Fetal alcohol syndrome : diagnosis, epidemiology, prevention, and treatment

It sounds simple: Women who drink while pregnant may give birth to children with defects, so women should not drink during pregnancy. Yet in the 20 years since it was first described in the medical literature, fetal alcohol syndrome (FAS) has proved to be a stubborn problem, with consequences as serious as those of the more widely publicized "crack babies." This volume discusses FAS and other possibly alcohol-related effects from two broad perspectives: diagnosis and surveillance, and prevention and treatment. In addition, it includes several real-life vignettes of FAS children. The committee examines fundamental concepts for setting diagnostic criteria in general, reviews and updates the diagnostic criteria for FAS and related conditions, and explores current research findings and problems associated with FAS epidemiology and surveillance. In addition, the book describes an integrated multidisciplinary approach to research on the prevention and treatment of FAS. The committee * Discusses levels of preventive intervention. * Reviews available data about women and alcohol abuse and treatment among pregnant women. * Explores the psychological and behavioral consequences of FAS at different ages. * Examines the current state of knowledge about medical and therapeutic interventions, education efforts, and family support programs. This volume will be of special interest to physicians, nurses, mental health practitioners, school and public health officials, policymakers, researchers, educators, and anyone else involved in serving families and children, especially in high risk populations.

[1]  M. Stein,et al.  Women and substance abuse. , 1997, The Medical clinics of North America.

[2]  R. Westendorp,et al.  Alcohol consumption and mortality among women. , 1995, The New England journal of medicine.

[3]  T. Kosten,et al.  Improving Treatment Outcome in Pregnant, Methadone-Maintained Women: Results From a Randomized Clinical Trial , 1995 .

[4]  T. Babor,et al.  Avoiding the horrid and beastly sin of drunkenness: does dissuasion make a difference? , 1994, Journal of consulting and clinical psychology.

[5]  G. Woody,et al.  Similarity of outcome predictors across opiate, cocaine, and alcohol treatments: role of treatment services. , 1994, Journal of consulting and clinical psychology.

[6]  R. Room,et al.  Moderate drinking and health: report of an international symposium. , 1994, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[7]  Jack M. Fletcher,et al.  Issues in the definition and classification of attention deficit disorder , 1994 .

[8]  G. Richardson,et al.  Alcohol, marijuana, and tobacco: effects of prenatal exposure on offspring growth and morphology at age six. , 1994, Alcoholism, clinical and experimental research.

[9]  L. Midanik,et al.  The demographic distribution of US drinking patterns in 1990: description and trends from 1984. , 1994, American journal of public health.

[10]  G. Badger,et al.  Incentives improve outcome in outpatient behavioral treatment of cocaine dependence. , 1994, Archives of general psychiatry.

[11]  R. Anton,et al.  Carbohydrate-deficient transferrin and gamma-glutamyltransferase as markers of heavy alcohol consumption: gender differences. , 1994, Alcoholism, clinical and experimental research.

[12]  A. Damasio,et al.  The return of Phineas Gage: clues about the brain from the skull of a famous patient. , 1994, Science.

[13]  C. Ramey,et al.  Effects of early intervention on intellectual and academic achievement: a follow-up study of children from low-income families. , 1994, Child development.

[14]  F. Bookstein,et al.  Drinking during pregnancy decreases word attack and arithmetic scores on standardized tests: adolescent data from a population-based prospective study. , 1994, Alcoholism, clinical and experimental research.

[15]  F. Bookstein,et al.  Maternal drinking during pregnancy: attention and short-term memory in 14-year-old offspring--a longitudinal prospective study. , 1994, Alcoholism, clinical and experimental research.

[16]  S. Wilsnack,et al.  How Women Drink: Epidemiology of Women's Drinking and Problem Drinking. , 1994 .

[17]  J. Hankin FAS Prevention Strategies: Passive and Active Measures. , 1994 .

