The Effects of Early Institutionalization and Foster Care Intervention on Children's Social Behaviors at the Age of Eight
Open accessAbstract
The present study compared the social behaviors of eight‐year‐old previously institutionalized R omanian children from the B ucharest E arly I ntervention P roject ( BEIP ) in two groups: (1) children randomized to foster care homes ( FCG ), and (2) children randomized to care as usual (remaining in institutions) ( CAUG ). Children were observed interacting with an age‐ and gender‐matched unfamiliar, non‐institutionalized peer from the community during six interactive tasks, and their behavior was coded for speech reticence, social engagement, task orientation, social withdrawal, and conversational competence. Group comparisons revealed that FCG children were rated as significantly less reticent during a speech task than CAUG children. For CAUG children, longer time spent in institutional care was related to greater speech reticence and lower social engagement. Using an actor–partner interdependence model, CAUG children's behaviors, but not FCG , were found to influence the behavior of unfamiliar peers. These findings are the first to characterize institutionalized children's observed social behaviors toward new peers during middle childhood and highlight the positive effects of foster care intervention in the social domain.
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- Findingown data
In foster-care/never-institutionalized dyads, there was a significant actor interaction effect of social reticence on conversational competence (b = −0.29, SE = 0.13, t(72.10) = −2.15, p = .04).
“Results also showed a significant actor interaction effect for FCG-NIG dyads, b = -.29, SE = .13, t(72.10) = -2.15, p = .04.”
Quote in the paperSubstantial claim - Findingown data
Children who received the foster care intervention were rated as less inhibited during the speech task than children randomly assigned to continued institutional care.
“We found a positive intervention effect, with foster care children being rated as less inhibited during the speech task than children randomly assigned to receive continued institutional care.”
Quote in the paperSubstantial claim - Findingown data
Social reticence showed no significant actor or partner main or interaction effects on social withdrawal during the competitive tasks in either care-as-usual/never-institutionalized or foster-care/never-institutionalized dyads (all p > .05).
“There were no significant actor or partner main or interaction effects of SR on Social Withdrawal during the competitive tasks for CAU-NIG or FCG-NIG dyads, all ps > .05.”
Quote in the paperNot a substantial claim - Findingown data
Boys were rated as more socially withdrawn during the competitive tasks than girls.
“Boys were rated as more conversationally competence on the Brainstorming task, more oriented towards the tasks during the cooperative tasks, and more socially withdrawn during the competitive tasks than were girls (all ps < .05).”
Quote in the paperNot a substantial claim - Findingown data
In care-as-usual/never-institutionalized dyads, social reticence showed no actor main or interaction effects on task orientation during the cooperative tasks (p > .05).
“However, there were no actor main or interaction effects of SR on Task Orientation during the cooperative tasks for CAU-NIG dyads, ps > .05.”
Quote in the paperNot a substantial claim
- Findingown data
The tasks other than the speech task did not show significant group differences between the care-as-usual and foster care groups.
“The remaining tasks did not show significant group differences.”
Quote in the paperNot a substantial claim - Findingown data
In foster-care/never-institutionalized dyads, social reticence showed no actor or partner main or interaction effects on task orientation during the cooperative tasks (all p > .05).
“In addition, there were no actor or partner main or interaction effects of SR on Task Orientation during the cooperative tasks for the FCG-NIG dyads, all p's > .05.”
Quote in the paperNot a substantial claim - Findingown data
In care-as-usual/never-institutionalized dyads during the cooperative tasks, a child's greater social reticence predicted lower social engagement in that same child (b = −0.28, SE = 0.08, t(55) = −3.33, p = .002).
“For Social Engagement during the cooperative tasks, there was a significant actor main effect for CAUG-NIG dyads, such that when children displayed greater SR, they themselves also displayed less Social Engagement, b = -.28, SE = .08, t(55) = -3.33, p = .002.”
Quote in the paperNot a substantial claim - Findingown data
When care-as-usual children showed greater social reticence, their never-institutionalized peers showed less social engagement during the competitive tasks (b = −0.18, SE = 0.07, t(46) = −2.46, p = .02).
“Follow-up analyses indicated that when CAUG children displayed greater SR, their NIG peers displayed less Social Engagement, b = -.18, SE = .07, t(46) = -2.46, p = .02.”
Quote in the paperNot a substantial claim - Findingown data
Never-institutionalized children's social reticence did not influence care-as-usual children's social engagement during the competitive tasks (b = 0.18, SE = 0.16, t(46) = 1.12, p = .27).
“However, there was no reciprocal influence of NIG children's display of SR on CAUG children's Social Engagement, b = .18, SE = .16, t(46) = 1.12, p = .27.”
Quote in the paperNot a substantial claim - Findingown data
In care-as-usual/never-institutionalized dyads during the competitive tasks, greater social reticence was associated with less social engagement in the same child (b = −0.15, SE = 0.08, t(70.61) = −1.96, p = .05).
“For the competitive tasks, there was a significant actor main effect showing greater SR was associated with less Social Engagement for CAUG-NIG dyads, b = -.15, SE = .08, t(70.61) = -1.96, p = .05”
Quote in the paperNot a substantial claim - Findingown data
In foster-care/never-institutionalized dyads, social reticence showed no actor or partner main or interaction effects on social engagement during the competitive tasks (all p > .05).
“For the FCG-NIG dyads, there were no actor or partner main or interaction effects of SR on Social Engagement during the competitive tasks, all p's > .05.”
Quote in the paperNot a substantial claim - Findingown data
In an Actor-Partner Interdependence Model, the behaviors of children in the care-as-usual group, but not those of children in the foster care group, influenced the behavior of their unfamiliar peers.
“Using an Actor-Partner Interdependence Model, CAUG children's behaviors, but not FCG, were found to influence the behavior of unfamiliar peers.”
Quote in the paperSubstantial claim- Rests on an assumption: The comparison between the foster care and care-as-usual groups at age 8 reflects the effect of the initial random assignment, even though many children's actual placements changed after the intervention began.
- Rests on an assumption: The never-institutionalized children recruited from pediatric clinics are representative of community children with no institutional rearing, so their behavior during the interaction reflects typical peer behavior.
- Findingown data
In dyads pairing a child from the care-as-usual group with a never-institutionalized child, a child's greater social reticence predicted lower conversational competence in that same child, irrespective of group membership (b = −0.50, SE = 0.12, t(54.11) = −3.98, p < .001).
“Results showed an actor main effect for CAUG-NIG dyads, b = -.50, SE = .12, t(54.11) = -3.98, p < .001). Specifically, when children displayed greater SR, they themselves displayed less Conversational Competence2, regardless of group membership.”
Quote in the paperNot a substantial claim - Findingown data
Boys were rated as more oriented towards the tasks during the cooperative tasks than girls.
“Boys were rated as more conversationally competence on the Brainstorming task, more oriented towards the tasks during the cooperative tasks, and more socially withdrawn during the competitive tasks than were girls (all ps < .05).”
Quote in the paperNot a substantial claim - Findingreasoning
For care-as-usual children, cumulative time spent in institutional care was related to poorer social behaviors.
“For CAUG children, cumulative time spent in institutional care was related to poorer social behaviors.”
Quote in the paperSubstantial claim - Findingown data
Care-as-usual, foster care, and never-institutionalized children's reticent behavior during the initial task was related to their own behavior on subsequent tasks.
“In addition, CAUG, FCG, and NIG children's reticent behavior during the initial task was related to their own behavior on subsequent tasks.”
Quote in the paperNot a substantial claim - Findingown data
In care-as-usual/never-institutionalized dyads during the cooperative tasks, a child's greater social reticence predicted lower social engagement in that child's peer (b = −0.18, SE = 0.09, t(51.68) = −1.99, p = .05).
“There was also a significant partner main effect for CAUG-NIG dyads, showing that when children displayed greater SR, their peers displayed less Social Engagement, b = -.18, SE = .09, t(51.68) = -1.99, p = .05.”
Quote in the paperNot a substantial claim - Findingown data
In care-as-usual/never-institutionalized dyads during the cooperative tasks, a child's greater social reticence predicted greater task orientation in that child's peer (b = 0.19, SE = 0.09, t(61.76) = 2.16, p = .04).
