Normality and impairment following profound early institutional deprivation: A longitudinal follow-up into early adolescence
Normality and impairment following profound early institutional deprivation: A longitudinal follow-up into early adolescence
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DOI：
10.1037/0012-1649.43.4.931
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发表时间：
2007-07-01
影响因子：
4
通讯作者：
Sonuga-Barke, Edmund J. S.
中科院分区：
文献类型：
--
作者：
Kreppner, Jana M.;Rutter, Michael;Sonuga-Barke, Edmund J. S.
在经历了深度制度剥夺的儿童中进行了7个领域的正常与受损功能的纵向分析，这些儿童年龄长达42个月，并从罗马尼亚被收养到英国。家庭与从罗马尼亚收养的非机构儿童和英国境内的非贫困儿童进行了比较。6个月前被收养的儿童。具体而言，评估的有效性，从6至11年的功能水平的连续性和变化的程度，并在采用前和采用后的环境占异质性的结果的因素进行了检查。在经历了6个月的机构剥夺生活的儿童中，普遍性损害显着增加，该组中的少数人没有表现出损害。剥夺时间超过6个月的截止没有额外的显着影响，很少有其他预测因素解释的结果。正常/损伤模式主要在6岁时确立，在6至11岁之间的个体水平上具有相当大的连续性。调查结果进行了讨论的敏感时期的发展的可能性。
Longitudinal analyses on normal versus impaired functioning across 7 domains were conducted in children who had experienced profound institutional deprivation up to the age of 42 months and were adopted from Romania into U.K. families. Comparisons were made with noninstitutionalized children adopted from Romania and with nondeprived within-U.K. adoptees placed before the age of 6 months. Specifically, the validity of the assessment, the degree of continuity and change in levels of functioning from 6 to 11 years, and the factors in the pre- and postadoption environment accounting for heterogeneity in outcome were examined. Pervasive impairment was significantly raised in children experiencing institutional deprivation for 6 months of life, with a minority within this group showing no impairment. There was no additional significant effect of duration of deprivation beyond the 6-month cutoff, and few other predictors explained outcome. The pattern of normality/impairment was mainly established by 6 years of age, with considerable continuity at the individual level between 6 and 11 years. The findings are discussed in terms of the possibility of a sensitive period for development.