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首页> 外文期刊>The International Journal of Alcohol and Drug Research >Psychological characteristics of internationally adopted post-institutionalized children with Fetal Alcohol Spectrum Disorders
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Psychological characteristics of internationally adopted post-institutionalized children with Fetal Alcohol Spectrum Disorders

机译：国际收养的胎儿酒精频谱障碍的入院后儿童的心理特征

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Gindis, B. (2014). Psychological characteristics of internationally adopted post-institutionalized children with Fetal Alcohol Spectrum Disorders. The International Journal Of Alcohol And Drug Research,?3(1 ), 35-42.?doi:10.7895/ijadr.v3i1.133 Aims: Fetal Alcohol Syndrome Disorder (FASD) is widely observed in internationally adopted (IA) post-institutionalized children. The specificity of FASD in IA children has significant practical implications and necessitates a modified methodology for identification and remediation. Design methods, and participants: Clinical case study with statistical analysis (simple frequency recorded in an Excel spreadsheet); quantitative and qualitative data was obtained through individual medical, neuropsychological, and educational assessments of 63 children, ages five to sixteen, adopted from Eastern Europe to the United States. Findings: FASD in international adoptees presents amplified characteristics typical for this condition, with the following specificities revealed in our research: rapid first-language loss and a particular pattern of English language learning; profound complex childhood trauma related to extreme deprivation and institutional upbringing; “mixed maturity” evident in impaired executive functions; low predictive accuracy during a pre-adoption screening for FASD conditions; general cognitive ability (IQ) being in the Low Average to Borderline range, with processing speed, attention, and working memory as the weakest cognitive skills; and academic achievements being higher than could be predicted based on cognitive abilities. Conclusions: FASD must be recognized as an educational handicap in our school system in order to change the outcomes for afflicted children. Educational remediation and cognitive-behavioral therapeutic intervention are the most effective remedial methods for IA children with FASD. Practical recommendations for adoptive parents include early identification and specialized remediation of “secondary” disabilities through concerted efforts of the school and family.
机译：Gindis，B.（2014年）。国际收养的胎儿酒精频谱障碍的入院后儿童的心理特征。国际酒精与药物研究杂志，3（1），35-42.doi：10.7895 / ijadr.v3i1.133目的：在机构化后的国际采用（IA）中广泛观察到胎儿酒精综合症（FASD）孩子们。 FASD在IA儿童中的特异性具有重要的实际意义，因此有必要对识别和补救方法进行修改。设计方法和参与者：具有统计分析的临床案例研究（简单频率记录在Excel电子表格中）;通过对从东欧到美国的63名5至16岁儿童的医学，神经心理学和教育评估，获得了定量和定性数据。研究结果：国际收养人中的FASD表现出了这种情况的典型特征，在我们的研究中揭示出以下特征：快速的第一语言丧失和特定的英语学习模式;与极端剥夺和体制养育有关的深刻的复杂儿童时期创伤;执行职能受损时明显出现“混合成熟”;在对FASD条件进行预收养筛查期间，预测准确性低;总体认知能力（IQ）在“低至边界”范围内，处理速度，注意力和工作记忆是最弱的认知技能;并且学习成绩高于根据认知能力所能预测的水平。结论：FASD必须被视为我们学校系统中的教育障碍，以便改变患病儿童的结局。教育性干预和认知行为治疗干预是IAFA FASD儿童最有效的补救方法。对收养父母的实际建议包括通过学校和家庭的共同努力，尽早发现和专门纠正“继发性”残疾。

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