journal of Medical Genetics, 67, 104890. https://doi.org/10.1016/j.ejmg.2023.104890
Dunn, L. M., Dunn, L. M., & Arribas, D. (2010). Peabody Pictures Vocabulary Test (PPVT-III) (2da ed.). TEA Ediciones S.A.
Evrard, S. G. (2010). Criterios diagnósticos del síndrome alcohólico fetal y los trastornos del espectro del alcoholismo fetal alcohol spectrum disorders. Archivos Argentinos de Pediatría, 108(1), 61-67. https://www.sap.org.ar/docs/publicaciones/archivosarg/2010/v108n1a11.pdf
Fagerlund, Å., Autti-Rämö, I., Kalland, M., Santtila, P., Hoyme, E., Mattson, S., & Korkman, M. (2012). Adaptive behaviour in children and adolescents with foetal alcohol spectrum disorders: a comparison with specific learning disability and typical development. European Child & Adolescent Psychiatry, 21(4), 221-231. https://doi.org/10.1007/s00787-012-0256-y
Fernandes-Magalhaes, R., Torroba, R., Hernández, L., Fernández, C., Ferrera, D., Peláez, I., Carpio, A., & Mercado, F. (2023). Efectos de la Neurorrehabilitación sobre el Trastorno del Espectro Alcohólico Fetal : Un Estudio de Caso Único. Revista de la Asociación Española de Neuropsiquiatría, 43(143), 1-27. https://doi.org/10.4321/S0211-57352023000100006
Fernández-Mayoralas, D. M., & Fernández-Jaén, A. (2011). Fetopatía alcohólica: puesta al día. Revista de Neurología, 52((Supl 1)), S53-S57. https://doi.org/https://doi.org/10.33588/rn.52S01.2010790
Fisher, E., Loock, C., Melamed, A., Blank, S., & Koren, G. (2019). Prevalence of Fetal Alcohol Spectrum Disorder among High-Risk Children and adolescents in a correctional facility. Israel Medical Association Journal, 21(1), 41-44. https://www.ima.org.il/filesupload/IMAJ/0/326/163376.pdf
Ganthous, G., Rossi, N. F., & Giacheti, C. M. (2015). Language in Fetal in fetal Alcohol Spectrum Disorder: A Review. Revista CEFAC, 17(1), 253-263. https://doi.org/10.1590/1982-021620150914
Ganthous, G., Rossi, N. F., & Giacheti, C. M. (2017). Oral narrative of individuals with Fetal Alcohol Spectrum Disorder. CoDAS, 29(4), 1-7. https://doi.org/10.1590/2317-1782/20172017012
Gibbard, W. B., Wass, P., & Clarke, M. E. (2003). The Neuropsychological Implications of Prenatal Alcohol Exposure. The Canadian child and adolescent psychiatry review, 12(3), 72-76. /pmc/articles/PMC2582737/
Green, C. R., Mihic, A. M., Nikkel, S. M., Stade, B. C., Rasmussen, C., Munoz, D. P., & Reynolds, J. N. (2009). Executive function deficits in children with fetal alcohol spectrum disorders (FASD) measured using the Cambridge Neuropsychological Tests Automated Battery (CANTAB). Journal of Child Psychology and Psychiatry, 50(6), 688-697. https://doi.org/10.1111/j.1469-7610.2008.01990.x
Hendricks, G., Malcolm-Smith, S., Adnams, C., Stein, D. J., Ann, K., & Donald, M. (2019). Effects of prenatal alcohol exposure on language, speech and communication outcomes: a review longitudinal studies. Acta Neuropsychiatr, 31(2), 74-83. https://doi.org/10.1017/neu.2018.28
Hoyme, H. E., Kalberg, W. O., Elliott, A. J., Blankenship, J., Buckley, D., Marais, A. S., Nursing, B. C., Manning, M. A., Robinson, L. K., Adam, M. P., Abdul-Rahman, O., Jewett, T., Coles, C. D., Chambers, C., Jones, K. L., Adnams, C. M., Shah, P. E., Riley, E. P., Charness, M. E., … May, P. A. (2016). Updated clinical guidelines for diagnosing fetal alcohol spectrum disorders. Pediatrics, 138(2). https://doi.org/10.1542/peds.2015-4256
Kippin, N. R., Leitão, S., Watkins, R., Finlay-Jones, A., Condon, C., Marriott, R., Mutch, R. C., & Bower, C. (2018). Language diversity, language disorder, and fetal alcohol spectrum disorder among youth sentenced to detention in Western Australia. International Journal of Law and Psychiatry, 61, 40-49. https://doi.org/10.1016/j.ijlp.2018.09.004
