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Cited by 89Child Welfare and AdoptionChild Abuse and TraumaChild and Adolescent Psychosocial and Emotional Development

Predictors of Disruptive Behavior, Developmental Delays, Anxiety, and Affective Symptomatology Among Institutionally Reared Romanian Children

ELLIS, B. HEIDI, FISHER, PHILIP A., ZAHARIE, SONIA·2004·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/01.chi.0000136562.24085.160
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Abstract

Objective To examine the associations between duration of institutionalization, age at abandonment, and mental and physical health outcomes of young institutionalized children in Romania and to examine patterns of associations between placement history, physical growth variables, and psychiatric symptoms.Method Institutionalized children (ages 2-6 years) in a Romanian orphanage were studied through caregiver reports. Orphanage staff completed questionnaires on the children's psychiatric symptoms and physical growth measurements and placement histories on the children.Results Children showed high rates of developmental delays, anxiety/affective symptoms, and physical growth delays. Patterns of associations between history and growth variables (duration of institutionalization, age at abandonment, and physical stature) and psychiatric symptom clusters were examined using three sequential multiple regressions. Longer duration of institutionalization and shorter physical stature were significantly associated with anxiety/affective symptoms (F3,47=6.49, p <.01). Physical stature was significantly associated with developmental delays (F3,47=5.603, p <.01) and disruptive behaviors (F3,47=2.832, p <.05), with smaller stature being associated with greater developmental delays and fewer disruptive behavior problems.Conclusions Institutionalized children demonstrate high rates of psychiatric symptoms. Duration of institutionalization, physical stature, and age at abandonment differentially relate to psychiatric symptoms. Findings are interpreted in light of implications for intervention and social policy.

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  • Even in samples with well-defined risk for neglect in the form of social deprivation because of institutional rearing, peer traumatization may occur given low levels of adult supervision.

    “In addition, even in samples with welldefined risk for neglect in the form of social deprivation because of institutional rearing, peer traumatization may occur given low levels of adult supervision (Ellis et al, 2004).”

    From Deviations from the expectable environment in early childhood and emerging psychopathology (2015) · cites this paper as Ellis et al, 2004

  • Over one-quarter of Romanian children reared in orphanages aged 2-6 years fell above the screening cutoff on the ADHD inattentive scale from the Early Childhood Inventory-4.

    “Over one-quarter of Romanian children reared in orphanages aged 2-6 years fell above the screening cutoff on the ADHD inattentive scale from the Early Childhood Inventory-4 (Ellis et al, 2004).”

    From Deviations from the expectable environment in early childhood and emerging psychopathology (2015) · cites this paper as Ellis et al, 2004

  • In one study, nearly one-quarter of institutionally reared children aged 2-6 years fell above the screening cutoff for ODD.

    “For example, in one study nearly one-quarter of institutionally reared children aged 2-6 years fell above the screening cutoff for ODD (Ellis et al, 2004),”

    From Deviations from the expectable environment in early childhood and emerging psychopathology (2015) · cites this paper as Ellis et al, 2004

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Authors
ELLIS, B. H., FISHER, P. A., & ZAHARIE, S.
Affiliations
Boston University (US)
Corresponding author
ELLIS, B. HEIDI
ORCID
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2004-10
Volume
43
Issue
10
Pages
1283-1292
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/01.chi.0000136562.24085.160
OpenAlex
W2067918593
Cited by
89
References
24
Citations by year
2026: 1 · 2025: 3 · 2024: 2 · 2023: 6 · 2022: 4 · 2021: 3 · 2020: 5 · 2019: 8 · 2018: 3 · 2017: 4 · 2016: 5 · 2015: 5 · 2014: 5 · 2013: 9 · 2012: 6
FWCI
6.50
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • SAMHSA (U79 SM54305)
  • NIMH (1 R21 MH 70261-01, MH 59780)
  • NIMH and ORMH (MH46690)
Topics
  • Social Sciences › Safety Research › 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
institutionalized children, orphanage children, Romanian orphans, height, developmental delay, disruptive behavior, anxiety, affective symptoms, psychiatric symptoms, physical growth, child mental health
MeSH terms
Affect, Anxiety Disorders, Body Height, Child, Child Behavior Disorders, Developmental Disabilities, Child, Institutionalized, Child, Preschool, Cross-Sectional Studies, Female, Humans, Male, Prognosis, Romania, Time Factors, Mood Disorders

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