Early intervention for children adopted internationally

在国际上被收养到美国的儿童数量 在过去的二十年里急剧增加，其中许多儿童 在收养前接受机构护理。与早期相关的问题 机构护理包括注意力不集中、抑制控制缺陷和不安全 附件的权限.虽然在某些领域取得了迅速进展，但许多问题 坚持。至关重要的是，应制定干预措施， 这些孩子和他们的父母所面临的问题。依恋与生物行为 追赶国际收养儿童（ABC-I）是一个10届家长 旨在提高儿童调节注意力的能力的培训计划， 行为和生理，并发展安全，有组织的附件，他们的 父母拟议的研究将审查这种干预的有效性 通过随机对照设计。最初有220名年幼的儿童 在收养前接受机构护理的儿童将入组本研究。他们将 随机分配到ABC-I干预或对照干预。至少 每年将对180名儿童进行各种情况的评估，直到他们满4岁。 老了儿童的能力，以调节注意力，行为，和生理将是 在整个研究期间进行评估。ABC-I干预中的儿童 预期表现出更少的注意力不集中问题，更好的抑制控制，更多 安全的附件，更规范的激素生产模式， 确诊的行为障碍发生率，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.