Specificity and Heterogeneity in Children's Responses to Profound Institutional Privation

Overview

Journal Br J Psychiatry

Publisher Cambridge University Press

Specialty Psychiatry

Date 2001 Aug 3

PMID 11483469

Citations 72

Authors

M L Rutter

J M Kreppner

T G OConnor

Affiliations

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Abstract

Background: The sequelae of profound early privation are varied.

Aims: To delineate the behavioural patterns that are specifically associated with institutional privation.

Method: A group of 165 children adopted from Romania before the age of 42 months were compared at 4 years and 6 years with 52 non-deprived UK children adopted in infancy. Dysfunction was assessed for seven domains of functioning. The groups were compared on which, and how many, domains were impaired.

Results: Attachment problems, inattention/overactivity, quasi-autistic features and cognitive impairment were associated with institutional privation, but emotional difficulties, poor peer relationships and conduct problems were not. Nevertheless, one-fifth of children who spent the longest time in institutions showed normal functioning.

Conclusions: Attachment disorder behaviours, inattention/overactivity and quasi-autistic behaviour constitute institutional privation patterns.

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