High-Quality Foster Care Mitigates Callous-Unemotional Traits Following Early Deprivation in Boys: A Randomized Controlled Trial
High-Quality Foster Care Mitigates Callous-Unemotional Traits Following Early Deprivation in Boys: A Randomized Controlled Trial
复制标题
DOI：
10.1016/j.jaac.2015.09.010
复制
发表时间：
2015-12-01
影响因子：
13.3
通讯作者：
Zeanah, Charles H.
中科院分区：
文献类型：
--
作者：
Humphreys, Kathryn L.;McGoron, Lucy;Zeanah, Charles H.
目的：儿童时期的冷酷无情（CU）特征是精神病的发展前兆，但CU特征的起源和病因尚不清楚。我们研究了CU特质暴露于严重的早期剥夺的12岁儿童，并评估是否高质量的寄养干预减轻了高水平的CU traits.Method的发展：参与者是从布加勒斯特早期干预项目，寄养儿童在机构的随机对照试验。这些儿童是从罗马尼亚布加勒斯特的收容机构招募的，沿着招募的还有年龄和性别匹配的儿童，他们从未被收容过。将在机构环境中长大的儿童（平均年龄= 22个月）随机分为寄养组（n = 68）或常规护理组（n = 68）。CU性状进行了评估，在12.75岁的参与者从随机试验（n = 95）和儿童谁从来没有制度化（n = 50）。结果：儿童谁经历了机构养育的幼儿有显着较高水平的CU性状在青春期早期相比，儿童谁从来没有制度化。意向治疗分析表明，在男孩中，CU性状显着低于那些谁收到寄养干预相比，那些随机照顾如常。照顾者对痛苦的反应，但照顾者的温暖，介导的干预效果CU特质的boy.Conclusion：这些研究结果提供了第一个证据，迄今为止，心理社会干预可以防止发病的CU特质。虽然严重的早期剥夺预测更高水平的CU性状，高质量的寄养，强调响应性的养育减少了剥夺对CU性状发展的男孩的影响。
Objective: Callous-unemotional (CU) traits in childhood are a developmental precursor to psychopathy, yet the origins and etiology of CU traits are not known. We examined CU traits among 12-year-old children exposed to severe early deprivation and evaluated whether a high-quality foster care intervention mitigated the development of high levels of CU traits.Method: Participants were from the Bucharest Early Intervention Project, a randomized controlled trial of foster care for children in institutions. Children were recruited from institutions in Bucharest, Romania, along with age-and sex-matched children who were never institutionalized. Children raised in institutional settings were randomized (mean(age) = 22 months) to either a foster care group (n = 68) or a care-as-usual group (n = 68). CU traits were assessed at age 12.75 years in available participants from the randomized trial (n = 95) and children who were never institutionalized (n = 50).Results: Children who experienced institutional rearing as young children had significantly higher levels of CU traits in early adolescence compared to children who were never institutionalized. Intent-to-treat analysis indicated that, among boys, CU traits were significantly lower among those who received the foster care intervention compared to those randomized to care as usual. Caregiver responsiveness to distress, but not caregiver warmth, mediated the intervention effect on CU traits in boys.Conclusion: These findings provide the first evidence to date that psychosocial intervention can prevent the onset of CU traits. Although severe early deprivation predicted higher levels of CU traits, high-quality foster care that emphasized responsive caregiving reduced the impact of deprivation on CU trait development for boys.