The effects of severe psychosocial deprivation and foster care intervention on cognitive development at 8 years of age: findings from the Bucharest Early Intervention Project
Open accessAbstract
Background: Previous reports from the Bucharest Early Intervention Project suggested that children removed from institutions and placed into intervention displayed gains in IQ relative to children randomized to remain in institutional care. Method: The current report presents data from the 8‐year follow‐up of these children. One hundred and three of the original 136 children in the study were tested with the WISC IV. Results: Results reveal continued benefit from the intervention even though many of the children in both the intervention and control groups were no longer residing in their initial placements. Gains in IQ were particularly evident for those children who remained with their intervention family. There were also modest timing effects such that children placed earlier displayed higher scores on the WISC processing speed subscale. Early placement was also a significant predictor of a profile of stable, typical IQ scores over time. Conclusion: These data suggest the continued importance of early intervention and the negative effects of severe psychosocial deprivation on the development of IQ scores across early childhood.
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Claims the paper makes
1 of 24 cited sources checked · 0 supported · 0 flagged · accuracy not yet measured
- Premisecitation
Placement into an ordinary family after institutional care may reverse some cognitive harm.
“second, they suggest that there is a potential for remediation of these negative cognitive effects if the child is removed from an institution and placed in a “typical” family environment.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Dennis and Najarian (1957) source
Two searches within Dennis and Najarian’s “Infant development under environmental handicap” returned no full-text snippets, and no abstract was available to assess the claim directly. An unscoped search found a related statement about improved development with more family-like care in “Case report: Improving quality of care in Kazakhstan institutions” (score 0.642), but it does not establish what the 1957 paper reported. The evidence therefore cannot confirm the attribution or justify calling it a misattribution. (LLM, conf=0.65)
Experimental — accuracy not yet measured
- Findingown data
Earlier placement significantly predicted membership in a profile of stable, typical IQ scores over time.
“Early placement was also a significant predictor of a profile of stable, typical IQ scores over time.”
Quote in the paperSubstantial claim - Findingown data
Children who remained with their intervention family showed particularly evident IQ gains.
“Gains in IQ were particularly evident for those children who remained with their intervention family.”
Quote in the paperSubstantial claim - Findingown data
Children placed earlier in foster care had higher scores on the WISC processing speed subscale, a modest timing effect.
“There were also modest timing effects such that children placed earlier displayed higher scores on the WISC processing speed subscale.”
Quote in the paperNot a substantial claim - Findingown data
The link between baseline scores and later IQ change was not significant in the foster-care group.
“These relations were not significant for the FCG group.”
Quote in the paperNot a substantial claim
- Findingown data
There was a significant effect of current placement group on processing speed subscale scores (F(2,61)=7.91, p<.001, partial η2=.21).
“and processing speed (F(2,61) = 7.91, p < .001, partial η2 = .21)”
Quote in the paperSubstantial claim - Findingown data
Among FCG children, age at placement into foster care (before vs after 26 months) had a significant effect on IQ profile membership (F(1,51)=4.95, p=.031).
“A univariate ANOVA revealed a significant effect of group (F (1,51) = 4.95, p = .031)”
Quote in the paperSubstantial claim - Findingown data
Children originally assigned to BEIP foster care who remained in BEIP foster care at age 8 had higher working memory scores than those who left the intervention placement context.
“Children initially assigned to the intervention who were currently living in BEIP foster care scored significantly higher on these subscales, compared to those who left the intervention placement context.”
Quote in the paperSubstantial claim - Findingown data
Among FCG children, duration of deprivation was significantly and positively correlated with probability of membership in the very low IQ profile (r=.43, p=.002).
“Duration of deprivation was significantly and positively correlated with the probability of membership in the very low IQ profile (r = .43, p = .002).”
Quote in the paperSubstantial claim - Findingown data
Post-hoc pairwise comparisons indicated that children living in BEIP foster care had higher full scale IQ scores compared to children living in government foster care.
“Post-hoc pairwise comparisons indicated that children living in BEIP foster care had higher full scale sores compared to children living in government foster care.”
Quote in the paperSubstantial claim - Findingown data
Children originally assigned to BEIP foster care who remained in BEIP foster care at age 8 had higher verbal scores than those who left the intervention placement context.
“Children initially assigned to the intervention who were currently living in BEIP foster care scored significantly higher on these subscales, compared to those who left the intervention placement context.”
Quote in the paperSubstantial claim - Findingown data
Children randomized to BEIP foster care displayed significantly higher scores on the Verbal Comprehension subscale of the WISC at age 8 compared to those randomized to remain in the institution.
“children randomized to BEIP foster care displayed significantly higher scores on the Verbal Comprehension subscale of the WISC at age 8, as well as marginally higher full scale IQ scores, compared to those children randomized to remain in the institution.”
Quote in the paperSubstantial claim - Findingown data
For the CAU group, the second IQ profile (CAU low average) displayed IQ scores in the lower range of average at 30 months (M=83.68) and 42 months (M=87.46), followed by lower scores at 54 months (M=79.07) and 96 months (M=78.36).
“The second IQ profile, labeled “CAU low average,” displayed IQ scores in the lower range of average at the first two times points (30 mos, M = 83.68; 42 mos, M = 87.46), followed by lower scores at subsequent points (54 mos, M = 79.07; 96 mos, M = 78.36).”
Quote in the paperNot a substantial claim - Findingown data
IQ at 54 months and age 8 was strongly correlated within both groups: care-as-usual r=.74, p<.001; foster-care r=.63, p<.001.
“Full scale IQ scores at 54 months and 8 years were significantly inter-correlated in each group (CAU, r = .74, p < .001; FCG, r = .63, p < .001).”
Quote in the paperNot a substantial claim - Findingown data
Among FCG children, positivity in the caregiver relationship at 42 months was associated with membership in the typical IQ profile at a trend level (b=.23, t=1.84, p=.07).
“Similarly, results revealed a relation between positivity and profile membership at the trend level (b = .23, t = 1.84, p = .07), indicating an association between positivity in the caregiver relationship with membership in the typical IQ profile.”
Quote in the paperNot a substantial claim - Findingown data
Changes over time in IQ were most obvious for children randomized to remain in the institution, whose mean IQ score increased over time.
“changes over time in IQ were most obvious for the children randomized to remain in the institution whose mean IQ score increased over time.”
Quote in the paperSubstantial claim - Findingown data
Among CAU children, attachment security and positivity in the caregiver relationship at 42 months were not significantly related to IQ profile membership.
“Results revealed no significant relations between socio-environmental factors and profile membership.”
Quote in the paperNot a substantial claim - Findingown data
Children living in BEIP foster care scored significantly higher than children living in government foster care on the working memory subscale.
“and higher than children living in government foster care on the working memory and processing speed subscales of the WISC.”
Quote in the paperSubstantial claim - Findingown data
Children originally assigned to BEIP foster care who remained in BEIP foster care at age 8 had higher processing speed scores than those who left the intervention placement context.
“Children initially assigned to the intervention who were currently living in BEIP foster care scored significantly higher on these subscales, compared to those who left the intervention placement context.”
Quote in the paperSubstantial claim - Findingown data
Among FCG children, correlations between duration of deprivation and each WISC subscale and full scale IQ at age 8 were not significant.
“Pearson correlations were also performed between the duration of deprivation variable and each of the subscale scores and full scale IQ for the FCG group. There were no significant findings.”
Quote in the paperNot a substantial claim - Findingown data
Among these FCG children, there was a significant effect of current placement group on working memory subscale scores (F(1,54)=5.96, p=.02, partial η2=.10).
“working memory (F(1, 54) = 5.96, p = .02, partial η2 = .10)”
Quote in the paperSubstantial claim - Findingown data
Full-scale IQ at age 8 showed a marginal group difference between care-as-usual and foster-care groups, F(1,103)=3.40, p=.07, partial η2=.03.
“The result revealed a marginal group difference (F(1,103) = 3.40, p = .07, partial η2 = .03).”
Quote in the paperNot a substantial claim - Findingown data
The overall MANOVA comparing foster-care and never-institutionalized groups was significant, F(4,87)=14.39, p<.001, partial η2=.40.
“The multivariate test of differences between groups using the Wilks Lambda criteria was statistically significant (F(4, 87) = 14.39; p < .001, partial η2 = .40).”
Quote in the paperSubstantial claim - Findingown data
In the current placement analysis, the multivariate test of differences among BEIP foster care, institution, and government foster care groups on WISC subscales was statistically significant (F(8,110)=3.09; p=.004, partial η2=.18).
“The multivariate test of differences between groups using the Wilks Lambda criteria was statistically significant (F(8, 110) = 3.09; p = .004, partial η2 = .18).”
Quote in the paperSubstantial claim - Findingown data
Among FCG children, security of attachment to the primary caregiver at 42 months was significantly associated with membership in the typical IQ profile (b=.29, t=2.35, p=.023).
“Results revealed a significant relation between attachment security and profile membership (b = .29, t = 2.35, p = .023). Amongst the FCG children, there was a significant association between security of attachment to the primary caregiver at 42 months of age and membership in the typical IQ profile.”
Quote in the paperNot a substantial claim - Findingown data
Children living in BEIP foster care scored significantly higher than children living in government foster care on the processing speed subscale.
“and higher than children living in government foster care on the working memory and processing speed subscales of the WISC.”
Quote in the paperSubstantial claim - Findingown data
In the care-as-usual group, children with lower baseline scores gained more IQ from 54 months to age 8, r=-.31, p=.03.
“In addition, the correlation between children’s Change in IQ score and their scores at baseline assessment were significant for the CAU (r = −.31, p = .03), indicating that children with lower scores at baseline showed greater gains in IQ between 54 months and 8 years of age.”
Quote in the paperNot a substantial claim - Findingown data
There was a significant effect of current placement group on verbal subscale scores (F(2,61)=3.73, p=.03, partial η2=.11).
“Follow-up multivariate comparisons revealed a significant effect of group for verbal (F(2,61) = 3.73, p = .03, partial η2 = .11)”
Quote in the paperSubstantial claim - Findingown data
The CAU low average profile was lower overall than the FCG typical profile.
“We distinguish between the CAU and FCG profiles because the CAU low average profile was lower overall than the FCG typical profile.”
Quote in the paperSubstantial claim - Findingown data
Using the intent to treat approach, there remain significant differences in verbal IQ between intervention and comparison groups.
“It is actually remarkable, then, that using the intent to treat approach there remain significant differences in verbal IQ between intervention and comparison groups”
Quote in the paperSubstantial claim - Findingown data
The IQ scores of children randomized to the foster care intervention remained remarkably stable over the period of 54 months to 8 years of age.
“the IQ scores of the children randomized to the foster care intervention remained remarkably stable over the period of 54 months to 8 years of age.”
Quote in the paperSubstantial claim - Findingown data
For the CAU group, the first IQ profile (CAU very low) displayed very low IQ scores across time: 30 months M=73.65; 42 months M=72.71; 54 months M=70.64; 96 months M=75.26.
“The first IQ profile, labeled “CAU very low,” displayed very low IQ scores across time (30 months, M = 73.65; 42 mos, M = 72.71; 54 mos, M = 70.64; 96 mos, M = 75.26).”
Quote in the paperNot a substantial claim - Findingown data
Among FCG children, the multivariate test of differences between age-at-placement groups (cutoffs 20, 22, 24, 26 months) on WISC subscales was only marginally significant (F(4,47)=2.23; p=.08, partial η2=.16).
