title: Deficits in response inhibition correlate with oculomotor control in children with fetal alcohol spectrum disorder and prenatal alcohol exposure.
abstract: Children with fetal alcohol spectrum disorder (FASD) or prenatal alcohol exposure (PAE) frequently exhibit impairment on tasks measuring inhibition. The objective of this study was to determine if a performance-based relationship exists between psychometric tests and eye movement tasks in children with FASD. Participants for this dataset were aged 5-17 years and included those diagnosed with an FASD (n=72), those with PAE but no clinical FASD diagnosis (n=21), and typically developing controls (n=139). Participants completed a neurobehavioral test battery, which included the NEPSY-II subtests of auditory attention, response set, and inhibition. Each participant completed a series of saccadic eye movement tasks, which included the antisaccade and memory-guided tasks. Both the FASD and the PAE groups performed worse than controls on the subtest measures of attention and inhibition. Compared with controls, the FASD group made more errors on the antisaccade and memory-guided tasks. Among the combined FASD/PAE group, inhibition and switching errors were negatively correlated with direction errors on the antisaccade task but not on the memory-guided task. There were no significant correlations in the control group. These data suggests that response inhibition deficits in children with FASD/PAE are associated with difficulty controlling saccadic eye movements which may point to overlapping brain regions damaged by prenatal alcohol exposure. The results of this study demonstrate that eye movement control tasks directly relate to outcome measures obtained with psychometric tests that are used during FASD diagnosis, and may therefore help with early identification of children who would benefit from a multidisciplinary diagnostic assessment.
authors.affiliation: Centre for Neuroscience Studies, Queens University, Kingston, ON, Canada.
authors.forename: Angelina
authors.initials: A
authors.lastname: Paolozza
authors.affiliation: Department of Pediatrics, University of Alberta, Edmonton, AB, Canada.
authors.forename: Carmen
authors.initials: C
authors.lastname: Rasmussen
authors.affiliation: Department of Pediatrics, University of Alberta, Edmonton, AB, Canada.
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Pei
authors.affiliation: Manitoba FASD Centre, Winnipeg, MB, Canada.
authors.forename: Ana
authors.initials: A
authors.lastname: Hanlon-Dearman
authors.affiliation: Department of Genetics, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Nikkel
authors.affiliation: Glenrose Rehabilitation Hospital, Edmonton, AB, Canada.
authors.forename: Gail
authors.initials: G
authors.lastname: Andrew
authors.affiliation: Lakeland Centre for FASD, Cold Lake, AB, Canada.
authors.forename: Audrey
authors.initials: A
authors.lastname: McFarlane
authors.affiliation: Centre for Neuroscience Studies, Queens University, Kingston, ON, Canada.
authors.forename: Dawa
authors.initials: D
authors.lastname: Samdup
authors.affiliation: Centre for Neuroscience Studies, Queens University, Kingston, ON, Canada. Electronic address: jnr@queensu.ca.
authors.forename: James N
authors.initials: JN
authors.lastname: Reynolds
mesh_terms: D000161:Acoustic Stimulation; D000293:Adolescent; D000704:Analysis of Variance; D001288:Attention / Q000502:physiology; D002648:Child; D005260:Female; D063647:Fetal Alcohol Spectrum Disorders / Q000503:physiopathology*; D006801:Humans; D007266:Inhibition, Psychological; D008297:Male; D009483:Neuropsychological Tests; D015835:Ocular Motility Disorders / Q000209:etiology*; D011247:Pregnancy; D011297:Prenatal Exposure Delayed Effects / Q000503:physiopathology*; D011594:Psychometrics; D012438:Saccades; D013223:Statistics as Topic
keywords: Attention; Eye movement control; Fetal alcohol spectrum disorder; Prenatal alcohol exposure; Psychometric testing; Response inhibition