Neurotransmitter Function: Changes Associated with in Utero Alcohol Exposure

2022 ◽  
pp. 171-189
Author(s):  
Mary Druse Manteuffel
Keyword(s):  
2013 ◽  
Vol 37 (11) ◽  
pp. 1901-1909 ◽  
Author(s):  
Sengottuvelan Murugan ◽  
Changqing Zhang ◽  
Sepideh Mojtahedzadeh ◽  
Dipak K. Sarkar

2005 ◽  
Vol 193 (4) ◽  
pp. 1534-1539 ◽  
Author(s):  
Laura Toso ◽  
Sarah H. Poggi ◽  
Daniel Abebe ◽  
Robin Roberson ◽  
Veronica Dunlap ◽  
...  

2019 ◽  
Vol 34 (6) ◽  
pp. 829-829
Author(s):  
D McEachern ◽  
M Steed

Abstract Objective The detrimental impact of in utero substance use on developing fetuses manifests well into adolescence (Wu, Ju, & Lu, 2011; Minnes, Lang, & Singer, 2011). Likewise, the effects of early childhood neglect during critical developmental periods may be long lasting (de Bellis, et al., 2009; Hildyard & Wolfe, 2002). Factors such as these may require creative adaptation of assessment. This case illustrates the process of evaluating a child presenting with an unusual developmental history and extremely challenging behaviors and describes efforts to maintain engagement while eliciting valid data. Successful and unsuccessful interventions will be reviewed. Method Patient is a 12-year-old Caucasian male admitted to a state psychiatric hospital with a complex presentation of emotional, behavioral, and cognitive difficulties. Aggravating factors consist of likely in utero drug and alcohol exposure, early trauma, chronic neglect, and unusually small physical stature. Neuropsychological evaluation was completed over the course of five days. Testing sessions were brief, on a unit where no one was present, and were structured using both intermittent and scheduled reinforcement to maintain effort and engagement. Results Testing indicated significant and consistent weaknesses in executive functioning, learning, memory, and attention. Despite the use of stimulant medication, difficulty with vigilance, sustained attention, and impulsivity persisted. Diagnoses were Neurodevelopmental Disorder associated with prenatal substance exposure, Generalized Anxiety Disorder, Attention Deficit/Hyperactivity Disorder, Combined presentation, and Oppositional Defiant Disorder, Moderate. Conclusions Unconventional history warrants unconventional approach to assessment. Recommendations included not only approaches to improving his attention, but just as important, strategies to elicit his best performance in various settings.


2011 ◽  
Vol 2 (4) ◽  
pp. 239-248 ◽  
Author(s):  
Tiffany A. Polanco ◽  
Catina Crismale-Gann ◽  
Wendie S. Cohick

2012 ◽  
Author(s):  
Sengottuvelan Murugan ◽  
Changqing Zhang ◽  
Sepideh Mojtahedzaadeh ◽  
Kenneth Reuhl ◽  
Dipak K. Sarkar

2020 ◽  
Vol 162 ◽  
pp. 107832 ◽  
Author(s):  
Kristin Marquardt ◽  
James F. Cavanagh ◽  
Jonathan L. Brigman

2004 ◽  
Vol 191 (6) ◽  
pp. S130
Author(s):  
Laura Toso ◽  
Sarah Poggi ◽  
Jane Park ◽  
Veronica Dunlap ◽  
Robin Roberson ◽  
...  

Author(s):  
John Aspler

In this chapter, the author reflects on challenges associated with conducting focus group interviews with adults with fetal alcohol spectrum disorder (FASD)—a complex neurodevelopmental disability caused by alcohol exposure in utero. Given the heterogeneity of this diagnosis, people with FASD have different strengths and weaknesses. Therefore, for effective and ethical research inclusion, each person with FASD may need unique accommodations, which can help to both minimize concerns about unjust research exclusion and mitigate sources of vulnerability. To explore these issues, the author describes the focus group study, presents anticipated risks and challenges, explores critical stakeholder feedback, and addresses ethical tensions arising from the resulting protocol adjustments. This chapter demonstrates the importance of researchers remaining open to criticism and being willing to work through their moral discomfort.


2012 ◽  
Vol 32 (44) ◽  
pp. 15243-15251 ◽  
Author(s):  
C. Lebel ◽  
S. N. Mattson ◽  
E. P. Riley ◽  
K. L. Jones ◽  
C. M. Adnams ◽  
...  

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