A Comparison of Children Affected by Prenatal Alcohol Exposure and Attention Deficit, Hyperactivity Disorder
Abstract
Behavioral deficits are often noted in children with fetal alcohol syndrome (FAS) and other individuals with prenatal alcohol exposure, including mental retardation, learning problems, social problems, and deficits in attention. Because attention deficit, hyperactivity disorder (ADHD) has been diagnosed so frequently in children with FAS and other alcohol related birth defects, there has been speculation that alcohol is an etiological factor in ADHD. To examine the relationship between behavior characteristics of children with fetal alcohol exposure and those seen in children with a diagnosis of ADHD, 149 low socioeconomic status (SES), African-American children (mean age = 7.63 years) were given a battery of neuropsychological and behavioral tests. One hundred and twenty-two were a sub-sample from a longitudinal study of prenatal alcohol exposure, whereas twenty-seven were identified in an ADHD Clinic. Children were given two sets of tests: (1) "traditional model" of conventional behavioral and psychiatric measures of ADHD and externalizing behavior; and (2) measures of neurocognitive functioning reflecting a four-factor model of the neurological basis of the components of attention (Mirsky AF, in Integrated Theory and Practice in Clinical Neuropsychology, Hillsdale, NJ, Lawrence Erlbaum Associates, 1989). Results indicated that children with the physical characteristics associated with prenatal alcohol exposure and those with a diagnosis of ADHD had equivalent intellectual…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Cites
A continuous performance test of brain damage
Rosvold, H. E., Mirsky, A. F., Sarason, I., Bransome, E. D., & Beck, L. H. (1956) · Journal of Consulting Psychology · doi:10.1037/h0043220 · Cited by 2,261 · see citing works
The Neuropsychology of Attention
Cohen, R. A. (2014) · doi:10.1007/978-0-387-72639-7 · Cited by 332 · see citing works
Fried, P. A., Watkinson, B., & Gray, R. (1992) · Neurotoxicology and Teratology · doi:10.1016/0892-0362(92)90036-a · Cited by 255 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Updated Clinical Guidelines for Diagnosing Fetal Alcohol Spectrum Disorders
Hoyme, H. E., Kalberg, W. O., Elliott, A. J., Blankenship, J., Buckley, D., Marais, A.-S., Manning, M. A., Robinson, L. K., Adam, M. P., Abdul-Rahman, O., et al. (2016) · Pediatrics · doi:10.1542/peds.2015-4256 · Cited by 876 · see citing works
Self-citationLinnet, K. M., Dalsgaard, S., Obel, C., Wisborg, K., Henriksen, T. B., Rodriguez, A., Kotimaa, A., Moilanen, I., Thomsen, P. H., Olsen, J., et al. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.6.1028 · Cited by 778 · see citing works
The impact of substance use disorders on families and children: from theory to practice
Lander, L., Howsare, J., & Byrne, M. (2013) · Social work in public health · doi:10.1080/19371918.2013.759005 · Cited by 561 · see citing works
“…called “attachment disorders” may occur at elevated rates among children affected by alcohol, in part due to abuse and neglect (when these have happened), and in part because of alcohol-related deficits in cognitive and social-emotional functioning that lead to less resilience (Coles et al., 1997).”