“Results revealed the multivariate test of differences between groups using the Wilks Lambda criteria to be only marginally significant (F(4, 47) = 2.23; p = .08, partial η2 = .16).”
Quote in the paperNot a substantial claim - Findingown data
Among these FCG children, there was a significant effect of current placement group on processing speed subscale scores (F(1,54)=7.44, p=.01, partial η2=.13).
“and processing speed (F(1,54) = 7.44, p = .01, partial η2 = .13).”
Quote in the paperSubstantial claim - Findingown data
For the FCG group, the first IQ profile (FCG very low) displayed very low IQ scores across time: 30 months M=71.58; 42 months M=69.99; 54 months M=59.65; 96 months M=67.39.
“The first IQ profile, labeled “FCG very low,” displayed very low IQ scores across time (30 mos, M = 71.58; 42 mos, M = 69.99; 54 mos, M = 59.65; 96 mos, M = 67.39).”
Quote in the paperNot a substantial claim - Findingown data
Among FCG children, at the 26-month cutoff, children placed into foster care before 26 months had significantly higher processing speed scores than children placed after 26 months (F(1,52)=4.89, p=.03, partial η2=.09).
“Follow-up multivariate comparisons revealed significant differences in processing speed at the 26 month cutoff (F(1,52) = 4.89, p = .03, partial η2 = .09), indicating that children placed into foster care before 26 months of age had significantly higher scores than children placed after 26 months of age.”
Quote in the paperSubstantial claim - Findingown data
There was a trend-level effect of current placement group on working memory subscale scores (F(2,61)=2.70, p=.075, partial η2=.09).
“and an effect of group at the trend level for working memory (F(2,61) = 2.70, p = .075, partial η2 = .09).”
Quote in the paperNot a substantial claim - Findingown data
Among children originally assigned to BEIP foster care, the multivariate test of differences between those still in BEIP foster care at age 8 and those in other contexts on WISC subscales was marginally significant (F(4,49)=2.40; p=.06, partial η2=.16).
“The multivariate test of differences between groups using the Wilks Lambda criteria was marginally significant (F(4, 49) = 2.40; p = .06, partial η2 = .16).”
Quote in the paperSubstantial claim - Findingnone given
In the BEIP there were no children less than six months of age at the time of placement into foster care.
“In the BEIP there were no children who were less than six months of age at the time of placement into foster care.”
Quote in the paperSubstantial claim - Findingown data
Among FCG children, greater receptive and expressive language abilities at 42 months were significantly associated with membership in the typical IQ profile (r=.59, p<.001).
“children with greater language abilities were significantly more likely to have a typical IQ profile (r = .59, p < .001).”
Quote in the paperNot a substantial claim - Findingown data
The overall MANOVA comparing care-as-usual and foster-care groups across the four WISC subscales was not significant, F(4,99)=1.77, p=.14, partial η2=.07.
“The multivariate test of differences between groups using the Wilks Lambda criteria only approached significance (F(4, 99) = 1.77; p = .14, partial η2 = .07).”
Quote in the paperSubstantial claim - Findingown data
Among these FCG children, a univariate ANOVA with full scale IQ at 8 years as dependent variable revealed a significant group difference (F(1,54)=6.72, p=.01, partial η2=.11).
“A univariate ANOVA with full scale IQ at 8 years entered as the dependent variable also revealed a significant group difference (F(1,54) = 6.72, p = .01, partial η2 = .11).”
Quote in the paperSubstantial claim - Findingown data
On the verbal subscale, foster-care children outperformed care-as-usual children, F(1,104)=4.53, p=.036, partial η2=.04.
“However, follow-up multivariate comparisons revealed a significant effect of group on the verbal subscale (F(1,104) = 4.53, p =.036, partial η2 = .04), indicating that children in the FCG scored higher on this subscale than those children in the CAU.”
Quote in the paperSubstantial claim - Findingown data
Children living in BEIP foster care scored significantly higher than children living in institutions on the verbal subscale.
“Children living in BEIP foster care scored significantly higher than children living in institutions on the verbal subscale”
Quote in the paperSubstantial claim - Findingown data
Age of placement in the intervention was significantly related to only one of the sub-scales on the WISC, processing speed.
“It is interesting as well that age of placement in the intervention was significantly related to only one of the sub-scales on the WISC, processing speed.”
Quote in the paperNot a substantial claim - Findingown data
For the FCG group, the second IQ profile (FCG typical) displayed more average IQ scores across time: 31 months M=86.73; 43 months M=93.07; 55 months M=90.75; 96 months M=86.87.
“The second IQ profile, labeled “FCG typical,” displayed more average IQ scores across time (31 mos, M = 86.73; 43 mos, M = 93.07; 55 mos, M = 90.75; 96 mos, M = 86.87).”
Quote in the paperNot a substantial claim - Findingown data
Children randomized to BEIP foster care had marginally higher full scale IQ scores at age 8 compared to those randomized to remain in the institution.
“children randomized to BEIP foster care displayed significantly higher scores on the Verbal Comprehension subscale of the WISC at age 8, as well as marginally higher full scale IQ scores, compared to those children randomized to remain in the institution.”
Quote in the paperSubstantial claim - Findingown data
Among these FCG children, there was a significant effect of current placement group on verbal subscale scores (F(1,54)=4.49, p=.04, partial η2=.08).
“Follow-up multivariate comparisons revealed a significant effect of verbal (F(1,54) = 4.49, p = .04, partial η2 = .08)”
Quote in the paperSubstantial claim - Findingown data
Never-institutionalized children scored higher than foster-care children on every WISC subscale.
“Follow-up multivariate comparisons revealed a significant effect of group for the verbal (F(1,92) = 38.84, p < .001, partial η2 = .30), perceptual (F(1,92) = 56.11, p < .001, partial η2 = .38), working memory (F(1,92) = 39.76, p < .001, partial η2 = .31) and processing speed (F(1,92) = 13.82, p < .001, partial η2 = .13) subscales, indicating that children in the NIG scored significantly higher on”
Quote in the paperSubstantial claim - Findingown data
Full-scale IQ was significantly higher in the never-institutionalized group than in the foster-care group, F(1,92)=58.02, p<.001, partial η2=.39.
“The result revealed a significant difference between the two groups (F(1,92) = 58.02, p < .001, partial η2 = .39), indicating that children in the NIG had higher scores than children in the FCG.”
Quote in the paperSubstantial claim - Findingown data
A univariate ANOVA with full scale IQ as dependent variable revealed a significant group difference among current placement groups (F(2,61)=3.65, p=.03, partial η2=.11).
“A univariate ANOVA with full scale IQ entered as the dependent variable revealed a significant group difference (F(2,61) = 3.65, p = .03, partial η2 = .11) as well.”
Quote in the paperSubstantial claim - Findingown data
For the CAU group, the two-profile latent model was selected as the best representation of the data.
“Thus, the two profile model was chosen as the best representation of the data.”
Quote in the paperSubstantial claim - Findingown data
Among foster care sample, timing of intervention was a significant predictor of profile membership.
“First, amongst the foster care sample, timing of intervention was a significant predictor of profile membership.”
Quote in the paperSubstantial claim - Findingown data
Children who remained in BEIP homes had higher full scale IQ scores than children who remained in institutions or were placed in government foster homes.
“Children who remained in the BEIP homes displayed higher scores on verbal, working memory, processing speed and full scale IQ compared to those who either remained in the institution or were placed into government foster homes.”
Quote in the paperSubstantial claim - Findingown data
Children who remained in BEIP homes had higher working memory scores than children who remained in institutions or were placed in government foster homes.
“Children who remained in the BEIP homes displayed higher scores on verbal, working memory, processing speed and full scale IQ compared to those who either remained in the institution or were placed into government foster homes.”
Quote in the paperSubstantial claim - Findingown data
Children removed earlier (before 26 months) were more likely to be in the typical profile compared to those foster care children in the low profile.
“Children removed earlier (before 26 months) were more likely to be in the typical profile compared to those foster care children in the low profile.”
Quote in the paperSubstantial claim - Findingown data
In the FCG group, attachment security, positivity in the caregiving relationship, language ability, all measured at 42 months, were significantly predictive of IQ profile membership.
“In the FCG group, attachment security, positivity in the caregiving relationship, language ability, all measured at 42 months, were significantly predictive of IQ profile membership.”
Quote in the paperSubstantial claim - Findingown data
Two trajectories were found for each group: one describing more typical IQ scores and the second describing lower scores over time.
“Second, two trajectories were found for each group: one describing more typical IQ scores and the second describing lower scores over time.”
Quote in the paperNot a substantial claim - Findingown data
Children who remained in BEIP homes had higher processing speed scores than children who remained in institutions or were placed in government foster homes.
“Children who remained in the BEIP homes displayed higher scores on verbal, working memory, processing speed and full scale IQ compared to those who either remained in the institution or were placed into government foster homes.”
Quote in the paperSubstantial claim - Findingown data
Children who remained in BEIP homes had higher verbal IQ scores than children who remained in institutions or were placed in government foster homes.
“Children who remained in the BEIP homes displayed higher scores on verbal, working memory, processing speed and full scale IQ compared to those who either remained in the institution or were placed into government foster homes.”
Quote in the paperSubstantial claim - Findingown data
Significant predictors of IQ profiles in the CAU group included security of attachment at 42 months and language abilities.
“Significant predictors of IQ profiles in the CAU group included security of attachment at 42 months and language abilities.”
Quote in the paperSubstantial claim - Premisereasoning
The ERA study lacked assessments prior to entry into intervention, preventing examination of change scores from institution to intervention.
“There were no assessments prior to entry into intervention. Since infants were not randomly assigned to interventions (i.e., the adoptive family), the lack of baseline assessments did not allow for examination of change scores from time in the institution to intervention.”
Quote in the paperSubstantial claim - Premisenone given
Infants abandoned at birth and reared in institutions constitute a natural experiment for examining effects of severe psychosocial deprivation and timing of intervention.
“Children abandoned at birth and raised in institutions represent a “natural” experiment in which the effects of severe psychosocial deprivation and timing of intervention can be examined.”
Quote in the paperSubstantial claim - Premisereasoning
Early lack of responsive, sensitive caregiving is associated with cognitive and social deficits in children.
“Deprived of consistent, sensitive caregiving and contingent responsiveness very early in life, children suffer deficits in cognitive functioning as well as social competence.”
Quote in the paperSubstantial claim - Premisecitation
Length of time in the institution was unrelated to IQ in that meta-analysis.
“Age in the institution, however, was not related to children’s IQ score.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites van Ijzendoorn, Luijk, & Juffer, 2008 source
- Premisecitation
Among children adopted from Romania after 6 months, later adoption age was linked to lower IQ.
“Indeed, there was a significant negative correlation for children adopted from Romania after 6 months of age between age of adoption and IQ (Castle et al, 1999).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Castle et al, 1999 source
- Interpretationown data
The data indicate that early intervention remains important for cognitive development.
“These data suggest the continued importance of early intervention and the negative effects of severe psychosocial deprivation on the development of IQ scores across early childhood.”
Quote in the paperSubstantial claim - Premisecitation
At the time of adoption, Romanian institutionalized children showed marked intellectual delay in the ERA study.
