Early intervention for children adopted internationally

在国际上被美国收养的儿童数量 在过去的二十年里，随着这些孩子中的许多人 在领养前经历机构护理。与早期相关的问题 机构护理包括注意力不集中、抑制性控制缺陷和缺乏安全感 附属品。虽然在一些领域取得了快速进展，但许多问题 坚持不懈。至关重要的是，应制定针对具体问题的干预措施 这些孩子和他们的父母所面临的问题。依恋与生物行为 国际领养儿童的追赶(ABC-I)是一个10节的家长 旨在提高儿童调节注意力能力的培训计划， 行为和生理，并开发安全、有组织的依恋到他们的 父母。拟议的研究将检验这种干预措施的有效性。 通过随机对照设计。最初有220名年幼的孩子 在收养之前的机构护理将被纳入这项研究。他们将会是 随机分配到ABC-I干预或对照干预。至少 180名儿童将每年在不同的情况下接受评估，直到他们4岁- 年长的。儿童调节注意力、行为和生理的能力将受到 在整个研究期间进行评估。ABC-I干预项目中的儿童 期望表现出更少的注意力不集中问题，更好的抑制性控制，更多 安全的依恋，更规范的荷尔蒙分泌模式，以及更低的 被诊断为行为障碍的发生率，高于对照组儿童 干预。

The number of children adopted into the United States internationally has increased dramatically over the last two decades, with many of these children experiencing institutional care prior to adoption. Problems associated with early institutional care include inattention, deficits in inhibitory control, and insecure attachments. Although rapid gains are seen in some areas, many problems persist. It is critical that interventions be developed that address the specific issues faced by these children and their parents. Attachment and Biobehavioral Catch-up for Children Adopted Internationally (ABC-I) is a 10 session parent training program designed to enhance children's ability to regulate attention, behavior, and physiology, and develop secure, organized attachments to their parents. The proposed study will examine the effectiveness of this intervention through a randomized control design. Initially 220 young children who have lived in institutional care prior to adoption will be enrolled in the study. They will be randomly assigned to the ABC-I intervention or to a control intervention. At least 180 children will be assessed in various contexts annually until they are 4-years- old. Children's ability to regulate attention, behavior, and physiology will be assessed throughout the study period. Children in the ABC-I intervention are expected to show fewer problems with inattention, better inhibitory control, more secure attachments, more normative patterns of hormone production, and lower incidence of diagnosed behavior disorders, than children in the control intervention.