“There was a significant partner main effect for CAU-NIG dyads during the cooperative tasks. Specifically, when children from either group displayed greater SR, their peers displayed greater Task Orientation, b = .19, SE = .09, t(61.76) = 2.16, p = .04.”
Quote in the paperNot a substantial claim - Findingown data
In care-as-usual/never-institutionalized dyads during the competitive tasks, there was a significant partner interaction effect of social reticence on social engagement (b = 0.18, SE = 0.09, t(56.76) = 2.03, p = .05).
“There was also a significant partner interaction effect for CAUG-NIG dyads, b =.18, SE = .09, t(56.76) = 2.03, p = .05.”
Quote in the paperNot a substantial claim - Findingown data
At age 8, children in the foster care group showed significantly less speech reticence during a speech task than children in the care-as-usual group.
“FCG children were rated as significantly less reticent during a speech task than CAUG children.”
- Also stated in: § CAUG and FCG Group Comparisons of Social Behavior towards an Unfamiliar Peer at Age 8 · plain
“Children in the CAUG showed significantly higher levels of Speech Reticence than did FCG children, F (1,101) = 4.70, p = .03.”
Quote in the paperSubstantial claim- Rests on an assumption: The comparison between the foster care and care-as-usual groups at age 8 reflects the effect of the initial random assignment, even though many children's actual placements changed after the intervention began.
- Also stated in: § CAUG and FCG Group Comparisons of Social Behavior towards an Unfamiliar Peer at Age 8 · plain
- Findingown data
For children in the care-as-usual group, a longer cumulative time spent in institutional care was associated with lower social engagement during cooperative tasks at age 8.
“For CAUG children, longer time spent in institutional care was related to greater speech reticence and lower social engagement.”
- Also stated in: § Effect of Cumulative Time Spent in Institutional Care on Social Behaviors at Age 8 · plain
“less Social Engagement during the cooperative tasks at age 8 (r = -.41, p = .002)”
Quote in the paperSubstantial claim- Rests on an assumption: The comparison between the foster care and care-as-usual groups at age 8 reflects the effect of the initial random assignment, even though many children's actual placements changed after the intervention began.
- Also stated in: § Effect of Cumulative Time Spent in Institutional Care on Social Behaviors at Age 8 · plain
- Findingown data
For children in the foster care group, cumulative time spent in foster care was not significantly correlated with any peer interaction composite.
“Results revealed no significant correlations between cumulative time spent in foster care and any of the peer interaction composite variables (all ps > .05).”
Quote in the paperNot a substantial claim - Findingown data
For children in the foster care group, there were no significant correlations between cumulative time in institutional care and any social behavior composite.
“There were no significant correlations for FCG children (all ps > .05).”
Quote in the paperSubstantial claim - Findingown data
For children in the care-as-usual group, a longer cumulative time spent in institutional care was associated with greater speech reticence at age 8.
“For CAUG children, longer time spent in institutional care was related to greater speech reticence and lower social engagement.”
- Also stated in: § Effect of Cumulative Time Spent in Institutional Care on Social Behaviors at Age 8 · plain
“for CAUG children, longer time spent living in an institution was related to greater Speech Reticence (r = .30, p = .03)”
Quote in the paperSubstantial claim- Rests on an assumption: The comparison between the foster care and care-as-usual groups at age 8 reflects the effect of the initial random assignment, even though many children's actual placements changed after the intervention began.
- Also stated in: § Effect of Cumulative Time Spent in Institutional Care on Social Behaviors at Age 8 · plain
- Findingown data
For children in the foster care group, age at placement into foster care was not significantly correlated with any peer interaction composite.
“Results revealed no significant correlations between age at placement into foster care and any of the peer interaction composite variables (all ps > .05).”
Quote in the paperNot a substantial claim - Findingown data
In foster-care/never-institutionalized dyads, social reticence showed no actor or partner main or interaction effects on social engagement during the cooperative tasks (p > .05).
“There were no actor or partner main or interaction effects of SR on Social Engagement during the cooperative tasks for the FCG-NIG dyads (ps > .05).”
Quote in the paperNot a substantial claim - Findingown data
Both care-as-usual and never-institutionalized children responded to a partner who had been reticent during the speech task with greater task orientation during the cooperative tasks that immediately followed.
“We also found that both CAUG and NIG children responded to a partner who had been reticent during the speech task with greater task orientation during the cooperative tasks that immediately followed.”
Quote in the paperNot a substantial claim - Findingown data
Children who received the foster care intervention displayed less social reticence than their care-as-usual peers.
“In comparison, children who received the foster care intervention (FCG) displayed less social reticence than their CAUG peers.”
Quote in the paperSubstantial claim - Findingown data
Foster care children's behavior did not negatively influence the behavior of the never-institutionalized children with whom they were paired.
“Their behavior did not negatively influence the behavior of the NIG children with whom they were paired with during interactions.”
Quote in the paperSubstantial claim- Rests on an assumption: Partner effects in the APIM reflect a causal influence of one child's behavior on the other child's behavior rather than other sources of association.
- Findingreasoning
Many of the children did not remain in their original placements at 8 years of age.
“As a consequence, many of the children did not remain in their original placements at 8 years of age.”
Quote in the paperSubstantial claim - Interpretationown data
The results support the view that cumulative experience across childhood, rather than early experience alone, is what gives children opportunities to develop social skills and competencies, or deprives them of those opportunities.
“This lends support to the notion that it is not early experience that was critical but rather cumulative experience across childhood that provides children with opportunities to hone their social skills and competencies or, in the case of the CAUG, deprives them of such opportunities.”
Quote in the paperSubstantial claim- Rests on an assumption: The social behaviors observed in the dyadic laboratory tasks index children's social competence in settings outside the assessment.
- Interpretationcitation
Less interaction with peers may have negative consequences for care-as-usual children because it gives them fewer opportunities to practice and learn social skills, limiting their ability to become more socially competent over time.
“These reactions from peers may have negative consequences for CAUG children since less interaction with peers provides fewer opportunities for them to practice their social skills and learn new ones, therefore limiting their abilities to become more socially competent over time (Parker, Rubin, Erath, Wojslawowicz, & Buskirk, 2006).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Parker, Rubin, Erath, Wojslawowicz, & Buskirk, 2006
Not checked in the free run.
- Rests on an assumption: The social behaviors observed in the dyadic laboratory tasks index children's social competence in settings outside the assessment.
- Premisecitation
Ignoring the interdependence between partners in dyadic data can produce biased test statistics.
“Whereas common statistical procedures assume the measurement of the dependent variable is independent for each individual, ignoring the dependence between partners can result in biased test statistics (Kenny, Kashy, & Bolger, 1998).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Kenny, Kashy, & Bolger, 1998
Not checked in the free run.
- Premisereasoning
Only a small number of studies have investigated how early institutionalization affects children's subsequent social development and behavior.
“However, few studies have examined the potential consequences of early institutionalization (i.e., social deprivation) on children's later social development and behavior.”
Quote in the paperSubstantial claim - Study design and conductown data
The intervention effect on speech reticence remained after verbal comprehension, as measured by the WISC, was included in the model.
“Indeed while group differences on this task could have been driven by the poor verbal skills seen in the CAUG (see Fox, Almas, Degnan, Nelson, & Zeanah, 2011) an intervention effect emerged despite the inclusion of verbal comprehension in the model predicting speech reticence.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Fox, Almas, Degnan, Nelson, & Zeanah, 2011
Not checked in the free run.
- Interpretationreasoning
The present results are the first to describe the observed social behaviors of institutionalized children toward unfamiliar peers in middle childhood.
“These findings are the first to characterize institutionalized children's observed social behaviors towards new peers during middle childhood”
Quote in the paperSubstantial claim - Premisecitation
Kaler and Freeman (1994) found that preschool-aged Romanian children in institutions had poorer peer relationships than a community sample.
“Kaler and Freeman (1994) reported deficits in the peer relationships of preschool-aged Romanian children living in institutions compared to a community sample.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Kaler and Freeman (1994)
Not checked in the free run.
