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首页> 外文期刊>Developmental disabilities research reviews. >Intervention for individuals with fetal alcohol spectrum disorders: treatment approaches and case management.
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Intervention for individuals with fetal alcohol spectrum disorders: treatment approaches and case management.

机译:胎儿酒精谱异常患者的干预:治疗方法和病例管理。

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Exposure to alcohol in utero is considered to be the leading cause of developmental disabilities of known etiology. The most severe consequence of such exposure, fetal alcohol syndrome (FAS), is characterized by a distinct constellation of characteristic facial anomalies, growth retardation, and central nervous system (CNS) dysfunction. Some individuals with prenatal alcohol exposure (PAE) do not meet the full criteria for FAS, but instead are diagnosed with partial FAS, alcohol related neurodevelopmental disorder (ARND), or alcohol related birth defects (ARBD). The entire continuum of effects from PAE is increasingly being referred to under the umbrella term of fetal alcohol spectrum disorders (FASDs). An extensive body of research has documented major cognitive, behavioral, adaptive, social, and emotional impairments among individuals with FASDs. Although FAS was identified in the U.S. over 35 years ago, the development, evaluation, and dissemination of evidence-based interventions for individuals with FASDs have lagged behind significantly. Encouragingly, however, in recent years there has been a marked increase in efforts to design and test interventions to remediate the impairments associated with prenatal alcohol exposure. This article will review treatment needs and considerations for individuals with FASDs and their families, current empirically tested treatment approaches, case management issues, and suggestions for future directions in research on the treatment of FASDs.
机译:子宫内暴露于酒精被认为是已知病因发展障碍的主要原因。这种暴露的最严重后果是胎儿酒精综合症(FAS),其特征是面部特征异常,生长迟缓和中枢神经系统(CNS)功能异常。一些患有产前酒精暴露(PAE)的个人不符合FAS的全部标准,而是被诊断出患有部分FAS,酒精相关的神经发育障碍(ARND)或酒精相关的先天性缺陷(ARBD)。在胎儿酒精谱系疾病(FASD)的总称下,越来越多地提到PAE的整个作用连续性。大量研究表明,FASD患者存在重大的认知,行为,适应性,社会和情感障碍。尽管FAS在35年前在美国被确定,但针对FASD个体的基于证据的干预措施的开发,评估和传播已大大落后。然而,令人鼓舞的是,近年来,设计和测试干预措施以补救与产前酒精暴露相关的损害的工作已显着增加。本文将回顾FASDs及其家人的治疗需求和考虑因素,当前经过经验检验的治疗方法,病例管理问题以及FASDs治疗研究的未来方向建议。

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