This study has extended the scope of knowledge by providing further confirmation that significant deficits persist in the absence of physical features associated with prenatal alcohol exposure, by providing further evidence of specific, well-standardized and accessible measures that appear to be particularly sensitive to the effects of prenatal alcohol exposure, and by presenting a statistically replicable and clinically useful method for identifying ARND. It is not clear, however, whether our inclusion of areas of strength, or assets, within the diagnostic process has facilitated the process because the groups did not differ significantly in number or type of asset. Furthermore, there may be other assets that we have not considered, which may prove to be more discriminating between an ARND and a non-ARND population. buy ortho tri-cyclen online
Clearly, further study of the children’s strengths is warranted. Indeed, Greenbaum recently used qualitative data collected from the Motherisk clinical sample to discern areas of strength or assets in children with ARND. From caregiver reports, six types of assets emerged with varying degrees of consistency: a loving nature, zest for life and sense of humour, creativity and athleticism, a specific cognitive trait, motivation and helping behaviour, and an outgoing nature, which we did not analyze in the present study. Although some of these traits have been mentioned previously in the lay literature, Greenbaum’s study is the first systematic effort at identifying and quantifying this kind of information. It should be noted that results from this study are being incorporated into our diagnostic process and used with our current cohort of children.