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Veziris CR, Hyland MT, Kable JA, Wozniak JR, Coles CD, May PA, Kalberg WO, Sowell ER, Jones KL, Riley EP, Mattson SN. Validation of the ND-PAE Diagnosis in Children with Heavy Prenatal Alcohol Exposure. Child Psychiatry Hum Dev 2024:10.1007/s10578-024-01740-z. [PMID: 39083167 DOI: 10.1007/s10578-024-01740-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/11/2024] [Indexed: 08/07/2024]
Abstract
This study evaluated criteria for neurobehavioral disorder associated with prenatal alcohol exposure (ND-PAE). Kable et al. (Child Psychiatry Hum Dev 55:426, 2022) assessed the validity of this diagnosis in a sample with low exposure to alcohol. The current study expanded this assessment to a sample with a wider age range and heavier alcohol exposure. Data were collected from participants (5-17 years) with prenatal alcohol exposure (PAE) and typically developing controls at six Collaborative Initiative on Fetal Alcohol Spectrum Disorders sites using neuropsychological assessment and caregiver reports. Impairment was tested at 1SD, 1.5SD, and 2SD below the normative average and a modification of the adaptive functioning requirement was tested. Testing impairment at 1SD resulted in the highest endorsement rates in both groups. Our findings replicated the study by Kable et al. and show that current criteria captured a high rate of those with PAE and that requiring fewer adaptive functioning criteria resulted in higher sensitivity to PAE.
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Affiliation(s)
- Christina R Veziris
- Center for Behavioral Teratology and Department of Psychology, San Diego State University, 6330 Alvarado Court, Suite 100, San Diego, CA, 92120, USA
| | - Matthew T Hyland
- Center for Behavioral Teratology and Department of Psychology, San Diego State University, 6330 Alvarado Court, Suite 100, San Diego, CA, 92120, USA
| | - Julie A Kable
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, USA
| | - Jeffrey R Wozniak
- Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, USA
| | - Claire D Coles
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, USA
| | - Philip A May
- Nutrition Research Institute, University of North Carolina, Chapel Hill, USA
| | - Wendy O Kalberg
- Center On Alcoholism, Substance Abuse, and Addiction, University of New Mexico, Albuquerque, USA
| | - Elizabeth R Sowell
- Department of Pediatrics, Neurology, and Psychology, Keck School of Medicine of USC, Los Angeles, USA
| | - Kenneth L Jones
- Department of Pediatrics, University of California San Diego School of Medicine, San Diego, USA
| | - Edward P Riley
- Center for Behavioral Teratology and Department of Psychology, San Diego State University, 6330 Alvarado Court, Suite 100, San Diego, CA, 92120, USA
| | - Sarah N Mattson
- Center for Behavioral Teratology and Department of Psychology, San Diego State University, 6330 Alvarado Court, Suite 100, San Diego, CA, 92120, USA.
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Kable JA, Coles CD, Holton JE, Kalberg WO, May PA, Chambers CD, Bandoli G. Characteristics of the Symptoms of the Proposed ND-PAE Disorder in First Grade Children in a Community Sample. Child Psychiatry Hum Dev 2024; 55:426-438. [PMID: 36042156 PMCID: PMC10874642 DOI: 10.1007/s10578-022-01414-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/09/2022] [Indexed: 11/29/2022]
Abstract
The proposed symptoms for Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (ND-PAE) were evaluated in children who participated in the Collaboration on Fetal Alcohol Spectrum Disorders Prevalence study. Children "at-risk" for ND-PAE (n = 204) were contrasted to children with no prenatal alcohol exposure, alcohol-related dysmorphia or growth deficits (n = 908). Symptoms were defined based on neuropsychological testing using two diagnostic threshold levels (1.0 and 1.5 STD). Individuals at risk for ND-PAE had higher endorsement rates of the self-regulation and adaptive impairments at the 1.0 threshold and of the neurocognitive and self-regulation impairments at the 1.5 threshold. Endorsement of the disorder significantly differed at the 1.0 threshold. Receiver operating characteristic curve analysis indicated that having an IQ below 70 was not predictive of the diagnosis but modifications of the IQ criterion improved predictive validity. Discrimination validity was poor without documentation of PAE which continues to be a necessity for a diagnosis of ND-PAE.
