The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.
Behavioral and emotional symptoms of post-institutionalized children in middle childhood
Open accessAbstract
Background: Experience in institutional/orphanage care has been linked to increased mental health problems. Research suggests that children adopted from institutions experience specific difficulties related to inattention/overactivity. Evidence of internalizing and conduct problems relative to non‐adopted peers has been found in early childhood and early adolescence, but problems may not differ from other adopted children. This study clarifies the understanding of behavioral and emotional symptoms of post‐institutionalized (PI) children during middle childhood. Methods: Eight‐ to eleven‐year‐old PI children ( n = 68) and two comparison groups, children internationally adopted from foster care ( n = 74) and non‐adopted children ( n = 76), and their parents completed the MacArthur Health and Behavior Questionnaire related to attention‐deficit/hyperactivity disorder (ADHD), externalizing, and internalizing symptoms. Group means for symptom level and number of children with symptoms above clinical cutoffs were compared. Results: PI children displayed an increased level of ADHD symptoms per parent report. PI child and parent report indicated a higher number of PI children above clinical ADHD cutoff. Both groups of internationally adopted (IA) children had higher levels of externalizing symptoms relative to non‐adopted children, with parent report indicating higher numbers of IA children above the externalizing clinical threshold. Informants differed in their report of internalizing symptoms. Parents indicated that both IA groups displayed increased internalizing symptom levels and greater numbers above clinical threshold; however, children reported this to be true only for the PI group. Conclusions: PI children differ from non‐adopted peers across symptom domains in middle childhood. Whether these concerns were more broadly associated with international adoption rather than institutional care depended on symptom domain and informant. An understanding of this variability may be beneficial for treatment and intervention.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
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 Wiik et al., 2011
The HBQ has been used with institutionally reared children and has good psychometric properties.
“The HBQ has been used with institutionally reared children (Wiik et al., 2011) and has demonstrated good psychometric properties (Ablow et al., 1999).”
From Early caregiving quality predicts consistency of competent functioning from middle childhood to adolescence following early psychosocial deprivation (2021) · cites this paper as Wiik et al., 2011
Children adopted after 12 months of age had significantly higher levels of ADHD than both children adopted before 8 months of age and non-institutionalized comparisons.
“In a third study that examined ADHD following exposure to varying amounts of institutional care, children adopted after 12 months of age had significantly higher levels of ADHD than both children adopted before 8 months of age and non-institutionalized comparisons (Wiik et al, 2011).”
From Deviations from the expectable environment in early childhood and emerging psychopathology (2015) · cites this paper as Wiik et al, 2011
Previously institutionalized 8- to 11-year-old children had higher levels of externalizing symptoms (separate from ADHD) compared with never-institutionalized youth.
“previously institutionalized 8-to 11-year-old children were found to have higher levels of externalizing symptoms (separate from ADHD) compared with never-institutionalized youth (Wiik et al, 2011).”
From Deviations from the expectable environment in early childhood and emerging psychopathology (2015) · cites this paper as Wiik et al, 2011
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
(1998) · De Gruyter eBooks · doi:10.1515/9783110809817.1 · Cited by 1,490
Coddington, R. D. (1972) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(72)90045-1 · Cited by 949
KRAEMER, H. C., Measelle, J. R., Ablow, J. C., Essex, M. J., Boyce, W. T., & Kupfer, D. J. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.9.1566 · Cited by 793
Self-citationBehavior Problems and Mental Health Referrals of International Adoptees
Juffer, F., & van IJzendoorn, M. H. (2005) · JAMA · doi:10.1001/jama.293.20.2501 · Cited by 652
Early experience and the development of stress reactivity and regulation in children
Loman, M. M., & Gunnar, M. R. (2009) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2009.05.007 · Cited by 533
Self-citationSpecificity and heterogeneity in children's responses to profound institutional privation
Rutter, M. L., Kreppner, J., & O’Connor, T. G. (2001) · The British Journal of Psychiatry · doi:10.1192/bjp.179.2.97 · Cited by 403
Institutional rearing and psychiatric disorders in Romanian preschool children
Zeanah, C. H., Egger, H. L., Smyke, A. T., Nelson, C. A., Fox, N. A., Marshall, P. J., & Guthrie, D. (2009) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2009.08091438 · Cited by 365
Behavior problems in postinstitutionalized internationally adopted children
GUNNAR, M. R., VAN DULMEN, M. H. M., & THE INTERNATIONAL ADOPTION PROJECT TEAM (2007) · Development and Psychopathology · doi:10.1017/s0954579407070071 · Cited by 348
Self-citationCan inattention/overactivity be an institutional deprivation syndrome?
