TY - JOUR PY - 2018// TI - Prevalence of externalizing disorders and autism spectrum disorder among children with fetal alcohol spectrum disorder: systematic review and meta-analysis JO - Biochemistry and cell biology A1 - Lange, Shannon A1 - Rehm, Jürgen A1 - Anagnostou, Evdokia A1 - Popova, Svetlana SP - 241 EP - 251 VL - 96 IS - 2 N2 - Due to their central nervous system impairments, children with Fetal Alcohol Spectrum Disorder (FASD) commonly exhibit externalizing behaviours such as hyperactivity, impulsivity, and/or delinquency. The purpose of the current study was to estimate the prevalence of neurodevelopmental disorders with prominent externalizing behaviours, namely Attention-Deficit Hyperactivity Disorder (ADHD), Conduct Disorder (CD), Oppositional Defiant Disorder (ODD), as well as Autism Spectrum Disorder (ASD) among children with FASD. A comprehensive systematic literature search was performed, followed by disorder-specific random-effects meta-analyses. Of the disorders investigated, ADHD was found to be the most common co-morbid disorder among children with FASD (52.9%), followed by ODD (12.9%), CD (7.0%), and ASD (2.6%). When compared to the general population of the United States, these rates are notably higher: 15-times higher for ADHD, two-times higher for ASD, three-times higher for CD, and five-times higher for ODD. The results call attention to the need for identifying a distinct neurodevelopmental profile to aid in the accurate identification of children with FASD and the discrimination of FASD from certain idiopathic neurodevelopmental disorders.

Language: en

LA - en SN - 0829-8211 UR - http://dx.doi.org/10.1139/bcb-2017-0014 ID - ref1 ER -