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Affiliation(s)
- Julie A Kable
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
- Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
| | - Claire D Coles
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA
- Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA
| | - Jennifer E Holton
- Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA
| | - Wendy O Kalberg
- Center on Alcoholism, Substance Abuse and Addictions, University of New Mexico, Albuquerque, NM, USA
| | - Philip A May
- Center on Alcoholism, Substance Abuse and Addictions, University of New Mexico, Albuquerque, NM, USA
- Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | | | - Gretchen Bandoli
- School of Medicine, University of California, San Diego, La Jolla, USA
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Veziris CR, Hyland MT, Kable JA, Wozniak JR, Coles CD, May PA, Kalberg WO, Sowell ER, Jones KL, Riley EP, Mattson SN. Validation of the ND-PAE Diagnosis in Children with Heavy Prenatal Alcohol Exposure. RESEARCH SQUARE 2024:rs.3.rs-3922436. [PMID: 38410428 PMCID: PMC10896399 DOI: 10.21203/rs.3.rs-3922436/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/28/2024]
Abstract
This study evaluated criteria for Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (ND-PAE). Kable et al. (2022) assessed the validity of this diagnosis in a sample with low exposure to alcohol. The current study expanded this assessment to a sample with a wider age range and heavier alcohol exposure. Data were collected from participants (5-17y) with prenatal alcohol exposure (PAE) and typically developing controls at six Collaborative Initiative on Fetal Alcohol Spectrum Disorders sites using neuropsychological assessment and caregiver reports. Impairment was tested at 1SD, 1.5SD, and 2SD below the normative average and a modification of the adaptive functioning requirement was tested. Testing impairment at 1SD resulted in the highest endorsement rates in both groups. Our findings replicated the study by Kable et al. and show that current criteria captured a high rate of those with PAE and that requiring fewer adaptive functioning criteria resulted in higher sensitivity to PAE.
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Kokhan VS, Anokhin PK, Proskuryakova TV, Shokhonova VA, Ageldinov RA, Shamakina IY. Interleukin-1β and TNF-α are elevated in the amygdala of adult rats prenatally exposed to ethanol. BIOMEDITSINSKAIA KHIMIIA 2023; 69:300-306. [PMID: 37937432 DOI: 10.18097/pbmc20236905300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2023]
Abstract
Affective disorders, including anxiety and depression, developed in adult offspring of the mothers who consumed alcohol during pregnancy could be associated with an imbalance in neuroimmune factors in the amygdala (corpus amygdaloideum) resulted in impaired emotional stimulus processing. The aim of this study was to compare the content of cytokines TNF-α, IL-1α, IL-1β, IL-10, and IL-17 in the amygdala of adult female rats exposed to alcohol in utero and control rats. Cytokine levels were evaluated using a multiplex immunoassay system; mRNA expression was investigated using a real-time reverse transcription-polymerase chain reaction (RT-qPCR) assay. Prenatal alcohol exposure led to the increase in the content of TNF-α and IL-1β without significant changes in the mRNA expression level. Our data suggest that ethanol exposure to the fetus during pregnancy can result in long-term alterations in the content of the key neuroinflammatory factors in the amygdala, which in turn can be a risk factor for affective disorders in the adulthood.
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Affiliation(s)
- V S Kokhan
- National Scientific Center for Narcology - Branch of the V.P. Serbsky National Medical Research Centre for Psychiatry and Narcology, Moscow, Russia
| | - P K Anokhin
- National Scientific Center for Narcology - Branch of the V.P. Serbsky National Medical Research Centre for Psychiatry and Narcology, Moscow, Russia
| | - T V Proskuryakova
- National Scientific Center for Narcology - Branch of the V.P. Serbsky National Medical Research Centre for Psychiatry and Narcology, Moscow, Russia
| | - V A Shokhonova
- National Scientific Center for Narcology - Branch of the V.P. Serbsky National Medical Research Centre for Psychiatry and Narcology, Moscow, Russia
| | - R A Ageldinov
- Scientific Center of Biomedical Technologies of the Federal Medical and Biological Agency of Russia, Svetlye gory, Moscow Region, Russia
| | - I Yu Shamakina
- National Scientific Center for Narcology - Branch of the V.P. Serbsky National Medical Research Centre for Psychiatry and Narcology, Moscow, Russia
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