[18]  J. Aase Clinical Recognition of FAS: Difficulties of Detection and Diagnosis. , 1994 .

[19]  D. Geddis,et al.  Alcohol consumption by New Zealand women during pregnancy. , 1994, The New Zealand medical journal.

[20]  M. Spiers,et al.  Social cognitive factors in brain injury-associated personality change. , 1994, Brain injury.

[21]  M. Dufour,et al.  Knowledge of FAS and the Risks of Heavy Drinking During Pregnancy, 1985 and 1990 , 1994, Alcohol health and research world.

[22]  M. Russell New Assessment Tools for Risk Drinking During Pregnancy , 1994, Alcohol health and research world.

[23]  B. Grant,et al.  Prevalence of DSM-IV Alcohol Abuse and Dependence , 1994, Alcohol health and research world.

[24]  T. Cicero Effects of Paternal Exposure to Alcohol on Offspring Development , 1994, Alcohol health and research world.

[25]  N. Finkelstein Treatment programming for alcohol and drug-dependent pregnant women. , 1993, The International journal of the addictions.

[26]  C. Coles,et al.  Behavioral development in children prenatally exposed to drugs and alcohol. , 1993, The International journal of the addictions.

[27]  W. Downs,et al.  Interrelationships between victimization experiences and women's alcohol use. , 1993, Journal of studies on alcohol. Supplement.

[28]  C. Peterson,et al.  Studies of whole blood-associated acetaldehyde levels in teetotalers. , 1993, Alcohol.

[29]  H. Shulman,et al.  Alcohol Use Before and During Pregnancy , 1993 .

[30]  F. Rotgers Motivational Interviewing: Preparing People to Change Addictive Behavior , 1993 .

[31]  J. Hannigan,et al.  Environmental enrichment and the behavioral effects of prenatal exposure to alcohol in rats. , 1993, Neurotoxicology and teratology.

[32]  N. Day,et al.  The Epidemiology of Alcohol, Marijuana, and Cocaine Use Among Women of Childbearing Age and Pregnant Women , 1993, Clinical obstetrics and gynecology.

[33]  J. Kleinfeld,et al.  Fantastic Antone Succeeds: Experiences in Educating Children with Fetal Alcohol Syndrome , 1993 .

[34]  E. Abel Rat offspring sired by males treated with alcohol. , 1993, Alcohol.

[35]  G. Badger,et al.  Achieving cocaine abstinence with a behavioral approach. , 1993, The American journal of psychiatry.

[36]  H. Steinhausen,et al.  Prenatal alcohol exposure and long-term developmental consequences , 1993, The Lancet.

[37]  C. Peterson,et al.  Comparative evaluation of the clinical utility of three markers of ethanol intake: the effect of gender. , 1993, Alcoholism, clinical and experimental research.

[38]  J. Ager,et al.  A time series analysis of the impact of the alcohol warning label on antenatal drinking. , 1993, Alcoholism, clinical and experimental research.

[39]  J. Ager,et al.  The Impact of the Alcohol Warning Label on Drinking during Pregnancy , 1993 .

[40]  S. Kellerman,et al.  A fetal alcohol syndrome surveillance pilot project in American Indian communities in the Northern Plains. , 1993, Public health reports.

[41]  J. Jacobson,et al.  Teratogenic effects of alcohol on infant development. , 1993, Alcoholism, clinical and experimental research.

[42]  Fred L. Bookstein,et al.  The enduring effects of prenatal alcohol exposure on child development: Birth through seven years, a partial least squares solution. , 1993 .

[43]  G. Smith Intervention strategies for children vulnerable for school failure due to exposure to drugs and alcohol. , 1993, The International journal of the addictions.

[44]  M. Kidorf,et al.  Contingency management in methadone treatment: the case for positive incentives. , 1993, NIDA research monograph.

[45]  G. G. Abkarian Communication effects of prenatal alcohol exposure. , 1992, Journal of communication disorders.

