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Attachment security as a mechanism linking foster care placement to improved mental health outcomes in previously institutionalized children / Katie A. MCLAUGHLIN in Journal of Child Psychology and Psychiatry, 53-1 (January 2012)
[article]
Titre : Attachment security as a mechanism linking foster care placement to improved mental health outcomes in previously institutionalized children Type de document : Texte imprimé et/ou numérique Auteurs : Katie A. MCLAUGHLIN, Auteur ; Charles H. ZEANAH, Auteur ; Nathan A. FOX, Auteur ; Charles A. III NELSON, Auteur Année de publication : 2012 Article en page(s) : p.46-55 Langues : Anglais (eng) Mots-clés : Institutionalization childhood adversity attachment internalizing depression;anxiety Index. décimale : PER Périodiques Résumé : Background: Children reared in institutions experience elevated rates of psychiatric disorders. Inability to form a secure attachment relationship to a primary caregiver is posited to be a central mechanism in this association. We determined whether the ameliorative effect of a foster care (FC) intervention on internalizing disorders in previously institutionalized children was explained by the development of secure attachment among children placed in FC. Second we evaluated the role of lack of attachment in an institutionalized sample on the etiology of internalizing disorders within the context of a randomized trial. Methods: A sample of 136 children (aged 6–30 months) residing in institutions was recruited in Bucharest, Romania. Children were randomized to FC (n = 68) or to care as usual (CAU; n = 68). Foster parents were recruited, trained, and overseen by the investigative team. Attachment security at 42 months was assessed using the Strange Situation Procedure, and internalizing disorders at 54 months were assessed using the Preschool Age Psychiatric Assessment. Results: Girls in FC had fewer internalizing disorders than girls in CAU (OR = 0.17, p = .006). The intervention had no effect on internalizing disorders in boys (OR = 0.47, p = .150). At 42 months, girls in FC were more likely to have secure attachment than girls in CAU (OR = 12.5, p < .001), but no difference was observed in boys (OR = 2.0, p = .205). Greater attachment security predicted lower rates of internalizing disorders in both sexes. Development of attachment security fully mediated intervention effects on internalizing disorders in girls. Conclusion: Placement into FC facilitated the development of secure attachment and prevented the onset of internalizing disorders in institutionalized girls. The differential effects of FC on attachment security in boys and girls explained gender differences in the intervention effects on psychopathology. Findings provide evidence for the critical role of disrupted attachment in the etiology of internalizing disorders in children exposed to institutionalization. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02437.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=148
in Journal of Child Psychology and Psychiatry > 53-1 (January 2012) . - p.46-55[article] Attachment security as a mechanism linking foster care placement to improved mental health outcomes in previously institutionalized children [Texte imprimé et/ou numérique] / Katie A. MCLAUGHLIN, Auteur ; Charles H. ZEANAH, Auteur ; Nathan A. FOX, Auteur ; Charles A. III NELSON, Auteur . - 2012 . - p.46-55.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 53-1 (January 2012) . - p.46-55
Mots-clés : Institutionalization childhood adversity attachment internalizing depression;anxiety Index. décimale : PER Périodiques Résumé : Background: Children reared in institutions experience elevated rates of psychiatric disorders. Inability to form a secure attachment relationship to a primary caregiver is posited to be a central mechanism in this association. We determined whether the ameliorative effect of a foster care (FC) intervention on internalizing disorders in previously institutionalized children was explained by the development of secure attachment among children placed in FC. Second we evaluated the role of lack of attachment in an institutionalized sample on the etiology of internalizing disorders within the context of a randomized trial. Methods: A sample of 136 children (aged 6–30 months) residing in institutions was recruited in Bucharest, Romania. Children were randomized to FC (n = 68) or to care as usual (CAU; n = 68). Foster parents were recruited, trained, and overseen by the investigative team. Attachment security at 42 months was assessed using the Strange Situation Procedure, and internalizing disorders at 54 months were assessed using the Preschool Age Psychiatric Assessment. Results: Girls in FC had fewer internalizing disorders than girls in CAU (OR = 0.17, p = .006). The intervention had no effect on internalizing disorders in boys (OR = 0.47, p = .150). At 42 months, girls in FC were more likely to have secure attachment than girls in CAU (OR = 12.5, p < .001), but no difference was observed in boys (OR = 2.0, p = .205). Greater attachment security predicted lower rates of internalizing disorders in both sexes. Development of attachment security fully mediated intervention effects on internalizing disorders in girls. Conclusion: Placement into FC facilitated the development of secure attachment and prevented the onset of internalizing disorders in institutionalized girls. The differential effects of FC on attachment security in boys and girls explained gender differences in the intervention effects on psychopathology. Findings provide evidence for the critical role of disrupted attachment in the etiology of internalizing disorders in children exposed to institutionalization. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02437.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=148 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)
[article]
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
in Journal of Child Psychology and Psychiatry > 62-8 (August 2021)[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