Kjellmer, L., & Olswang, L. B. (2013). Variability in Classroom Social Communication: Performance of Children With Fetal Alcohol Spectrum Disorders and Typically Developing Peers. Journal of Speech, language and Hearing Research, 56(3), 982-993. https://doi.org/10.1044/1092-4388(2012/11-0345)
Kodituwakku, P. (2009). Neurocognitive Profile in Children with Fetal Alcohol Spectrum Disorders. Developmental Disabilities Research Reviews, 15(3), 218-224. https://doi.org/10.1002/ddrr.73
Kooistra, L., Crawford, S., Gibbard, B., Kaplan, B. J., & Fan, J. (2011). Comparing attentional networks in fetal alcohol spectrum disorder and the inattentive and combined subtypes of attention deficit hyperactivity disorder. Developmental Neuropsychology, 36(5), 566-577. https://doi.org/10.1080/87565641.2010.549978
Landgren, M., Svensson, L., Stromland, K., & Andersson Gronlund, M. (2010). Prenatal Alcohol Exposure and Neurodevelopmental Disorders in Children Adopted From Eastern Europe. PEDIATRICS, 125(5), e1178-e1185. https://doi.org/10.1542/peds.2009-0712
Lebel, C., Rasmussen, C., Wyper, K., Walker, L., Andrew, G., Yager, J., & Beaulieu, C. (2008). Brain diffusion abnormalities in children with fetal alcohol spectrum disorder. Alcoholism: Clinical and Experimental Research, 32(10), 1732-1740. https://doi.org/10.1111/J.1530-0277.2008.00750.X
Lewis, C. E., Thomas, K. G. F., Dodge, N. C., Molteno, C. D., Meintjes, E. M., Jacobson, J. L., & Jacobson, S. W. (2015). Verbal learning and memory impairment in children with fetal alcohol spectrum disorders. Alcoholism: Clinical and Experimental Research, 39(4), 724-732. https://doi.org/10.1111/acer.12671
López-Zamora, M., Bordoy, S., López-Pérez, P. J., & Giménez, A. (2022). Evaluación de las competencias lingüísticas en una adolescente con síndrome de alcoholismo fetal: Un estudio de un caso. Revista de Logopedia, Foniatria y Audiologia, 42(2), 102-109. https://doi.org/10.1016/j.rlfa.2020.09.004
Matijević, V., Bartolović, J., Crnković, M., Košiček, T., & Barišić, I. (2014). Habilitational treatment of a Child with Fetal Alcohol Syndrome: Case Report. Acta Clin Croat, 53(1), 88-93. https://pubmed.ncbi.nlm.nih.gov/24974670/
Mattson, S. N., Bernes, G. A., & Doyle, L. R. (2019). Fetal Alcohol Spectrum Disorders: A Review of the Neurobehavioral Deficits Associated With Prenatal Alcohol Exposure. Alcoholism: Clinical and Experimental Research, 43(6), 1046-1062. https://doi.org/10.1111/acer.14040
Mattson, S. N., Crocker, N., & Nguyen, T. T. (2011). Fetal Alcohol Spectrum Disorders: Neuropsychological and Behavioral Features. Neuropsychol Rev, 21, 81-101. https://doi.org/10.1007/s11065-011-9167-9
Maya-Enero, S., Ramis-Fernández, S. M., Astals-Vizcaino, M., & García-Algar, Ó. (2021). Perfil neurocognitivo y conductual del trastorno del espectro alcohólico fetal. Anales de Pediatría, 95(3), 208.e1-208.e9. https://doi.org/10.1016/J.ANPEDI.2020.12.015
McGee, C. L., Bjorkquist, O. A., Riley, E. P., & Mattson, S. N. (2009). Impaired language performance in young children with heavy prenatal alcohol exposure. Neurotoxicology and Teratology, 31(2), 71-75. https://doi.org/10.1016/j.ntt.2008.09.004
McGuinness, T., McGuinness, J., & Dyer, J. (2000). Risk and protective factors in children adopted from the former Soviet Union. Journal of Pediatric Health Care, 14(3), 0109-0116. https://doi.org/https://doi.org/10.1016/S0891-5245(00)70021-6