[46]  E. John,et al.  Association of paternal alcohol use with gestational age and birth weight. , 1992, Teratology.

[47]  D. Delis,et al.  Fetal alcohol syndrome: a case report of neuropsychological, MRI and EEG assessment of two children. , 1992, Alcoholism, clinical and experimental research.

[48]  P. Fried,et al.  A follow-up study of attentional behavior in 6-year-old children exposed prenatally to marihuana, cigarettes, and alcohol. , 1992, Neurotoxicology and teratology.

[49]  F. Bookstein,et al.  Prenatal exposure to alcohol and school problems in late childhood: A longitudinal prospective study , 1992, Development and Psychopathology.

[50]  R. Famularo,et al.  Parental substance abuse and the nature of child maltreatment. , 1992, Child abuse & neglect.

[51]  M. Tavassoli,et al.  Laboratory markers of ethanol intake and abuse: a critical appraisal. , 1992, The American journal of the medical sciences.

[52]  G. D. Williams,et al.  Changes in levels of alcohol consumption: United States, 1983-1988. , 1992, British journal of addiction.

[53]  A. Streissguth,et al.  Clinical considerations pertaining to adolescents and adults with fetal alcohol syndrome. , 1992 .

[54]  Michael W. Miller Development of the central nervous system : effects of alcohol and opiates , 1992 .

[55]  R. Idelson,et al.  Pediatricians' perspectives on fetal alcohol syndrome. , 1992, Journal of substance abuse.

[56]  O. Niemelä,et al.  Hemoglobin-acetaldehyde adducts are elevated in women carrying alcohol-damaged fetuses. , 1991, Alcoholism, clinical and experimental research.

[57]  M. Russell,et al.  Measures of maternal alcohol use as predictors of development in early childhood. , 1991, Alcoholism, clinical and experimental research.

[58]  D. Savitz,et al.  Influence of paternal age, smoking, and alcohol consumption on congenital anomalies. , 1991, Teratology.

[59]  W. Chavkin,et al.  Mandatory treatment for drug use during pregnancy. , 1991, JAMA.

[60]  P. May,et al.  A comprehensive local program for the prevention of fetal alcohol syndrome. , 1991, Public health reports.

[61]  K. Humphreys,et al.  Factors predicting attendance at self-help groups after substance abuse treatment: preliminary findings. , 1991, Journal of consulting and clinical psychology.

[62]  E. A. Conn-Blowers Nurturing and educating children prenatally exposed to alcohol: The role of the counsellor , 1991 .

[63]  R J Sokol,et al.  A revised conservative estimate of the incidence of FAS and its economic impact. , 1991, Alcoholism, clinical and experimental research.

[64]  M. Russell,et al.  Clinical implications of recent research on the fetal alcohol syndrome. , 1991, Bulletin of the New York Academy of Medicine.

[65]  H. Barr,et al.  Cocaine and the use of alcohol and other drugs during pregnancy. , 1991, American journal of obstetrics and gynecology.

[66]  David W. Smith,et al.  Fetal alcohol syndrome in adolescents and adults , 1991, JAMA.

[67]  T. Shallice,et al.  Deficits in strategy application following frontal lobe damage in man. , 1991, Brain : a journal of neurology.

[68]  S. Wilsnack,et al.  Predicting onset and chronicity of women's problem drinking: a five-year longitudinal analysis. , 1991, American journal of public health.

[69]  T. Byers,et al.  Trends in alcohol consumption by pregnant women. 1985 through 1988. , 1991, JAMA.

[70]  D. Stoffer,et al.  The effects of prenatal alcohol use on the growth of children at three years of age. , 1991, Alcoholism, clinical and experimental research.

[71]  C. Mateer,et al.  Effects of frontal lobe injury in childhood , 1991 .

[72]  P. Dehaene,et al.  DIAGNOSTIC ET PREVALENCE DU SYNDROME D'ALCOOLISME FOETAL EN MATERNITE , 1991 .

