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Can J Clin Pharmacol. 2010 Winter;17(1):e165-76. Epub 2010 Apr 6.

The impact of an ADHD co-morbidity on the diagnosis of FASD.

Author information

1
Department of Pediatrics, University of Alberta, Alberta. carmen@ualberta.ca

Abstract

OBJECTIVE:

Many children with Fetal Alcohol Spectrum Disorders (FASD) also have co-morbid ADHD. The goal of this study was to examine the impact of having a co-morbid ADHD diagnosis on FASD diagnostic results. We compared children with FASD to those with FASD and co-morbid ADHD across the neurobehavioral domains recommended by the Canadian Guidelines in the diagnosis of FASD.

METHODS:

We retrospectively analyzed data from 52 children, aged 4 to 17 years, diagnosed with an FASD at a hospital FASD clinic. Thirty-three of these children had a co-morbid diagnosis of ADHD and 19 did not. Children with FASD and those with FASD and co-morbid ADHD were compared on the following neurobehavioral domains: sensory/motor, cognition, communication, academic achievement, memory, executive functioning, attention, and adaptive behavior.

RESULTS:

Children with FASD and ADHD performed significantly worse than those without ADHD on attention but better on academic achievement. No other group differences were significant.

CONCLUSIONS:

Having an ADHD co-morbidity had little effect on the FASD diagnosis. The results of this project will inform the diagnostic process for FASD and have implications for standardizing diagnostic processes across clinics.

PMID:
20395649
[Indexed for MEDLINE]
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