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Cited by 317Child Welfare and AdoptionAttention Deficit Hyperactivity DisorderChild and Adolescent Psychosocial and Emotional Development

The DOI matches its Crossref record; 44 of the 44 references it cites were found in a registry or an index.

Can Inattention/Overactivity Be an Institutional Deprivation Syndrome?

Kreppner, Jana M., O'Connor, Thomas G., Rutter, Michael, English and Romanian Adoptees Study Team·2001·Journal of Abnormal Child Psychology
DOI 10.1023/a:1012229209190
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Abstract

Elevated rates of attention deficit and overactivity have been noted previously in samples of institution-reared children. This study examined the hypothesis that inattention/overactivity(I/O) might constitute a specific deprivation syndrome. One hundred and sixty five children adopted at varying ages (e.g., 0-42 months of age) into the UK following severe early deprivation were compared with 52 within-UK adoptees who did not suffer deprivation. The children were rated by teachers and parents on levels of I/O, conduct difficulties, and emotional difficulties using the Revised Rutter Scales. Data were collected at age 6 for the entire sample and at age 4 for the UK adoptees and for the subsample of Romanian children who entered the UK before the age of 2 years. Mean level analyses suggested a significant effect of duration of deprivation on I/O, but not on conduct or emotional difficulties. The effects of duration of deprivation were specific to I/O and were not accounted for by low birth weight, malnutrition, or cognitive impairment. Levels of I/O correlated with attachment disturbances. Furthermore, the effects of duration of deprivation on I/O did not attenuate over time. We conclude that I/O may well constitute an institutional deprivation syndrome, but that the type of attention deficit and overactivity exhibited by these children may present a different clinical picture from that of "ordinary" varieties of attention deficit disorder or hyperkinetic syndrome.

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Crossref · 10.1023/a:1012229209190

Cites

44 of 44 references verified0 citation errors · 0 not checkable

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  • Removing young children from institutional care and placing them in more favorable caregiving environments such as foster or adoptive homes is associated with improved outcomes.

    “Evidence from multiple studies demonstrate that removing young children from institutional care and placing them in more favorable caregiving environments, such as foster or adoptive homes, is associated with improved outcomes. 14–18”

    From Recovering from early deprivation: attachment mediates effects of caregiving on psychopathology (2012) · cites this paper as [16]

  • ADHD is highly prevalent among previously institutionalized children.

    “the former being highly prevalent among previously institutionalized children”

    From Normalization of EEG activity among previously institutionalized children placed into foster care: A 12-year follow-up of the Bucharest Early Intervention Project (2016) · cites this paper as Kreppner et al., 2001

  • Problems with inattention and hyperactivity-impulsivity have been found in multiple studies of post-institutionalized children and shown to persist years after adoption.

    “In particular, problems with inattention and hyperactivity-impulsivity have been found in multiple studies of PI children and shown to persist years after adoption (Gunnar et al., 2007; Kreppner, O’Connor, & Rutter, 2001; MacLean, 2003; Rutter, Kreppner, & O’Connor, 2001; Stevens et al., 2008).”

    From Inhibitory control and working memory in post-institutionalized children (2013) · cites this paper as Kreppner, O’Connor, & Rutter, 2001

  • Children raised in deprived environments exhibit elevations in anxiety, depression, ADHD, aggression, and substance abuse.

    “Children raised in deprived environments exhibit elevations in many forms of psychopathology, including anxiety, depression, ADHD, aggression, and substance abuse.(38, 40, 139)”

    From Neglect as a violation of species-expectant experience: neurodevelopmental consequences (2017) · cites this paper as [139]

  • Children adopted from Romanian orphanages between the age of 6 and 24 months as well as after 24 months had higher levels of ADHD symptoms measured at age 6 years than children adopted from the United Kingdom.

    “In another study, the 24-month cutoff appeared less relevant, as children adopted from Romanian orphanages between the age of 6 and 24 months as well as after 24 months had higher levels of ADHD symptoms measured at age 6 years than children adopted from with the United Kingdom (Kreppner et al, 2001).”

    From Deviations from the expectable environment in early childhood and emerging psychopathology (2015) · cites this paper as Kreppner et al, 2001

Citations

Cites

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Research works printed but not linked: 3

  1. Hogg, C., Rutter, M., & Richman, N. (1997). Emotional and behavioural problems in children. In I. Sclare (Ed.), Child psychology portfolio. Windsor: NFER-Nelson.
  2. Schore, A. (1994). Affect regulation and the origin of the self. Hillsdale, NJ: Erlbaum.
  3. World Health Organization. (1992). Mental disorders: Glossary and guide to their classification in accordance with the tenth revision of the international classification of diseases (ICD-10). Geneva: WHO.

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Metadata

Authors
Kreppner, J. M., O'Connor, T. G., Rutter, M., & English and Romanian Adoptees Study Team
Affiliations
University of London (GB)
Corresponding author
Kreppner, Jana M.
ORCID
Venue
Journal of Abnormal Child Psychology
Publisher
Springer Science and Business Media LLC
Published
2001-12
Volume
29
Issue
6
Pages
513-528
ISSN
  • 0091-0627 (ISSN-L)
  • 1573-2835
DOI
10.1023/a:1012229209190
OpenAlex
W1520998639
Cited by
317
References
42
Citations by year
2026: 1 · 2025: 2 · 2024: 3 · 2023: 5 · 2022: 6 · 2021: 5 · 2020: 8 · 2019: 10 · 2018: 8 · 2017: 14 · 2016: 13 · 2015: 23 · 2014: 16 · 2013: 16 · 2012: 24
FWCI
22.83
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Research on Child and Adolescent Psychopathology (publishedVersion)
  • PubMed (publishedVersion)
  • ePrints Soton (University of Southampton) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion)
Topics
  • Social Sciences › Sociology and Political Science › Child Welfare and Adoption
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
institutional deprivation, Romanian adoptees, early deprivation, attention deficit disorder, hyperkinetic disorder, attachment disturbance, emotional problems, low birth weight, malnutrition, cognitive impairment
MeSH terms
Adoption, Attention Deficit Disorder with Hyperactivity, Child, Institutionalized, Child, Preschool, England, Female, Humans, Infant, Male, Psychosocial Deprivation, Romania, Syndrome, Reactive Attachment Disorder

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