McQuire, C., Mukherjee, R., Hurt, L., Higgins, A., Greene, G., Farewell, D., Kemp, A., & Paranjothy, S. (2019). Screening prevalence of fetal alcohol spectrum disorders in a region of the United Kingdom: A population-based birth-cohort study. Preventive Medicine, 118, 344-351. https://doi.org/10.1016/j.ypmed.2018.10.013
Mukherjee, R. A. S., Cook, P. A., Norgate, S. H., & Price, A. D. (2019). Neurodevelopmental outcomes in individuals with fetal alcohol spectrum disorder (FASD) with and without exposure to neglect: Clinical cohort data from a national FASD diagnostic clinic. Alcohol, 76, 23-28. https://doi.org/10.1016/j.alcohol.2018.06.002
Nash, A., & Davies, L. (2017). Fetal Alcohol Spectrum Disorders: What Pediatric Providers Need to Know. Journal of Pediatric Health Care, 31(5), 594-606. https://doi.org/10.1016/j.pedhc.2017.04.002
Novick, N., Gudjonsson, G., & Connor, P. (2011). Suggestibility and Fetal Alcohol Spectrum Disorders: I’ll tell you anything you want to hear. Journal of Psychiatry and Law, 39(1), 39-71. https://doi.org/10.1177/009318531103900103
Nulman, I., Shulman, T., & Liu, F. (2018). Fetal alcohol spectrum disorder. En Handbook of Developmental Neurotoxicology (Número March, pp. 427-437). Academic Press. https://doi.org/10.1016/B978-0-12-809405-1.00038-9
O’Hare, E. D., Lu, L. H., Houston, S. M., Bookheimer, S. Y., Mattson, S. N., O’Connor, M. J., & Sowell, E. R. (2009). Altered frontal-parietal functioning during verbal working memory in children and adolescents with heavy prenatal alcohol exposure. Human Brain Mapping, 30(10), 3200-3208. https://doi.org/10.1002/hbm.20741
O’Leary, C. M. (2004). Fetal alcohol syndrome: Diagnosis, epidemiology, and developmental outcomes. Journal of Paediatrics and Child Health, 40(1-2), 2-7. https://doi.org/10.1111/j.1440-1754.2004.00280.x
O’Malley, K. D., & Storoz, L. (2003). Fetal alcohol spectrum disorder and ADHD: diagnostic implications and therapeutic consequences. Expert Rev. Neurotherapeutics, 3(4), 477-489. https://doi.org/10.1586/14737175.3.4.477
Oliván-Gonzalvo, G. (2011). Frecuencia del síndrome alcohólico fetal en niños institucionalizados de países de Europa del Este. Revista de Neurología, 53, 127-128. https://doi.org/10.33588/rn.5302.2011184
Oliván-Gonzalvo, G. (2012). Dificultades neuropsicológicas en niños adoptados de Rusia: consideraciones etiológicas. Anales de Pediatria, 77(1), 61-62. https://doi.org/10.1016/j.anpedi.2011.09.002
Organización Mundial de la Salud. (2013). Declaración de Helsinki de la AMM - Principios éticos para las investigaciones medicas en seres humanos. https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/
Otzen, T., & Manterola, C. (2017). Técnicas de Muestreo sobre una Población a Estudio. International Journal of Morphology, 35(1), 227-232. https://doi.org/10.4067/S0717-95022017000100037
Pei, J., Tremblay, M., McNeil, A., Poole, N., & McFarlane, A. (2017). Neuropsychological Aspects of Prevention and Intervention for FASD in Canada. Journal of Pediatric Neuropsychology, 3(1), 25-37. https://doi.org/10.1007/s40817-016-0020-1
Popova, S., Charness, M. E., Burd, L., Crawford, A., Hoyme, H. E., Mukherjee, R. A. S., Riley, E. P., & Elliott, E. J. (2023). Fetal alcohol spectrum disorders. Nature Reviews Disease Primers, 9(1), 1-21. https://doi.org/10.1038/s41572-023-00420-x
Ramsay, M. (2010). Genetic and epigenetic insights into fetal alcohol spectrum disorders. Genome Medicine, 2:27(4), 1-8. https://doi.org/10.1186/gm148
Robert, M., Carceller, A., Domken, V., Ramos, F., Dobrescu, O., Simard, M.-N., & Gosselin, J. (2009). Physical and neurodevelopmental evaluation of children adopted from Eastern Europe. Journal of Population Therapeutics and Clinical Pharmacology, 16(3), e432-e440. http://www.ncbi.nlm.nih.gov/pubmed/19926894
