Early intervention for children adopted internationally

国际收养到美国的儿童数量 过去二十年来急剧增加，其中许多儿童 在收养前经历机构照顾。与早期相关的问题 机构护理包括注意力不集中、抑制控制缺陷和不安全 附件。虽然一些领域取得了快速进展，但也存在不少问题 坚持。制定针对具体问题的干预措施至关重要 这些孩子和他们的父母所面临的问题。依恋和生物行为 国际收养儿童追赶活动 (ABC-I) 包含 10 场家长课程 旨在增强儿童调节注意力能力的培训计划， 行为和生理学，并对其建立安全、有组织的依恋 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。最初居住着220名幼儿 在收养之前处于机构护理中的儿童将被纳入该研究。他们将是 随机分配至 ABC-I 干预组或对照干预组。至少 每年将有 180 名儿童在各种情况下接受评估，直到他们 4 岁为止。 老了。儿童调节注意力、行为和生理的能力将受到影响 在整个研究期间进行评估。接受 ABC-I 干预的儿童是 预计会出现更少的注意力不集中问题，更好的抑制控制，更多 安全的依恋、更规范的激素产生模式以及更低的 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.