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Br J Psychiatry. 2001 Aug;179:97-103.

Specificity and heterogeneity in children's responses to profound institutional privation.

Author information

  • 1Social, Genetic and Developmental Psychiatry Research Centre, Institute of Psychiatry, King's College, London, UK. j.wickham@iop.kcl.ac.uk

Erratum in

  • Br J Psychiatry 2001 Oct;179:371.

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.

PMID:
11483469
[PubMed - indexed for MEDLINE]
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