- Premisecitation
Poor peer relationships during childhood are linked to adjustment difficulties in adulthood.
“Furthermore, poor peer relationships in childhood are associated with difficult adjustment in adulthood (see Parker, Rubin, Erath, Wojslawowicz, & Buskirk, 2006, for a review).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Parker, Rubin, Erath, Wojslawowicz, & Buskirk, 2006
Not checked in the free run.
- Premisecitation
Comparable peer relationship deficits have been reported in primary-school-aged and adolescent samples.
“Similar deficits in peer relationships have been found in primary-school aged samples (Roy, Rutter, & Pickles, 2004), as well as adolescents (Erol, Simsek, & Munir, 2010; Hodges & Tizard, 1989).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Roy, Rutter, & Pickles, 2004
Not checked in the free run.
- cites Erol, Simsek, & Munir, 2010
Not checked in the free run.
- cites Hodges & Tizard, 1989
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- Study design and conductown data
Institutionalized children were randomly assigned to either foster care or continued care as usual.
“Half of the 136 institutionalized children were then randomly assigned to foster care (FCG) while the remaining sample of target children continued with care as usual in the institution in which they currently resided (CAUG).”
Quote in the paperSubstantial claim - Premisecitation
Most prior research has focused on institutionalized children's social behavior toward adults, leaving their interactions with other children largely unexplored.
“The majority of these studies have examined social interaction with a focus on social behavior directed towards adults (e.g., Chisholm, 1998; Rutter et al., 2007), therefore, little is known about the nature of institutionalized children's social interactions with other children.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Chisholm, 1998
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- cites Rutter et al., 2007
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- Interpretationreasoning
The provision of these opportunities appears to matter more than the timing or duration of foster care.
“The provision of these opportunities seems to matter more than the timing of duration.”
Quote in the paperSubstantial claim - Interpretationown data
The results underscore the beneficial impact of foster care placement on social development.
“highlight the positive effects of foster care intervention in the social domain.”
Quote in the paperSubstantial claim- Rests on an assumption: The comparison between the foster care and care-as-usual groups at age 8 reflects the effect of the initial random assignment, even though many children's actual placements changed after the intervention began.
- Premisecitation
Vorria and colleagues (1998) found that caregivers and teachers rated the peer relationship quality of 9-year-old institutionalized children as significantly lower than that of a community sample.
“Vorria and colleagues (Vorria, Rutter, Pickles, Wolkind, & Hobsbaum, 1998) reported caregivers and teachers ratings of 9-year-old institutionalized children's peer relationship quality to be significantly lower than that of a community sample.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Vorria, Rutter, Pickles, Wolkind, & Hobsbaum, 1998
Not checked in the free run.
- Interpretationown data
It remains unknown how the behavior of either the care-as-usual or the foster care group compares with that of never-institutionalized children.
“Therefore, although we found that FCG children were more socially competent during certain tasks than the CAUG children, we are unsure of how either group's behaviors compare to never-institutionalized children.”
Quote in the paperSubstantial claim - Interpretationown data
The absence of negative effects of foster care children's behavior on never-institutionalized children's behavior in the APIM analyses lends partial support to the idea that the two groups would not differ in this context.
“The fact that we did not find any negative effects of FCG children's behavior on NIG children's behavior in the APIM analyses lends partial support to this idea.”
Quote in the paperSubstantial claim- Rests on an assumption: The unfamiliar never-institutionalized peers' behavior in these dyadic interactions is representative of never-institutionalized children's behavior in such interactions.
- Study design and conductreasoning
Because the larger study project maintained a strict non-interference policy, children were free to change placements over the course of the study.
“It is also important to re-emphasize that, because the larger study project maintained strict non-interference policy, children were free to change placements over the course of the study.”
Quote in the paperSubstantial claim - Study design and conductown data
Because the never-institutionalized children took part as unfamiliar peers in the dyadic interactions, their behavior could not be directly compared with that of the care-as-usual or foster care children using group comparisons.
“It is important to note that because the NIG children participated as unfamiliar peers during dyadic interactions, we were not able to directly compare their behavior to that of the CAUG or FCG children using group comparisons.”
Quote in the paperSubstantial claim
- May combine two claims. 22
- Classified as probably not a substantial claim. 19
- The quote only partly states this claim. 1
May combine two claims.
Findingown dataThe slopes linking social reticence to conversational competence differed significantly between foster care and never-institutionalized children, with competence decreasing as reticence increased among foster care children and increasing among never-institutionalized children.
“The simple slopes for both groups were not significantly different from zero; however, the slopes for each group were significantly different from one another. Specifically, as children displayed greater SR, Conversational Competence decreased for FCG children and increased for NIG children.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe simple slope relating social reticence to conversational competence was not statistically significant for either foster care children (b = 0.33, SE = 0.21, t(49) = 1.60, p = .12) or never-institutionalized children (b = −0.25, SE = 0.15, t(49) = −1.59, p = .12).
“Follow-up analyses indicated that the relation between SR and Conversational Competence did not reach significance for either FCG (b = .33, SE = .21, t(49) = 1.60, p = .12) and NIG (b = -.25, SE = .15, t(49) = -1.59, p = .12) groups.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataBoys were rated as more conversationally competent on the Brainstorming task than girls.
“Boys were rated as more conversationally competence on the Brainstorming task, more oriented towards the tasks during the cooperative tasks, and more socially withdrawn during the competitive tasks than were girls (all ps < .05).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataCare-as-usual children were less engaged in response to a reticent never-institutionalized partner during the cooperative tasks, but not during the competitive tasks.
“One difference between the cooperative and competitive task contexts emerged in relation to the CAUG children's responses to a reticent NIG partner: during the cooperative tasks the CAUG were less engaged, while in the competitive tasks they were not.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn care-as-usual/never-institutionalized dyads, social reticence showed no significant partner main effect or interaction effect on conversational competence.
“There were no significant partner main or interaction effects for CAUG-NIG dyads.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataAmong foster care children, behavior toward an unfamiliar peer was not influenced by the age at first placement into foster care or by cumulative time spent in foster care.
“Children's behavior towards an unfamiliar peer does not appear to be influenced by the age at which they were first placed into foster care, nor the cumulative amount of time spent in foster care, in the FCG.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn foster-care/never-institutionalized dyads, social reticence showed no significant actor or partner main effects and no partner interaction effect on conversational competence (all p > .05).
“There were no significant actor or partner main effects or a partner interaction effect for FCG-NIG dyads, all p's > .05.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataAt the age 8 assessment, 49 children in the foster care group and 51 in the care-as-usual group remained in the study.
“At 8 years of age, 49 FCG children and 51 CAUG children remained in the study.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). The quote only partly states this claim.
Study design and conductown dataThe Speech Reticence composite demonstrated acceptable internal consistency (α = .70).
“all were averaged to form a Speech Reticence composite (α = .70; M = -.01, SD = .80).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe Actor-Partner Interdependence Model keeps individual measures but treats them as nested within the dyad.
“However, APIM retains the individual measures, but treats them as nested within the dyad (Cook & Kenny, 2005).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Cook & Kenny, 2005
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe Lego/Puzzles Social Engagement composite had an internal consistency of α = .51.
“all were averaged to form the Lego/Puzzles Social Engagement score (α = .51; M = .01, SD = .71).”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationcitationWhen care-as-usual children's behavior leads peers to be less socially engaged with them, they risk social rejection and subsequent loneliness and depression.
“In addition, when the behavior of CAUG children leads their peers to be less socially engaged towards them, they risk social rejection, and subsequent feelings of loneliness, and depression (Parker & Asher, 1993; Pedersen, Vitaro, Barker, & Borge, 2007; Vernberg, 1990).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Parker & Asher, 1993
Not checked in the free run.
- cites Pedersen, Vitaro, Barker, & Borge, 2007
Not checked in the free run.
- cites Vernberg, 1990
Not checked in the free run.
May combine two claims.
Interpretationown dataCare-as-usual children's behavior had some impact on the behavior of their never-institutionalized partners, but the reverse influence was not present.