Rogers, C. R., Nulty, K. L., Aparicio, M., & DeThorne, L. S. (2015). Causal effects on child language development: A review of studies in communication sciences and disorders. Journal of Communication Disorders, 57, 3-15. https://doi.org/10.1016/j.jcomdis.2015.06.004
Schonfeld, A. M., Mattson, S. N., Lang, A. R., Delis, D. C., & Riley, E. P. (2001). Verbal and Nonverbal Fluency in Children with heavy Prenatal Alcohol Exposure. Journal of studies on alcohol, 62(2), 239-246. http://www.ncbi.nlm.nih.gov/pubmed/11327190
Suttie, M., Foroud, T., Wetherill, L., Jacobson, J. L., Molteno, C. D., Meintjes, E. M., Hoyme, H. E., Khaole, N., Robinson, L. K., Riley, E. P., Jacobson, S. W., & Hammond, P. (2013). Facial dysmorphism across the fetal alcohol spectrum. Pediatrics, 131(3), e779-e789. https://doi.org/10.1542/peds.2012-1371
Tenenbaum, A., Mandel, A., Dor, T., Sapir, A., Sapir-Bodnaro, O., Hertz, P., & Wexler, I. D. (2020). Fetal alcohol spectrum disorder among pre-adopted and foster children. BMC Pediatrics, 20(1), 275. https://doi.org/10.1186/s12887-020-02164-z
Terband, H., Spruit, M., & Maassen, B. (2018). Speech Impairment in Boys with Fetal Alcohol Spectrum Disorders. American Journal of Speech-Language Pathology, 27(4), 1405-1425. https://doi.org/10.1044/2018_AJSLP-17-0013
Thorne, J. C. (2017). Accentuate the Negative: Grammatical Errors During Narrative Production as a Clinical Marker of Central Nervous System Abnormality in School-Aged Children with Fetal Alcohol Spectrum Disorders. Journal of Speech, language and Hearing Research, 60(12), 3523-3537. https://doi.org/https://doi.org/10.1044/2017_JSLHR-L-17-0128
Timler, G. R., Olswang, L. B., & Coggins, T. E. (2005). «Do I know what I need to do?» A social communication intervention for children with complex clinical profiles. Language, speech, and hearing services in schools, 36(1), 73-85. https://doi.org/10.1044/0161-1461(2004/007)
Vega-Rodríguez, Y., Garayzabal-Heinze, E., & Moraleda-Sepúlveda, E. (2020). Language Development Disorder in Fetal Alcohol Spectrum Disorders (FASD), a Case Study. Languages, 5(4), 37. https://doi.org/10.3390/languages5040037
Wang, C., Edelstein, S. B., Waldinger, L., Lee, C. M., & Bath, E. (2011). Care of the Foster Child: A Primer for the Pediatrician. Advances in Pediatrics, 58(1), 87-111. https://doi.org/10.1016/j.yapd.2011.03.009
Wiig, E. H., Semel, E., & Secord, W. A. (2018). Clinical Evaluation of Language Fundamental CELF5 (Fifth edit). Pearson Educación S.A.
Wozniak, J. R., Riley, E. P., & Charness, M. E. (2019a). Clinical presentation, diagnosis, and management of fetal alcohol spectrum disorder. Lancet Neurol, 18, 760-770. https://doi.org/10.1016/S1474-4422(19)30150-4
Wozniak, J. R., Riley, E. P., & Charness, M. E. (2019b). Diagnosis, epidemiology, assessment, pathophysiology, and management of fetal alcohol spectrum disorder. The Lancet Neurology, 18(8), 760-770. https://doi.org/10.1016/S1474-4422(19)30150-4
Article download
License
In order to support the global exchange of knowledge, the journal Revista de Investigación en Logopedia is allowing unrestricted access to its content as from its publication in this electronic edition, and as such it is an open-access journal. The originals published in this journal are the property of the Complutense University of Madrid and any reproduction thereof in full or in part must cite the source. All content is distributed under a Creative Commons Attribution 4.0 use and distribution licence (CC BY 4.0). This circumstance must be expressly stated in these terms where necessary. You can view the summary and the complete legal text of the licence.