In addition to the neuropsychological deficits already described, children with FASD are likely to present with a wide range of maladaptive and clinically significant behavioral characteristics. Studies of individuals with FASD reveal marked deficits in parent and self-reports of behavior (Coles, Platzman, Brown, Smith, & Falek, 1997; Coles, Platzman, & Lynch, 1999; Mattson & Riley, 2000; Nash, et al., 2006; Sood, et al., 2001; Steinhausen, Willms, Metzke, & Spohr, 2003). In one study, children with histories of heavy prenatal alcohol exposure were compared to an IQ matched sample of controls using the Child Behavior Checklist (Mattson & Riley, 2000). Children in the alcohol-exposed group had significantly more parent-reported behavioral and emotional disturbances than controls on five of the eight measure subscales. As a group, children with prenatal alcohol exposure had clinically significant scores on several externalizing behavior domains, such as the social problems, attention problems, and aggressive behavior scales of the measure. When examined individually, 90.1% of alcohol-exposed children in the sample had profiles with problem scores in the clinical range, whereas only 27% of controls had any clinically elevated