[73]  Lisbeth J. Vincent,et al.  Born substance exposed, educationally vulnerable , 1991 .

[74]  R. Sokol,et al.  Prenatal alcohol exposure and sustained attention in the preschool years. , 1991, Neurotoxicology and teratology.

[75]  K. Sher Psychological characteristics of children of alcoholics. Overview of research methods and findings. , 1991, Recent developments in alcoholism : an official publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism.

[76]  A. Falek,et al.  Effects of prenatal alcohol exposure at school age. I. Physical and cognitive development. , 1991, Neurotoxicology and teratology.

[77]  J. Ager,et al.  Prenatal alcohol exposure and cognitive development in the preschool years. , 1991, Neurotoxicology and teratology.

[78]  S. Brown Adult children of alcoholics. The history of a social movement and its impact on clinical theory and practice. , 1991, Recent developments in alcoholism : an official publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism.

[79]  C. Coles,et al.  Multilevel intervention for prevention of fetal alcohol syndrome and effects of prenatal alcohol exposure. , 1991, Recent developments in alcoholism : an official publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism.

[80]  C. Rosenfeld,et al.  Failure to recognize fetal alcohol syndrome in newborn infants. , 1991, American journal of diseases of children.

[81]  J. Ager,et al.  Prenatal alcohol exposure and language development. , 1990, Alcoholism, clinical and experimental research.

[82]  A. Amundsen,et al.  Changes in the use of intoxicants after onset of pregnancy. , 1990, British journal of addiction.

[83]  P. Sampson,et al.  Moderate prenatal alcohol exposure: effects on child IQ and learning problems at age 7 1/2 years. , 1990, Alcoholism, clinical and experimental research.

[84]  C. Deangelis,et al.  Substance abuse education in pediatrics. , 1990, Pediatrics.

[85]  Julianne L. Conry,et al.  Neuropsychological deficits in fetal alcohol syndrome and fetal alcohol effects. , 1990, Alcoholism, clinical and experimental research.

[86]  M. Hiscock,et al.  Attention deficits in children exposed to alcohol prenatally. , 1990, Alcoholism, clinical and experimental research.

[87]  C. Peterson,et al.  Correlation of self-administered alcoholism screening test with hemoglobin-associated acetaldehyde. , 1990, Alcohol.

[88]  D. Stoffer,et al.  Effect of prenatal alcohol exposure on growth and morphology of offspring at 8 months of age. , 1990, Pediatrics.

[89]  H. A. Leeper,et al.  Fetal alcohol syndrome: a description of oral motor, articulatory, short-term memory, grammatical, and semantic abilities. , 1990, Journal of communication disorders.

[90]  V. Chernick,et al.  Prediction of Subsequent Motor and Mental Retardation in Newborn Infants Exposed to Alcohol in Utero by Computerized EEG Analysis , 1990, Neuropediatrics.

[91]  S. Kandall,et al.  Between a "rock" and a hard place: perinatal drug abuse. , 1990, Pediatrics.

[92]  I. Murray-Lyon,et al.  Preventing alcohol related birth damage: a review. , 1990, Social science & medicine.

[93]  Michael Dorris The Broken Cord , 2004 .

[94]  M. Litt,et al.  Matching Alcoholics to Coping Skills or Interactional Therapies , 1994, Journal of consulting and clinical psychology.

[95]  J. Briere,et al.  Sexual abuse histories and sequelae in female psychiatric emergency room patients. , 1989, The American journal of psychiatry.

[96]  P. May,et al.  A macro-level fetal alcohol syndrome prevention program for Native Americans and Alaska Natives: description and evaluation. , 1989, Journal of studies on alcohol.

[97]  D. Stoffer,et al.  Prenatal exposure to alcohol: effect on infant growth and morphologic characteristics. , 1989, Pediatrics.