“In general, CAUG children's behavior somewhat had an impact on the behavior of their NIG partners, but not vice versa.”
- Also stated in: § Discussion · plain
“In addition, our data show how children who did not receive foster care may negatively influence the nature of a dyadic interaction through their own behaviors.”
Quote in the paperSubstantial claim- Rests on an assumption: Partner effects in the APIM reflect a causal influence of one child's behavior on the other child's behavior rather than other sources of association.
- Rests on an assumption: The unfamiliar never-institutionalized peers' behavior in these dyadic interactions is representative of never-institutionalized children's behavior in such interactions.
- Also stated in: § Discussion · plain
May combine two claims.
PremisereasoningPrior studies have documented social difficulties among institution-reared children and adolescents, but they did not examine specific behaviors to understand why these children struggled with friendships.
“Although these and other studies have reported social difficulties amongst institution-reared children and adolescents, researchers did not examine children's specific behaviors in order to understand potential reasons for the lack of friendships and social difficulties in their samples.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningPerformance across the tasks was a function not only of prior experience but possibly also of the child's individual personality.
“Hence, performance across these tasks was a function not only of prior experience but also possibly of the child's individual personality.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
InterpretationreasoningChildren's reticence during the first task may have made them appear less attractive as playmates, which in turn led their peers to engage with them less in later tasks.
“It may be that children's reticence during the first task, which involved taking longer to begin their speech, needing prompting from the experimenter to continue, and saying little about themselves (as indicated by a shorter speaking time) made them appear less attractive as a playmate overall and, in turn, led their peers to engage with them less during subsequent tasks.”
Quote in the paperNot a substantial claim- Rests on an assumption: Partner effects in the APIM reflect a causal influence of one child's behavior on the other child's behavior rather than other sources of association.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe same researchers also observed institutionalized children to be less engaged with peers in classroom and playground settings.
“They also reported institutionalized children to be less engaged with their peers during observations of their behavior in the classroom and on the playground.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Vorria et al., 1998
Not checked in the free run.
May combine two claims.
InterpretationcitationThe absence of timing effects in this study is consistent with BEIP findings on psychiatric symptomatology and disorders and on structural brain imaging, but differs from BEIP findings of timing effects on IQ and attachment.
“These findings differ from some previous research from the BEIP showing timing effects, including studies examining IQ and attachment (e.g., Nelson et al., 2007; Smyke et al., 2010), for example, but they are consistent other BEIP results examining psychiatric symptomatology and disorders (e.g., Zeanah et al, 2009) and structural brain imagining results (Sheridan, Fox, Zeanah, McLaughlin, & Nelson”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Nelson et al., 2007
Not checked in the free run.
- cites Smyke et al., 2010
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- cites Zeanah et al, 2009
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationAt age 8, children typically begin to expand their social skills and place greater value on peers and friendships.
“We assessed children when they were 8 years old, an age when children are typically beginning to broaden their social skills and increasingly value peers and friendships (Rubin, Bukowski, & Parker, 2006).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Rubin, Bukowski, & Parker, 2006
Not checked in the free run.
May combine two claims.
InterpretationreasoningThe positive effects of the foster care intervention may arise from giving children the chance to form an attachment to a primary caregiver and to meet and get to know other children in the foster family.
“The positive effects of the foster care intervention may come from providing children an opportunity to form an attachment relationship to a primary caregiver and through meeting and getting to know biological children in their foster family or other foster children received into that family.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataCare-as-usual children were less socially competent and more reticent in initial interactions with an unfamiliar peer, which led their never-institutionalized peers to engage with them less in subsequent interactions.
“We found that these children were less socially competent and more reticent during initial interactions with an unfamiliar peer, which led their NIG peer to engage with them less during subsequent interactions.”
Quote in the paperSubstantial claim- Rests on an assumption: The social behaviors observed in the dyadic laboratory tasks index children's social competence in settings outside the assessment.
- Rests on an assumption: Partner effects in the APIM reflect a causal influence of one child's behavior on the other child's behavior rather than other sources of association.
Classified as probably not a substantial claim.
Study design and conductown dataInter-coder reliability was assessed by having approximately 20% of the tapes coded independently by different teams.
“an additional 25 tapes (approximately 20%) were coded independently by the teams of coders to achieve reliability (intra-class correlations, or ICCs).”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductown dataThe group comparisons controlled for gender and verbal comprehension.
“while controlling for gender and verbal comprehension”
Quote in the paperSubstantial claimClassified as probably not a substantial claim. May combine two claims.
PremisereasoningIt remains largely unknown how a history of institutional rearing affects children's ability to interact with unfamiliar peers and how early foster care placement influences their success in the peer domain.
“Specifically, the degree to which a history of institutional rearing influences children's ability to interact with unfamiliar peers, with whom they could potentially form a friendship, and the effects of early intervention, such as placement into a foster care home, on children's success in negotiating the peer domain remain relatively unknown.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationDeficits in social skills can result in rejection or exclusion, potentially leading adolescents to engage in deviant or risk-taking behaviors.
“Poor social skills can lead to social rejection or exclusion, which may lead adolescents to become involved with deviant or risk-taking behaviors (Erol et al., 2010; Ollendick, Weist, Borden, & Greene, 1992).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Erol et al., 2010
Not checked in the free run.
- cites Ollendick, Weist, Borden, & Greene, 1992
Not checked in the free run.
May combine two claims.
Interpretationown dataCare-as-usual children's reticence during the first task was related to lower social engagement from their never-institutionalized partners during the competitive tasks and, to some degree, during the cooperative tasks.
“Specifically, CAUG children's reticent behavior during the first task (giving a speech about yourself) was related to lower social engagement from their NIG partners during the competitive tasks and somewhat during the cooperative tasks.”
Quote in the paperSubstantial claim- Rests on an assumption: Partner effects in the APIM reflect a causal influence of one child's behavior on the other child's behavior rather than other sources of association.
- Rests on an assumption: The unfamiliar never-institutionalized peers' behavior in these dyadic interactions is representative of never-institutionalized children's behavior in such interactions.
Probably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningThe difference in care-as-usual children's behavior across contexts may reflect a lack of social awareness, in that their wish to compete may have limited their ability to match their peer's level of engagement.
“This difference in behavior across contexts may reflect a lack of social awareness on the part of the CAUG in that their desires to engage in a competitive game may have limited their ability to thoughtfully match the engagement level of their peer.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
Study design and conductown dataBehavioral coders were Romanian research assistants who were unaware of the children's group assignment.
“Children's behavior was videotaped and coded by teams of Romanian research assistants who were blind to group assignment and trained by the second author.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationIn a previous paper, teachers rated foster care children as significantly more socially skilled at age 8 than care-as-usual children and no different from never-institutionalized peers.
“However, in a recent paper we reported that teachers rated FCG children as significantly more socially skilled at age 8 than CAUG children, and no different than their never-institutionalized peers (Almas et al, 2012).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Almas et al, 2012
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductreasoningThe present study used an intent-to-treat approach to examine the effects of foster care intervention on social behavior.
“For purposes of the present study we used an intent-to-treat approach in order to examine the effects of foster care intervention on social behavior.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningChildren may have regarded their peer as less socially competent and turned their attention to the puzzle or Lego task as a way of avoiding engagement with a less attractive playmate.
“Children may have considered their peer less socially competent and, in turn, turned their attention to completing the puzzle or building the Lego structure as a way of avoiding engaging with the less attractive playmate.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningChanges in rearing context may have affected the children's social behavior and skills, positively or negatively, depending on the frequency and type of changes each child experienced.
“It is possible that these changes in rearing context may have impacted the children's social behavior and skills in positive or negative ways, depending on the frequency and type of changes experienced by each child.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe Speech Reticence composite was chosen as the predictor because it was coded from the very first interactive task the children engaged in during the assessment.
“The Speech Reticence composite was chosen as the predictor because it was coded from the very first interactive task that the children engaged in during the assessment.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationnone givenThis study is the first to provide systematic observational data on the social behavior of children with a history of institutional care during middle childhood and to examine the effects of a foster care intervention.
