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Experiences of living with fetal alcohol spectrum disorders: a systematic review and synthesis of qualitative data
Swedish Agcy Hlth Technol Assessment & Assessment, Stockholm, Sweden.
Swedish Agcy Hlth Technol Assessment & Assessment, Stockholm, Sweden.
Swedish Agcy Hlth Technol Assessment & Assessment, Stockholm, Sweden.
Swedish Agcy Hlth Technol Assessment & Assessment, Stockholm, Sweden; Karolinska Inst, Dept Learning Informat Management & Eth, Stockholm, Sweden.
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2018 (English)In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 60, no 8, p. 741-+Article, review/survey (Refereed) Published
Abstract [en]

Aim: To identify and assess available evidence from qualitative studies exploring experiences of individuals living with fetal alcohol spectrum disorders (FASD) or those living with a child with FASD, as well as experiences of interventions aimed at supporting individuals with FASD and their families.

Method: A systematic literature search was conducted in six electronic databases: PubMed, Embase, Cochrane Library, CINAHL, PsycINFO, and Scopus. Included studies were analysed using manifest content analysis. Methodological limitations and confidence in the evidence were assessed using a modified version of the Critical Appraisal Skills Programme and the Grading of Recommendations, Assessment, Development and Evaluation–Confidence in the Evidence from Reviews of Qualitative Research approach respectively.

Results: Findings from 18 studies show that individuals with FASD experience a variation of disabilities, ranging from somatic problems, high pain tolerance, destructive behaviour, hyperactivity, and aggressiveness, to social problems with friendship, school attendance, and maintenance of steady employment. Most studies reported parents’ experiences with FASD; parenting was viewed as a lifelong engagement and that the whole family is isolated and burdened because of FASD. People with FASD feel that their difficulties affect their daily life in a limiting way and make them feel different from others.

Interpretation: From the perspective of primarily parents, individuals with FASD and their parents face many different difficulties, for which they need societal support.

Place, publisher, year, edition, pages
2018. Vol. 60, no 8, p. 741-+
National Category
Medical Ethics
Identifiers
URN: urn:nbn:se:uu:diva-365260DOI: 10.1111/dmcn.13696ISI: 000437733500011PubMedID: 29479676OAI: oai:DiVA.org:uu-365260DiVA, id: diva2:1262561
Funder
Swedish Research CouncilForte, Swedish Research Council for Health, Working Life and Welfare, 2014-4024Available from: 2018-11-12 Created: 2018-11-12 Last updated: 2018-11-12Bibliographically approved

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Nehlin Gordh, Christina

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