[98]  A. Willander,et al.  Are special treatment facilities for female alcoholics needed? A controlled 2-year follow-up study from a specialized female unit (EWA) versus a mixed male/female treatment facility. , 1989, Alcoholism, clinical and experimental research.

[99]  S. Casswell,et al.  An evaluated community action project on alcohol. , 1989, Journal of studies on alcohol.

[100]  L. Weiner,et al.  FAS/FAE: focusing prevention on women at risk. , 1989, The International journal of the addictions.

[101]  N. Day,et al.  The effect of prenatal alcohol, marijuana, and tobacco exposure on neonatal behavior , 1989 .

[102]  R J Sokol,et al.  The T-ACE questions: practical prenatal detection of risk-drinking. , 1989, American journal of obstetrics and gynecology.

[103]  I. Murray-Lyon,et al.  Alcohol, smoking and pregnancy: some observations on ethnic minorities in the United Kingdom. , 1989, British journal of addiction.

[104]  S. Rogers,et al.  An effective day treatment model for young children with pervasive developmental disorders. , 1989, Journal of the American Academy of Child and Adolescent Psychiatry.

[105]  Francia Schultz Bacon Msw Counseling Aspects of Alcohol Use in Pregnancy , 1989 .

[106]  L Saxe,et al.  Control Issues in Alcohol Abuse Prevention: Strategies for States and Communities , 1989 .

[107]  Donald C. Martin,et al.  IQ at Age 4 in Relation to Maternal Alcohol Use and Smoking During Pregnancy , 1989 .

[108]  K. Plaisier Fetal alcohol syndrome prevention in American Indian communities of Michigan's upper peninsula. , 1989, American Indian and Alaska native mental health research : journal of the National Center.

[109]  D. Jernigan,et al.  New directions in alcohol policy. , 1989, Annual review of public health.

[110]  J. Sammons,et al.  The alcohol-abusing patient: a challenge to the profession. , 1988, JAMA.

[111]  C. Robert Cloninger,et al.  Psychopathology in children of alcoholic and antisocial parents. , 1988, Alcoholism, clinical and experimental research.

[112]  M. Church,et al.  Hearing disorders in children with fetal alcohol syndrome: findings from case reports. , 1988, Pediatrics.

[113]  J. Cordero,et al.  Leading major congenital malformations among minority groups in the United States, 1981-1986. , 1988, MMWR. CDC surveillance summaries : Morbidity and mortality weekly report. CDC surveillance summaries.

[114]  D. Stoffer,et al.  The Effects of Prenatal Alcohol and Marijuana Exposure: Disturbances in Neonatal Sleep Cycling and Arousal , 1988, Pediatric Research.

[115]  H. Barr,et al.  Independent dysmorphology evaluations at birth and 4 years of age for children exposed to varying amounts of alcohol in utero. , 1988, Pediatrics.

[116]  E. Abel,et al.  Effects of paternal alcohol consumption on pregnancy outcome in rats. , 1988, Neurotoxicology and teratology.

[117]  P. Fitzgerald FAS persists despite broad public awareness. , 1988, Michigan medicine.

[118]  H. Gjerde,et al.  A comparison of serum carbohydrate-deficient transferrin with other biological markers of excessive drinking. , 1988, Scandinavian journal of clinical and laboratory investigation.

[119]  D. Wald The Effectiveness of Early Intervention for At-Risk and Handicapped Children , 1988 .

[120]  Julianne L. Conry,et al.  Clinical profile and prevalence of fetal alcohol syndrome in an isolated community in British Columbia. , 1987, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[121]  A. Falek,et al.  Identifying high-risk pregnant drinkers: biological and behavioral correlates of continuous heavy drinking during pregnancy. , 1987, Journal of studies on alcohol.

[122]  G. Anderson,et al.  DESIALYLATED TRANSFERRIN AS A SEROLOGICAL MARKER OF CHRONIC EXCESSIVE ALCOHOL INGESTION , 1987, The Lancet.