“This is, to our knowledge, the first study of its kind to present systematic, observational data on social behavior in a sample of children with a history of institutional care during middle childhood and examine the effects of a foster care intervention.”
- Also stated in: § Discussion · plain
“The present study is the first to provide an observational assessment of institutionalized children's social behaviors during middle childhood and examine these in the context of foster care intervention.”
Quote in the paperSubstantial claim- Also stated in: § Discussion · plain
Probably not a substantial claim: may not pass S3 (load-bearing).
InterpretationcitationIt is possible that foster care children's behavior would also not differ significantly from that of never-institutionalized peers in the present context.
“It is possible that FCG children's behavior would not be considered significantly different from their NIG peers in the present context as well.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataFoster care intervention remediates some of the negative consequences of institutional care for children's social development, with children who received foster care being more socially successful than those who received continued institutional care.
“These results show the value of foster care intervention in remediating the negative effects of early psychosocial deprivation and preventing early experiences from negatively influencing their interpersonal interactions.”
- Also stated in: § Discussion · plain
“The present study shows the positive effect of foster care intervention on remediating some of the negative consequences of institutional care on children's social development, as children in our sample who received foster care were more socially successful than their peers who received continued institutional care.”
Quote in the paperSubstantial claim- Rests on an assumption: The social behaviors observed in the dyadic laboratory tasks index children's social competence in settings outside the assessment.
- Also stated in: § Discussion · plain
Classified as probably not a substantial claim.
Study design and conductreasoningThe APIM model was chosen because it accounts for the interdependence in the dyadic social interaction data.
“The APIM model was selected to account for the interdependence in the dyadic social interaction data.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Kashy & Kenny, 1999
Not checked in the free run.
- cites Kenny, 1996
Not checked in the free run.
The paper relies on this without support.
The comparison between the foster care and care-as-usual groups at age 8 reflects the effect of the initial random assignment, even though many children's actual placements changed after the intervention began.
“We maintained a non-interference policy regarding placements throughout the course of the study, meaning that all decisions regarding placement were made by local authorities. Therefore, many children who were in institutions at the beginning of the study were adopted, returned to their biological parents or placed in government foster care that didn't exist when the study began.”
The paper relies on this without support.
The never-institutionalized children recruited from pediatric clinics are representative of community children with no institutional rearing, so their behavior during the interaction reflects typical peer behavior.
“An additional group of 72 children were recruited across the course of the study from pediatric clinics in communities throughout Bucharest to act as a control group (Never Institutionalized Group, NIG), and they were matched to the initial institutional group on sex and age.”
The paper relies on this without support.
The social behaviors observed in the dyadic laboratory tasks index children's social competence in settings outside the assessment.
“These results show the value of foster care intervention in remediating the negative effects of early psychosocial deprivation and preventing early experiences from negatively influencing their interpersonal interactions.”
The paper relies on this without support.
Partner effects in the APIM reflect a causal influence of one child's behavior on the other child's behavior rather than other sources of association.
“It may be that children's reticence during the first task, which involved taking longer to begin their speech, needing prompting from the experimenter to continue, and saying little about themselves (as indicated by a shorter speaking time) made them appear less attractive as a playmate overall and, in turn, led their peers to engage with them less during subsequent tasks.”
The paper relies on this without support.
The unfamiliar never-institutionalized peers' behavior in these dyadic interactions is representative of never-institutionalized children's behavior in such interactions.
“It is important to note that because the NIG children participated as unfamiliar peers during dyadic interactions, we were not able to directly compare their behavior to that of the CAUG or FCG children using group comparisons.”
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?
Foster care intervention was associated with improved peer relationships, social functioning, and adaptive functioning compared to CAUG.
“improved peer relationships, social functioning (Almas et al., 2015;Humphreys et al., 2018;Levin et al., 2015;Wade et al., 2020b) and adaptive functioning (Hare et al., 2026;Humphreys et al., 2018) compared to CAUG.”
From Resilience following severe early life neglect: A review of longitudinal evidence from the Bucharest Early Intervention Project (2026) · cites this paper as Almas et al., 2015
The Results (CAUG and FCG Group Comparisons; page not provided) report significantly less speech reticence in foster-care children than in CAUG children, supporting improved social behavior with an unfamiliar peer. Other interaction tasks showed no significant group differences, and the study did not establish improved peer relationships more broadly. Adaptive functioning is cited to other sources in the sentence, not to Almas et al. (LLM, conf=0.86)
Experimental — accuracy not yet measuredFoster care intervention in the BEIP is associated with increased social functioning.
“↑ Social functioning (Almas et al., 2015;Humphreys et al., 2018;Wade et al., 2020b)”
From Resilience following severe early life neglect: A review of longitudinal evidence from the Bucharest Early Intervention Project (2026) · cites this paper as Almas et al., 2015
Social behaviors, including peer relations and social skills, were enhanced in foster care children.
“Social behaviors, including peer relations and social skills were enhanced [32, 33].”
From Alternatives for abandoned children: Insights from the Bucharest Early Intervention Project (2017) · cites this paper as [33]
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 [47]
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, 101) = 4.7reported p = .03 · recomputed p = .033
“F (1,101) = 4.70, p = .03”
- Consistentt(54.11) = -3.98reported p < .001 · recomputed p < .001
“t(54.11) = -3.98, p < .001”
- Consistentt(72.1) = -2.15reported p = .04 · recomputed p = .035
“t(72.10) = -2.15, p = .04”
- Consistentt(49) = 1.6reported p = .12 · recomputed p = .116
“t(49) = 1.60, p = .12”
- Consistentt(49) = -1.59reported p = .12 · recomputed p = .118
“t(49) = -1.59, p = .12”
- Consistentt(55) = -3.33reported p = .002 · recomputed p = .002
“t(55) = -3.33, p = .002”
- Consistentt(51.68) = -1.99reported p = .05 · recomputed p = .052
“t(51.68) = -1.99, p = .05”
- Consistentt(70.61) = -1.96reported p = .05 · recomputed p = .054
“t(70.61) = -1.96, p = .05”
- Consistentt(56.76) = 2.03reported p = .05 · recomputed p = .047
“t(56.76) = 2.03, p = .05”
- Consistentt(46) = -2.46reported p = .02 · recomputed p = .018
“t(46) = -2.46, p = .02”
- Consistentt(46) = 1.12reported p = .27 · recomputed p = .269
“t(46) = 1.12, p = .27”
- Consistentt(61.76) = 2.16reported p = .04 · recomputed p = .035
“t(61.76) = 2.16, p = .04”
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.
Conversational-competence trends are described in the opposite direction
MajorThe reported slopes are positive for FCG and negative for NIG, so greater reticence corresponds to increasing-not decreasing-competence for FCG, and the reverse for NIG.
“Specifically, as children displayed greater SR, Conversational Competence decreased for FCG children and increased for NIG children.”
“Follow-up analyses indicated that the relation between SR and Conversational Competence did not reach significance for either FCG (b = .33, SE = .21, t(49) = 1.60, p = .12) and NIG (b = -.25, SE = .15, t(49) = -1.59, p = .12) groups.”
Baseline minimum age differs between sections
MinorThe participant description gives six months as the youngest baseline age, whereas the care-information section gives five months.
“At baseline (age 5 months to 31 months), information was collected from institution record review on child characteristics, including age at initial placement into foster care.”
“At the baseline assessment prior to randomization, the children ranged in age from 6 to 31 months.”
Cites
Parker, J. G., & Asher, S. R. (1993) · Developmental Psychology · doi:10.1037/0012-1649.29.4.611 · Cited by 2,204 · cited 1× · see citing works
“…A uthor M anuscript A uthor M anuscript A uthor M anuscript children leads their peers to be less socially engaged towards them, they risk social rejection, and subsequent feelings of loneliness, and depression (Parker & Asher, 1993; Pedersen, Vitaro, Barker, & Borge, 2007; Vernberg, 1990).”