Kreppner, J. M., O'Connor, T. G., Rutter, M., & English and Romanian Adoptees Study Team (2001) · Journal of Abnormal Child Psychology · doi:10.1023/a:1012229209190 · Cited by 317
Child–parent attachment following early institutional deprivation
O'CONNOR, T. G., MARVIN, R. S., RUTTER, M., OLRICK, J. T., BRITNER, P. A., & THE ENGLISH AND ROMANIAN ADOPTEES STUDY TEAM (2003) · Development and Psychopathology · doi:10.1017/s0954579403000026 · Cited by 314
Evaluation of the Revised Ontario Child Health Study Scales
Boyle, M. H., OFFORD, D. R., Racine, Y. A., Fleming, J. E., Szatmári, P., & Sanford, M. (1993) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1993.tb00979.x · Cited by 278
Juffer, F., Bakermans‐Kranenburg, M. J., & van IJzendoorn, M. H. (2004) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2004.00353.x · Cited by 268
Stevens, S. E., Sonuga-Barke, E. J. S., Kreppner, J. M., Beckett, C., Castle, J., Colvert, E., Groothues, C., Hawkins, A., & Rutter, M. (2008) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-007-9185-5 · Cited by 254
ESSEX, M. J., BOYCE, W. T., GOLDSTEIN, L. H., ARMSTRONG, J. M., KRAEMER, H. C., & KUPFER, D. J. (2002) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200205000-00017 · Cited by 253
Self-citationExploring Risk Factors for the Emergence of Children's Mental Health Problems
Essex, M. J., Kraemer, H. C., Armstrong, J. M., Boyce, W. T., Goldsmith, H. H., Klein, M. H., Woodward, H., & Kupfer, D. J. (2006) · Archives of General Psychiatry · doi:10.1001/archpsyc.63.11.1246 · Cited by 233
Self-citationProblems Reported by Parents of Romanian Orphans Adopted to British Columbia
Fisher, L., Ames, E. W., Chisholm, K., & Savoie, L. (1997) · International Journal of Behavioral Development · doi:10.1080/016502597385441 · Cited by 232
Shirtcliff, E. A., & Essex, M. J. (2008) · Developmental Psychobiology · doi:10.1002/dev.20336 · Cited by 231
Self-citationInstitutional care: risk from family background or pattern of rearing
Roy, P., Rutter, M., & Pickles, A. (2000) · Journal of Child Psychology and Psychiatry · doi:10.1017/s002196309900517x · Cited by 206
Colvert, E., Rutter, M., Beckett, C., Castle, J., Groothues, C., Hawkins, A., Kreppner, J., O'connor, T. G., Stevens, S., & Sonuga-Barke, E. J. S. (2008) · Development and Psychopathology · doi:10.1017/s0954579408000278 · Cited by 182
ABLOW, J. C., MEASELLE, J. R., KRAEMER, H. C., HARRINGTON, R., LUBY, J., SMIDER, N., DIERKER, L., CLARK, V., DUBICKA, B., HEFFELFINGER, A., et al. (1999) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199912000-00020 · Cited by 181
Self-citationThe Mental Health of US Adolescents Adopted in Infancy
Keyes, M. A., Sharma, A. R., Elkins, I. J., Iacono, W. G., & McGue, M. K. (2008) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.162.5.419 · Cited by 176
Hellerstedt, W. L., Madsen, N. J., Gunnar, M. R., Grotevant, H. D., Lee, R. M., & Johnson, D. E. (2008) · Maternal and Child Health Journal · doi:10.1007/s10995-007-0237-9 · Cited by 169
Self-citationPostinstitutionalized Children’s Development: Growth, Cognitive, and Language Outcomes
Loman, M. M., Wiik, K. L., Frenn, K. A., Pollak, S. D., & Gunnar, M. R. (2009) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0b013e3181b1fd08 · Cited by 144
Self-citationvan Zeijl, J., Mesman, J., Stolk, M. N., Alink, L. R. A., van IJzendoorn, M. H., Bakermans‐Kranenburg, M. J., Juffer, F., & Koot, H. M. (2007) · Journal of Family Psychology · doi:10.1037/0893-3200.21.4.626 · Cited by 134
Parent-child agreement on children's behaviours reported by the Child Behaviour Checklist (CBCL).