“Based upon parent report, Rutter and his group found that, at the time of adoption, infants and young children arriving from Romania were significantly delayed in their intellectual development (Rutter et al, 1998).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Rutter et al, 1998
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premisecitation
Being raised in an institution has detrimental effects on cognitive development.
“These findings are important for two reasons: first, they reveal the detrimental effects on cognitive development of being raised in an institution”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Dennis and Najarian (1957) source
- Premisecitation
The ERA authors concluded that early neglect due to institutional deprivation had broad, lasting cognitive consequences.
“The researchers concluded that early psychosocial neglect as a result of institutional deprivation had a broad and lasting impact upon cognitive functioning.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Rutter et al, 2010
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premisecitation
At age 11, children placed with families after institutional care had IQ scores within the normal range.
“However, those children who were adopted out of the institution by families appeared to have IQs that were in the normal range when they were tested at age 11 years.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Dennis and Najarian (1957) source
- Premisecitation
Institutional rearing is linked to substantial IQ deficits in children.
“In two age groups: those between 2 and 12 months of age and those between 4 and a half and six years of age children raised in institutions had significant deficits in IQ scores.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Dennis and Najarian (1957) source
- Premisecitation
Institutionalized children had markedly lower IQ scores in a meta-analysis of over 75 studies.
“Examining more than 75 studies, the authors found a significant effect upon IQ, with children growing up in institutions having substantially lower IQ scores.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites van Ijzendoorn, Luijk, & Juffer, 2008 source
- Interpretationown data
Severe psychosocial deprivation negatively affects the development of IQ scores across early childhood.
“These data suggest the continued importance of early intervention and the negative effects of severe psychosocial deprivation on the development of IQ scores across early childhood.”
Quote in the paperSubstantial claim - Premisecitation
In earlier BEIP follow-ups, foster-placed children scored higher on IQ than those left in institutional care.
“Results indicated that children removed from institutions and placed in foster care displayed higher IQ scores compared to those children randomized to remain in institutions”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Nelson et al., 2008
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Interpretationreasoning
There were changes in the family living status of both FCG and CAU children that undoubtedly affected their cognitive development.
“Consequently, there were changes in the family living status of both the FCG AND CAU children that undoubtedly affected their cognitive development.”
Quote in the paperSubstantial claim - Premisereasoning
The ERA study lacked a Romanian-raised control group.
“There was no comparison/control sample of children raised in Romania.”
Quote in the paperSubstantial claim - Premisecitation
Before randomization, institutionalized Romanian children in BEIP showed major IQ delays and deficits.
“The initial report of children’s IQ scores revealed significant delays and deficits for Romanian children raised in institutions prior to randomization (Smyke et al., 2007).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Smyke et al., 2007 source
- Interpretationreasoning
The initial intervention effects reported for the FCG group have not disappeared.
“This suggests that the initial intervention effects reported for the FCG group have not disappeared”
Quote in the paperSubstantial claim - Interpretationreasoning
The lack of significant group difference is likely due to the modest gains in IQ of the CAU children.
“and the lack of significant group difference is likely due to the modest gains in IQ of the CAU children.”
Quote in the paperSubstantial claim - Premisecitation
In those prior BEIP follow-ups, children removed prior to 24 months fared best.
“and that those removed prior to 24 months fared best of all.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Nelson et al., 2008
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Interpretationreasoning
Some of these children appear to have gained in cognitive performance.
“and some of these children appear to have gained in cognitive performance.”
Quote in the paperNot a substantial claim - Interpretationown data
Early intervention is best sustained with consistent high quality environmental experience.
“The timing effects on the current foster care IQ data suggest that early intervention is best sustained with consistent high quality environmental experience.”
Quote in the paperSubstantial claim - Study design and conductreasoning
Children initially randomized to remain in institutions were placed into government foster homes over the three and a half year period between 54 month and 8 year assessments.
“children in our study who were initially randomized to remain in institutions were placed into government foster homes over the three and a half year period between 54 month and 8 year assessments”
Quote in the paperSubstantial claim - Study design and conductnone given
Some children originally assigned to BEIP foster care were reunited with their biological families or other kin.
“some of the children originally assigned to BEIP foster care were reunited with their biological families or other kin.”
Quote in the paperSubstantial claim - Premisenone given
Older children adopted into the UK faced a cultural and linguistic setting unlike their earlier one.
“Finally, children older than one year who were adopted into British homes entered an environment that was linguistically and culturally different from their previous context.”
Quote in the paperNot a substantial claim - Interpretationreasoning
We cannot directly compare timing of intervention in the BEIP to the Rutter pattern of findings.
“Thus, we cannot directly compare timing (age) of intervention in the BEIP to the Rutter pattern of findings.”
Quote in the paperNot a substantial claim - Study design and conductreasoning
The credibility of the intent-to-treat comparison depends on BEIP's randomized experimental design.
“The power of this analysis rests on the strength of the experimental design of the BEIP, which randomized children to an intervention or care as usual..”
Quote in the paperSubstantial claim - Interpretationown data
The results at age 8 were not as strong as found in previous report of IQ at 42 and 54 months (Nelson et al, 2007).
“these results, overall, were not as strong as found in our previous report of IQ at 42 and 54 months (Nelson et al, 2007).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Nelson et al, 2007 source
- Study design and conductown data
Among FCG children, those who remained with their foster family did not differ significantly from those who changed living contexts in attachment security (F(1,53)=2.54, ns).
“Results revealed no significant differences in age at placement (F(1,51) = .88, ns) or attachment security (F(1,53) = 2.54, ns) for FCG children who remained with their foster family over the course of the study compared to those FCG children who changed living contexts.”
Quote in the paperNot a substantial claim - Interpretationown data
The timing effects in the current data suggest that in high quality environments, initial gains by infants 24 months of age in the BEIP are somewhat sustained but not robust.
“Nevertheless, the timing effects in the current data suggest that in high quality environments, initial gains by infants 24 months of age in the BEIP are somewhat sustained but not robust.”
Quote in the paperSubstantial claim - Interpretationreasoning
The intervention and timing effects found early in the study were partially sustained in the present study.
“Therefore, the intervention and timing effects found early in the study were partially sustained in the present study.”
Quote in the paperSubstantial claim - Study design and conductown data
The age-8 analyses included 53 foster-care and 50 care-as-usual children who remained and had IQ data.
“At 8 years, 53 FCG children and 50 CAU children remained in the study, had IQ data available, and were the subjects of the present analyses.”
Quote in the paperSubstantial claim- Rests on an assumption: Children who were lost to follow-up or lacked IQ data at age 8 do not differ systematically from those included in ways that bias the group comparisons.
- Interpretationreasoning
The quality of the intervention experienced for many children may have changed as a result of changes in supervision of foster care.
“Thus, the quality of the intervention experienced for many children may have changed as a result of the changes in supervision of foster care.”
Quote in the paperNot a substantial claim - Study design and conductown data
Among FCG children, those who remained with their foster family did not differ significantly from those who changed living contexts in age at placement (F(1,51)=.88, ns).
“Results revealed no significant differences in age at placement (F(1,51) = .88, ns) or attachment security (F(1,53) = 2.54, ns) for FCG children who remained with their foster family over the course of the study compared to those FCG children who changed living contexts.”
Quote in the paperNot a substantial claim - Interpretationown data
To sustain the effects of early intervention it is critical to maintain the child in a stable enriched environment.
“Both analyses suggest that to sustain the effects of early intervention it is critical to maintain the child in a stable enriched environment.”
Quote in the paperSubstantial claim - Interpretationown data
The quality of the environment is important in sustaining IQ scores amongst previously institutionalized children.
“These data again suggest the importance of the quality of the environment in sustaining IQ scores amongst previously institutionalized children.”
Quote in the paperSubstantial claim - Interpretationreasoning
Individual differences in language facility are an important factor in IQ trajectories.
“thus making individual differences in language facility an important factor in IQ trajectories.”
Quote in the paperNot a substantial claim - Interpretationown data
The composition of these enriched environments includes contexts in which positive social relationships between the child and significant caregivers are critical.
“Second, they suggest that the composition of these enriched environments includes contexts in which positive social relationships between the child and significant caregivers are critical.”
Quote in the paperSubstantial claim - Interpretationown data
The timing effect indicates the continued importance of early experience in laying the foundation for positive gains in cognitive development.
“This timing effect indicates the continued importance of early experience in laying the foundation for positive gains in cognitive development.”
Quote in the paperSubstantial claim - Interpretationown data
Not all cognitive functions tapped by the WISC may be dependent upon a sensitive period.
“Not all cognitive functions tapped by the WISC may be dependent upon on a sensitive period”
Quote in the paperNot a substantial claim - Interpretationown data
Simply providing enrichment at a young age and not maintaining such contexts does not provide a foundation to sustain early IQ differences.
“They also suggest that simply providing enrichment at a young age and not maintaining such contexts does not provide a foundation to sustain early IQ differences.”
Quote in the paperSubstantial claim - Interpretationown data
Stability of placement in BEIP homes enhanced IQ scores.
“The findings strongly suggest that stability of placement in the BEIP homes enhanced IQ scores.”
Quote in the paperSubstantial claim - Interpretationown data
This does not appear to be the case.
“But this does not appear to be the case.”
Quote in the paperNot a substantial claim - Interpretationown data
Timing of early intervention remains an important factor in sustaining the positive IQ trajectories of previously neglected children.
“And third, they provide some evidence that timing of early intervention remains as an important factor in sustaining the positive IQ trajectories of previously neglected children.”
Quote in the paperSubstantial claim - Interpretationown data
To maintain initial gains in IQ among neglected children placed into positive family care, it is critical to sustain the enriched environments over the period of early childhood and into the time of entry into elementary school.
“First, they suggest that to maintain initial gains in IQ among neglected children placed into positive family care, it is critical to sustain the enriched environments over the period of early childhood and into the time of entry into elementary school.”
Quote in the paperSubstantial claim - Study design and conductnone given
In our sample, by the time children were 8 years of age, the majority of those randomized to remain in the institution were no longer living in these settings.
“Of course, in our sample, by the time children were 8 years of age, the majority of those randomized to remain in the institution were no longer living in these settings”
Quote in the paperSubstantial claim - Interpretationreasoning
Language facility was the best predictor of class membership for both groups.
“It is not surprising that language facility was the best predictor of class membership for both groups.”
Quote in the paperNot a substantial claim
- May combine two claims. 23
- The quote only partly states this claim. 3
- Classified as probably not a substantial claim. 25
May combine two claims.
Findingown dataAt age 8, children originally assigned to foster care showed continued IQ benefit compared with those assigned to care as usual, even though many in both groups no longer lived in their initial placements.
“Results reveal continued benefit from the intervention even though many of the children in both the intervention and control groups were no longer residing in their initial placements.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataSixteen care-as-usual children and 12 foster-care children had full-scale IQ scores at or below 70.
“On the other hand 16 CAUG children had scores of 70 or below at age 8 on full scale IQ, and 12 FCG children had similar low scores on full scale IQ at age 8.”
Quote in the paperNot a substantial claimThe quote only partly states this claim.
Findingown dataAmong CAU children, poorer receptive and expressive language abilities at 42 months were significantly associated with membership in the very low IQ profile (r=.44, p=.002).
