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01-04-2008 | Uitgave 3/2008

Journal of Abnormal Child Psychology 3/2008

Inattention/Overactivity Following Early Severe Institutional Deprivation: Presentation and Associations in Early Adolescence

Tijdschrift:
Journal of Abnormal Child Psychology > Uitgave 3/2008
Auteurs:
Suzanne E. Stevens, Edmund J. S. Sonuga-Barke, Jana M. Kreppner, Celia Beckett, Jenny Castle, Emma Colvert, Christine Groothues, Amanda Hawkins, Michael Rutter

Abstract

The current study examined the persistence and phenotypic presentation of inattention/overactivity (I/O) into early adolescence, in a sample of institution reared (IR) children adopted from Romania before the age of 43 months. Total sample comprised 144 IR and 21 non-IR Romanian adoptees, and a comparison group of 52 within-UK adoptees, assessed at ages 6 and 11 years. I/O was rated using Rutter Scales completed by parents and teachers. I/O continued to be strongly associated with institutional deprivation, with continuities between ages 6 and 11 outcomes. There were higher rates of deprivation-related I/O in boys than girls, and I/O was strongly associated with conduct problems, disinhibited attachment and executive function but not IQ more generally, independently of gender. Deprivation-related I/O shares many common features with ADHD, despite its different etiology and putative developmental mechanisms. I/O is a persistent domain of impairment following early institutional deprivation of 6 months or more, suggesting there may be a possible pathway to impairment through some form of neuro-developmental programming during critical periods of early development.

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