How thinking about behavior differently can lead to happier FASD families

https://www.eurekalert.org/pub_releases/2016-11/uor-hta111816.php

Public Release: 18-Nov-2016
How thinking about behavior differently can lead to happier FASD families
University of Rochester

A new study from the University of Rochester sheds light on how parents and caregivers of children with fetal alcohol spectrum disorders (FASD) can best help their kids, and at the same time, maintain peace at home and at school.

"Children with FASD often have significant behavior problems due to neurological damage," says Christie Petrenko, a research psychologist at the University's Mt. Hope Family Center.

Petrenko and her colleagues found that parents of children with FASD who attribute their child's misbehavior to their underlying disabilities--rather than to willful disobedience--tend to use pre-emptive strategies designed to help prevent undesirable behaviors. These strategies are likely to be more effective than incentive-based strategies, such as the use of consequences for misbehavior, given the brain damage associated with FASD.

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People with FASD often have problems with executive functioning, which includes skills such as impulse control and task planning, information processing, emotion regulation, and social and adaptive skills. As a result, they are at high risk for school disruptions and trouble with the law.

Parents who use pre-emptive strategies "change the environment in a way that fits their child's needs better," says Petrenko. "They give one-step instructions rather than three-steps because their child has working memory issues. They may buy clothes with soft seams if their child has sensory issues, or post stop signs to cue the child to not open the door. All of these preventive strategies help reduce the demands of the environment on the child."

The study also shows that parenting practices correlate with levels of caregiver confidence and frustration. Families of children with FASD are frequently judged and blamed for their children's misbehavior. Parents and caregivers who are successful in preventing unwanted behaviors have higher confidence in their parenting and lower levels of frustration with their children than parents who counter unwanted behaviors with consequences after the fact.

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