PUBLICATIONS – CIFASD – Collaborative Initiative on Fetal Alcohol Spectrum Disorders

Most Recent CIFASD Publications

CIFASD

Atypical developmental trajectories of white matter microstructure in prenatal alcohol exposure: Preliminary evidence from neurite orientation dispersion and density imaging
INTRODUCTION: Fetal alcohol spectrum disorder (FASD), a life-long condition resulting from prenatal alcohol exposure (PAE), is associated with structural brain anomalies and neurobehavioral differences. Evidence from longitudinal neuroimaging suggest trajectories of white matter microstructure maturation are atypical in PAE. We aimed to further characterize longitudinal trajectories of developmental white matter microstructure change in children and […]
Blake A Gimbel
Delayed cortical thinning in children and adolescents with prenatal alcohol exposure
CONCLUSIONS: Regional differences were seen longitudinally in the trajectory and timing of CT change in children with PAE, suggesting delayed cortical maturation and an atypical pattern of development compared with typically developing individuals. In addition, exploratory correlation analyses of SPC and EF performance suggest the presence of atypical brain-behavior relationships in PAE. The findings highlight […]
Blake A Gimbel
Racial/Ethnic Disparity in Association Between Fetal Alcohol Syndrome and Alcohol Intake During Pregnancy: Multisite Retrospective Cohort Study
CONCLUSIONS: The risk of delivering a baby with FAS was comparable among White, Black, and AI/AN women at similar levels of drinking during pregnancy. Regardless of race, a 1-gram increase in AAC resulted in increased odds of giving birth to a baby with facial anomalies or deficient brain growth.
Sarah Soyeon Oh
Maternal perinatal depression and child brain structure at 2-3 years in a South African birth cohort study
Maternal perinatal depression is associated with risk of adverse child developmental outcomes and differences in offspring brain structure. Evidence from low- and middle-income countries is lacking as is an investigation of antenatal, postnatal, and persistent depression in the same sample. In a South African birth cohort, we investigated the effect of antenatal and postpartum maternal […]
Jennifer A Pellowski
Current considerations for fetal alcohol spectrum disorders: identification to intervention
PURPOSE OF REVIEW: This review highlights recent findings regarding the prevalence, public health impact, clinical presentation, intervention access and conceptualization of fetal alcohol spectrum disorders (FASDs). Despite ongoing work in prevention and identification of this population, the rates of drinking during pregnancy have increased and significant gaps remain in diagnosis and intervention.
Leila Glass
Fetal alcohol spectrum disorders
Alcohol readily crosses the placenta and may disrupt fetal development. Harm from prenatal alcohol exposure (PAE) is determined by the dose, pattern, timing and duration of exposure, fetal and maternal genetics, maternal nutrition, concurrent substance use, and epigenetic responses. A safe dose of alcohol use during pregnancy has not been established. PAE can cause fetal […]
Svetlana Popova
Validation of the FASD-Tree as a screening tool for fetal alcohol spectrum disorders
CONCLUSION: The FASD-Tree is not a biomarker of PAE and does not provide definitive evidence of prenatal alcohol exposure. Rather it is an accurate and valid screening tool for FASD and can be used by clinicians who suspect that a patient has a history of PAE, even if the exposure is unknown.
Sarah N Mattson
Adverse childhood experiences in children with fetal alcohol spectrum disorders and their effects on behavior
BACKGROUND: Children with fetal alcohol spectrum disorders (FASD) have high rates of adverse childhood experiences (ACEs). ACEs are associated with a wide range of health outcomes including difficulty with behavior regulation, an important intervention target. However, the effect of ACEs on different areas of behavior has not been well characterized in children with disabilities. This […]
Carson Kautz-Turnbull
Gene-alcohol interactions in birth defects
Most human birth defects are thought to result from complex interactions between combinations of genetic and environmental factors. This is true even for conditions that, at face value, may appear simple and straightforward, like fetal alcohol spectrum disorders (FASD). FASD describe the full range of structural and neurological disruptions that result from prenatal alcohol exposure. […]
Joshua L Everson
Baseline heart rate in infants with prenatal alcohol exposure: A systematic review and independent analysis
CONCLUSIONS: A systematic literature review suggested that heart rate is elevated in infants with PAE, but these findings are limited by the number of studies and how few studies included control infants. The analysis of individual patient data indicates that infants with PAE have normal baseline heart rates. This knowledge may help clinicians detect changes […]
Peyton McDonnell

View all CIFASD publications at PubMed.gov.

Phase I:

Available data from Phase I were collected across five sites:
(1) Center for Behavioral Teratology, San Diego State University, San Diego, CA;
(2) Seven Northern Plains communities, including six Indian reservations;
(3) Institute of Psychiatry, Moscow, Russia;
(4) Moscow Region Institute of Obstetrics and Gynecology, Moscow, Russia, and
(5) Omni-Net sites at the Rivne Diagnostic Center, and the Kherson Children’s Hospital, Rivne and Kherson, Ukraine.

Subject recruitment varied between the sites, and subject population was racially and ethnically diverse.

Data for Neurobehavior, Dysmorphology Demographics, 3D Facial Imaging were collected from sites 1-3 for children between the ages of 5 -18 years, although the majority were 7-18 years old.

Data on current and recent maternal alcohol consumption, demographics and pregnancy history in a prospective study of prenatal alcohol exposure were collected from mothers and their babies from sites 4-5. Dysmorphology data was collected for all participants.

