Cited by 187Child Welfare and AdoptionChild Abuse and TraumaChild and Adolescent Psychosocial and Emotional Development

The effects of early neglect on cognitive, language, and behavioral functioning in childhood

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Spratt, Eve G., Friedenberg, Samantha, LaRosa, Angela, Bellis, Michael D. De, Macias, Michelle M., Summer, Andrea P., Hulsey, Thomas C., Runyan, Des K. +1 more·2012·Psychology

Abstract

OBJECTIVES: Few studies have explored the impact of different types of neglect on children's development. Measures of cognition, language, behavior, and parenting stress were used to explore differences between children experiencing various forms of neglect, as well as to compare children with and without a history of early neglect. METHODS: Children, ages 3 to 10 years with a history of familial neglect (USN), were compared to children with a history of institutional rearing (IA) and children without a history of neglect using the Differential Abilities Scale, Test of Early Language Development, Child Behavior Checklist, and Parenting Stress Index. Factors predicting child functioning were also explored. RESULTS: Compared with youth that were not neglected, children with a history of USN and IA demonstrated lower cognitive and language scores and more behavioral problems. Both internalizing and externalizing behavior problems were most common in the USN group. Externalizing behavior problems predicted parenting stress. Higher IQ could be predicted by language scores and an absence of externalizing behavior problems. When comparing the two neglect groups, shorter time spent in a stable environment, lower scores on language skills, and the presence of externalizing behavior predicted lower IQ. CONCLUSION: These findings emphasize the importance of early stable, permanent placement of children who have been in neglectful and pre-adoptive international settings. While an enriching environment may promote resilience, children who have experienced early neglect are vulnerable to cognitive, language and behavioral deficits and neurodevelopmental and behavioral evaluations are required to identify those in need of intervention.

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Crossref · 10.4236/psych.2012.32026

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  • When neglect is directly compared with abuse, children exposed to neglect are at greater risk for cognitive deficits than children exposed to abuse, and these deficits resemble those seen in severe poverty and institutionalization.

    “When neglect is directly compared to abuse, children exposed to neglect are at greater risk for cognitive deficits than children exposed to abuse (Hildyard & Wolfe, 2002) and these deficits are similar to those observed in severe poverty and institutionalization (Dubowitz et al., 2002; Spratt et al., 2012), consistent with our conceptualization of neglect as a form of deprivation.”
  • Neglected children have lower IQ and academic performance than children in typical caregiving environments.

    “Neglected children have lower IQ and academic performance than children raised in typical caregiving environments.(41, 87–91)”
  • Children exposed to neglect and institutional rearing have dramatic reductions in cognitive ability.

    “Indeed, children exposed to neglect and institutional rearing experience dramatic reductions in cognitive ability.”
  • Poor expressive and receptive language are consistently observed in neglected children and are more pronounced than language difficulties associated with abuse.

    “Poor expressive and receptive language have been consistently observed in neglected children, who exhibit language difficulties that are more pronounced than those associated with abuse.(87, 112, 113)”

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Research works printed but not linked: 2

  1. [21]Gunnar MR Nelson CH Luciana M Effects of early deprivation: Findings from orphanage-reared infants and children Handbook of Developmental Neuroscience Cambridge, MA MIT Press 2001
  2. [33]Abidin RR Parenting Stress Index-Short Form Charlottesville, VA Pediatric Psychology Press 1990

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Authors
Spratt, E. G., Friedenberg, S., LaRosa, A., Bellis, M. D. D., Macias, M. M., Summer, A. P., Hulsey, T. C., Runyan, D. K., & Brady, K. T.
Affiliations
  • Medical University of South Carolina (US)
  • Duke University (US)
Venue
Psychology
Published
2012
Volume
03
Issue
02
Pages
175-182
ISSN
  • 2152-7180 (ISSN-L)
  • 2152-7199
OpenAlex
W2055128413
Cited by
187
References
54
Citations by year
2026: 17 · 2025: 21 · 2024: 16 · 2023: 18 · 2022: 20 · 2021: 18 · 2020: 29 · 2019: 15 · 2018: 9 · 2017: 12 · 2016: 3 · 2015: 4 · 2014: 4 · 2013: 1
FWCI
7.50
Type
journal article
Language
en
Open access
Locations
  • Psychology (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • U.S. Department of Health and Human Services
  • University of South Carolina
  • National Institutes of Health
  • National Institute on Alcohol Abuse and Alcoholism (R01AA012479)
  • National Institute of Mental Health (R01MH063407, K24MH71434, K23MH064111, R01MH061744, K24MH071434)
  • National Institute on Drug Abuse (K24DA000435, K24DA028773)
Topics
  • Social Sciences › Safety Research › Child Welfare and Adoption
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
institutional upbringing, child development, cognitive function, language development, behavioral problems, externalizing problems, internalizing problems, parental stress, IQ, resilience

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