Rey, J. M., Schrader, E., & Morris-yates, A. (1992) · Journal des adolescens · doi:10.1016/0140-1971(92)90026-2 · Cited by 128
Miller, B. C., Fan, X., Grotevant, H. D., Christensen, M., Coyl, D. D., & van Dulmen, M. H. M. (2000) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200012000-00011 · Cited by 127
Dallaire, D. H., & Weinraub, M. (2005) · Attachment & Human Development · doi:10.1080/14616730500365894 · Cited by 115
Boyce, W. T., Essex, M. J., Woodward, H. R., Measelle, J. R., Ablow, J. C., & Kupfer, D. J. (2002) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200205000-00016 · Cited by 112
Self-citationNelson, C. A. (2000) · Psychology Press eBooks · doi:10.4324/9781410605344-9 · Cited by 111
Behavior Problems and Mental Health Contacts in Adopted, Foster, and Nonadopted Children
Brand, A. E., & Brinich, P. M. (1999) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00538 · Cited by 108
Lemery‐Chalfant, K., Schreiber, J. E., Schmidt, N. L., Hulle, C. A. V., Essex, M. J., & Goldsmith, H. H. (2007) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e3180f616c6 · Cited by 95
Self-citationStevens, S. E., Kumsta, R., Kreppner, J. M., Brookes, K. J., Rutter, M., & Sonuga‐Barke, E. J. S. (2009) · American Journal of Medical Genetics Part B: Neuropsychiatric Genetics · doi:10.1002/ajmg.b.31010 · Cited by 89
Educational Achievement in Adopted Children from China
Dalen, M., & Rygvold, A.-L. (2006) · Adoption Quarterly · doi:10.1300/j145v09n04_03 · Cited by 77
Beverly, B. L., McGuinness, T. M., & Blanton, D. J. (2008) · Language Speech and Hearing Services in Schools · doi:10.1044/0161-1461(2008/029 · Cited by 76
Parenting and child behaviour problems: a longitudinal analysis of non‐shared environment
Mullineaux, P. Y., Deater-Deckard, K. D., Petrill, S. A., & Thompson, L. A. (2009) · Infant and Child Development · doi:10.1002/icd.593 · Cited by 74
Longitudinal Change in Parenting Associated with Developmental Delay and Catch-up
Croft, C., O’Connor, T. G., Keaveney, L., Groothues, C., & Rutter, M. L. (2001) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00760 · Cited by 73
LUBY, J. L., HEFFELFINGER, A., MEASELLE, J. R., ABLOW, J. C., ESSEX, M. J., DIERKER, L., HARRINGTON, R., KRAEMER, H. C., & KUPFER, D. J. (2002) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200204000-00019 · Cited by 56
Self-citationAttention deficit, hyperactivity disorder in adopted Romanian children living in the Netherlands
Hoksbergen, R. A. C., ter Laak, J., van Dijkum, C., Rijk, K., & Stoutjesdijk, F. (2003) · Adoption Quarterly · doi:10.1300/j145v06n04_04 · Cited by 21
Gunnar, M. R., & Pollak, S. D. (2007) · Child Maltreatment · doi:10.1177/1077559507306719 · Cited by 13
Self-citationPost‐Institutionalized Children
Biernathe, K. R. (2008) · Encyclopedia of Special Education · doi:10.1002/9780470373699.speced1640 · Cited by 4
Flagged first, then by citations
Research works printed but not linked: 2
- 10.1111/1469-7610.00555 · DOI · Paper page
- Sonuga‐Barke E., 2009, Adolescent psychiatric morbidity following early severe institutional deprivation: English and Romanian Adoptees Study findings
Cited by
Sorted by citations
Behavioral problems after early life stress: contributions of the hippocampus and amygdala
Hanson, J. L., Nacewicz, B. M., Sutterer, M. J., Cayo, A. A., Schaefer, S. M., Rudolph, K. D., Shirtcliff, E. A., Pollak, S. D., & Davidson, R. J. (2015) · Biological Psychiatry · doi:10.1016/j.biopsych.2014.04.020 · Cited by 627
Self-citationSonuga-Barke, E. J. S., Kennedy, M., Kumsta, R., Knights, N., Golm, D., Rutter, M., Maughan, B., Schlotz, W., & Kreppner, J. (2017) · The Lancet · doi:10.1016/s0140-6736(17)30045-4 · Cited by 391
McLaughlin, K. A., Sheridan, M. A., Winter, W., Fox, N. A., Zeanah, C. H., & Nelson, C. A. (2014) · Biological Psychiatry · doi:10.1016/j.biopsych.2013.08.016 · Cited by 288
Deviations from the expectable environment in early childhood and emerging psychopathology
Humphreys, K. L., & Zeanah, C. H. (2015) · Neuropsychopharmacology · doi:10.1038/npp.2014.165 · Cited by 231
Gunnar, M. R., DePasquale, C. E., Reid, B. M., Donzella, B., & Miller, B. S. (2019) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1909699116 · Cited by 207