Neurobehavior Data

Phase 1 – data include measures from the Leiter, NES3, DKEFS, CANTAB, CBC and other scales

Phase 2 – data include measures from the Leiter, DKEFS, CANTAB, BRIEF, ASEBA, Vineland, C-DISC, and other scales

Phase 3 – data include measures from the DAS-II, NEPSY-II, CANTAB, BRIEF, ASEBA, Vineland, C-DISC and other scales

Phase I

[The => will link to detail when provided]

General Intellectual Ability=>Leiter International Performance Scale-Revised (Leiter-R)
Attention and Concentration=>NES3 – Continuous Performance Test (Animals)
Executive Function=>Delis-Kaplan Executive Function System (Verbal Fluency, Trail Making); Progressive Planning Test; Visual Discrimination Reversal Learning
Working Memory/Memory=>CANTAB (Spatial Working Memory; Spatial Span; Pattern Recognition Memory; Spatial Recognition Memory); Virtual Water Maze
Visual-Motor=>Visual-Motor Integration Test
Motor/Reaction Time: CANTAB (Motor Screening; Big/Little Circle); Grooved Pegboard Test
Interhemispheric Transfer=> Finger Localization Test
Psychological Symptomatology=> ASEBA (Child Behavior Checklist; Teacher Report Form; Youth Self Report); Disruptive Behavior Rating Scale; Sluggish Cognitive Tempo Scale; Pictorial Depression Scale

Phase II

General Intellectual Ability=>Wechsler Intelligence Scale for Children – Fourth Edition
Executive Function=> Delis-Kaplan Executive Function System (Verbal Fluency, Trail Making; Color-Word Interference; Tower; 20 Questions; Design Fluency); CANTAB (Intra/Extradimensional Shift); BRIEF (Parent Version; Child Version)
Working Memory/Memory=> CANTAB (Spatial Working Memory; Delayed Matching to Sample)
Motor/Reaction Time=> CANTAB (Motor Screening; Big/Little Circle; Simple Reaction Time; Choice Reaction Time)
Psychological Symptomatology=> ASEBA (Child Behavior Checklist; Teacher Report Form; Youth Self Report); Disruptive Behavior Rating Scale; Sluggish Cognitive Tempo Scale; Vineland Adaptive Behavior Scales, 2nd Edition (Parent/Caregiver Rating Form; Teacher Rating Form); C-DISC Psychiatric Interview (Demographics; GAD; MDD; ADHD; ODD; CD modules)

Phase III

General Intellectual Ability=> Differential Ability Scales – 2nd Ediction (DAS-II)
Attention and Concentration=> NEPSY-II (Speeded Naming; Arrows)
Executive Function=> CANTAB (Stockings of Cambridge); NEPSY-II (Word Generation; Inhibition); BRIEF (Parent Version)
Working Memory/Memory=> California Verbal Learning Test – Children’s Version (CVLT-C); NEPSY-II (Memory for Names; Memory for Designs: Memory for Faces; Narrative Memory)
Psychological Symptomatology=> ASEBA (Child Behavior Checklist; Teacher Report Form; Youth Self Report); Disruptive Behavior Rating Scale; Sluggish Cognitive Tempo Scale; Vineland Adaptive Behavior Scales, 2nd Edition (Parent/Caregiver Rating Form; Teacher Rating Form); C-DISC Psychiatric Interview (Demographics; GAD; MDD; ADHD; ODD; CD modules)

Phase III:

Available data from Phase III were collected across five sites:
(1) San Diego State University,
(2) Emory University,
(3) University of California, Los Angeles and Children’s Hospital Los Angeles, CA,
(4) University of Minnesota; and
(5) Omni-Net locations in Ukraine: the Rivne Diagnostic Center and the Khmelnytsky Perinatal Center in Rivne and Khmelnytsky, Ukraine.

Subject recruitment varied between the sites, and subject population was racially and ethnically diverse.

Data for Neurobehavior, Dysmorphology, Demographics, 3D Facial Imaging, Genetics, and Brain Volume were collected from sites 1-4 for children ages 5-7 and 10-16 years under two age-based protocols. Data from maternal blood samples were collected from pregnant women and fetal data were collected via ultrasound from mothers and babies at site 5. Live born infants were given a dysmorphology exam, facial imaging, and neurobehavioral testing. Collection of blood, urine, and cheek cell samples were also included.

Phase II:

Available data from Phase II were collected across six sites:
(1) Center for Behavioral Teratology, San Diego State University, San Diego, CA;
(2) Emory University, Atlanta, GA;
(3) the University of California, Los Angeles, Los Angeles, CA;
(4) University of New Mexico, Albuquerque, NM;
(5) Seven Northern Plains communities, including six Indian reservations; and
(6) Omni-Net locations in Ukraine: the Rivne Diagnostic Center and the Khmelnytsky Perinatal Center in Rivne and Khmelnytsky, Ukraine.

Subject recruitment varied between the sites, and subject population was racially and ethnically diverse.

Data for Neurobehavior, Dysmorphology, Demographics and Brain Volume were collected from sites 1-5 for children between the ages of 8-16 years. 3D Facial Imaging and Genetic data are also available for children from sites 1-3. Data from a longitudinal study were collected from site 6 for 350 moderately to heavily alcohol-exposed pregnant women and approximately 350 low or unexposed women.

Pregnancies were followed with serial ultrasounds and maternal blood samples were collected and analyzed for various nutrients and markers of oxidative stress and inflammation. Live born infants were given a dysmorphology exam, facial imaging, and neurobehavioral testing.