Document Detail


Developmental delay of infants and young children with and without fetal alcohol spectrum disorder in the Northern Cape Province, South Africa.
MedLine Citation:
PMID:  22038428     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: To describe the extent and nature of developmental delay at different stages in childhood in a community in South Africa, with a known high rate of Fetal Alcohol Spectrum Disorder (FASD).
METHOD: cohort of infants, clinically examined for FASD at two time periods, 7-12 months (N= 392; 45 FASD) and 17-21 months of age (N= 83, 35 FASD) were assessed using the Griffiths Mental Developmental Scales (GMDS).
RESULTS: Infants and children with FASD perform worse than their Non-FASD counterparts over all scales and total developmental quotients. Mean quotients for both groups decline between assessments across subscales with a particularly marked decline in the hearing and language scale at Time 2 (scores dropping from 110.6 to 83.1 in the Non-FASD group and 106.3 to 72.7 in the FASD group; P=0.004). By early childhood the developmental gap between the groups widens with low maternal education, maternal depression, high parity and previous loss of sibling/s influencing development during early childhood.
CONCLUSION: The FASD group show more evidence of developmental delay over both time points compared to their Non-FASD counterparts. Demographic and socio-economic factors further impact early childhood. These findings are important in setting up primary level psycho-educational and national prevention programmes especially in periurban communities with a focus on early childhood development and FASD.
Authors:
L Davies; M Dunn; M Chersich; M Urban; C Chetty; L Olivier; D Viljoen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  African journal of psychiatry     Volume:  14     ISSN:  1994-8220     ISO Abbreviation:  Afr J Psychiatry (Johannesbg)     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-10-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101465030     Medline TA:  Afr J Psychiatry (Johannesbg)     Country:  South Africa    
Other Details:
Languages:  eng     Pagination:  298-305     Citation Subset:  IM    
Affiliation:
Institute for Child, Youth and Family Studies, Hugenote College, University of Stellenbosch, Stellenbosch, South Africa.
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