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Evidence Supporting the Internal Validity of the Proposed ND-PAE Disorder

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Abstract

The internal validity of the proposed Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (ND-PAE) was evaluated in children diagnosed with either Fetal Alcohol Syndrome (FAS) or partial FAS who were 3–10 years of age and had enrolled in a math intervention study. Symptoms were coded as present or absent using assessments conducted in the study, including standardized measures of neurocognitive and behavioral functioning, parent interview, and direct observations of the child. The number of endorsed ND-PAE symptoms was not related to environmental factors but was moderately related to the child’s age. ND-PAE symptoms were highly consistent and this did not vary by age. Evidence suggested the ND-PAE adaptive symptoms may be too restrictive and only one symptom from this domain may be sufficient. Impulsiveness was not related to an endorsement of the ND-PAE disorder but research is needed with other clinical groups to establish the discriminative validity of this symptom.

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References

  1. American Psychiatric Association (2013) Diagnostic and statisical manual of mental disorders, 5th edn. American Psychiatric Association, Washington, p. 798–801

  2. Kable JA et al. (2015) Neurobehavioral disorder associated with prenatal alcohol exposure (ND-PAE): proposed DSM-5 diagnosis. Child Psychiatry Hum Dev 47:335–346

    Article  Google Scholar 

  3. Sanders J (2013) ‘A window of opportunity’: The proposed inclusion of Fetal Alcohol Spectrum Disorder in the DSM-5. J Dev Disabil 19(3):7–14

    Google Scholar 

  4. Bishop S, Gahagan S, Lord C (2007) Re-examining the core features of autism: a comparison of autism spectrum disorder and fetal alcohol spectrum disorder. J Child Psychol Psychiatry 48(11):1111–1121

    Article  PubMed  Google Scholar 

  5. O’Connor MJ et al (2006) A controlled social skills training for children with fetal alcohol spectrum disorders. J Consult Clin Psychol 74(4):639–648

    Article  PubMed  Google Scholar 

  6. Blashfield RK, Draguns JG (1976) Evaluative criteria for psychiatric classification. J Abnorm Psychol 85(2):140–150

    Article  PubMed  Google Scholar 

  7. Cronbach LJ (1990) Essentials of psychological testing, 5th edn. Harper and Row, Publishers, New York

    Google Scholar 

  8. Coles CD, Kable JA, Taddeo E (2009) Math performance and behavior problems in children affected by prenatal alcohol exposure: intervention and follow-up. J Dev Behav Pediatr 30(1):7–15

    Article  PubMed  Google Scholar 

  9. Kable JA, Coles CD, Taddeo E (2007) Socio-cognitive habilitation using the math interactive learning experience program for alcohol-affected children. Alcohol Clin Exp Res 31(8):1425–1434

    Article  PubMed  Google Scholar 

  10. Coles CD et al (1997) Manual for scoring the Dysmorphia Checklist: Newborn version, Unpublished manuscript. Emory University, Atlanta

    Google Scholar 

  11. Coles CD et al (2016) A comparison among 5 methods for the clinical diagnosis of fetal alcohol spectrum disorders. Alcohol Clin Exp Res 40(5):1000–1009

    Article  PubMed  Google Scholar 

  12. Bertrand J and C. Interventions for Children with Fetal Alcohol Spectrum Disorders Research (2009) Interventions for children with fetal alcohol spectrum disorders (FASDs): overview of findings for five innovative research projects. Res Dev Disabil 30(5):986–1006

    Article  PubMed  Google Scholar 

  13. Elliot CD (1983) Differential Ability Scales, The Psychological Corporation, San Antonio

    Google Scholar 

  14. Kaufman AS, Kaufman NL (1990) K-BIT : Kaufman Brief Intelligence Test. American Guidance Service, Circle Pines

    Google Scholar 

  15. Gioia GA et al (2002) Confirmatory factor analysis of the Behavior Rating Inventory of Executive Function (BRIEF) in a clinical sample. Child Neuropsychol 8(4):249–257

    Article  PubMed  Google Scholar 

  16. Ginsburg H and Baroody AJ (1990) Test of early mathematics ability, 2nd edn. PRO-ED, Inc, Austin

    Google Scholar 

  17. Reid DK et al (2001) Test of Early Reading Ability, 3rd edn. PRO-ED, Inc, Austin

    Google Scholar 

  18. Connolly AJ, American Guidance Service (1988) KeyMath revised, NU : a diagnostic inventory of essential mathematics. Normative update, NU. ed., Circle Pines, MN (4201 Woodland Rd., Circle Pines 55014–1796): American Guidance Service. x, p.245

  19. Woodcock RW, Johnson MB, and Mather N (1990) Woodcock-Johnson Tests of Cognitive Ability :standard and supplemental batteries :WJ-R Woodcock-Johnson Psycho-Educational Battery-Revised. DLM Teaching Resources, Allen