“results revealed a significant relation between language and IQ suggesting that children with poorer language abilities were significantly more likely to have a very low IQ profile (r = .44, p = .002).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataCare-as-usual children gained more full-scale IQ points from 54 months to age 8 (M=4.77, SD=9.64) than foster-care children (M=.04, SD=14.45), with a marginal group effect, F(1,100)=3.64, p=.059.
“The result revealed a marginally significant effect of group (F(1,100) = 3.64, p =.059), suggesting that children in the CAU showed greater change in IQ (M = 4.77, SD = 9.64) than did children in the FCG (M = .04, SD = 14.45).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAmong FCG children, birthweight, gestational age, head circumference at baseline, and weight at baseline did not predict IQ profile membership.
“Results revealed no significant relations between any of these factors and profile membership.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataOver time, care-as-usual children made small IQ gains, whereas foster-care children changed little.
“Specifically, children in the CAU showed modest increases in full scale IQ scores over time, while children in the FCG showed little change.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe two groups showed no significant differences on perceptual reasoning, working memory, or processing speed.
“Scores on the perceptual (F(1,104) = .29, ns), working memory (F(1,104) = 1.84, ns) and processing speed (F(1,104) = 1.34, ns) subscales were not significantly different for the two groups.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataNearly all children entered institutions before 3 months of age; only 9 did not.
“All but 9 children in the study were placed prior to 3 month of age into institutions.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAmong FCG children, those placed in foster care before 26 months were significantly more likely to have a typical IQ profile, while those placed after 26 months were significantly more likely to have a very low IQ profile.
“indicating that children placed in foster care before 26 months of age were significantly more likely to have a typical IQ profile, while children placed after were significantly more likely have a very low profile.”
Quote in the paperSubstantial claimThe quote only partly states this claim.
Findingown dataFor the FCG group, the two-profile latent model was selected as the best representation of the data.
“Thus, the two profile model was chosen as the best representation of the data.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAmong CAU children, birthweight, gestational age, head circumference at baseline, and weight at baseline did not predict IQ profile membership.
“None of these factors predicted IQ profile membership in this group.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn the care-as-usual group, 16 children scored 85 or higher on full-scale IQ; in foster care, 28 did.
“Inspection of the distribution of the full scale scores revealed that 16 children in the CAUG had full scale scores of 85 or above while 28 of the FCG children had scores at or above 85 on full scale IQ.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThere was a significant positive change (increase in IQ) for the CAUG but not for the FCG.
“we found that there was a significant positive change (increase in IQ) for the CAUG but not for the FCG”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAmong CAUG, IQ over age either remained low but stable or tended to increase.
“Second, amongst the CAUG, IQ over age either remained low but stable or tended to increase.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationAt ages 4-6, those adopted under 6 months had caught up with UK-born adopted controls, but those adopted later still had lower IQ.
“By the time children were 4-6 years of age, the children who were below the age of 6 months when they were adopted appeared to catch up to their British born adopted controls, though the children adopted from Romania after the age of 6 months manifested deficits in IQ.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Rutter et al, 1998
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Classified as probably not a substantial claim.
Premisenone givenEarlier BEIP reports indicated that children moved from institutions into intervention had higher IQ scores than children randomized to remain in institutional care.
“Previous reports from the Bucharest Early Intervention Project suggested that children removed from institutions and placed into intervention displayed gains in IQ relative to children randomized to remain in institutional care.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).
Premisenone givenInfants raised in institutions are the best human analog of animal deprivation studies.
“The best human analog of animal deprivation studies is infants who are raised in institutions.”
Quote in the paperNot a substantial claimMay combine two claims.
Premiseown dataInitial ERA findings favored adoption at 6-24 months over later adoption, but this advantage was gone by age 11.
“While initial reports from this study suggested that children adopted between the ages of 6-24 months had higher IQ scores compared to those adopted at a later age, subsequent follow up of this sample at age 11 found that the gains by the group adopted between 6-24 months did not persist.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Rutter et al, 2010
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationRodents and non-human primates deprived of typical early social contact develop atypical cognitive and social behaviors.
“Rodents and non-human primates deprived of typical social contact early in life develop atypical cognitive and social behaviors (Harlow, Dodsworth & Harlow, 1965).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Harlow, Dodsworth & Harlow, 1965 source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationIn that meta-analysis, age at testing moderated the effect, with younger children appearing more impaired than older ones at testing.
“These authors also found that age of at which the child was tested was an important moderator, with young children seemingly more impaired at test than older children.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites van Ijzendoorn, Luijk, & Juffer, 2008 source
Classified as probably not a substantial claim.
PremisereasoningThe ERA study could have been biased by how children were chosen for adoption or left behind.
“Like all studies of internationally adopted children, there may have been a selection bias in the choice of who was adopted or selected from the institutions and who remained.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationAt age 11, early-adopted ERA children had normal IQ, whereas later-adopted children had low scores comparable to those adopted after 24 months.
“Although children who were adopted prior to six months of age exhibited “typical” IQ scores at age 11, those adopted after 6 months displayed low IQ scores similar to those adopted after 24 months of age.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Rutter et al, 2010
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Classified as probably not a substantial claim.
PremisecitationSEMM was selected because it can identify distinct latent trajectory groups without predefining membership.
“SEMM was chosen as a method for examining developmental patterns in IQ from 30 to 8 years because it allows for the estimation of qualitatively different groups (i.e., latent profiles) when group membership cannot be determined a priori (Bauer & Curran, 2004).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Bauer & Curran, 2004 source
Probably not a substantial claim: may not pass S3 (load-bearing). The quote only partly states this claim.
Study design and conductown dataThe comparison sample also contained 38 never-institutionalized children.
“In addition, 38 children from the NIG were included as a comparison group.”
Quote in the paperNot a substantial claim- Rests on an assumption: The never-institutionalized children recruited from Bucharest pediatric clinics are comparable to the institutionalized groups on all relevant characteristics except institutional rearing.
May combine two claims.
Study design and conductcitationIn BEIP, institutionalized children in Bucharest aged 6-31 months were randomized to either usual institutional care or foster placement.
“Infants and young children who were between 6 and 31 months of age and living in institutions in Bucharest, Romania, were randomly assigned either to receive care as usual (continued institutional rearing) or be placed into foster care homes”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Zeanah et al., 2003 source
Classified as probably not a substantial claim.
Study design and conductnone givenIQ assessments were administered by trained and reliable Romanian psychologists.
“All of the IQ scales were administered by trained and reliable Romanian psychologists.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable).
Interpretationown dataThis reflects the importance of early intervention.
“reflecting the importance of early intervention.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductown dataFor the FCG group, the two-profile model had an acceptable number of members in each profile (n=21 and n=43) and average posterior probabilities of membership greater than 0.95.
“An examination of the two-profile model revealed that it had an acceptable number of members in each profile (n’s of 21 and 43), and the average posterior probabilities of membership were both greater than 0.95.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
InterpretationreasoningThe pattern of data here are somewhat different from those reported by Rutter and colleagues but not inconsistent.
“The pattern of data here are somewhat different from those reported by Rutter and colleagues but not inconsistent.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationRutter and colleagues report that infants placed into adoptive homes below 6 months of age showed sustained increases in IQ but those older than 6 months (but younger than 24 months) did not sustain gains in IQ as a result of being adopted out of institutions and placed in British families.
“Rutter and colleagues report that infants placed into adoptive homes below the age of 6 months of age showed sustained increases in IQ but those older than 6 months (but younger than 24 months of age) did not sustain gains in IQ as a result of being adopted out of institutions and placed in British families.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Rutter and colleagues
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
May combine two claims.
Study design and conductown dataFor the CAU group, the two-profile model had an acceptable number of members in each profile (n=43 and n=19) and average posterior probabilities of membership greater than 0.92.
“An examination of the two-profile model revealed that it had an acceptable number of members in each profile (n’s of 43 and 19), and the average posterior probabilities of membership were both greater than 0.92.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationcitationThe classes (profiles) do not necessarily represent qualitatively distinct groups in the general population.
“Although SEMM is a useful analysis for longitudinal data, the classes (profiles) do not necessarily represent qualitatively distinct groups in the general population.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationRutter and colleagues (2004) found that birthweight and head circumference were positively associated with IQ gains.
“Thus, Rutter and colleagues (2004) found that these indicators (birthweight, head circumference) were positively associated with IQ gains.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Rutter and colleagues (2004)
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S3 (load-bearing).
Interpretationown dataThe relatively small sample size may have restricted our ability to find more than two profiles of IQ.
“With respect to the profile analyses, the relatively small sample size may have restricted our ability to find more than two profiles of IQ.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductnone givenPrior to the baseline assessment, a large sample of institutionalized children was screened carefully for obvious neurological and genetic anomalies.
“Prior to the baseline assessment, a large sample of institutionalized children was screened carefully for obvious neurological and genetic anomalies.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Interpretationnone givenThe relatively small sample size may account for the modest effect sizes reported in the paper.
“Second, the relatively small sample size may account for the modest effect sizes reported in the paper.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Interpretationnone givenOf those functions that are dependent on a sensitive period, there will be variation in the bandwidth of that sensitive period.
“and of those functions that are, there will be variation in the bandwidth of that sensitive period.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
InterpretationreasoningOther studies with larger samples and thus larger variance in IQ might find additional profiles across childhood.
“Other studies with larger samples and thus larger variance in IQ might find additional profiles across childhood.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S4 (based).
Premisenone givenPrior studies using cross-sectional approaches have concluded that IQ continues to decrease over time in institution.
“Prior studies using cross-sectional approaches have concluded that IQ continues to decrease over time in institution.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Interpretationown dataThe lack of continued significant decrease may also be a result of change in placement.
“suggesting perhaps that the lack of continued significant decrease may also be a result of change in placement.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningThe differences may be attributable to sample differences in the two studies.
“The differences may be attributable to sample differences in the two studies.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationcitationInfants provided with early experience gain more if the enriched context is maintained.
“It may be that infants provided with this early experience gain more if the enriched context is maintained.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationSroufe (2005) found that quality of attachment was most predictive for children who lived in a consistent quality of environment across childhood.
“For example, Sroufe (2005) found that quality of attachment was most predictive for children who lived in a consistent quality of environment across childhood.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Sroufe (2005) source
Probably not a substantial claim: may not pass S3 (load-bearing).
InterpretationcitationThe classes represent patterns that exist within the sample examined.
“Instead, they represent patterns that exist within the sample examined (Bauer & Curran, 2004).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Bauer & Curran, 2004 source
Probably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningThere may be different sensitive periods for different aspects of cognition.
“it is not surprising that there may be different sensitive periods for different aspects of cognition.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataFor children raised in extremely adverse environments, both early experiences and the enduring quality of care are important for their cognitive development.
“Thus, for children raised in extremely adverse environments, these results underscore the importance of both early experiences and the enduring quality of care for their cognitive development.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataThe early intervention effects remained stable while changes in life circumstances for the majority of institutionalized children led to small increases in IQ over time.
“indicating that the early intervention effects remained stable while most probably the changes in life circumstances for the majority of the institutionalized children led to small increases in IQ over time.”
Quote in the paperSubstantial claim
The paper relies on this without support.
Children who were lost to follow-up or lacked IQ data at age 8 do not differ systematically from those included in ways that bias the group comparisons.
“At 8 years, 53 FCG children and 50 CAU children remained in the study, had IQ data available, and were the subjects of the present analyses.”
The paper relies on this without support.
