Link van pagina met PDF link naar de Kennissynthese FASD

Universiteit van Maastricht, S. Roozen, G. Kok en L. Curfs

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Wanneer ADHD niet is wat het lijkt:

In veel gevallen wordt Fetal Alcohol Spectrum Disorder ge(mis)diagnosticeerd als ADHD.
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Guidelines for identification and treatment of individuals with ADHD and associated Fetal Alcohol Spectrum Disorders based upon expert consensus

De comorbiditeit t.a.v. ADHD en FASD resulteert in een complexe constellatie van symptomen welke een goede diagnostiek en passende behandeling of zorg kunnen bemoeilijken. De huidige literatuur ontbreekt het aan formele richtlijnen, gerandomiseerde controle research en evidence based behandelplannen voor cliënten met ADHD en FASD. Dit was de reden voor het organiseren van een bijeenkomst van professionals op dit gebied, met als doel tot een consensus te komen m.b.t. indificatie, diagnosticering en richtlijnen t.a.v. behandeling, welke behulpzaam zullen zijn in werken met deze unieke populatie.
“Although FAS is estimated to occur in 2 to 7 per 1000 live births in young children in the United States, and up to 68 per 1000 in high-risk populations [28, 29], FASD are more prevalent and may occur in as many as 2–5 % of younger school children in the US and some western European countries.”

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Within this clinical sample, 86.5% of youth with FASD had never been previously diagnosed or had been misdiagnosed. These high rates of missed diagnoses and misdiagnosis have significant implications for intervention and therapeutic services.

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Hechtingsstoornis en juridiserend handelen
Artikel verschenen in FJR, november 2012, nr. 95 ©®
Een aanvulling op het Research memorandum (6–2010) van prof. dr. mw. F. Juffer.

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Fetal alcohol spectrum disorder (FASD) is a common condition with a high economic impact in both children and adults, concludes an updated review in the Journal of Addiction Medicine, the official journal of the American Society of Addiction Medicine (ASAM). The journal is published in the Lippincott portfolio by Wolters Kluwer.

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Damage to the central nervous system is a unifying concept for nearly all of the diagnoses that fall under the Fetal Alcohol Spectrum Disorders (FASD) umbrella. Thus, FASD are an important public health and social problem worldwide that consumes a large amount of resources, both economic and societal by imparting a large burden on society through such sectors as the healthcare system, mental health and substance abuse treatment services, foster care, the criminal justice system, and the long-term care of individuals with intellectual and physical disabilities.

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Children and adolescents affected by prenatal exposure to alcohol who have brain damage that is manifested in functional impairments of neurocognition, self-regulation, and adaptive functioning may most appropriately be diagnosed with neurobehavioral disorder associated with prenatal exposure. This Special Article outlines clinical implications and guidelines for pediatric medical home clinicians to identify, diagnose, and refer children regarding neurobehavioral disorder associated with prenatal exposure.

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Gathering information about drinking during pregnancy is one of the most difficult aspects of studying fetal alcohol spectrum disorders (FASD). This information is critical to linking specific risk factors to any particular diagnosis within the FASD continuum. This article reviews highlights from the literature on maternal risk factors for FASD and illustrates that maternal risk is multidimensional, including factors related to quantity, frequency, and timing of alcohol exposure; maternal age; number of pregnancies; number of times the mother has given birth

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Fetal Alcohol Spectrum Disorder (FASD) may be associated with a variety of challenges including developmental disabilities, hyperactivity, attention and impulse control problems, language delays, and social skills deficits. These problems can lead to “sec-ondary disabilities” such as mental health issues, academic and vocational failure, substance abuse, and interactions with the justice system.

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