The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.
Can Inattention/Overactivity Be an Institutional Deprivation Syndrome?
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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In the citing paper
“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]
In the citing paper
“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
In the citing paper
“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
In the citing paper
“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]
In the citing paper
“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
In the citing paper
“However, among the Romanian adoptees, older age of placement into their adoptive home was linearly related to ADHD symptoms, indicating a dose-response effect for ADHD and deprivation experiences.”
From Deviations from the expectable environment in early childhood and emerging psychopathology (2015) · cites this paper as Kreppner et al, 2001
In the citing paper
“Data from the ERA study indicated no association between institutional care and conduct problems (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
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Self-citation
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.
- Venue
- Journal of Abnormal Child Psychology
- Published
- 2001-12
- Volume
- 29
- Issue
- 6
- Pages
- 513-528
- ISSN
- 0091-0627 (ISSN-L)
- 1573-2835
- 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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