The never-institutionalized children recruited from Bucharest pediatric clinics are comparable to the institutionalized groups on all relevant characteristics except institutional rearing.
“An additional group of 72 children were recruited from pediatric clinics in communities throughout Bucharest to act as a control group (Never Institutionalized Group, NIG), and were matched to the initial institutional group on sex and age.”
The paper relies on this without support.
Original random assignment remains a valid basis for estimating intervention effects even after many children changed living arrangements.
“The first set of analyses examined the outcome of the intervention using an “intent to treat” approach. That is, children’s scores were analyzed according to their originally assigned groups (care as usual and foster care groups) across the eight years of study, despite subsequent changes in group status.”
The paper relies on this without support.
The foster care placements provided by BEIP were of sufficient quality and stability to serve as a valid intervention for severe psychosocial deprivation.
“Infants and young children who were between 6 and 31 months of age and living in institutions in Bucharest, Romania, were randomly assigned either to receive care as usual (continued institutional rearing) or be placed into foster care homes”
The paper relies on this without support.
The Romanian government created a foster care system and began placing institutionalized children with families.
“Second, at the same time, the Romanian government created a foster care system of their own and began placing institutionalized children with families.”
The paper relies on this without support.
IQ assessment with the WISC at age 8 is heavily language dependent.
“IQ assessment with the WISC at age 8 is heavily language dependent”
The paper relies on this without support.
Rutter and colleagues could not screen for neurological and genetic anomalies because they began their study when children were already adopted into UK homes.
“In contrast, Rutter and colleagues could not do this type of screening, since they began their study when children were already adopted into UK homes.”
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?
Among children who received the intervention, individual differences in the timing of placement into foster care between 6 and 33 months and in placement stability were associated with outcomes in several areas.
“Consistent with previous analyses of discrete timepoints and domains (15-17, 19, 29), we found that, among children who received the intervention, individual differences in timing of placement into foster care between the ages of 6-33 months and the stability of this placement were associated with outcomes in several areas.”
From A Comprehensive Multilevel Analysis of the Bucharest Early Intervention Project: Causal Effects on Recovery From Early Severe Deprivation (2023) · cites this paper as [15]
The Results report that, among children assigned to foster care, placement before 26 months was associated with processing speed and a more typical IQ trajectory; children who remained with their intervention family also had higher IQ scores than those who left. This supports the cognitive-outcome portion of the cited sentence, but this paper does not establish associations across several distinct areas or specify the claimed 6–33-month placement range. (LLM, conf=0.84)
Experimental — accuracy not yet measuredFoster care intervention in the BEIP is associated with increased IQ.
“↑ IQ (Almas et al., 2016;Fox et al., 2011;Humphreys et al., 2022;King et al., 2023;Nelson et al., 2007)”
From Resilience following severe early life neglect: A review of longitudinal evidence from the Bucharest Early Intervention Project (2026) · cites this paper as Fox et al., 2011
Children randomized to foster care exhibited higher IQ scores than children randomized to CAUG.
“children randomized to foster care exhibited higher IQ scores (Almas et al., 2016;Fox et al., 2011;Humphreys et al., 2022;King et al., 2023;Nelson et al., 2007)”
From Resilience following severe early life neglect: A review of longitudinal evidence from the Bucharest Early Intervention Project (2026) · cites this paper as Fox et al., 2011
Prior publications have documented the effects of the foster care intervention across development extensively.
“The effects of the foster care intervention across development have been documented extensively (e.g., [14][15][16][17][18][19]).”
From A Comprehensive Multilevel Analysis of the Bucharest Early Intervention Project: Causal Effects on Recovery From Early Severe Deprivation (2023) · cites this paper as [15]
Experimental — accuracy not yet measuredFoster care children had significantly higher IQs than care-as-usual children over time.
“Although IQs of FCG children were significantly higher than those CAUG children over time [26, 27]”
From Alternatives for abandoned children: Insights from the Bucharest Early Intervention Project (2017) · cites this paper as [26]
Secure attachment in early childhood predicted IQ and peer relations at age 8.
“In fact, secure attachment in early childhood also predicted other subsequent outcomes, including IQ and peer relations at 8 years [26, 47].”
From Alternatives for abandoned children: Insights from the Bucharest Early Intervention Project (2017) · cites this paper as [26]
Dramatic IQ reductions among children reared in deprived institutions are widely replicated and associated with duration of institutional care.
“Dramatic reductions in IQ among children reared in deprived institutional settings have been widely replicated, and are associated with the duration of institutional care.(93–95)”
From Neglect as a violation of species-expectant experience: neurodevelopmental consequences (2017) · cites this paper as [94]
Individuals who experienced higher quality of caregiving in early childhood had significantly higher FSIQ scores in early adulthood (R2 = 0.13).
“Consistent with prior research examining the association between caregiving quality and IQ in childhood (6, 11), individuals who experienced higher quality of caregiving in early childhood had significantly higher FSIQ scores in early adulthood (R2 = 0.13; Fig. 2B).”
From Foster care leads to sustained cognitive gains following severe early deprivation (2022) · cites this paper as [6]
Among children in the FCG, earlier (vs. later) placement into foster care was associated with greater gains in IQ.
“Among children in the FCG, earlier (vs. later) placement into foster care was associated with greater gains in IQ”
From Resting brain activity in early childhood predicts IQ at 18 years (2023) · cites this paper as Fox et al., 2011
Foster care intervention resulted in improved IQ from early childhood through age 18 years.
“foster care intervention resulted in improved IQ from early childhood through age 18 years.”
From Resting brain activity in early childhood predicts IQ at 18 years (2023) · cites this paper as Fox et al., 2011
Ever-institutionalized children had lower IQ scores compared with never-institutionalized children.
“previous research found that ever-institutionalized (EIG) children had lower intelligence quotient (IQ) scores compared with NIG children”
From Resting brain activity in early childhood predicts IQ at 18 years (2023) · cites this paper as Fox et al., 2011
Institutionalization during childhood results in the child's social isolation and becomes detrimental to his cognitive and social development.
“Institutionalization during childhood results in the child's social isolation and becomes detrimental to his cognitive and social development.”
From Social isolation and its impact on child and adolescent development: a systematic review (2022) · cites this paper as [19]
Socially isolated children exhibited lower IQ scores compared to non-isolated children of the same age.
“Fox et al. 19 showed that socially isolated children exhibited lower scores of intelligence quotient (IQ), compared to non-isolated children of the same age.”
From Social isolation and its impact on child and adolescent development: a systematic review (2022) · cites this paper as [19]
The comparison of results obtained by each group in the WISC tests was statistically significant [F(8,110)=3.09; p=0.004, η2=0.180].
“The comparison of the results obtained by each group in the aforementioned tests was statistically significant [F(8,110)=3.09; p=0.004, η2=0.180].”
From Social isolation and its impact on child and adolescent development: a systematic review (2022) · cites this paper as [19]
Children who remained isolated until the end of the study had a significantly lower score on these scales compared to those who returned to social life.
“In addition, it was noted that children who remained isolated until the end of the study had a significantly lower score on these scales, compared to those who returned to social life.”
From Social isolation and its impact on child and adolescent development: a systematic review (2022) · cites this paper as [19]
Individuals with normal social interaction had higher scores on the verbal comprehension subscale of the WISC at 8 years of age compared to children in isolation.
“The author states that individuals with normal social interaction had higher scores on the verbal comprehension subscale of the Wechsler Intelligence Scale for Children (WISC) (which assesses verbal and perceptual reasoning, working memory, and processing speed) at 8 years of age, compared to those children in isolation.”
From Social isolation and its impact on child and adolescent development: a systematic review (2022) · cites this paper as [19]
Situations of isolation during childhood impair the learning of new skills such as speaking, writing, and reading, especially in younger children.
“it has been proven that situations of isolation during childhood impair the learning of new skills such as speaking, writing, and reading, especially in younger children, 19”
From Social isolation and its impact on child and adolescent development: a systematic review (2022) · cites this paper as [19]
Studies in this cohort have shown that although multiple areas of development are impaired among ever-institutionalized children, foster care placement leads to improvement in some areas but not in other areas, including motor function based on the results of the current study.
“Studies in this cohort have shown that although multiple areas of development are impaired among ever-institutionalized children, foster care placement leads to improvement in some areas (e.g. cognition,2,3 attachment,5,6,40, language7–9, depression, anxiety,10,12 stereotypies,11 and growth41) but not in other areas”
From Motor outcomes in children exposed to early psychosocial deprivation (2014) · cites this paper as [3]
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- ConsistentF(1, 104) = 4.53reported p = .036 · recomputed p = .036
“F(1,104) = 4.53, p = .036”
- ConsistentF(1, 104) = 0.29reported n.s. · recomputed p = .591
“F(1,104) = .29, ns”
- ConsistentF(1, 104) = 1.84reported n.s. · recomputed p = .178
“F(1,104) = 1.84, ns”
- ConsistentF(1, 104) = 1.34reported n.s. · recomputed p = .250
“F(1,104) = 1.34, ns”
- ConsistentF(1, 103) = 3.4reported p = .07 · recomputed p = .068
“F(1,103) = 3.40, p = .07”
- ConsistentF(1, 92) = 38.84reported p < .001 · recomputed p < .001
“F(1,92) = 38.84, p < .001”
- ConsistentF(1, 92) = 56.11reported p < .001 · recomputed p < .001
“F(1,92) = 56.11, p < .001”
- ConsistentF(1, 92) = 39.76reported p < .001 · recomputed p < .001
“F(1,92) = 39.76, p < .001”
- ConsistentF(1, 92) = 13.82reported p < .001 · recomputed p < .001
“F(1,92) = 13.82, p < .001”
- ConsistentF(1, 92) = 58.02reported p < .001 · recomputed p < .001
“F(1,92) = 58.02, p < .001”
- ConsistentF(1, 100) = 3.64reported p = .059 · recomputed p = .059
“F(1,100) = 3.64, p = .059”
- ConsistentF(1, 52) = 4.89reported p = .03 · recomputed p = .031
“F(1,52) = 4.89, p = .03”
- ConsistentF(2, 61) = 3.73reported p = .03 · recomputed p = .030
“F(2,61) = 3.73, p = .03”
- ConsistentF(2, 61) = 7.91reported p < .001 · recomputed p < .001
“F(2,61) = 7.91, p < .001”
- ConsistentF(2, 61) = 2.7reported p = .075 · recomputed p = .075
“F(2,61) = 2.70, p = .075”
- ConsistentF(2, 61) = 3.65reported p = .03 · recomputed p = .032
“F(2,61) = 3.65, p = .03”
- ConsistentF(1, 54) = 4.49reported p = .04 · recomputed p = .039
“F(1,54) = 4.49, p = .04”
- ConsistentF(1, 54) = 5.96reported p = .02 · recomputed p = .018
“F(1, 54) = 5.96, p = .02”
- ConsistentF(1, 54) = 7.44reported p = .01 · recomputed p = .009
“F(1,54) = 7.44, p = .01”
- ConsistentF(1, 54) = 6.72reported p = .01 · recomputed p = .012
“F(1,54) = 6.72, p = .01”
- ConsistentF(1, 51) = 0.88reported n.s. · recomputed p = .353
“F(1,51) = .88, ns”
- ConsistentF(1, 53) = 2.54reported n.s. · recomputed p = .117
“F(1,53) = 2.54, ns”
- ConsistentF(1, 51) = 4.95reported p = .031 · recomputed p = .031
“F (1,51) = 4.95, p = .031”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Attachment security is both nonsignificant and significant for the CAU group
MajorThe results report no significant association between socio-environmental factors, including attachment security, and CAU profile membership. The discussion instead lists attachment security as a significant predictor for that group.
