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Carer stress in Fetal Alcohol Spectrum Disorders

The implications of data from the UK national specialist Fasd clinic for training carers

Bibliographic Data

ID11941235
AuthorsZameer Mohamed (0000-0002-3713-0277, Surrey and Borders Partnership NHS Foundation Trust), Alexandra C S Carlisle (Surrey and Borders Partnership NHS Foundation Trust), Alexandra CS Carlisle (Surrey and Borders Partnership NHS Foundation Trust), Alexandra Livesey (0000-0003-3991-6959, Surrey and Borders Partnership NHS Foundation Trust), Alexandra C Livesey (Surrey and Borders Partnership NHS Foundation Trust), Raja Mukherjee (0000-0002-2171-928X, Surrey and Borders Partnership NHS Foundation Trust, corresponding author), Raja AS Mukherjee (Surrey and Borders Partnership NHS Foundation Trust)
Year2020
Volume44
Issue3
Pages242-254
Publication date2020-09-16
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAdoption & Fostering (JOURNAL)
Journal identifiersISSN: 0308-5759 • E-ISSN: 1740-469X
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/0308575920945112
OpenAlexW3088493328
LanguageEN
Citations received4
References cited20

Medical research literature is increasingly reporting high levels of stress among carers of children with Fetal Alcohol Spectrum Disorders (FASD). However, while there are a growing number of evidence-based innovations around the world for carer stress generally, there are no programmes in the UK for those looking after children with FASD. The aim of this study, therefore, is to provide an up-to-date profile of stress faced by these carers, to explore its sources and suggest directions for service development. Seventy-one carers and their child with FASD participated in a study designed for this purpose. Parental stress levels were assessed using the Parental Stress Index (PSI) and the characteristics of their children – cognition, adaptive behaviour, sensory processing and externalising behaviour function – by a battery of measures. Further correlational and regression analyses were carried out to explore the nature and source of the carer stress identified. When the levels of stress in families was measured, all six Child Domains on the PSI showed results that were above the clinically significant cut-off for high stress, while all seven Parent Domains were below this threshold. Significant associations were found between the PSI and child behaviours, but generally the Parent Domain and Child Behaviours were not correlated. Regression analysis found executive functioning difficulties in children to be the main predictors of carer stress but sensory difficulties were not significant, despite 83% of the children having elevated problems of this kind. Total stress scores among carers of children with FASD were elevated and far exceeded the threshold score on the PSI, suggesting a need for ‘further professional consultation’. Consideration of parental needs and the development of evidenced-based interventions specific for these carers are highlighted as areas for future development

Alcohol · Cognition · Developmental psychology · Fetal alcohol · Fetal Alcohol Spectrum Disorder · Pregnancy · Psychiatry · Stress (linguistics · Clinical Psychology · Gestational Diabetes Research and Management · Homelessness and Social Issues · Medicine · Prenatal Substance Exposure Effects · Psychology

  • Families with fetal alcohol spectrum disorders

    Open Access•Lisa Balcaen, Rob Santos et al.•Adoption & Fostering•2021

  • Caregivers' experiences and perceptions of suicidality among their children and youth with fetal alcohol spectrum disorder

    Open Access•Kelly D Harding, Kailyn Turner et al.•Frontiers in Psychiatry•2022

  • The Lived Experiences of Adoptive and Foster Parents of Children With Foetal Alcohol Spectrum Disorder (Fasd)

    Open Access•Fiona Mercer, Katie McIntyre et al.•Child & Family Social Work•2025

  • Trying differently’ towards improving school experiences

    Open Access•Breana Reedman, Katharine Breen et al.•Children and Youth Services Review•2024

  • Risk Factors for Adverse Life Outcomes in Fetal Alcohol Syndrome and Fetal Alcohol Effects

    Ann P Streissguth, Fred L Bookstein et al.•Journal of Developmental &…•2004

  • The impact of raising a child with Fasd upon carers

    Open Access•Raja Mukherjee, Elizabeth Wray et al.•Adoption & Fostering•2013

Unique citing works4
Citations per year0,8
Citation span2021 - 2025 (5)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 4

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