BackgroundThe Actor–Partner Interdependence Model: A model of bidirectional effects in developmental studies
Cook, W., & Kenny, D. (2005) · International Journal of Behavioral Development · doi:10.1080/01650250444000405 · Cited by 1,952 · cited 2× · see citing works
“However, APIM retains the individual measures, but treats them as nested within the dyad (Cook & Kenny, 2005).”
BackgroundYoung, K. (2016) · Routledge eBooks · doi:10.4324/9781315008189 · Cited by 1,605 · see citing works
Maternal Care and Mental Health
(1952) · Archives of Disease in Childhood · doi:10.1136/adc.27.132.205 · Cited by 1,233 · see citing works
Maternal Care and Mental Health
Simon, K., & Bowlby, J. (1951) · The Milbank Memorial Fund Quarterly · doi:10.2307/3348276 · Cited by 1,200 · see citing works
Models of Non-Independence in Dyadic Research
Kenny, D. A. (1996) · Journal of Social and Personal Relationships · doi:10.1177/0265407596132007 · Cited by 973 · cited 2× · see citing works
“Effects of Social Behavior of CAUG and FCG Children on Never-Institutionalized Peers APIM analyses (Kashy & Kenny, 1999; Kenny, 1996) were used to examine whether characteristics (i.e., Speech Reticence) of CAUG and FCG children influenced the social behaviors (i.e., Conversational Competence,…”
MethodCognitive Recovery in Socially Deprived Young Children: The Bucharest Early Intervention Project
Nelson, C. A., Zeanah, C. H., Fox, N. A., Marshall, P. J., Smyke, A. T., & Guthrie, D. (2007) · Science · doi:10.1126/science.1143921 · Cited by 951 · cited 4× · see citing works
“Details on the sample and follow-up through 54 months can be found in Nelson et al. (2007).”
BackgroundResultInfluentialSelf-citationRutter, M. (1998) · Journal of Child Psychology and Psychiatry and Allied Disciplines · doi:10.1111/1469-7610.00343 · Cited by 796 · see citing works
Handbook of Advanced Multilevel Analysis
Hox, J. J., & Roberts, J. (2011) · Routledge eBooks · doi:10.4324/9780203848852 · Cited by 751 · see citing works
Rutter, M. L. (1998) · PubMed · Cited by 653 · see citing works
Developmental catch-up, and deficit, following adoption after severe global early privation
Rutter, M. (1998) · Journal of Child Psychology and Psychiatry · doi:10.1017/s0021963098002236 · Cited by 640 · see citing works
Chisholm, K. (1998) · Child Development · doi:10.1111/j.1467-8624.1998.tb06162.x · Cited by 571 · cited 1× · see citing works
“…uthor M anuscript A uthor M anuscript these studies have examined social interaction with a focus on social behavior directed towards adults (e.g., Chisholm, 1998; Rutter et al., 2007), therefore, little is known about the nature of institutionalized children's social interactions with other…”
BackgroundZEANAH, C. H., NELSON, C. A., FOX, N. A., SMYKE, A. T., MARSHALL, P., PARKER, S. W., & KOGA, S. (2003) · Development and Psychopathology · doi:10.1017/s0954579403000452 · Cited by 447 · cited 1× · see citing works
“Method Participants Participants were selected from 187 children who were less than 31 months of age and living in one of six institutions for young children in Bucharest, Romania, in April 2001 (for details on the sample see Zeanah et al., 2003).”
MethodSelf-citationVariation in neural development as a result of exposure to institutionalization early in childhood
Sheridan, M. A., Fox, N. A., Zeanah, C. H., McLaughlin, K. A., & Nelson, C. A. (2012) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1200041109 · Cited by 432 · see citing works
Self-citationPedersen, S., Vitaro, F., Barker, E. D., & Borge, A. I. H. (2007) · Child Development · doi:10.1111/j.1467-8624.2007.01051.x · Cited by 380 · see citing works
Institutional rearing and psychiatric disorders in Romanian preschool children
Zeanah, C. H., Egger, H. L., Smyke, A. T., Nelson, C. A., Fox, N. A., Marshall, P. J., & Guthrie, D. (2009) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2009.08091438 · Cited by 365 · cited 1× · see citing works
“…IQ and attachment (e.g., Nelson et al., 2007; Smyke et al., 2010), for example, but they are consistent other BEIP results examining psychiatric symptomatology and disorders (e.g., Zeanah et al, 2009) and structural brain imagining results (Sheridan, Fox, Zeanah, McLaughlin, & Nelson, 2012).”
ResultSelf-citationRutter, M., Colvert, E., Kreppner, J., Beckett, C., Castle, J., Groothues, C., Hawkins, A., O'Connor, T. G., Stevens, S. E., & Sonuga‐Barke, E. J. S. (2007) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2006.01688.x · Cited by 358 · cited 2× · see citing works
“these studies have examined social interaction with a focus on social behavior directed towards adults (e.g., Chisholm, 1998; Rutter et al., 2007), therefore, little is known about the nature of institutionalized children's social interactions with other children.”
BackgroundSocial and Family Relationships of Ex‐Institutional Adolescents
Hodges, J., & Tizard, B. (1989) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1989.tb00770.x · Cited by 343 · cited 1× · see citing works
“Similar deficits in peer relationships have been found in primaryschool aged samples (Roy, Rutter, & Pickles, 2004), as well as adolescents (Erol, Simsek, & Munir, 2010; Hodges & Tizard, 1989).”
BackgroundOllendick, T. H., Weist, M. D., Borden, M. C., & Greene, R. W. (1992) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.60.1.80 · Cited by 342 · see citing works
Placement in foster care enhances quality of attachment among young institutionalized children
Smyke, A. T., Zeanah, C. H., Fox, N. A., Nelson, C. A., & Guthrie, D. (2010) · Child Development · doi:10.1111/j.1467-8624.2009.01390.x · Cited by 324 · cited 2× · see citing works
“…differ from some previous research from the BEIP showing timing effects, including studies examining IQ and attachment (e.g., Nelson et al., 2007; Smyke et al., 2010), for example, but they are consistent other BEIP results examining psychiatric symptomatology and disorders (e.g., Zeanah et al,…”
ResultSelf-citationChild–parent attachment following early institutional deprivation
O'CONNOR, T. G., MARVIN, R. S., RUTTER, M., OLRICK, J. T., BRITNER, P. A., & THE ENGLISH AND ROMANIAN ADOPTEES STUDY TEAM (2003) · Development and Psychopathology · doi:10.1017/s0954579403000026 · Cited by 314 · see citing works
Maternal deprivation: Toward an empirical and conceptual re-evaluation.
Yarrow, L. J. (1961) · Psychological Bulletin · doi:10.1037/h0043656 · Cited by 231 · cited 1× · see citing works
“…Social Behavior; Foster Care; Intervention A considerable amount of research has examined the effects of severe deprivation on infants and young children as a result of institutionalization (Bowlby, 1951; Nelson et al., 2007; Rutter & ERA Study Team, 1998; Yarrow, 1961).”
BackgroundVernberg, E. M. (1990) · Research on Child and Adolescent Psychopathology · doi:10.1007/bf00910730 · Cited by 194 · cited 1× · see citing works
“…A uthor M anuscript A uthor M anuscript A uthor M anuscript children leads their peers to be less socially engaged towards them, they risk social rejection, and subsequent feelings of loneliness, and depression (Parker & Asher, 1993; Pedersen, Vitaro, Barker, & Borge, 2007; Vernberg, 1990).”
BackgroundAnalysis of Environmental Deprivation: Cognitive and Social Development in Romanian Orphans
Kaler, S. R., & Freeman, B. J. (1994) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1994.tb01220.x · Cited by 189 · cited 1× · see citing works
“Kaler and Freeman (1994) reported deficits in the peer relationships of preschool-aged Romanian children living in institutions compared to a community sample.”
