ArticleJournal of developmental and behavioral pediatrics : JDBP2013
Maternal factors predicting cognitive and behavioral characteristics of children with fetal alcohol spectrum disorders.
Article in Journal of developmental and behavioral pediatrics : JDBP, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed.
- An economic analysis of Native CHOICES.Journal of substance use and addiction treatment · 2026Trial
- Maternal risk factors for fetal alcohol spectrum disorders in a province in Italy.Drug and alcohol dependence · 2014Trial
- Prevalence and characteristics of fetal alcohol spectrum disorders.Pediatrics · 2014Trial
- Associations between prenatal alcohol exposure and parent-reported sleep disturbances in 10,336 adolescents: an Adolescent Brain Cognitive Development study.Journal of child psychology and psychiatry, and allied disciplines · 2026Article
- A randomized controlled trial of Native CHOICES: Impact on alcohol-exposed pregnancy risk reduction among American Indian and Alaska Native women.Alcohol, clinical & experimental research · 2025Article
- Multifaceted case management during pregnancy is associated with better child outcomes and less fetal alcohol syndrome.Annals of medicine · 2023Article
- The prevalence of fetal alcohol spectrum disorders in rural communities in South Africa: A third regional sample of child characteristics and maternal risk factors.Alcoholism, clinical and experimental research · 2022Article
- A culturally tailored intervention to reduce risk of alcohol-exposed pregnancies in American Indian communities: Rationale, design, and methods.Contemporary clinical trials · 2021Article
- Effects of Prenatal Alcohol Exposure on the Volumes of the Lateral and Medial Walls of the Intraparietal Sulcus.Frontiers in neuroanatomy · 2021Article
- Fetal Alcohol Spectrum Disorders in a Rocky Mountain Region City: Child Characteristics, Maternal Risk Traits, and Prevalence.Alcoholism, clinical and experimental research · 2020Article
- Fetal Alcohol Spectrum Disorders in a Midwestern City: Child Characteristics, Maternal Risk Traits, and Prevalence.Alcoholism, clinical and experimental research · 2020Article
- Fetal Alcohol Spectrum Disorders: A Review of the Neurobehavioral Deficits Associated With Prenatal Alcohol Exposure.Alcoholism, clinical and experimental research · 2019Review
- An investigation of intra-individual variability in children with fetal alcohol spectrum disorder (FASD).Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2018Article
- Ethical aspects of diagnosis and interventions for children with fetal alcohol Spectrum disorder (FASD) and their families.BMC medical ethics · 2018Article
- The Early Developmental Outcomes of Prenatal Alcohol Exposure: A Review.Frontiers in neurology · 2018Review
- Replication of High Fetal Alcohol Spectrum Disorders Prevalence Rates, Child Characteristics, and Maternal Risk Factors in a Second Sample of Rural Communities in South Africa.International journal of environmental research and public health · 2017Article
- Gene-environment interactions in cortical interneuron development and dysfunction: A review of preclinical studies.Neurotoxicology · 2017Review
- The continuum of fetal alcohol spectrum disorders in a community in South Africa: Prevalence and characteristics in a fifth sample.Drug and alcohol dependence · 2016Article
- Breastfeeding and maternal alcohol use: Prevalence and effects on child outcomes and fetal alcohol spectrum disorders.Reproductive toxicology (Elmsford, N.Y.) · 2016Article
- Adolescent Choline Supplementation Attenuates Working Memory Deficits in Rats Exposed to Alcohol During the Third Trimester Equivalent.Alcoholism, clinical and experimental research · 2016Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectiveTo provide an analysis of multiple predictors of cognitive and behavioral traits for children with fetal alcohol spectrum disorders (FASDs).
methodMultivariate correlation techniques were used with maternal and child data from epidemiologic studies in a community in South Africa. Data on 561 first-grade children with fetal alcohol syndrome (FAS), partial FAS (PFAS), and not FASD and their mothers were analyzed by grouping 19 maternal variables into categories (physical, demographic, childbearing, and drinking) and used in structural equation models (SEMs) to assess correlates of child intelligence (verbal and nonverbal) and behavior.
resultsA first SEM using only 7 maternal alcohol use variables to predict cognitive/behavioral traits was statistically significant (B = 3.10, p < .05) but explained only 17.3% of the variance. The second model incorporated multiple maternal variables and was statistically significant explaining 55.3% of the variance. Significantly correlated with low intelligence and problem behavior were demographic (B = 3.83, p < .05) (low maternal education, low socioeconomic status [SES], and rural residence) and maternal physical characteristics (B = 2.70, p < .05) (short stature, small head circumference, and low weight). Childbearing history and alcohol use composites were not statistically significant in the final complex model and were overpowered by SES and maternal physical traits.
conclusionsAlthough other analytic techniques have amply demonstrated the negative effects of maternal drinking on intelligence and behavior, this highly controlled analysis of multiple maternal influences reveals that maternal demographics and physical traits make a significant enabling or disabling contribution to child functioning in FASD.
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