BackgroundDefining the behavioral phenotype in children with fetal alcohol spectrum disorders: A review
Kodituwakku, P. W. (2007) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2006.06.020 · Cited by 359 · see citing works
Causal Inferences Regarding Prenatal Alcohol Exposure and Childhood Externalizing Problems
D’Onofrio, B. M., Van Hulle, C. A., Waldman, I. D., Rodgers, J. L., Rathouz, P. J., & Lahey, B. B. (2007) · Archives of General Psychiatry · doi:10.1001/archpsyc.64.11.1296 · Cited by 170 · see citing works
Rasmussen, C., & Bisanz, J. (2009) · Child Neuropsychology · doi:10.1080/09297040802385400 · Cited by 134 · see citing works
Coles, C. D., Kable, J. A., & Taddeo, E. (2009) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0b013e3181966780 · Cited by 112 · see citing works
Self-citationSubstance exposure in utero and developmental consequences in adolescence: A systematic review
Irner, T. B. (2012) · Child Neuropsychology · doi:10.1080/09297049.2011.628309 · Cited by 78 · see citing works
Executive function and memory in children with Fetal Alcohol Spectrum Disorder
Pei, J., Job, J., Kully-Martens, K., & Rasmussen, C. (2011) · Child Neuropsychology · doi:10.1080/09297049.2010.544650 · Cited by 62 · see citing works
Kooistra, L., Ramage, B., Crawford, S., Cantell, M., Wormsbecker, S., Gibbard, B., & Kaplan, B. J. (2009) · Human Movement Science · doi:10.1016/j.humov.2009.01.007 · Cited by 48 · see citing works
Khoury, J. E., & Milligan, K. (2019) · Journal of Attention Disorders · doi:10.1177/1087054715622016 · Cited by 30 · see citing works
Coles, C. D., Kalberg, W., Kable, J. A., Tabachnick, B., May, P. A., & Chambers, C. D. (2020) · Alcoholism: Clinical and Experimental Research · doi:10.1111/acer.14325 · Cited by 28 · see citing works
Self-citationAttention deficit, hyperactivity disorder in adopted Romanian children living in the Netherlands
Hoksbergen, R. A. C., ter Laak, J., van Dijkum, C., Rijk, K., & Stoutjesdijk, F. (2003) · Adoption Quarterly · doi:10.1300/j145v06n04_04 · Cited by 21 · see citing works
Kable, J. A., Coles, C. D., & Mattson, S. N. (2020) · Developmental Neuropsychology · doi:10.1080/87565641.2020.1712604 · Cited by 14 · see citing works
“…errors on learning tasks (McGee, Schonfeld, Roebuck-Spencer, Riley, & Mattson, 2008), having difficulty making reversal shifts while learning (Coles et al., 1997; Green et al., 2009), impairments in verbal fluency (Vaurio, Riley, & Mattson, 2008), and inhibiting impulses (Kodituwakku et al.,…”
BackgroundSelf-citation
- Authors
- Coles, C. D., Platzman, K. A., Raskind‐Hood, C. L., Brown, R. T., Falek, A., & Smith, I. E.
- Affiliations
- Emory University (US)
- Corresponding author
- Coles, Claire D.
- Venue
- Alcoholism: Clinical and Experimental Research
- Publisher
- Wiley
- Published
- 1997-02
- Volume
- 21
- Issue
- 1
- Pages
- 150-161
- ISSN
- 0145-6008 (ISSN-L)
- 1530-0277
- OpenAlex
- W2160109824
- Cited by
- 443
- References
- 3
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 10 · 2023: 7 · 2022: 7 · 2021: 19 · 2020: 11 · 2019: 10 · 2018: 9 · 2017: 15 · 2016: 19 · 2015: 21 · 2014: 21 · 2013: 14 · 2012: 27
- FWCI
- 15.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Alcoholism Clinical and Experimental Research (publishedVersion)
- PubMed (publishedVersion)
- Digital Scholarship - UNLV (University of Nevada Reno) (submittedVersion)
- Funders
- National Institutes of Health (1r01aa008105-01)
- National Institute on Alcohol Abuse and Alcoholism (5 RO1 AA08105-02)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- prenatal alcohol exposure, fetal alcohol syndrome, attention deficit hyperactivity disorder, attention deficits, neurocognitive function, externalizing problems, conduct disorder, intellectual functioning, African American children, low socioeconomic status, behavioral deficits
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Black or African American, Child, Female, Humans, Intelligence, Longitudinal Studies, Male, Socioeconomic Factors, Wechsler Scales, Fetal Alcohol Spectrum Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
