ArticleAlcohol (Fayetteville, N.Y.)
Validity of the T-ACE in pregnancy in predicting child outcome and risk drinking.
Article in Alcohol (Fayetteville, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Development and validation of the Cannabis Exposure in Pregnancy Tool (CEPT): a mixed methods study.BMC pregnancy and childbirth · 2024Article
- Fetal MRI based brain atlas analysis detects initial in utero effects of prenatal alcohol exposure.Cerebral cortex (New York, N.Y. : 1991) · 2023Article
- Screening for Alcohol Use in Pregnancy: a Review of Current Practices and Perspectives.International journal of mental health and addiction · 2023Article
- Prenatal alcohol use as a risk for attention-deficit/hyperactivity disorder.European archives of psychiatry and clinical neuroscience · 2019Article
- Prenatal Alcohol Screening During Pregnancy by Midwives and Nurses.Alcoholism, clinical and experimental research · 2019Article
- Challenges in Accurately Assessing Prenatal Alcohol Exposure in a Study of Fetal Alcohol Spectrum Disorder in a Youth Detention Center.Alcoholism, clinical and experimental research · 2019Article
- Fetal alcohol-spectrum disorders: identifying at-risk mothers.International journal of women's health · 2016Review
- Prenatal alcohol exposure selectively enhances young adult perceived pleasantness of alcohol odors.Physiology & behavior · 2015Article
- Maternal pre-pregnancy risk drinking and toddler behavior problems: the Norwegian Mother and Child Cohort Study.European child & adolescent psychiatry · 2014Article
- The impact of maternal age on the effects of prenatal alcohol exposure on attention.Alcoholism, clinical and experimental research · 2010Article
- Nursing knowledge about alcohol use and alcohol problems in women: a review of the literature.Journal of the American Psychiatric Nurses Association · 2010Article
- Fetal alcohol spectrum disorders: from research to policy.Alcohol research & health : the journal of the National Institute on Alcohol Abuse and Alcoholism · 2010Review
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Authors and funding
5 authors.
Funding
Abstract
Preventing fetal alcohol spectrum disorders (FASDs) requires detection of in-pregnancy maternal risk drinking. The widely used T-ACE screen has been applied in various ways, although the impact of those different uses on effectiveness is uncertain. We examined relations among different T-ACE scoring criteria, maternal drinking, and child outcome. Self-reported across-pregnancy maternal drinking was assessed in 75 African-American women. The different T-ACE criteria used varied the level of drinking that defined tolerance (two or three drinks) and the total T-ACE score cut-points (two or three). Receiver operator curves and regression analysis assessed the significance of relations. Increasing the total T-ACE score cut-point to 3 almost doubled specificity in detecting risk drinking whereas maintaining adequate sensitivity, equivalent to that in the original report, and identified substantially more neurobehavioral deficits in children. Redefining tolerance at three drinks did not improve T-ACE effectiveness in predicting outcomes. This study is among the first to show the ability of an in-pregnancy T-ACE assessment to predict child neurodevelopmental outcome. In addition, increasing the total T-ACE score criterion (from 2 to 3) improved identification of non-drinking mothers and unaffected children with little loss in detection of drinkers and affected children. Efficient in-pregnancy screens for risk drinking afford greater opportunities for intervention that could prevent/limit FASDs.
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