Predictors of disruptive behavior, developmental delays, anxiety, and affective symptomatology among institutionally reared Romanian children

Predictors of disruptive behavior, developmental delays, anxiety, and affective symptomatology among institutionally reared Romanian children
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DOI:
10.1097/01.chi.0000136562.24085.160
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发表时间:
2004-10-01
影响因子:
13.3
通讯作者:
Zaharie, S
Zaharie, S
中科院分区:
医学1区
文献类型:
--
作者:
Ellis, BH;Fisher, PA;Zaharie, S

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目的:研究罗马尼亚机构化儿童的机构化持续时间、遗弃年龄和身心健康结果之间的关联,并研究安置历史、身体发育变量和精神症状之间的关联模式。方法:在罗马尼亚孤儿院的机构化儿童(2-6岁)进行了研究,通过照顾者的报告。孤儿院的工作人员完成了关于儿童精神症状和身体发育测量以及儿童安置历史的问卷调查。结果:儿童表现出高比率的发展迟缓,焦虑/情感症状,和身体发育迟缓。使用三个连续的多元回归分析研究了历史和生长变量(制度化的持续时间,遗弃的年龄和身体状况)和精神症状群之间的关联模式。较长的机构化时间和较短的体格与焦虑/情感症状显著相关(F(3,47)= 6.49,p
Objective: To examine the associations between duration of institutionalization, age at abandonment, and mental and physical health outcomes of young institutionalized children in Romania and to examine patterns of associations between placement history, physical growth variables, and psychiatric symptoms. Method: Institutionalized children (ages 2-6 years) in a Romanian orphanage were studied through caregiver reports. Orphanage staff completed questionnaires on the children's psychiatric symptoms and physical growth measurements and placement histories on the children. Results: Children showed high rates of developmental delays, anxiety/affective symptoms, and physical growth delays. Patterns of associations between history and growth variables (duration of institutionalization, age at abandonment, and physical stature) and psychiatric symptom clusters were examined using three sequential multiple regressions. Longer duration of institutionalization and shorter physical stature were significantly associated with anxiety/affective symptoms (F(3,47) = 6.49, p