Responding to fetal alcohol impacts in children
Children with fetal alcohol spectrum disorder (FASD) are more likely to fail at school, have attention problems and talk about killing themselves, according to their teachers, says University of Sydney research.
The new findings reported in the reveal a range of behavioural and academic problems based on surveys of parents and teachers of primary school Aboriginal Australian children living in remote communities in Fitzroy Valley, Western Australia.
The study was a collaboration between the University of Sydney and two Aboriginal organisations in Fitzroy Valley鈥� and .
Nineteen per cent of the cohort of 108 children aged seven to nine had been previously diagnosed with a FASD. Within the Fitzroy Valley study population, 55 per cent of mothers reported drinking alcohol during pregnancy and of these, 87 per cent drank at high levels. All but two of the assessed children were Aboriginal.
According to teacher reports, children with FASD were:
- 12 times more likely to talk about killing themselves
- 21 times more likely to have academic failure
- 10 times more likely to have attention problems
Our results emphasise that health professionals must consider coexisting behavioural and mental health problems in children with FASD.
Researchers noted three main kinds of behavioural problems in children with FASD: 鈥淚nternalizing鈥� behaviours such as, anxiety, withdrawal or depression; 鈥渆xternalizing鈥� behaviour, such as aggression, delinquency; and other problems, such as problems with social skills, thought processing and attention.
鈥淭hese findings highlight the need for support for families, carers, and teachers to handle the behavioural and mental health problems in children with FASD,鈥� said the study鈥檚 lead author,聽聽of the University of Sydney. 鈥淭his is particularly challenging in remote and disadvantaged communities.
鈥淥ur results emphasise that health professionals must consider coexisting behavioural and mental health problems in children with FASD. Early access to appropriate child psychology and psychiatry services is paramount.鈥�
We are working with Aboriginal communities in the Fitzroy Valley to increase awareness of alcohol harms, and support community-led alcohol restrictions, education, and family support.
The study鈥檚 senior author,聽聽of the University of Sydney, said: 鈥淚n addition to difficult behaviours, children with FASD have learning, developmental and physical problems. FASD is preventable and we must educate young women about the harms of alcohol use in pregnancy.鈥�
In contrast to teacher ratings, parent reported behaviour was not significantly different between children with and without FASD.
Ms Emily Carter, the Chief executive of聽聽in Fitzroy Valley said:聽
鈥淏ehaviour problems are the most prominent impact of fetal alcohol spectrum disorder. We are working with Aboriginal communities in the Fitzroy Valley to increase awareness of alcohol harms, and support community-led alcohol restrictions, education, and family support.
鈥淭hrough our Marulu Unit, Marninwarntikura is helping families deal with behavioural issues in FASD through introducing the Positive Parenting Program in the Fitzroy Valley.鈥�
The study was initiated by Aboriginal community leaders concerned about the impact of prenatal alcohol exposure on children鈥檚 behaviour, learning and development, and the ability of Aboriginal children to retain societal protocols and culture including language, stories, ceremonies, and art.