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  Adult disinhibited social engagement in adoptees exposed to extreme institutional deprivation: examination of its clinical status and functional impact

Kennedy, M., Kreppner, J., Knights, N. H., Kumsta, R., Maughan, B., Golm, D., et al. (2017). Adult disinhibited social engagement in adoptees exposed to extreme institutional deprivation: examination of its clinical status and functional impact. The British Journal of Psychiatry, 211(5), 289-295. doi:10.1192/bjp.bp.117.200618.

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Adult disinhibited social engagement in adoptees exposed to extreme institutional deprivation.pdf (Verlagsversion), 701KB
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Adult disinhibited social engagement in adoptees exposed to extreme institutional deprivation.pdf
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© The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) licence.

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https://eprints.soton.ac.uk/410127/ (beliebiger Volltext)
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 Urheber:
Kennedy, Mark, Autor
Kreppner, Jana, Autor
Knights, Nicola H., Autor
Kumsta, Robert, Autor
Maughan, Barabara, Autor
Golm, Dennis, Autor
Hill, Jonathan, Autor
Rutter, Michael, Autor
Schlotz, Wolff1, Autor           
Sonuga-Barke, Edmund, Autor
Affiliations:
1Scientific Services, Max Planck Institute for Empirical Aesthetics, Max Planck Society, ou_2421698              

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 Zusammenfassung: Background: early life institutional deprivation produces disinhibited social engagement (DSE). Portrayed as a childhood condition, little is known about the persistence of DSE-type behaviours into, presentation during, and impact on, functioning in adulthood.

Aims: we examine these issues in the young adult follow-up of the English and Romanian Adoptees study.

Method: 122 of the original 165 Romanian adoptees who had spent up to 43 months as children in Ceaușescu’s Romanian orphanages and 42 UK adoptees were assessed for DSE behaviours, neuro-developmental and mental health problems, and impairment between ages 22-25 years.

Results: young adult DSE behaviour was strongly associated with early childhood deprivation, with a six-fold increase for those who spent more than 6 months in institutions. However, while DSE overlapped with autistic spectrum disorder and ADHD symptoms it was not, in itself, related to broader patterns of mental health problems or impairments in daily functioning in young adulthood.

Conclusion: DSE behaviour remained a prominent, but largely clinically benign, young-adult feature of some adoptees who experienced early deprivation.

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Sprache(n): eng - English
 Datum: 2017-09-212017-11
 Publikationsstatus: Erschienen
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 Identifikatoren: DOI: 10.1192/bjp.bp.117.200618
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Titel: The British Journal of Psychiatry
Genre der Quelle: Zeitschrift
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Ort, Verlag, Ausgabe: London : The Royal College of Psychiatrists
Seiten: - Band / Heft: 211 (5) Artikelnummer: - Start- / Endseite: 289 - 295 Identifikator: ISSN: 0007-1250