[123]  J. Green,et al.  Treatment of the pregnant alcohol-dependent woman. , 1987, Journal of psychoactive drugs.

[124]  G. Turner,et al.  The influence of socioeconomic factors on the occurrence of fetal alcohol syndrome. , 1987, Advances in alcohol & substance abuse.

[125]  R J Sokol,et al.  Incidence of fetal alcohol syndrome and economic impact of FAS-related anomalies. , 1987, Drug and alcohol dependence.

[126]  M. Vitéz Facial effects of fetal alcohol exposure: assessment by photographs and morphometric analysis. , 1987, American journal of medical genetics.

[127]  J. Ager,et al.  Significant Determinants of Susceptibility to Alcohol Teratogenicity a , 1986, Annals of the New York Academy of Sciences.

[128]  P. Sampson,et al.  Attention, distraction and reaction time at age 7 years and prenatal alcohol exposure. , 1986, Neurobehavioral toxicology and teratology.

[129]  P. Fernhoff,et al.  The effect of volume and duration of prenatal ethanol exposure on neonatal physical and behavioral development. , 1986, Neurobehavioral toxicology and teratology.

[130]  T. Jacob,et al.  Assortative mating among men and women alcoholics. , 1986, Journal of studies on alcohol.

[131]  R. Carrasco,et al.  Fetal alcohol syndrome at schools for mentally handicapped children in Concepción, Chile. , 1986, Bulletin of the Pan American Health Organization.

[132]  R. Sokol,et al.  Maternal and fetal characteristics affecting alcohol's teratogenicity. , 1986, Neurobehavioral toxicology and teratology.

[133]  S. Shusterman,et al.  Fetal alcohol syndrome: review of literature and report of cases. , 1985, Journal of the American Dental Association.

[134]  P. Fernhoff,et al.  Neonatal neurobehavioral characteristics as correlates of maternal alcohol use during gestation. , 1985, Alcoholism, clinical and experimental research.

[135]  M. Salaspuro,et al.  Increased blood acetate: a new laboratory marker of alcoholism and heavy drinking. , 1985, Alcoholism, clinical and experimental research.

[136]  A. Streissguth,et al.  NATURAL HISTORY OF THE FETAL ALCOHOL SYNDROME: A 10-YEAR FOLLOW-UP OF ELEVEN PATIENTS , 1985, The Lancet.

[137]  J. Ewing,et al.  Detecting alcoholism. The CAGE questionnaire. , 1984, JAMA.

[138]  P. Fernhoff,et al.  Neonatal ethanol withdrawal: characteristics in clinically normal, nondysmorphic neonates. , 1984, The Journal of pediatrics.

[139]  A. Lipson,et al.  A Challenge in Managing a Family with the Fetal Alcohol Syndrome , 1984, Clinical pediatrics.

[140]  A. Streissguth Intrauterine Alcohol and Nicotine Exposure: Attention and Reaction Time in 4-Year-Old Children. , 1984 .

[141]  S. Wilsnack,et al.  Alcohol problems in women : antecedents, consequences, and intervention , 1984 .

[142]  V. Headings,et al.  Characteristics of parental response to fetal alcohol syndrome. , 1984, Birth defects original article series.

[143]  J. H. Davis,et al.  Fetal Alcohol Syndrome: A Challenge for the Community Health Nurse , 1984 .

[144]  E. Abel Marihuana, Tobacco, Alcohol, and Reproduction , 1983 .

[145]  H. Barr,et al.  Maternal alcohol use and neonatal habituation assessed with the Brazelton scale. , 1983, Child development.

[146]  A. Streissguth,et al.  Change in obstetrician advice following a two-year community educational program on alcohol use and pregnancy. , 1983, American journal of obstetrics and gynecology.

