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Behavior Patterns Associated with Institutional Deprivation: A Study of Children Adopted from Romania
Abstract
This study examined the prevalence and persistence of behaviors associated with institutional rearing in a sample of 144 children from Romania adopted by UK families. Patterns of rocking, self-injury, unusual sensory interests, and eating problems were assessed in children aged between a few weeks and 43 months who were adopted from institutional care. Forty-seven percent of the institutionally reared children rocked at the time of UK entry and 24% engaged in self-injurious behavior. By age 6 years, the percentages were 18% and 13%, respectively. Eleven percent of the children were displaying unusual sensory interests at the time of arrival, and at 6 years 13% of the children did so. Fifteen percent of the children were still experiencing difficulties with chewing and swallowing solid food at age 6 years. The primary factor affecting the prevalence and persistence of the behaviors was the length of time the children had spent in institutional deprivation.
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The small-study bias was due to inclusion of data from the ERA Study cohort, which comprised a comparatively small sample (N=90-148) with large effect sizes linked to severe institutional neglect.
“We investigated the cause of this potential publication bias by performing leave-one-out analyses and found that it was due to the inclusion of data from one cohort, the ERA Study (15, 45, 46), which comprised a comparatively small sample (N=90-148) with large effect sizes linked to severe institutional neglect”
From Childhood Maltreatment and Mental Health Problems: A Systematic Review and Meta-Analysis of Quasi-Experimental Studies (2023) · cites this paper as [46]
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Metadata
- Authors
- BECKETT, C., BREDENKAMP, D., CASTLE, J., GROOTHUES, C., O’CONNOR, T. G., & RUTTER, M.
- Affiliations
- University of London (GB)
- Venue
- Journal of Developmental & Behavioral Pediatrics
- Published
- 2002-10
- Volume
- 23
- Issue
- 5
- Pages
- 297-303
- ISSN
- 0196-206X (ISSN-L)
- OpenAlex
- W2004458873
- Cited by
- 111
- References
- 14
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 2 · 2021: 5 · 2020: 4 · 2019: 4 · 2018: 4 · 2017: 6 · 2016: 2 · 2015: 4 · 2014: 5 · 2013: 6 · 2012: 5
- FWCI
- 15.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Developmental & Behavioral Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Child Welfare and Adoption
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- institutional deprivation, Romanian adoptees, institutional upbringing, rocking behavior, self-harm, feeding difficulties, early childhood behavior, adoptive families
- MeSH terms
- Adoption, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Institutionalization, Male, Psychosocial Deprivation, Romania, Self-Injurious Behavior
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