BackgroundFox, N. A., Almas, A. N., Degnan, K. A., Nelson, C. A., & Zeanah, C. H. (2011) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2010.02355.x · Cited by 160 · see citing works
Self-citationRoy, P., Rutter, M. L., & Pickles, A. R. (2004) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2004.00278.x · Cited by 141 · see citing works
Vorria, P., Rutter, M. L., Pickles, A. R., Wolkind, S. N., & Hobsbaum, A. (1998) · Journal of Child Psychology and Psychiatry · doi:10.1017/s0021963097001996 · Cited by 122 · see citing works
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Almas, A. N., Degnan, K. A., Radulescu, A., Nelson, C. A., Zeanah, C. H., & Fox, N. A. (2012) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1121256109 · Cited by 115 · cited 1× · see citing works
“However, in a recent paper we reported that teachers rated FCG children as significantly more socially skilled at age 8 than CAUG children, and no different than their never-institutionalized peers (Almas et al, 2012).”
BackgroundSelf-citationZEANAH, C. H., KOGA, S. F., SIMION, B., STANESCU, A., TABACARU, C. L., FOX, N. A., NELSON, C. A., & BEIP CORE GROUP (2006) · Infant Mental Health Journal · doi:10.1002/imhj.20107 · Cited by 61 · cited 1× · see citing works
“The study was approved by the Institutional Review Boards of the University of Minnesota, Children's Hospital Boston, the University of Maryland, Tulane University, and Bucharest University (Zeanah et al., 2006).”
MethodSelf-citationEarly Social Development in Institutionally Reared Greek Infants: Attachment and Peer Interaction
Dontas, C., Maratos, O., Fafoutis, M., & Karangelis, A. (1985) · Monographs of the Society for Research in Child Development · doi:10.2307/3333830 · Cited by 36 · see citing works
Vorria, P., Wolkind, S. N., Rutter, M. L., et al. (1998) · Journal of Child Psychology and Psychiatry · doi:10.1111/1469-7610.00316 · Cited by 35 · see citing works
Flagged first, then by citations
Research works printed but not linked: 5
- Kashy D. A., 2000, Handbook of research methods in social psychology, 451
- Kenny D. A., 1998, Handbook of social psychology, 233
- Kenny D. A., 2006, Dyadic data analysis
- Parker J., 2006, Developmental psychopathology: risk, disorder, and adaptation, 419
- Wechsler D., 2003, WISC‐IV technical and interpretive manual
Cited by
Sorted by citations
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
How Early Experience Shapes Human Development: The Case of Psychosocial Deprivation
Nelson, C. A., Zeanah, C. H., & Fox, N. A. (2019) · Neural Plasticity · doi:10.1155/2019/1676285 · Cited by 178 · see citing works
“These domains included psychiatric symptoms and disorders [76, 105] and peer social competence [106, 107].”
Self-citationAlternatives 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-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-citationCharacterizing adverse prenatal and postnatal experiences in children
Lebel, C. A., McMorris, C. A., Kar, P., Ritter, C., Andre, Q. R., Tortorelli, C., & Gibbard, W. B. (2019) · Birth Defects Research · doi:10.1002/bdr2.1464 · Cited by 62 · see citing works
“…2010), best practices for diagnosing FASD (Cook et al., 2016), and the literature on early adverse exposures and negative outcomes in children (Almas et al., 2015; Bick et al., 2015; Buss, Entringer, Swanson, & Wadhwa, 2012; Coles & Li, 2011; Eckstrand et al., 2012; Lebel et al., 2011; Lebel…”
BackgroundGunnar, M. R., & Reid, B. M. (2019) · Annual Review of Developmental Psychology · doi:10.1146/annurev-devpsych-121318-085013 · Cited by 59 · see citing works
“Several studies investigated social behavior by observing PI children interact with an unfamiliar peer (Almas et al. 2015, DePasquale & Gunnar 2019).”
BackgroundPitula, C. E., DePasquale, C. E., Mliner, S. B., & Gunnar, M. R. (2017) · Child Development · doi:10.1111/cdev.12986 · Cited by 49 · see citing works
“Observers have rarely been utilized as informants in research on PI youths’ peer relationships (for an exception, see Almas et al., 2015).”
BackgroundMethodResultInfluentialBarone, L., Lionetti, F., & Green, J. (2017) · Attachment & Human Development · doi:10.1080/14616734.2017.1306714 · Cited by 44 · see citing works
“Indeed, the most noteworthy effect of proximal variables was found specifically for children’s interaction with peers, in line, interestingly, with results recently reported in a longitudinal study involving children in foster care (Almas et al., 2015).”
ResultNelson, C. A., Fox, N. A., & Zeanah, C. H. (2023) · Current Directions in Psychological Science · doi:10.1177/09637214231201079 · Cited by 29 · see citing works
“There were also improvements in language (Humphreys et al., 2020; Windsor et al., 2011), attachment security (Smyke et al., 2010), and peer relationships (Almas et al., 2015).”
BackgroundSelf-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-citationYoung, A., Luyster, R., Fox, N. A., Zeanah, C. H., & Nelson, C. A. (2017) · British Journal of Developmental Psychology · doi:10.1111/bjdp.12185 · Cited by 21 · see citing works
“…a stranger; Gleason et al., 2014), altered attachment relationships generally (Zeanah, Smyke, Koga, & Carlson, 2005), or poor peer relations (Almas et al., 2015), through the lens of ‘reading’ emotion; the ability to accurately decode facial expressions appears to exist independently of…”
Self-citationSelçuk, B., Yavuz, H. M., Etel, E., Harma, M., & Ruffman, T. (2017) · Social Development · doi:10.1111/sode.12252 · Cited by 20 · see citing works
Residential care as an alternative care option: A review of literature within a global context
Giraldi, M., Mitchell, F., Porter, R. B., Reed, D., Jans, V., McIver, L., Manole, M., & McTier, A. (2022) · Child & Family Social Work · doi:10.1111/cfs.12929 · Cited by 18 · see citing works
Family foster care and children’s outcomes in China: Evidence from a scoping review
Xu, Y., Man, X., Zhang, L., & DeForge, B. R. (2019) · Children and Youth Services Review · doi:10.1016/j.childyouth.2019.104658 · Cited by 16 · see citing works
Tang, A., Wade, M., Fox, N. A., Nelson, C. A., Zeanah, C. H., & Slopen, N. B. (2020) · Development and Psychopathology · doi:10.1017/s0954579420001479 · Cited by 15 · see citing works
“domains of functioning (Almas et al., 2015; Debnath, Tang, Zeanah, Nelson, & Fox, 2019; Wade, Fox, Zeanah, & Nelson, 2019a) and blunted stress physiology (McLaughlin et al.”
