Foster care promotes adaptive functioning in early adolescence among children who experienced severe, early deprivation / Kathryn L. HUMPHREYS in Journal of Child Psychology and Psychiatry, 59-7 (July 2018)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 59-7 (July 2018) . - p.811-821 Titre : Foster care promotes adaptive functioning in early adolescence among children who experienced severe, early deprivation Type de document : Texte imprimé et/ou numérique Auteurs : Kathryn L. HUMPHREYS, Auteur ; D. MIRON, Auteur ; K. A. MCLAUGHLIN, Auteur ; M. A. SHERIDAN, Auteur ; C. A. NELSON, Auteur ; N. A. FOX, Auteur ; C. H. ZEANAH, Auteur Article en page(s) : p.811-821 Langues : Anglais (eng) Mots-clés : Institutional care  adaptive functioning  foster care  resilience Index. décimale : PER Périodiques Résumé : BACKGROUND: Experiences in early life lay the foundation for later development and functioning. Severe psychosocial deprivation, as experienced by children in early institutional care, constitutes an adverse experience with long-term negative consequences. The Bucharest Early Intervention Project sought to examine the effects of foster care as an alternative to institutional care for abandoned infants in Romanian institutions. METHODS: At a mean age of 22 months, institutionalized children were randomized to foster care or care as usual. At age 12 years, we followed-up with 98 of these children (50 randomized to foster care), as well as assessed 49 never institutionalized comparison children. Adaptive functioning was assessed across seven domains-mental health, physical health, substance use, risk-taking behavior, family relations, peer relations, and academic performance. Children at or above the threshold for adaptive functioning in at least six of seven domains were classified as having overall adaptive functioning in early adolescence. RESULTS: Among all children who had experienced severe early deprivation, 40% exhibited adaptive functioning. Children randomized to foster care were significantly more likely to exhibit adaptive functioning at age 12 years than children in the care as usual condition (56% vs. 23%). In support of external validity, children who met the threshold for adaptive functioning at age 12 years had higher IQs and were more physiologically responsive to stress. Among children randomized to foster care, children placed prior to age 20 months were more likely to meet the threshold for adaptive functioning than those placed after this age (79% vs. 46%). CONCLUSIONS: This study provides causal evidence that placing children into families following severe deprivation increases the likelihood of adaptive functioning in early adolescence. En ligne : http://dx.doi.org/10.1111/jcpp.12865 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368 [article] Foster care promotes adaptive functioning in early adolescence among children who experienced severe, early deprivation [Texte imprimé et/ou numérique] / Kathryn L. HUMPHREYS, Auteur ; D. MIRON, Auteur ; K. A. MCLAUGHLIN, Auteur ; M. A. SHERIDAN, Auteur ; C. A. NELSON, Auteur ; N. A. FOX, Auteur ; C. H. ZEANAH, Auteur . - p.811-821. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 59-7 (July 2018) . - p.811-821 Mots-clés : Institutional care  adaptive functioning  foster care  resilience Index. décimale : PER Périodiques Résumé : BACKGROUND: Experiences in early life lay the foundation for later development and functioning. Severe psychosocial deprivation, as experienced by children in early institutional care, constitutes an adverse experience with long-term negative consequences. The Bucharest Early Intervention Project sought to examine the effects of foster care as an alternative to institutional care for abandoned infants in Romanian institutions. METHODS: At a mean age of 22 months, institutionalized children were randomized to foster care or care as usual. At age 12 years, we followed-up with 98 of these children (50 randomized to foster care), as well as assessed 49 never institutionalized comparison children. Adaptive functioning was assessed across seven domains-mental health, physical health, substance use, risk-taking behavior, family relations, peer relations, and academic performance. Children at or above the threshold for adaptive functioning in at least six of seven domains were classified as having overall adaptive functioning in early adolescence. RESULTS: Among all children who had experienced severe early deprivation, 40% exhibited adaptive functioning. Children randomized to foster care were significantly more likely to exhibit adaptive functioning at age 12 years than children in the care as usual condition (56% vs. 23%). In support of external validity, children who met the threshold for adaptive functioning at age 12 years had higher IQs and were more physiologically responsive to stress. Among children randomized to foster care, children placed prior to age 20 months were more likely to meet the threshold for adaptive functioning than those placed after this age (79% vs. 46%). CONCLUSIONS: This study provides causal evidence that placing children into families following severe deprivation increases the likelihood of adaptive functioning in early adolescence. En ligne : http://dx.doi.org/10.1111/jcpp.12865 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368