Self-citationHumphreys, K. L., Gleason, M. M., Drury, S. S., Miron, D., Nelson, C. A., Fox, N. A., & Zeanah, C. H. (2015) · The Lancet Psychiatry · doi:10.1016/s2215-0366(15)00095-4 · Cited by 199
The effect of early deprivation on executive attention in middle childhood
Loman, M. M., Johnson, A. E., Westerlund, A., Pollak, S. D., Nelson, C. A., & Gunnar, M. R. (2013) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2012.02602.x · Cited by 132
Self-citationVanderwert, R. E., Zeanah, C. H., Fox, N. A., & Nelson, C. A. (2016) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2015.12.004 · Cited by 128
Callaghan, B. L., Sullivan, R. M., Howell, B., & Tottenham, N. (2014) · Developmental Psychobiology · doi:10.1002/dev.21260 · Cited by 115
Social scaffolding of human amygdala-mPFCcircuit development
Tottenham, N. (2015) · Social Neuroscience · doi:10.1080/17470919.2015.1087424 · Cited by 112
Kennedy, M., Kreppner, J., Knights, N., Kumsta, R., Maughan, B., Golm, D., Rutter, M., Schlotz, W., & Sonuga‐Barke, E. J. S. (2016) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12576 · Cited by 106
Tibu, F., Sheridan, M. A., McLaughlin, K. A., Nelson, C. A., Fox, N. A., & Zeanah, C. H. (2016) · Psychological Medicine · doi:10.1017/s0033291715002020 · Cited by 66
Predicting ADHD by assessment of Rutter’s indicators of adversity in infancy
Østergaard, S. D., Larsen, J. T., Dalsgaard, S., Wilens, T. E., Mortensen, P. B., Agerbo, E., Mors, O., & Petersen, L. (2016) · PLOS ONE · doi:10.1371/journal.pone.0157352 · Cited by 50
Gross motor development in children adopted from orphanage settings
ROEBER, B. J., TOBER, C. L., BOLT, D. M., & POLLAK, S. D. (2012) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2012.04257.x · Cited by 45
Self-citationHumphreys, K. L., Miron, D., McLaughlin, K. A., Sheridan, M. A., Nelson, C. A., Fox, N. A., & Zeanah, C. H. (2018) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12865 · Cited by 44
Humphreys, K. L., Guyon-Harris, K. L., Tibu, F., Wade, M., Nelson, C. A., Fox, N. A., & Zeanah, C. H. (2020) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000613 · Cited by 26
PSYCHOPATHOLOGY IN YOUNG CHILDREN IN TWO TYPES OF FOSTER CARE FOLLOWING INSTITUTIONAL REARING
Tibu, F., Humphreys, K. L., Fox, N. A., Nelson, C. A., & Zeanah, C. H. (2014) · Infant Mental Health Journal · doi:10.1002/imhj.21428 · Cited by 23
Guyon-Harris, K. L., Humphreys, K. L., Miron, D., Tibu, F., Fox, N. A., Nelson, C. A., & Zeanah, C. H. (2021) · Development and Psychopathology · doi:10.1017/s0954579419001500 · Cited by 8
Zuo, M., Ling, X.-B., Wang, S.-S., Ma, K., Wan, Y.-H., Su, P.-Y., Tao, F.-B., & Sun, Y. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.08.015 · Cited by 5
Metadata
- Authors
- Wiik, K. L., Loman, M. M., Van Ryzin, M. J., Armstrong, J. M., Essex, M. J., Pollak, S. D., & Gunnar, M. R.
- Affiliations
- University of Minnesota (US)
- University of Wisconsin–Madison (US)
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2010-12-08
- Volume
- 52
- Issue
- 1
- Pages
- 56-63
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- PMC
- PMC2978793
- OpenAlex
- W1815706305
- Cited by
- 161
- References
- 40
- Citations by year
- 2026: 7 · 2025: 3 · 2024: 7 · 2023: 7 · 2022: 1 · 2021: 12 · 2020: 9 · 2019: 16 · 2018: 14 · 2017: 8 · 2016: 10 · 2015: 17 · 2014: 23 · 2013: 13 · 2012: 8
- FWCI
- 22.68
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- University of Essex
- Society for Research in Child Development
- National Institutes of Health
- Center for Neurobehavioral Development
- National Institute of Mental Health (R01MH068857, R01MH068858, P50MH084051, R01MH061285)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P30HD003352)
- Topics
- Social Sciences › Sociology and Political Science › Child Welfare and Adoption
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- institutional care, international adoption, foster care, middle childhood, attention deficit hyperactivity disorder, ADHD symptoms, externalizing problems, internalizing problems, parent report, child self-report, informant differences
- MeSH terms
- Adoption, Attention Deficit Disorder with Hyperactivity, Child, Child Behavior, Child, Institutionalized, Emotions, Female, Humans, Internal-External Control, Male, Minnesota, Parents, Surveys and Questionnaires
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