Self-citationZeytinoglu, S., Tang, A., Zeanah, C. H., Nelson, C. A., Almas, A. N., & Fox, N. A. (2022) · Developmental Science · doi:10.1111/desc.13309 · Cited by 13 · see citing works
Self-citationTang, A., McLaughlin, K. A., Sheridan, M. A., Nelson, C. A., Zeanah, C. H., & Fox, N. A. (2021) · Emotion · doi:10.1037/emo0001016 · Cited by 11 · see citing works
Self-citationDePasquale, C. E., Lawler, J. M., Koss, K. J., & Gunnar, M. R. (2020) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-020-00633-8 · Cited by 11 · see citing works
Jiménez-Etcheverría, P., & Palacios, J. (2020) · Children and Youth Services Review · doi:10.1016/j.childyouth.2020.105102 · Cited by 12 · see citing works
Mukerji, 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-citationFriendship and social functioning following early institutional rearing: The role of ADHD symptoms
Humphreys, K. L., Gabard-Durnam, L. J., Goff, B., Telzer, E. H., Flannery, J., Gee, D. G., Park, V., Lee, S. S., & Tottenham, N. (2018) · Development and Psychopathology · doi:10.1017/s0954579418001050 · Cited by 12 · see citing works
“…including behavioral inhibition in social contexts, reduced social support, more “quarrelsome” and bullying behavior, and reduced prosocial behavior (Almas et al., 2012, 2015; Hodges & Tizard, 1989; Humphreys et al., 2018; Sonuga-Barke, Schlotz, & Kreppner, 2010), though these may vary by age and…”
BackgroundPositive Youth Development and Prosocial Behavior: A Systematic Review and Multilevel Meta‐Analysis
Meulenbeek, K., Loheide‐Niesmann, L., Spagnuolo, F., & Cima, M. (2025) · Journal of Adolescence · doi:10.1002/jad.70040 · Cited by 11 · see citing works
Rayson, H., Massera, A., Belluardo, M., Hamed, S. B., & Ferrari, P. F. (2021) · Scientific Reports · doi:10.1038/s41598-021-00620-z · Cited by 10 · 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
“Yet, no studies to date have used structured laboratory tasks to observe and characterize the friendship quality of previously institutionalized adolescents during dyadic interactions; only two studies have used structured laboratory tasks to observe how previously institutionalized children interact with an unfamilia…”
BackgroundMethodSelf-citationMoretti, M. P., & Torrecilla, N. M. (2019) · Interdisciplinaria Revista de Psicología y Ciencias Afines · doi:10.16888/interd.2019.36.2.17 · Cited by 9 · see citing works
Cortisol Reactivity and Socially Anxious Behavior in Previously Institutionalized Youth
Perry, N. B., DePasquale, C. E., Donzella, B., & Gunnar, M. R. (2021) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-021-00862-5 · Cited by 8 · see citing works
Ferrari, L., Caravita, S. C. S., Ranieri, S., Canzi, E., & Rosnati, R. R. (2022) · PLoS ONE · doi:10.1371/journal.pone.0262726 · Cited by 8 · see citing works
Anaya, B., Neiderhiser, J. M., Pérez‐Edgar, K. E., Leve, L. D., Ganiban, J. M., Reiss, D., Natsuaki, M. N., & Shaw, D. S. (2023) · Child Development · doi:10.1111/cdev.13924 · Cited by 6 · see citing works
Moretti, M. P., Ureta, N. L. E. I., & Torrecilla, N. M. (2024) · Acta Colombiana de Psicología · doi:10.14718/acp.2024.27.2.1 · Cited by 6 · see citing works
“This is consistent with studies highlighting foster care as a protective factor for social dominance (Almas et al., 2015; Humphreys et al., 2018; Levin et al., 2015; Tang et al., 2021; Wade et al., 2020).”
BackgroundResultBullying and Psychological Distress in a Vulnerable Group: Youth in Residential Child Care
Jiménez, S. Y., Navarro, R., Maldonado, M. J. T., Zornoza, M. G., Larrañaga, M. E., & Rubio, E. L. (2019) · Journal of Child and Family Studies · doi:10.1007/s10826-019-01508-3 · Cited by 4 · see citing works
“Although bullying in the residential care context is still under-researched (Sekol & Farrington, 2016), even less information is available about the nature of the social interactions of institutionalized children with non-institutionalized children (Almas et al., 2015).”
BackgroundDeborde, A.-S., Touati, C. D., Herrero, L., & Touati, A. (2016) · L’Année psychologique · doi:10.3917/anpsy.163.0391 · Cited by 4 · see citing works
Major depression, substance use, and resilience among female adolescents in institutional care
Gündoğdu, Ü., & Eroğlu, M. (2023) · Journal of Substance Use · doi:10.1080/14659891.2023.2221352 · Cited by 4 · see citing works
Chronicles of A Death Row Exoneree: Life Prior, During, and After a Wrongful Conviction
Szyszko, A. (2018) · CU Scholar (University of Colorado Boulder) · Cited by 2 · see citing works
Residential care, housing and social policy: rethinking child protection in the Greek welfare state
Kourachanis, N. (2025) · Journal of Children s Services · doi:10.1108/jcs-03-2025-0018 · Cited by 1 · see citing works
Reino, C., Metcalfe, R. E., & Eddy, J. M. (2026) · Journal of Child and Family Studies · doi:10.1007/s10826-026-03335-9 · Cited by 1 · see citing works
“During our review of the literature, factors such as foster care experiences (Almas et al., 2015 ; Healey & Fisher, 2011; Leve et al., 2012), the perceived stressfulness of incarceration (Muentner et al., 2025), repeated or prolonged parental incarceration (Poehl-mann-Tynan & Turney, 2021), peer…”
InfluentialHandlung zwischen Automatismus, Bauchgefühl und Erinnerung
Markowitsch, H. J., & Staniloiu, A. (2017) · Springer eBooks · doi:10.1007/978-3-658-16891-9_5 · Cited by 1 · see citing works
Helder, E. J., Bailey, F. X., Warners, A. L., & Vallance, C. (2024) · Adoption Quarterly · doi:10.1080/10926755.2024.2304342 · Cited by 1 · see citing works
“…adoption including the loss of time spent building attachment to a primary caregiver, frequent placement moves, increased time spent in institutionalized care often resulting in neglect, and internalization of abandonment (McLaughlin et al., 2014; Almas et al., 2015; Sherr et al., 2017).”
BackgroundAffective attunement in peer dyads containing children adopted from institutions
DePasquale, C. E., & Gunnar, M. R. (2019) · Developmental Psychobiology · doi:10.1002/dev.21890 · Cited by 1 · see citing works
Holt-Gosselin, B., Adri, F., Humphreys, K. L., & Nelson, C. A. (2026) · Development and Psychopathology · doi:10.1017/s0954579426101837
Self-citationCarroll, B. (2018) · University of Birmingham Institutional Research Archive (University of Birmingham)
Psychosocial Adjustment Among Abused Children in Residential Care
Rohani, R., Jamaluddin, Z., & Manaf, A. R. A. (2019) · Journal of Business and Social Review in Emerging Economies · doi:10.26710/jbsee.v5i1.521
“Hence, the children are facing difficulties in handling psychosocial adjustments when they are in an outside environment away from the care and protective institutions (Almas et al., 2015).”
BackgroundRaising People With Special Needs
Tomić, R. (2021) · Advances in educational technologies and instructional design book series · doi:10.4018/978-1-7998-8509-2.ch014
Moretti, M. P., & Taborda, R. A. (2023) · NACIENDO Revista Española de Psicología y Psicopatología Perinatal e Infantil · doi:10.52961/myom8024
Tangcharoensathien, V., Iamsirithaworn, S., Rittirong, J., Techanimitvat, S., Vapattanawong, P., Apiratipanya, L., Chanthama, T., & Rueangsom, P. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1260069
Negligence Against Children: Analysis of Risk Factors Based on Structural Inequalities
Linhares, I. Z., & Lawrenz, P. (2025) · Springer eBooks · doi:10.1007/978-3-031-91786-8_3
Jindal, K., Ringland, A., Fitzcharles, S., Redd, C., Wheeler, D. G., & Coutellier, L. D. (2025) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2025.102810
Sanli, A. M., Ertekin, Z., Dogru, Y. Y., & Berument, S. K. (2026) · Journal of Speech Language and Hearing Research · doi:10.1044/2026_jslhr-24-00582
- Authors
- Almas, A. N., Degnan, K. A., Walker, O. L., Radulescu, A., Nelson, C. A., Zeanah, C. H., & Fox, N. A.
- Affiliations
- University of British Columbia (CA)
- University of Maryland, College Park (US)
- University of Bucharest (RO)
- Boston Children's Hospital (US)
- Tulane University (US)
- Corresponding author
- Fox, Nathan A.
- ORCID
- Venue
- Social Development
- Publisher
- Wiley
- Published
- 2014-07-26
- Volume
- 24
- Issue
- 2
- Pages
- 225-239
- ISSN
- 0961-205X (ISSN-L)
- 1467-9507
- PMC
- PMC4539259
- OpenAlex
- W1892544262
- Cited by
- 47
- References
- 31
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 2 · 2023: 5 · 2022: 3 · 2021: 7 · 2020: 3 · 2019: 8 · 2018: 3 · 2017: 6 · 2016: 1 · 2014: 2
- FWCI
- 8.38
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Social Development (publishedVersion)
- PubMed (publishedVersion)
- 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 and Adolescent Psychosocial and Emotional Development
- Keywords
- early institutionalization, foster care, Romanian orphans, Bucharest Early Intervention Project, social behavior, social engagement, social withdrawal, conversation skills, peer interaction, middle childhood, institutional care, actor-partner interdependence
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