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首页> 外文期刊>Journal of the Canadian Academy of Child and Adolescent Psychiatry >A Critique of the New Canadian Fetal Alcohol Spectrum Disorder Guideline
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A Critique of the New Canadian Fetal Alcohol Spectrum Disorder Guideline

机译：对新的加拿大胎儿酒精光谱失调指南的批评

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A new Fetal Alcohol Spectrum Disorder (FASD) guideline was published in the Canadian Medical Association Journal in 2016. This is relevant to the mental health field as mental health symptoms and psychiatric disorders are often identified as associated with and/or part of FASD presentations. Unfortunately, the new guideline has not advanced understanding of the interface between FASD and mental health problems; rather it may contribute to additional confusion. For example, a new recommendation to include additional mental health symptoms, such as anxiety and affect dysregulation, as manifestations contributing to a diagnosis of FASD is particularly concerning given the paucity of evidence supporting this assertion and the potential to distort delivery of mental health interventions for mental health problems. In addition, the guideline recommendation for introducing an “at risk for FASD” designation is not without risk. An appeal is made for greater scrutiny in the construction of diagnostic criteria and guidelines and for a more careful delineation of causal relationships and comorbidities to better inform the delivery of evidence-based mental health care.
机译：新的胎儿酒精频谱疾病（FASD）指南于2016年在《加拿大医学会杂志》上发布。这与精神健康领域有关，因为人们通常认为精神健康症状和精神病与FASD表现有关和/或属于FASD表现。不幸的是，新指南尚未加深对FASD与精神健康问题之间关系的理解。相反，它可能会加剧混乱。例如，考虑到缺乏支持该主张的证据以及可能扭曲精神卫生干预措施的可能性，一项新的建议应包括其他精神卫生症状，例如焦虑症和影响机能失调，因为有助于FASD诊断的表现尤其令人担忧。精神健康问题。此外，关于引入“ FASD风险中”的指导性建议并非没有风险。呼吁对诊断标准和指南的构建进行更严格的审查，并更仔细地描述因果关系和合并症，以更好地为循证精神卫生服务提供依据。

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