“Results revealed no significant relations between socio-environmental factors and profile membership.”
“Significant predictors of IQ profiles in the CAU group included security of attachment at 42 months and language abilities.”
Placement-analysis subgroups exceed the reported FCG sample
MinorThe two groups described as originally assigned to foster care contain 22 and 32 children, totaling 54. The participant section says only 53 FCG children had IQ data and were included in the present analyses.
“those still living in BEIP foster care at age 8 (n = 22) and those now living in other contexts (e.g. government foster care, reunited with their biological family) (n = 32)”
“At 8 years, 53 FCG children and 50 CAU children remained in the study, had IQ data available, and were the subjects of the present analyses.”
A trend-level FCG predictor is called significant
MinorThe results describe caregiver positivity as a trend-level association with FCG profile membership (p = .07), but the discussion calls it significantly predictive.
“Similarly, results revealed a relation between positivity and profile membership at the trend level (b = .23, t = 1.84, p = .07)”
“In the FCG group, attachment security, positivity in the caregiving relationship, language ability, all measured at 42 months, were significantly predictive of IQ profile membership.”
Profile-predictor analysis names three profiles after selecting two
MinorThe predictor analysis says it examines membership in three IQ profiles, whereas the preceding analyses select two profiles for each of the CAU and FCG groups.
“Predictors of the probability of membership in each of the three IQ profiles were examined in the CAU and FCG using linear regression analyses.”
“Thus, the two profile model was chosen as the best representation of the data.”
Conflicting counts for children remaining in BEIP foster care
MinorTwo analyses give different counts for FCG children still living in BEIP foster care at age eight: 27 and 22.
“children currently living in BEIP foster care (FCG, n = 27)”
“those still living in BEIP foster care at age 8 (n = 22)”
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“A complete presentation of these data may be found in Smyke et al. (2010).”
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“One recent study of these effects is the English and Romanian Adoptee (ERA) study directed by Michael Rutter with a group of investigators at the Institute for Psychiatry in London (Rutter et al., 2010).”
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“Indeed, there was a significant negative correlation for children adopted from Romania after 6 months of age between age of adoption and IQ (Castle et al., 1999).”
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“Ethical issues were an important consideration from the outset of the study and have been discussed by us (Nelson et al., 2007; Zeanah et al., 2006) and by others (Millum & Emanuel, 2007; Nature Neuroscience, 2008) in some detail.”
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Early childhood development coming of age: science through the life course
Black, M. M., Walker, S. P., Fernald, L. C. H., Andersen, C. T., DiGirolamo, A. M., Lu, C., McCoy, D. C., Fink, G., Shawar, Y. R., Shiffman, J., et al. (2017) · The Lancet · doi:10.1016/s0140-6736(16)31389-7 · Cited by 3,014 · see citing works
Resilience in Development: Progress and Transformation
Masten, A. S., & Cicchetti, D. (2016) · Developmental Psychopathology · doi:10.1002/9781119125556.devpsy406 · Cited by 416 · see citing works
Neglect as a violation of species-expectant experience: neurodevelopmental consequences
McLaughlin, K. A., Sheridan, M. A., & Nelson, C. A. (2017) · Biological Psychiatry · doi:10.1016/j.biopsych.2017.02.1096 · Cited by 295 · see citing works
Self-citationFragmentation and Unpredictability of Early-Life Experience in Mental Disorders
Baram, T. Z., Davis, E. P., Obenaus, A., Sandman, C. A., Small, S. L., Solodkin, A., & Stern, H. S. (2012) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2012.11091347 · Cited by 268 · see citing works
“Conversely, absent or minimal maternal care is associated with both cognitive and emotional defects in humans (16, 31, 59, 60), nonhuman primates (61–63), and rodents (64, 65).”
BackgroundResilience in developing systems: the promise of integrated approaches
Masten, A. S. (2016) · European Journal of Developmental Psychology · doi:10.1080/17405629.2016.1147344 · Cited by 276 · see citing works
Leve, L. D., Harold, G. T., Chamberlain, P., Landsverk, J. A., Fisher, P. A., & Vostanis, P. (2012) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2012.02594.x · Cited by 240 · see citing works
“Also included a nonfoster-care control group 2 years postbaseline M S S Bucharest Early Intervention Project (BEIP) Bos et al ., 2011; Fox et al., 2011; Nelson et al., 2007; Zeanah et al., 2009 68 intervention; 68 control; 72 noninstitutionalized controls Intervention and control families recruited…”
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Almeida, I. L. D. L., Rego, J. F., Teixeira, A. C. G., & Moreira, M. R. (2022) · Revista Paulista de Pediatria · doi:10.1590/1984-0462/2022/40/2020385 · Cited by 223 · see citing works
Humphreys, 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 · see citing works
Self-citationInstitutional Care for Young Children: Review of Literature and Policy Implications
Dozier, M., Zeanah, C. H., Wallin, A. R., & Shauffer, C. B. (2012) · Social Issues and Policy Review · doi:10.1111/j.1751-2409.2011.01033.x · Cited by 207 · see citing works
Self-citationZeanah, C. H., Gunnar, M. R., McCall, R. B., Kreppner, J. M., & Fox, N. A. (2011) · Monographs of the Society for Research in Child Development · doi:10.1111/j.1540-5834.2011.00631.x · Cited by 194 · see citing works
“That is, when children were 8 years old, the gap in IQs between the care as usual (institutionalized) and the foster care groups decreased sufficiently in intent-to-treat analyses that they were no longer significantly different (Fox et al., 2011).”
Self-citationFeldman, R. (2015) · Development and Psychopathology · doi:10.1017/s0954579415000656 · Cited by 181 · see citing works
The Development and Neurobiology of Infant Attachment and Fear
Landers, M. S., & Sullivan, R. M. (2012) · Developmental Neuroscience · doi:10.1159/000336732 · Cited by 180 · see citing works
Johnson, D., Policelli, J., Li, M., Dharamsi, A., Hu, Q., Sheridan, M. A., McLaughlin, K. A., & Wade, M. (2021) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2021.2511 · Cited by 179 · see citing works
Berens, A. E., & Nelson, C. A. (2015) · The Lancet · doi:10.1016/s0140-6736(14)61131-4 · Cited by 175 · see citing works
Self-citationPathways to Integrated Resilience Science
Masten, A. S. (2015) · Psychological Inquiry · doi:10.1080/1047840x.2015.1012041 · Cited by 157 · see citing works
“Thousand Oaks, CA: Sage. doi: http://dx.doi.org/10.4135/ 9781412976657.n25 Criss, M. M., Henry, C. S., Harrist, A. W., & Larzelere, R. E. (2015). Interdisciplinary and Innovative Approaches to Strengthening Family and Individual Resilience: An Introduction to the Special Issue. Family Relations, 64, 1–4. doi: http://d…”
BackgroundInfluentialEarly adversity and neural correlates of executive function: Implications for academic adjustment
McDermott, J. M., Westerlund, A., Zeanah, C. H., Nelson, C. A., & Fox, N. A. (2012) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2011.09.008 · Cited by 146 · see citing works
“Typically developing children (n = 72), who had never spent time in an institution (Never Institutionalized Group; NIG), were also recruited from pediatric clinics in Bucharest (see Fox et al., 2011, Fig.”
Self-citationEarly Adversity and the Neotenous Human Brain
Tottenham, N. (2019) · Biological Psychiatry · doi:10.1016/j.biopsych.2019.06.018 · Cited by 120 · see citing works
Foundations for Young Adult Success: A Developmental Framework
Nagaoka, J., Farrington, C. A., Ehrlich, S. B., & Heath, R. D. (2015) · doi:10.59656/yd-g1389.001 · Cited by 115 · see citing works
Alternatives for abandoned children: Insights from the Bucharest Early Intervention Project
Zeanah, C. H., Humphreys, K. L., Fox, N. A., & Nelson, C. A. (2017) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2017.02.024 · Cited by 115 · see citing works
Self-citationPsychosocial deprivation, executive functions and the emergence of socio-emotional behavior problems
McDermott, J. M., Troller-Renfree, S., Vanderwert, R., Nelson, C. A., Zeanah, C. H., & Fox, N. A. (2013) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2013.00167 · Cited by 113 · see citing works
“The IQ data were previously reported in Fox et al. (2011).”
MethodSelf-citationNon, A. L., Hollister, B. M., Humphreys, K. L., Childebayeva, A., Esteves, K. C., Zeanah, C. H., Fox, N. A., Nelson, C. A., & Drury, S. S. (2016) · American Journal of Physical Anthropology · doi:10.1002/ajpa.23010 · Cited by 107 · see citing works
“A group of children without exposure to institutional care were recruited from the same maternity hospitals at baseline as the children raised in institutions (Zeanah et al., 2003) and from the same public schools attended by institution reared children at the age 8 assessment (Fox et al., 2011).”
BackgroundSelf-citationDeprivation and psychopathology in the Fragile Families Study: A 15‐year longitudinal investigation
Miller, A. B., Machlin, L., McLaughlin, K. A., & Sheridan, M. A. (2021) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13260 · Cited by 106 · see citing works
Debnath, R., Tang, A., Zeanah, C. H., Nelson, C. A., & Fox, N. A. (2020) · Developmental Science · doi:10.1111/desc.12872 · Cited by 94 · see citing works
Self-citationTroller‐Renfree, S., McDermott, J. M., Nelson, C. A., Zeanah, C. H., & Fox, N. A. (2015) · Developmental Science · doi:10.1111/desc.12261 · Cited by 94 · see citing works
Self-citationAdoption: Biological and Social Processes Linked to Adaptation
Grotevant, H. D., & McDermott, J. M. (2013) · Annual Review of Psychology · doi:10.1146/annurev-psych-010213-115020 · Cited by 93 · see citing works
“…BEIP found that patterns of improved IQ were somewhat sustained throughout early childhood, but the improvements were particularly prominent for children placed earlier into a foster care intervention and for those who remained in this placement through their eighth year of life (Fox et al. 2011).”
BackgroundChild violence experiences in institutionalised/orphanage care
Sherr, L., Roberts, K. J. S., & Gandhi, N. (2017) · Psychology Health & Medicine · doi:10.1080/13548506.2016.1271951 · Cited by 90 · see citing works
McCall, R. B. (2011) · Monographs of the Society for Research in Child Development · doi:10.1111/j.1540-5834.2011.00634.x · Cited by 85 · see citing works
Environmental contributions to cognitive development: The role of cognitive stimulation
Rakesh, D., McLaughlin, K. A., Sheridan, M. A., Humphreys, K. L., & Rosen, M. L. (2024) · Developmental Review · doi:10.1016/j.dr.2024.101135 · Cited by 114 · see citing works
Epigenetic Effects of Early Developmental Experiences
Gudsnuk, K. M., & Champagne, F. A. (2011) · Clinics in Perinatology · doi:10.1016/j.clp.2011.08.005 · Cited by 80 · see citing works
Humphreys, K. L., Nelson, C. A., Fox, N. A., & Zeanah, C. H. (2017) · Development and Psychopathology · doi:10.1017/s0954579417000256 · Cited by 74 · see citing works
Self-citationSocial communication difficulties and autism in previously institutionalized children
Levin, A. R., Fox, N. A., Zeanah, C. H., & Nelson, C. A. (2015) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2014.11.011 · Cited by 68 · see citing works
“Similar analyses have been conducted previously when examining other developmental outcomes in the BEIP.30,32”
MethodResultSelf-citationRisk and developmental heterogeneity in previously institutionalized children
Tottenham, N. (2012) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2012.04.004 · Cited by 67 · see citing works
Almas, A. N., Degnan, K. A., Nelson, C. A., Zeanah, C. H., & Fox, N. A. (2016) · Developmental Psychology · doi:10.1037/dev0000167 · Cited by 63 · see citing works
“In addition, we also consistently found positive effects of foster care intervention on IQ, including in the follow-up at age 8 years (Fox et al., 2011).”