    Google Scholar 

  20. Kaplan, E., et al., WISC-III PI Manual. 1999, San Antonio, TX: The Psychological Corporation.

  21. Beery KE (1997) Developmental Test of Visual-Motor Integration, 4th edn. Modern Curriculum Press, Parsippany

  22. Achenbach T (1991) Manual for the child behavior checklist/4–18 and 1991 profile. University of Vermont Department of Psychiatry, Burlington

    Google Scholar 

  23. Achenbach T, Rescorla LA (1991) Manual for the ASEBA preschool forms and profiles. University of Vermont, Research Center for Children, Youth, and Families, Burlington

    Google Scholar 

  24. Korman M, Kirk U, Kemp S (1998) NEPSY: A developmental neuropsychological assessment, The Psychological Corporation, San Antonio

    Google Scholar 

  25. Willcutt EG et al (1999) Utility of behavior ratings by examiners during assessments of preschool children with attention-deficit/hyperactivity disorder. J Abnorm Child Psychol 27(6):463–472

    Article  PubMed  Google Scholar 

  26. Sparrow SS et al (1984) Vineland Adaptive Behavior Scales : Interview Edition, survey form manual, American Guidance Service, Circle Pines, vol xiv, p. 301

    Google Scholar 

  27. Wiig EH, Secord W (1989) Test of language competence-expanded edition, The Psychological Corporation, San Antonio

    Google Scholar 

  28. Gresham FM, Elliott SN, American Guidance Service., SSRS ASSIST.(1991) American Guidance Service, Circle Pines, MN. p. 3 computer disks 3 1/2–5 1/4 in. + 1 manual (44 p.)

  29. Henry J, Sloane M, Black-Pond C (2007) Neurobiology and neurodevelopmental impact of childhood traumatic stress and prenatal alcohol exposure. Lang Speech Hear Serv Sch 38(2):99–108

    Article  PubMed  Google Scholar 

  30. Olson HC (2015) Advancing recognition of fetal alcohol spectrum disorders: the proposed DSM-5 diagnosis of “neurobehavioral disorder associated with prenatal alcohol exposure (ND-PAE)”. Curr Dev Disord Rep 2(3):187–198

    Article  Google Scholar 

  31. Sackett PR, Yang H (2000) Correction for range restriction: an expanded typology. J Appl Psychol 85(1):112–118

    Article  PubMed  Google Scholar 

  32. Meehl PE (1996) Clinical versus statistical prediction : a theoretical analysis and a review of the evidence. 1st softcover ed. The master work series, J. Aronson, Northvale, vol xviii, p. 149

    Google Scholar 

  33. Nguyen TT et al (2014) The clinical utility and specificity of parent report of executive function among children with prenatal alcohol exposure. J Int Neuropsychol Soc 20(7):704–716

    Article  PubMed  PubMed Central  Google Scholar 

  34. Kable JA, Mukherjee RA (2017) Neurodevelopmental disorder associated with prenatal exposure to alcohol (ND-PAE): A proposed diagnostic method of capturing the neurocognitive phenotype of FASD. Eur J Med Genet 60(1):49–54

    Article  PubMed  Google Scholar 

  35. Bell CC, Chimata R (2015) Prevalence of neurodevelopmental disorders among low-income African Americans at a clinic on Chicago’s south side. Psychiatr Serv 66(5):539–542

    Article  PubMed  Google Scholar 

  36. Streissguth AP et al (1997) Primary and secondary disabilities in fetal alcohol syndrome, In: Streissguth AP, Kanter J (eds) The challenge of fetal alcohol syndrome: overcoming secondary disabilities, Seattle University of Washington Press, Seattle, p. 25–39.

    Google Scholar 

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Acknowledgements

The data collection was carried out with the support of the Centers for Disease Control and Prevention (CDC) Cooperative agreement #U84-CCU320162-02 and this analysis was carried out with the support of the National Institute of Alcohol Abuse and Alcoholism subcontract #10313752 to grant #U01 AA019879-01.

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Authors and Affiliations

  1. Departments of Psychiatry and Behavioral Sciences, Emory University School of Medicine, 12 Executive Park, Atlanta, GA, 30329, USA

    Julie A. Kable & Claire D. Coles

  2. Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA

    Julie A. Kable & Claire D. Coles

Authors
  1. Julie A. Kable
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  2. Claire D. Coles
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Correspondence to Julie A. Kable.

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Kable, J.A., Coles, C.D. Evidence Supporting the Internal Validity of the Proposed ND-PAE Disorder. Child Psychiatry Hum Dev 49, 163–175 (2018). https://doi.org/10.1007/s10578-017-0738-8

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