Heightened sensitivity to the caregiving environment during adolescence: implications for recovery following early-life adversity / N. L. COLICH in Journal of Child Psychology and Psychiatry, 62-8 (August 2021)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 62-8 (August 2021) Titre : Heightened sensitivity to the caregiving environment during adolescence: implications for recovery following early-life adversity Type de document : Texte imprimé et/ou numérique Auteurs : N. L. COLICH, Auteur ; M. A. SHERIDAN, Auteur ; Kathryn L. HUMPHREYS, Auteur ; M. WADE, Auteur ; F. TIBU, Auteur ; C. A. NELSON, Auteur ; C. H. ZEANAH, Auteur ; N. A. FOX, Auteur ; K. A. MCLAUGHLIN, Auteur Langues : Anglais (eng) Mots-clés : Adolescent  Adverse Childhood Experiences  Child  Child, Institutionalized  Foster Home Care  Humans  Psychopathology  Psychosocial Deprivation  Institutionalization  adolescence  executive function  psychopathology  reward Index. décimale : PER Périodiques Résumé : BACKGROUND: Adolescence has been proposed to be a period of heightened sensitivity to environmental influence. If true, adolescence may present a window of opportunity for recovery for children exposed to early-life adversity. Recent evidence supports adolescent recalibration of stress response systems following early-life adversity. However, it is unknown whether similar recovery occurs in other domains of functioning in adolescence. METHODS: We use data from the Bucharest Early Intervention Project - a randomized controlled trial of foster care for children raised in psychosocially depriving institutions - to examine the associations of the caregiving environment with reward processing, executive functioning, and internalizing and externalizing psychopathology at ages 8, 12, and 16 years, and evaluate whether these associations change across development. RESULTS: Higher quality caregiving in adolescence was associated with greater reward responsivity and lower levels of internalizing and externalizing symptoms, after covarying for the early-life caregiving environment. The associations of caregiving with executive function and internalizing and externalizing symptoms varied by age and were strongest at age 16 relative to ages 8 and 12 years. This heightened sensitivity to caregiving in adolescence was observed in both children with and without exposure to early psychosocial neglect. CONCLUSIONS: Adolescence may be a period of heightened sensitivity to the caregiving environment, at least for some domains of functioning. For children who experience early psychosocial deprivation, this developmental period may be a window of opportunity for recovery of some functions. Albeit correlational, these findings suggest that it may be possible to reverse or remediate some of the lasting effects of early-life adversity with interventions that target caregiving during adolescence. En ligne : http://dx.doi.org/10.1111/jcpp.13347 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456 [article] Heightened sensitivity to the caregiving environment during adolescence: implications for recovery following early-life adversity [Texte imprimé et/ou numérique] / N. L. COLICH, Auteur ; M. A. SHERIDAN, Auteur ; Kathryn L. HUMPHREYS, Auteur ; M. WADE, Auteur ; F. TIBU, Auteur ; C. A. NELSON, Auteur ; C. H. ZEANAH, Auteur ; N. A. FOX, Auteur ; K. A. MCLAUGHLIN, Auteur. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 62-8 (August 2021) Mots-clés : Adolescent  Adverse Childhood Experiences  Child  Child, Institutionalized  Foster Home Care  Humans  Psychopathology  Psychosocial Deprivation  Institutionalization  adolescence  executive function  psychopathology  reward Index. décimale : PER Périodiques Résumé : BACKGROUND: Adolescence has been proposed to be a period of heightened sensitivity to environmental influence. If true, adolescence may present a window of opportunity for recovery for children exposed to early-life adversity. Recent evidence supports adolescent recalibration of stress response systems following early-life adversity. However, it is unknown whether similar recovery occurs in other domains of functioning in adolescence. METHODS: We use data from the Bucharest Early Intervention Project - a randomized controlled trial of foster care for children raised in psychosocially depriving institutions - to examine the associations of the caregiving environment with reward processing, executive functioning, and internalizing and externalizing psychopathology at ages 8, 12, and 16 years, and evaluate whether these associations change across development. RESULTS: Higher quality caregiving in adolescence was associated with greater reward responsivity and lower levels of internalizing and externalizing symptoms, after covarying for the early-life caregiving environment. The associations of caregiving with executive function and internalizing and externalizing symptoms varied by age and were strongest at age 16 relative to ages 8 and 12 years. This heightened sensitivity to caregiving in adolescence was observed in both children with and without exposure to early psychosocial neglect. CONCLUSIONS: Adolescence may be a period of heightened sensitivity to the caregiving environment, at least for some domains of functioning. For children who experience early psychosocial deprivation, this developmental period may be a window of opportunity for recovery of some functions. Albeit correlational, these findings suggest that it may be possible to reverse or remediate some of the lasting effects of early-life adversity with interventions that target caregiving during adolescence. En ligne : http://dx.doi.org/10.1111/jcpp.13347 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456

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