BackgroundMethodResultInfluentialSelf-citationThe neglect–enrichment continuum: Characterizing variation in early caregiving environments
King, L. S., Humphreys, K. L., & Gotlib, I. H. (2019) · Developmental Review · doi:10.1016/j.dr.2019.01.001 · Cited by 58 · see citing works
Motor outcomes in children exposed to early psychosocial deprivation
Levin, A. R., Zeanah, C. H., Fox, N. A., & Nelson, C. A. (2014) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2013.09.026 · Cited by 55 · see citing works
Self-citationMartin, F., & Zulaika, G. (2016) · Global Social Welfare · doi:10.1007/s40609-016-0060-6 · Cited by 52 · see citing works
“…for younger children have further established the central importance of a family environment for child well-being and development (Berens & Nelson 2015; Fox et al. 2011; National Scientific Council on the Developing Child 2012; Florence S. Martin is Director of Better Care Network.”
BackgroundAnnual Research Review: Early intervention viewed through the lens of developmental neuroscience
Nelson, C. A., Sullivan, E., & Engelstad, A. (2023) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13858 · Cited by 64 · see citing works
Self-citationAlmas, A. N., Degnan, K. A., Walker, O. L., Radulescu, A., Nelson, C. A., Zeanah, C. H., & Fox, N. A. (2015) · Social Development · doi:10.1111/sode.12089 · Cited by 47 · see citing works
Self-citationFinch‐Edmondson, M., Morgan, C., Hunt, R. W., & Novak, I. (2019) · Frontiers in Physiology · doi:10.3389/fphys.2019.00015 · Cited by 47 · see citing works
“Attachment to a primary caregiver is paramount for early brain development as studies of institutionalized children attest (Fox et al., 2011).”
BackgroundThe future is now: early life events preset adult behaviour
Patchev, A. V., Rodrigues, A. J., Sousa, N., Spengler, D., & Almeida, O. F. X. (2013) · Acta Physiologica · doi:10.1111/apha.12140 · Cited by 45 · see citing works
“…(www. bucharestearlyinterventionproject.org/), which shows that foster care can, at least partially, reverse impairments in brain activity and cognition suffered by orphaned children (Smyke et al. 2010, Vanderwert et al. 2010, Fox et al. 2011, Sheridan et al. 2012, also see Rutter & O’Connor 2004).”
BackgroundMaintaining a Social-Emotional Intervention and Its Benefits for Institutionalized Children
McCall, R. B., Groark, C. J., Fish, L. A., Muhamedrahimov, R. J., Palmov, O. I., & Nikiforova, N. V. (2013) · Child Development · doi:10.1111/cdev.12098 · Cited by 45 · see citing works
“Some children were transferred to government organized foster care, which tended to be somewhat less effective (Fox et al., 2011).”
BackgroundJacobsen, H., Moe, V., Ivarsson, T., Wentzel‐Larsen, T., & Smith, L. (2013) · Child Psychiatry & Human Development · doi:10.1007/s10578-013-0360-3 · Cited by 45 · see citing works
“Living in a stable placement in a family setting appears to be an important factor for enhancing the cognitive development of foster children [1], and often leads to improved social-emotional functioning and a reduction in negative outcomes [36].”
BackgroundEarly Institutionalization: Neurobiological Consequences and Genetic Modifiers
Sheridan, M. A., Drury, S. S., McLaughlin, K. A., & Almas, A. N. (2010) · Neuropsychology Review · doi:10.1007/s11065-010-9152-8 · Cited by 46 · see citing works
Self-citationDevelopmental Cognitive Neuroscience
Hoehl, S. (2017) · Wiley eBooks · doi:10.1002/9781118554470.ch8 · Cited by 44 · see citing works
Micronutrient status and neurodevelopment in internationally adopted children
Fuglestad, A. J., Kroupina, M., Johnson, D. E., & Georgieff, M. (2015) · Acta Paediatrica · doi:10.1111/apa.13234 · Cited by 44 · see citing works
“children prior to adoption likely also undermined their development (26,27).”
BackgroundBrett, Z. H., Humphreys, K. L., Fleming, A. S., Kraemer, G. W., & Drury, S. S. (2015) · Development and Psychopathology · doi:10.1017/s0954579415000036 · Cited by 39 · see citing works
“However, when these same children were evaluated at 8 years of age, the putative sensitive period of 24 months was no longer present (Fox et al., 2011).”
BackgroundParent-Reported Executive Functioning in Postinstitutionalized Children: A Follow-Up Study
Merz, E. C., McCall, R. B., & Groza, V. K. (2013) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2013.764826 · Cited by 43 · see citing works
“Whereas the attribution of age at adoption effects to the selective adoption of healthier children at younger ages cannot be ruled out in the current study, prior study designs suggest that selective adoption is unlikely to explain age at adoption effects (e.g., Bucharest Early Intervention Project; Fox et al., 2011).”
BackgroundDoretto, V. F., & Scivoletto, S. (2018) · Brain Sciences · doi:10.3390/brainsci8010010 · Cited by 39 · see citing works
Brett, Z. H., Humphreys, K. L., Smyke, A. T., Gleason, M. M., Nelson, C. A., Zeanah, C. H., Fox, N. A., & Drury, S. S. (2015) · Development and Psychopathology · doi:10.1017/s0954579414001266 · Cited by 42 · see citing works
Self-citationInhibitory control and working memory in post-institutionalized children
Merz, E. C., McCall, R. B., Wright, A. J., & Luna, B. (2013) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-013-9737-9 · Cited by 42 · see citing works
“…lower IQ scores, greater likelihood of receiving learning support services, and lower reading and math achievement scores than children reared in their biological homes and children adopted at young ages from non-institutional settings (Fox et al. 2011; Loman et al. 2009; Rutter et al. 2007).”
van IJzendoorn, M. H., Bakermans‐Kranenburg, M. J., & Scott, S. (2015) · Wiley eBooks · doi:10.1002/9781118381953.ch21 · Cited by 42 · see citing works
Predictors of Parenting Stress During Early Adoptive Parenthood
Canzi, E., Ranieri, S., Barni, D., & Rosnati, R. R. (2017) · Current Psychology · doi:10.1007/s12144-017-9657-x · Cited by 36 · see citing works
“Many studies have documented that later placement and prolonged institutionalisation are associated with more negative outcomes for children in all the main areas of development (Fox et al. 2011; Miller et al. 2009; Nelson et al. 2007), indicating the critical importance of considering these variables in association w…”
BackgroundFoster care leads to sustained cognitive gains following severe early deprivation
Humphreys, K. L., King, L. S., Guyon-Harris, K. L., Sheridan, M. A., McLaughlin, K. A., Radulescu, A., Nelson, C. A., Fox, N. A., & Zeanah, C. H. (2022) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2119318119 · Cited by 36 · see citing works
Self-citationWhite, T. J. H. (2019) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2019.02.010 · Cited by 33 · see citing works
Jacobsen, H., Bergsund, H. B., Wentzel‐Larsen, T., Smith, L., & Moe, V. (2019) · Children and Youth Services Review · doi:10.1016/j.childyouth.2019.104603 · Cited by 34 · see citing works
Wade, M., Madigan, S. L., Plamondon, A., Rodrigues, M., Browne, D. T., & Jenkins, J. M. (2017) · Developmental Psychology · doi:10.1037/dev0000493 · Cited by 33 · see citing works
WINDSOR, J., MORARU, A., NELSON, C. A., FOX, N. A., & ZEANAH, C. H. (2013) · Journal of Child Language · doi:10.1017/s0305000912000177 · Cited by 33 · see citing works
“Fox et al.’s (2011) results suggest that a current environment that is of high quality has some impact on maintaining development for”
BackgroundSelf-citationWeller, J. A., Leve, L. D., Kim, H. K., Bhimji, J., & Fisher, P. A. (2015) · Development and Psychopathology · doi:10.1017/s0954579415000140 · Cited by 33 · see citing works
King, L. S., Guyon-Harris, K. L., Valadez, E. A., Radulescu, A., Fox, N. A., Nelson, C. A., Zeanah, C. H., & Humphreys, K. L. (2023) · American Journal of Psychiatry · doi:10.1176/appi.ajp.20220672 · Cited by 29 · see citing works
Self-citationMoulson, M. C., Shutts, K., Fox, N. A., Zeanah, C. H., Spelke, E. S., & Nelson, C. A. (2014) · Developmental Science · doi:10.1111/desc.12217 · Cited by 31 · see citing works
Self-citationJones-Mason, K., Behrens, K. Y., & Bahm, N. I. G. (2019) · Attachment & Human Development · doi:10.1080/14616734.2019.1692879 · Cited by 24 · see citing works
Intimate Partner Violence Exposure in Early Childhood: An Ecobiodevelopmental Perspective
Herman-Smith, R. L. (2013) · Health & Social Work · doi:10.1093/hsw/hlt018 · Cited by 26 · see citing works
Perezhivanie: What Have We Missed about Infant Care?
Brennan, M. (2014) · Contemporary Issues in Early Childhood · doi:10.2304/ciec.2014.15.3.284 · Cited by 27 · see citing works
“Revisiting Vygotsky’s sociocultural concepts alongside recent empirical evidence shows that the intellectual, emotional and social health of the primary caregiver will directly affect how she or he responds to the infant (Fox et al, 2011).”
BackgroundEmotion recognition following early psychosocial deprivation
Nelson, C., Westerlund, A., McDermott, J., Zeanah, C., & Fox, N. (2013) · Development and Psychopathology · doi:10.1017/s0954579412001216 · Cited by 32 · see citing works
“Over time, we consistently reported that children with a history of institutionalization show impairments and delays in a variety of areas, including diminished intellectual function (Nelson et al., 2007; Fox et al., 2011), language (Windsor et al.”
Self-citationResilience: concepts, findings, and clinical implications
Rutter, M. L. (2015) · doi:10.1002/9781118381953.ch27 · Cited by 24 · see citing works
Predictors of Developmental Status in Young Children Living in Institutional Care in Kazakhstan
Kroupina, M., Toemen, L., Aidjanov, M. M., Georgieff, M., Hearst, M. O., Himes, J. H., Johnson, D. E., Miller, B. S., Syzdykova, A. M., & Sharmanov, T. (2014) · Maternal and Child Health Journal · doi:10.1007/s10995-014-1647-0 · Cited by 24 · see citing works
“Previous studies have shown that these capacities are especially sensitive to the effects of early adversity and, even years after adoption, young children with histories of early adversity show significant deficits in emotional regulation, attention and impulse control [1, 7, 9, 13, 16].”
