Fetal Alcohol Spectrum Disorders and Inadequacy of Care: Importance of Raising Awareness in Clinical Practice
Prenatal alcohol exposure is one of the major avoidable causes of developmental disruption and health abnormalities in children. Fetal alcohol spectrum disorders (FASDs), a significant consequence of prenatal alcohol exposure, have gained more attention recently. This review aims to provide a narrat...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-12-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/11/1/5 |
| _version_ | 1827372614833668096 |
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| author | Sigita Lesinskienė Emilijus Žilinskas Algirdas Utkus Rūta Marčiukaitytė Gabrielė Vasiliauskaitė Rugilė Stankevičiūtė Odeta Kinčinienė |
| author_facet | Sigita Lesinskienė Emilijus Žilinskas Algirdas Utkus Rūta Marčiukaitytė Gabrielė Vasiliauskaitė Rugilė Stankevičiūtė Odeta Kinčinienė |
| author_sort | Sigita Lesinskienė |
| collection | DOAJ |
| description | Prenatal alcohol exposure is one of the major avoidable causes of developmental disruption and health abnormalities in children. Fetal alcohol spectrum disorders (FASDs), a significant consequence of prenatal alcohol exposure, have gained more attention recently. This review aims to provide a narrative approach to the scientific literature on the history, clinical presentation, diagnosis, and management of FASDs. A literature search in PubMed, ScienceDirect, and Google Scholar online databases was conducted. The dates of publications ranged from 2000 to 2023. FASD presentations tend to persist into adulthood, which, combined with environmental factors, potentially lead to secondary psychosocial problems and disabilities. This review covers different aspects of FASDs regarding the concept of the umbrella term and public health, somatic, and psychiatric perspectives. FASD management remains an obstacle to health professionals, and mental health problems are underestimated. Its management involves a multi-disciplinary team, which varies according to the patient’s individual needs. FASD diagnosis and management have not been sufficiently established and tailored. Stigma, cultural contexts, knowledge gaps, and the heterogeneity of clinical manifestations are significant barriers to an accurate diagnostic process. Further development of early interventions and the elaboration of complex treatment approaches are needed. |
| first_indexed | 2024-03-08T11:02:18Z |
| format | Article |
| id | doaj.art-8ca8a0795a094c5e85b24ec296f70291 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-08T11:02:18Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-8ca8a0795a094c5e85b24ec296f702912024-01-26T15:46:20ZengMDPI AGChildren2227-90672023-12-01111510.3390/children11010005Fetal Alcohol Spectrum Disorders and Inadequacy of Care: Importance of Raising Awareness in Clinical PracticeSigita Lesinskienė0Emilijus Žilinskas1Algirdas Utkus2Rūta Marčiukaitytė3Gabrielė Vasiliauskaitė4Rugilė Stankevičiūtė5Odeta Kinčinienė6Clinic of Psychiatry, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, 03101 Vilnius, LithuaniaFaculty of Medicine, Vilnius University, 03101 Vilnius, LithuaniaDepartment of Human and Medical Genetics, Institute of Biomedical Sciences, Faculty of Medicine, Vilnius University, 03101 Vilnius, LithuaniaFaculty of Medicine, Vilnius University, 03101 Vilnius, LithuaniaFaculty of Medicine, Vilnius University, 03101 Vilnius, LithuaniaFaculty of Medicine, Vilnius University, 03101 Vilnius, LithuaniaClinic of Children’s Diseases, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, 03101 Vilnius, LithuaniaPrenatal alcohol exposure is one of the major avoidable causes of developmental disruption and health abnormalities in children. Fetal alcohol spectrum disorders (FASDs), a significant consequence of prenatal alcohol exposure, have gained more attention recently. This review aims to provide a narrative approach to the scientific literature on the history, clinical presentation, diagnosis, and management of FASDs. A literature search in PubMed, ScienceDirect, and Google Scholar online databases was conducted. The dates of publications ranged from 2000 to 2023. FASD presentations tend to persist into adulthood, which, combined with environmental factors, potentially lead to secondary psychosocial problems and disabilities. This review covers different aspects of FASDs regarding the concept of the umbrella term and public health, somatic, and psychiatric perspectives. FASD management remains an obstacle to health professionals, and mental health problems are underestimated. Its management involves a multi-disciplinary team, which varies according to the patient’s individual needs. FASD diagnosis and management have not been sufficiently established and tailored. Stigma, cultural contexts, knowledge gaps, and the heterogeneity of clinical manifestations are significant barriers to an accurate diagnostic process. Further development of early interventions and the elaboration of complex treatment approaches are needed.https://www.mdpi.com/2227-9067/11/1/5fetal alcohol syndromefetal alcohol spectrum disordersprenatal alcohol exposure |
| spellingShingle | Sigita Lesinskienė Emilijus Žilinskas Algirdas Utkus Rūta Marčiukaitytė Gabrielė Vasiliauskaitė Rugilė Stankevičiūtė Odeta Kinčinienė Fetal Alcohol Spectrum Disorders and Inadequacy of Care: Importance of Raising Awareness in Clinical Practice Children fetal alcohol syndrome fetal alcohol spectrum disorders prenatal alcohol exposure |
| title | Fetal Alcohol Spectrum Disorders and Inadequacy of Care: Importance of Raising Awareness in Clinical Practice |
| title_full | Fetal Alcohol Spectrum Disorders and Inadequacy of Care: Importance of Raising Awareness in Clinical Practice |
| title_fullStr | Fetal Alcohol Spectrum Disorders and Inadequacy of Care: Importance of Raising Awareness in Clinical Practice |
| title_full_unstemmed | Fetal Alcohol Spectrum Disorders and Inadequacy of Care: Importance of Raising Awareness in Clinical Practice |
| title_short | Fetal Alcohol Spectrum Disorders and Inadequacy of Care: Importance of Raising Awareness in Clinical Practice |
| title_sort | fetal alcohol spectrum disorders and inadequacy of care importance of raising awareness in clinical practice |
| topic | fetal alcohol syndrome fetal alcohol spectrum disorders prenatal alcohol exposure |
| url | https://www.mdpi.com/2227-9067/11/1/5 |
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