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  Adoptees’ responses to separation from, and reunion with, their adoptive parent at age 4 years is associated with long-term persistence of autism symptoms following early severe institutional deprivation

Sonuga-Barke, E., Kennedy, M., Golm, D., Knights, N., Kovshoff, H., Kreppner, J., et al. (2019). Adoptees’ responses to separation from, and reunion with, their adoptive parent at age 4 years is associated with long-term persistence of autism symptoms following early severe institutional deprivation. Development and Psychopathology, Advance online publication. doi:10.1017/S0954579419000506.

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Item Permalink: http://hdl.handle.net/21.11116/0000-0004-737B-1 Version Permalink: http://hdl.handle.net/21.11116/0000-0004-737C-0
Genre: Journal Article

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 Creators:
Sonuga-Barke, Edmund, Author
Kennedy, Mark, Author
Golm, Dennis, Author
Knights, Nicky, Author
Kovshoff, Hanna, Author
Kreppner, Jana, Author
Kumsta, Robert, Author
Maughan, Barbara, Author
O'Connor, Thomas G., Author
Schlotz, Wolff1, Author              
Affiliations:
1Scientific Services, Max Planck Institute for Empirical Aesthetics, Max Planck Society, ou_2421698              

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Free keywords: adversity, insecure other, institutional deprivation, longitudinal, Romanian adoptees
 Abstract: Institutionally deprived young children often display distinctive patterns of attachment, classified as insecure/other (INS/OTH), with their adoptive parents. The associations between INS/OTH and developmental trajectories of mental health and neurodevelopmental symptoms were examined. Age 4 attachment status was determined for 97 Romanian adoptees exposed to up to 24 months of deprivation in Romanian orphanages and 49 nondeprived UK adoptees. Autism, inattention/overactivity and disinhibited-social-engagement symptoms, emotional problems, and IQ were measured at 4, 6, 11, and 15 years and in young adulthood. Romanian adoptees with over 6 months deprivation (Rom>6) were more often classified as INS/OTH than UK and Romanian adoptees with less than 6 months deprivation combined. INS/OTH was associated with cognitive impairment at age 4 years. The interaction between deprivation, attachment status, and age for autism spectrum disorder assessment was significant, with greater symptom persistence in Rom>6 INS/OTH(+) than other groups. This effect was reduced when IQ at age 4 was controlled for. Age 4 INS/OTH in Rom>6 was associated with worse autism spectrum disorder outcomes up to two decades later. Its association with cognitive impairment at age 4 is consistent with INS/OTH being an early marker of this negative developmental trajectory, rather than its cause.

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Language(s): eng - English
 Dates: 2019
 Publication Status: Published in print
 Pages: -
 Publishing info: -
 Table of Contents: -
 Rev. Method: -
 Identifiers: DOI: 10.1017/S0954579419000506
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Title: Development and Psychopathology
Source Genre: Journal
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Pages: - Volume / Issue: - Sequence Number: Advance online publication Start / End Page: - Identifier: -