BackgroundResting brain activity in early childhood predicts IQ at 18 years
Tan, E., Tang, A., Debnath, R., Humphreys, K. L., Zeanah, C. H., Nelson, C. A., & Fox, N. A. (2023) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2023.101287 · Cited by 22 · see citing works
Self-citationHolmberg, E., Kataja, E., Davis, E. P., Pajulo, M., Nolvi, S., Lahtela, H., Nordenswan, E., Karlsson, L., Karlsson, H., & Korja, R. (2022) · PLoS ONE · doi:10.1371/journal.pone.0279384 · Cited by 20 · see citing works
“The effects of early psychosocial deprivation [5,6] and insensitive parental caregiving behavior on children’s developing brains and stress regulation are well-documented [7– 9].”
BackgroundSelçuk, B., Yavuz, H. M., Etel, E., Harma, M., & Ruffman, T. (2017) · Social Development · doi:10.1111/sode.12252 · Cited by 20 · see citing works
Fisher, P. A., Barker, T. V., & Blaisdell, K. N. (2020) · Annual Review of Developmental Psychology · doi:10.1146/annurev-devpsych-121318-084958 · Cited by 20 · see citing works
La santé mentale des enfants placés. Une revue de la littérature
Even, M.-P., & Sutter‐Dallay, A. (2019) · L Encéphale · doi:10.1016/j.encep.2019.03.006 · Cited by 17 · see citing works
Kroupina, M., Eckerle, J. K., Fuglestad, A. J., Toemen, L., Moberg, S. A., Himes, J. H., Miller, B. S., Petryk, A., & Johnson, D. E. (2015) · Journal of Neurodevelopmental Disorders · doi:10.1186/s11689-015-9132-7 · Cited by 19 · see citing works
“Institutionalized children who are placed in optimal environments also show significant and enduring gains in general cognitive function [13, 17].”
BackgroundResultPrado, E. L., Sebayang, S. K., Adawiyah, S. R., Alcock, K., Ullman, M. T., Muadz, H., & Shankar, A. H. (2021) · Social Science & Medicine · doi:10.1016/j.socscimed.2021.114396 · Cited by 20 · see citing works
“For example, lack of sensory and social experiences leads to reduced axon and dendrite growth and myelination (Kolb and Whishaw, 1998) and long-term cognitive and behavioral deficits (Fox et al., 2011).”
BackgroundCanzi, E., Rosnati, R. R., Palacios, J., & Román, M. (2017) · European Journal of Developmental Psychology · doi:10.1080/17405629.2017.1316257 · Cited by 18 · see citing works
Brodzinsky, D. M., & Palacios, J. (2023) · Cambridge University Press eBooks · doi:10.1017/9781009339193 · Cited by 19 · see citing works
Groark, C. J., McCall, R. B., McCarthy, S. K., Eichner, J. C., & Gee, A. D. (2013) · International Perspectives in Psychology · doi:10.1037/ipp0000007 · Cited by 17 · see citing works
The Neurologist's Role in Promoting Brain Health
Selwa, L. M., Banwell, B., Choe, M. C., McCullough, L. D., Merchant, S., Ovbiagele, B. I., Salinas, J., Tilton, A. H., & Day, G. S. (2024) · Neurology · doi:10.1212/wnl.0000000000210226 · Cited by 17 · see citing works
A systematic review of interventions to ameliorate the impact of adversity on brain development
McDermott, C. L., Norton, E. S., & Mackey, A. P. (2023) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2023.105391 · Cited by 16 · see citing works
Intervening Early: Socioemotional Interventions Targeting the Parent–Infant Relationship
Dozier, M., & Bernard, K. (2023) · Annual Review of Developmental Psychology · doi:10.1146/annurev-devpsych-120621-043254 · Cited by 17 · see citing works
Problem gambling during Covid-19
Frisone, F., Alibrandi, A., & Settineri, S. (2020) · Mediterranean Journal of Clinical Psychology · doi:10.6092/2282-1619/mjcp-2457 · Cited by 15 · see citing works
A neurogenetics approach to defining differential susceptibility to institutional care
Brett, Z. H., Sheridan, M. A., Humphreys, K., Smyke, A. T., Gleason, M. M., Fox, N. A., Zeanah, C. H., Nelson, C. A., & Drury, S. S. (2014) · International Journal of Behavioral Development · doi:10.1177/0165025414538557 · Cited by 15 · see citing works
“This data has been used in previous studies in this sample (Fox et al., 2011).”
BackgroundMethodResultInfluentialSelf-citationWade, M., Carroll, D., Fox, N. A., Zeanah, C. H., & Nelson, C. A. (2021) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2020.1864737 · Cited by 15 · see citing works
“They are also more likely to have cognitive delays and deficits that persist years after removal from the institutions, though early placement into foster or adoptive care at least partially rescues these difficulties (Fox et al., 2011; Nelson et al., 2007).”
BackgroundSelf-citationByrne, N. (2016) · Speech Language and Hearing · doi:10.1080/2050571x.2016.1207399 · Cited by 14 · see citing works
“The focus of that research included the development of communication skills incorporating the learning of English as a second language (e.g. Castle et al, 1999; Fox et al., 2011; Glennen and Masters, 2002) and these will not be specifically addressed here.”
BackgroundPritchett, R., Fitzpatrick, B., Watson, N., Cotmore, R., Wilson, P., Bryce, G., Donaldson, J., Boyd, K., Zeanah, C. H., Norrie, J. D., et al. (2013) · The Scientific World JOURNAL · doi:10.1155/2013/838042 · Cited by 14 · see citing works
Self-citationMeasuring Children’s Care Arrangements and Their Educational and Health Outcomes Internationally
Scott, M. E., & Karberg, E. (2016) · Global Social Welfare · doi:10.1007/s40609-016-0059-z · Cited by 12 · see citing works
“However, if the orphans stayed in institutions beyond 26 months, they never reached normal cognitive abilities (Fox et al. 2011; Rutter and the English and Romanian Adoptees StudyTeam1998).”
BackgroundMukerji, C., Wade, M., Fox, N. A., Zeanah, C. H., & Nelson, C. A. (2021) · Clinical Psychological Science · doi:10.1177/2167702621993887 · Cited by 13 · see citing works
Self-citationImpact of stress in childhood: Psychobiological alterations
Banqueri, M., Méndez, M., & Arias, J. L. (2017) · Psicothema · doi:10.7334/psicothema2016.264 · Cited by 12 · see citing works
“, 2009; Koizumi & Takagishi, 2014) Regarding measures of intelligence and academic performance, these children demonstrate worse academic performance and lower scores on intelligence tests, with lower IQs (Fox et al., 2011; Sheridan et al., 2010).”
InfluentialAttention and language as mediators of academic outcomes following early psychosocial deprivation
Merz, E. C., McCall, R. B., & Wright, A. J. (2013) · International Journal of Behavioral Development · doi:10.1177/0165025413490867 · Cited by 12 · see citing works
“, 2011), but others have demonstrated both spatial reasoning and verbal difficulties among PI children (Fox et al., 2011; Loman et al., 2009).”
BackgroundMethodResultInfluentialPardasani, M., Ramakrishnan, A. M., Mahajan, S., Kantroo, M., McGowan, E., Das, S., Srikanth, P., Pandey, S., & Abraham, N. M. (2023) · Molecular Psychiatry · doi:10.1038/s41380-023-02244-3 · Cited by 15 · see citing works
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Does Family Matter? The Well-Being of Children Growing Up in Institutions, Foster Care and Adoption
Schoenmaker, C., Juffer, F., van IJzendoorn, M. H., & Bakermans‐Kranenburg, M. J. (2013) · Springer eBooks · doi:10.1007/978-90-481-9063-8_179 · Cited by 12 · see citing works
Fox, N. A., Nelson, C. A., & Zeanah, C. H. (2013) · National symposium on family issues · doi:10.1007/978-1-4614-6194-4_4 · Cited by 11 · see citing works
Self-citationFamily environment and development in children adopted from institutionalized care
Keil, M. F., Leahu, A., Rescigno, M., Myles, J. G., & Stratakis, C. A. (2021) · Pediatric Research · doi:10.1038/s41390-020-01325-1 · Cited by 12 · see citing works
Baptista, J., Belsky, J., Marques, S., da Silva, J. R., Martins, C., & Soares, I. (2019) · Infant Behavior and Development · doi:10.1016/j.infbeh.2019.101387 · Cited by 12 · see citing works
“…there are theoretical and empirical reasons to believe that high quality foster families would better serve the needs of disadvantaged young children by, among other things, increasing the stability and consistency of care received (Fox et al., 2011; Nelson et al., 2007; Windsor et al., 2011).”
BackgroundRipamonti, E. (2023) · Regional Science Policy & Practice · doi:10.1111/rsp3.12635 · Cited by 12 · see citing works
Tang, A., Almas, A. N., Zeytinoglu, S., Zeanah, C. H., Nelson, C. A., & Fox, N. A. (2021) · Child Development · doi:10.1111/cdev.13592 · Cited by 9 · see citing works
Self-citationAddo, O. Y., Tripp, K., Nanama, S., Albert, B., Sandalinas, F., Nanema, A., Jefferds, M. E., Clayton, H. B., Whitehead, R. D., Garg, A., et al. (2020) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2020.01.023 · Cited by 10 · see citing works
A Developmental Psychopathology Perspective on Foster Care Research
Fisher, P. A., Leve, L. D., Delker, B. C., Roos, L. E., & Cooper, B. (2016) · Wiley eBooks · doi:10.1002/9781119125556.devpsy312 · Cited by 10 · see citing works
Yarger, H. A., Lind, T., Raby, K. L., Zajac, L. A., Wallin, A. R., & Dozier, M. (2021) · Child Maltreatment · doi:10.1177/10775595211010975 · Cited by 8 · see citing works
“parenting, intervention, international adoption, behavior problems Group-based, institutional care represents a form of severe neglect that increases the risk that children will develop social-emotional and behavioral problems (Fox et al., 2011; Ghera et al., 2009).”
Background
- Authors
- Fox, N. A., Almas, A. N., Degnan, K. A., Nelson, C. A., & Zeanah, C. H.
- Affiliations
- University of Maryland, College Park (US)
- Boston Children's Hospital (US)
- Tulane University (US)
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2011-01-19
- Volume
- 52
- Issue
- 9
- Pages
- 919-928
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- PMC
- PMC4088941
- OpenAlex
- W2107947011
- Cited by
- 160
- References
- 24
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 7 · 2023: 14 · 2022: 3 · 2021: 10 · 2020: 8 · 2019: 15 · 2018: 6 · 2017: 18 · 2016: 16 · 2015: 16 · 2014: 9 · 2013: 16 · 2012: 9
- FWCI
- 32.86
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH091363)
- Topics
- Social Sciences › Safety Research › Child Welfare and Adoption
- Social Sciences › Education › Early Childhood Education and Development
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- psychosocial deprivation, institutional care, foster care, early intervention, cognitive development, IQ, Bucharest Early Intervention Project, processing speed, long-term follow-up, child development
- MeSH terms
- Age Factors, Child, Child Development, Child, Institutionalized, Child, Preschool, Cognition, Female, Foster Home Care, Humans, Hungary, Infant, Intelligence, Male, Social Isolation, Wechsler Scales
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