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Fortschr Neurol Psychiatr 2012; 80(6): 320-326
DOI: 10.1055/s-0031-1281846
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Was wird aus Kindern mit fetalem Alkoholsyndrom (FAS)/fetalen Alkoholspektrumstörungen (FASD) im Erwachsenenalter?

What is Known About the Outcome as Adults for Children with Fetal Alcohol Syndrome (FAS)/Fetal Alcohol Spectrum Disorders (FASD)?
J. E. Walloch
,
P. H. Burger
,
J. Kornhuber
Further Information

Publication History

Publication Date:
15 December 2011 (online)

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Zusammenfassung

Den durch mütterlichen pränatalen Alkoholkonsum verursachten psychischen Beeinträchtigungen wird in der deutschsprachigen Erwachsenenpsychiatrie noch wenig Aufmerksamkeit geschenkt. Dabei werden Kinder von alkoholkranken Schwangeren im Erwachsenenalter selbst mit vielfältiger Symptomatik in psychiatrischen Institutionen vorstellig, unter anderem mit Aufmerksamkeitsdefizitstörungen, affektiven Störungen oder Intelligenzminderung. Zugrunde liegende fetale Alkoholspektrumstörungen werden jedoch selten diagnostiziert. Eine leitliniengerechte Therapie existiert nicht. Aktuelle Übersichtsarbeiten im deutschsprachigen Raum entstammen meist der Kinder- und Jugendmedizin bzw. -psychiatrie. In der folgenden Arbeit soll im Rahmen einer ausgewählten Literaturübersicht die Krankheitsentität der fetalen Alkoholspektrumstörungen bzw. des fetalen Alkoholsyndroms und deren Bedeutung für die Erwachsenpsychiatrie dargestellt und diskutiert sowie auf noch offene Fragen sowie Forschungsbedarf, z. B. die Entwicklung von Diagnoseinstrumenten oder die Etablierung diagnostischer Kategorien, hingewiesen werden.

Abstract

In the field of adult psychiatry in German-speaking countries, little attention is as yet paid to the psychic defects that a fetus can sustain as a result of prenatal exposure to alcohol. Although children of alcohol-dependent mothers do present to psychiatric institutions as adults with manifold symptoms, e. g., attention deficit disorders, affective disorders or intellectual disability, fetal alcohol spectrum disorders are rarely diagnosed as an underlying cause. Appropriate therapy guidelines do not exist. Current review papers within the German-speaking countries usually stem from paediatric and adolescent psychiatry or medicine. Based on a selected review of the literature, the following paper addresses and discusses the disease entity of fetal alcohol spectrum disorders and fetal alcohol syndrome and their significance for adult psychiatry and also identifies open questions and research requirements, e. g., the development of diagnostic instruments or the establishment of diagnostic categories.

Schlüsselwörter

fetales Alkoholsyndrom - fetale Alkoholspektrumstörungen - pränataler Alkoholkonsum

Key words

fetal alcohol syndrome - fetal alcohol spectrum disorders - prenatal alcohol consumption
 

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