Evaluating the difference in neuropsychological profiles of individuals with FASD based on the number of sentinel facial features: a service evaluation of the FASD UK National Clinic Database

Webster, BM, Carlisle, ACS, Livesey, AC, Deeprose, LR, Cook, P ORCID: https://orcid.org/0000-0001-6435-8050 and Mukherjee, RAS 2023, 'Evaluating the difference in neuropsychological profiles of individuals with FASD based on the number of sentinel facial features: a service evaluation of the FASD UK National Clinic Database' , Children, 10 , p. 266.

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Abstract

It might be implied that those with Fetal Alcohol Spectrum Disorder (FASD) with fewer sentinel facial features have a “milder” neuropsychological presentation, or present with fewer impairments than those with more sentinel facial features. The aim of this service evaluation was to compare the neuropsychological profile of people with FASD with varying numbers of sentinel facial features. (2) A clinical sample of 150 individuals with FASD, aged between 6 and 37 years, completed various standardised assessments as part of their diagnostic profiling. These included the documented level of risk of prenatal alcohol exposure (4-Digit Diagnostic Code), sensory needs (Short Sensory Profile), cognition (Wechsler Intelligence Scale for Children—4th Edition; WISC-IV), and communication and socialisation adaptive behaviours (Vineland Adaptive Behavior Scale—2nd Edition; VABS-II). As FASD has high comorbidity rates of Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD), these were also reviewed. The profiles of the ‘FASD with 2 or 3 sentinel facial features’ group (n = 41; 28 male, 13 female) were compared with the ‘FASD with 0 or 1 sentinel facial features’ group (n = 109; 50 male, 59 female) using Chi2 tests, independent sample t-tests, and Mann-Whitney U analyses (where appropriate). (3) There were no significant differences between the two comparison groups across any measure included in this service evaluation. (4) Whilst sentinel facial features remain an important aspect in recognising FASD, our service evaluation indicates that there is no significant relationship between the number of sentinel facial features and the neuropsychological profile of people with FASD in terms of severity of presentation.

Item Type: Article
Schools: Schools > School of Health and Society
Journal or Publication Title: Children
Publisher: MDPI
ISSN: 2227-9067
Depositing User: Prof Penny A. Cook
Date Deposited: 31 Jan 2023 09:17
Last Modified: 31 Jan 2023 09:30
URI: https://usir.salford.ac.uk/id/eprint/66281

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