Health status, cognitive and motor development of young children adopted from China, East Asia, and Russia across the first 6 months after adoption

Pomerleau, Andrée; Malcuit, Gérard; Chicoine, Jean-François; Séguin, Renée; Belhumeur, Céline; Germain, Patricia; Amyot, I; JÉliu, Gloria

doi:10.1080/01650250500206257

Cited by 27 publications

(39 citation statements)

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“…22 Similarly, longer institutionalization histories were associated with significantly lower scores than shorter institutionalization histories on vestibular-proprioceptive, visual, and praxis areas of the Sensory Integration and Praxis Tests, 23 as well as balance. 24 Placement in a family setting has thus far been found to improve outcomes only minimally; psychomotor development scores in adopted children were generally found to be higher 6 months after adoption than at the time of adoption, 25 postinstitutionalized children have delays in balance and bilateral coordination compared with never institutionalized children which placement in a family setting does not adequately remediate. 24 However, a selection bias of children chosen for adoption was inherent in these studies because physically and psychologically healthier children may be more likely to be adopted into families.…”

mentioning

confidence: 99%

Motor Outcomes in Children Exposed to Early Psychosocial Deprivation

Levin¹,

Zeanah²,

Nelson³

2014

The Journal of Pediatrics

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Objectives To determine the effect of psychosocial deprivation early in life on motor development and assess the impact of a foster care intervention on improving motor development. Study design In a randomized controlled trial, children living in Romanian institutions were randomly assigned to care as usual in the institution, or placed in family centered foster care as part of the Bucharest Early Intervention Project (BEIP). The average age of placement into foster care was 23 months. At 8 years of age, the Bruininks-Oseretsky 2nd edition, short form (BOT2-SF) assessed the motor proficiency of children in both groups, as well as a never-institutionalized group from the Romanian community. Results Children in the never-institutionalized group did significantly better on the BOT2-SF than children who had ever been institutionalized. (p < .001). There was no significant difference in performance between children in the care as usual group and foster care group. This finding also held true for all individual items on the BOT2-SF, except sit-ups. Regression analyses revealed that the between-group and within-group differences in BOT2-SF scores were largely mediated by IQ. Conclusions Early deprivation had a negative effect on motor development which was not resolved by placement in foster care. This effect was predominantly mediated by IQ. This study highlights the importance of monitoring for and addressing motor delays in children with a history of institutionalization, particularly those children with low IQ.

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confidence: 99%

Motor Outcomes in Children Exposed to Early Psychosocial Deprivation

Levin¹,

Zeanah²,

Nelson³

2014

The Journal of Pediatrics

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“…Consistent with other lines of research (e.g., Glennen & Bright, 2005;Gunnar et al, 2007;Loman et al, 2013), this study grouped together children that were adopted from Eastern Europe. This was done because there are pre-adoption risk factors that are common to children that were adopted from institutions in this region (Gunnar et al, 2001;Pomerleau et al, 2005). However, Eastern Europe is a large geographical area that includes many diverse countries and cultures.…”

Section: Discussionmentioning

confidence: 99%

“…Children adopted from Eastern Europe may be particularly vulnerable to negative outcomes, including internalizing and externalizing behavior problems (Pomerleau et al, 2005). Greater risk in Eastern European adoptees is thought to be related to numerous factors, including increased risk of in-utero substance exposure (Gunnar et al, 2007), genetic factors that may place the child at elevated risk for mental health disorders (Stevens et al, 2009), and the potential for early life trauma, including exposure to war, a lack of social welfare in their country of origin, and particularly poor conditions in the institutionalized setting, including malnutrition, neglect, and lack of consistent caregivers (Gunnar, Morrison, Chisholm, & Schuder, 2001).…”

Section: Introductionmentioning

confidence: 99%

Structural language, pragmatic communication, behavior, and social competence in children adopted internationally: A pilot study

Petranovich

Walz

Staat

et al. 2016

Applied Neuropsychology: Child

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The objectives of this study were to examine the association of structural language and pragmatic communication with behavior problems and social competence in girls adopted internationally. Participants included girls between 6-12 years of age who were internationally adopted from China (n = 32) and Eastern-Europe (n = 25) and a control group of never-adopted girls (n = 25). Children completed the Wechsler Abbreviated Scale of Intelligence. Parents completed the Child Communication Checklist- second edition, the Child Behavior Checklist, and the Home and Community Social Behavior Scales. Compared to the controls, parents in the Eastern European group reported more problems with social competence, externalizing behaviors, structural language, and pragmatic communication. The Chinese group evidenced more internalizing problems. Using generalized linear regression, interaction terms were examined to determine if the associations of pragmatic communication and structural language with behavior problems and social competence varied across groups. Controlling for general intellectual functioning, poorer pragmatic communication was associated with more externalizing problems and poorer social competence. In the Chinese group, poorer pragmatic communication was associated with more internalizing problems. Post-adoption weaknesses in pragmatic communication are associated with behavior problems and social competence. Internationally adopted children may benefit from interventions that target pragmatic communication.

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“…Research is now considering the significance of a range of variables, beyond age at adoption (for example, pre-adoption care arrangements) which may lead to residual effects of pre-adoption adversity on post-adoption adjustment (Pomerleau et al, 2005;Tan, Marfo, & Dedrick, 2010). Neurobiological research is also increasing understanding of prolonged exposure to institutional rearing on brain development, and in particular, on these children's emotional regulation (Tottenham et al, 2010).…”

Section: Contribution Of Past Researchmentioning

confidence: 99%

“…Some have suggested that the pre-adoption environmental conditions in a child's birth country may have a more significant impact on development (Howe, 1997;Pomerleau et al, 2005) and these conditions may vary between countries (Tan, et al, 2010;Dalen, 2002Dalen, , 2007.…”

Section: Pre-adoption Experiencesmentioning

confidence: 99%

Examining the primary school experiences of intercountry adoptees : perspectives of adoptive parents and children

Sempowicz¹

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Health status, cognitive and motor development of young children adopted from China, East Asia, and Russia across the first 6 months after adoption

Cited by 27 publications

References 0 publications

Motor Outcomes in Children Exposed to Early Psychosocial Deprivation

Motor Outcomes in Children Exposed to Early Psychosocial Deprivation

Structural language, pragmatic communication, behavior, and social competence in children adopted internationally: A pilot study

Examining the primary school experiences of intercountry adoptees : perspectives of adoptive parents and children

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