[147]  R. Barouki,et al.  Ethanol effects in a rat hepatoma cell line: induction of gamma-glutamyltransferase. , 1983, Hepatology.

[148]  R. Gordon An operational classification of disease prevention. , 1983, Public health reports.

[149]  J. Samet,et al.  Epidemiology of fetal alcohol syndrome among American Indians of the Southwest. , 1983, Social biology.

[150]  P. May,et al.  A pilot project on fetal alcohol syndrome among American Indians. , 1982, Alcohol health and research world.

[151]  B. Zuckerman,et al.  Effects of maternal drinking and marijuana use on fetal growth and development. , 1982, Pediatrics.

[152]  G. Milgram Beyond Alcoholism; Alcohol and Public Health Policy , 1982 .

[153]  H. Rosett,et al.  Prevention of fetal alcohol effects. , 1982, Pediatrics.

[154]  K. Strömland Eyeground malformations in the fetal alcohol syndrome. , 1981, Birth defects original article series.

[155]  J. Densen-Gerber,et al.  A study of the relationship between child abuse and drug addiction in 178 patients: preliminary results. , 1982, Child abuse & neglect.

[156]  S. Clarren Recognition of fetal alcohol syndrome. , 1981, JAMA.

[157]  H. Rosett,et al.  Strategies for Prevention of Fetal Alcohol Effects , 1981, Obstetrics and gynecology.

[158]  M. Hamilton Linguistic abilities of children with fetal alcohol syndrome , 1981 .

[159]  M. Bloom Primary prevention, the possible science , 1981 .

[160]  R. Little,et al.  Behavioral correlates of prenatal alcohol exposure: a four-year follow-up study. , 1981, Neurobehavioral toxicology and teratology.

[161]  D. Gromisch,et al.  Symptoms of neonatal ethanol withdrawal. , 1981, Currents in alcoholism.

[162]  D. W. Smith,et al.  Fetal alcohol syndrome and fetal alcohol effects. , 1981, Neurobehavioral toxicology and teratology.

[163]  R. Sokol,et al.  Alcohol abuse during pregnancy: an epidemiologic study. , 1980, Alcoholism, clinical and experimental research.

[164]  C. Allgulander,et al.  Clinical significance of abnormal heterogeneity of transferrin in relation to alcohol consumption. , 2009, Acta medica Scandinavica.

[165]  B. Sandín,et al.  EFFECTS ON THE CHILD OF ALCOHOL ABUSE DURING PREGNANCY: Retrospective and Prospective Studies , 1979, Acta paediatrica Scandinavica. Supplement.

[166]  E. K. Turner,et al.  FETAL ALCOHOL SYNDROME , 1978, Paediatrics & child health.

[167]  V. Chernick,et al.  EEG Frequency Spectrum Characteristics of Sleep States in Infants of Alcoholic Mothers , 1977, Neuropadiatrie.

[168]  R. Hingson,et al.  Impact of the "Rand report" on alcoholics, treatment personnel and Boston residents. , 1977, Journal of studies on alcohol.

[169]  N. Rosman,et al.  Adverse effects on offspring of maternal alcohol abuse during pregnancy. , 1977, The New England journal of medicine.

[170]  A. Streissguth,et al.  THE EFFECTS OF MODERATE ALCOHOL CONSUMPTION DURING PREGNANCY ON FETAL GROWTH AND MORPHOGENESIS , 1977, Pediatric Research.

[171]  J. S. McCormick,et al.  Epidemiology—An Introductory Text , 1976 .

[172]  J. Chappel Attitudinal barriers to physician involvement with drug abusers. , 1973, JAMA.

[173]  M. Selzer The Michigan alcoholism screening test: the quest for a new diagnostic instrument. , 1971, The American journal of psychiatry.

[174]  L. Robinson,et al.  RESISTANCE OF PSYCHIATRISTS IN TREATMENT OF ALCOHOLISM , 1966, The Journal of nervous and mental disease.