ArticleJournal of the American Academy of Child and Adolescent Psychiatry2012
Recovering from early deprivation: attachment mediates effects of caregiving on psychopathology.
Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
43 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Meta-Analyses of the Associations Between Disinhibited Social Engagement Behaviors and Child Attachment Insecurity or Disorganization.Research on child and adolescent psychopathology · 2021Pooled it
- Psychiatric outcomes following severe deprivation in early childhood: Follow-up of a randomized controlled trial at age 16.Journal of consulting and clinical psychology · 2020Trial
- Caregiving Disruptions Affect Growth and Pubertal Development in Early Adolescence in Institutionalized and Fostered Romanian Children: A Randomized Clinical Trial.The Journal of pediatrics · 2018Trial
- Psychopathology in young children in two types of foster care following institutional rearing.Infant mental health journalTrial
- Families with Internationally Adopted Children in Finland: A Study of Emotional Availability in the Early Interaction.Child psychiatry and human development · 2026Article
- Childhood Maltreatment and Psychopathology: The Mediating Roles of Mentalizing and Attachment Styles.Psychopathology · 2026Article
- A structural equation model of parenting and child's resilience after the earthquake in Türkiye.Family process · 2025Article
- Caregiving Quality Across Development and Secure Base Knowledge among Adolescents with a History of Institutional Care.Adversity and resilience science · 2025Article
- The Integrated Family Approach in Mental Health Care Services: A Study of Risk Factors.International journal of environmental research and public health · 2024Article
- Improvements in the quality of the parent-child relationship following treatment with an integrated family approach.Frontiers in psychiatry · 2024Article
- Effects of intranasal oxytocin on neural reward processing in children and adolescents with reactive attachment disorder: A randomized controlled trial.Frontiers in child and adolescent psychiatry · 2022Article
- Integrated Family Approach in Mental Health Care by Professionals From Adult and Child Mental Health Services: A Qualitative Study.Frontiers in psychiatry · 2022Article
- Reactive attachment disorder and disinhibited social engagement disorder in adolescence: co-occurring psychopathology and psychosocial problems.European child & adolescent psychiatry · 2022Article
- Early social adversity modulates the relation between attention biases and socioemotional behaviour in juvenile macaques.Scientific reports · 2021Article
- Controversy: the creation of diagnostic "haves" and "have-nots," an inadvertent cause of healthcare disparities among neurodevelopmental disabilities.Pediatric research · 2021Review
- Dimensions of the language environment in infancy and symptoms of psychopathology in toddlerhood.Developmental science · 2021Article
- Early caregiving quality predicts consistency of competent functioning from middle childhood to adolescence following early psychosocial deprivation.Development and psychopathology · 2021Article
- Trajectories of Mother-Infant Communication: An Experiential Measure of the Impacts of Early Life Adversity.Frontiers in human neuroscience · 2021Article
- How to Support Parents of Infants and Young Children in Mental Health Care: A Narrative Review.Frontiers in psychology · 2021Review
- Enduring neuroimmunological consequences of developmental experiences: From vulnerability to resilience.Molecular and cellular neurosciences · 2020Review
Corrections and comments
- Commented on by
- Commented on by
Authors and funding
8 authors.
Funding
Abstract
objectiveChildren exposed to early institutional rearing are at risk for developing psychopathology. The present investigation examines caregiving quality and the role of attachment security as they relate to symptoms of psychopathology in young children exposed to early institutionalization.
methodParticipants were enrolled in the Bucharest Early Intervention Project (BEIP), a longitudinal intervention study of children abandoned and placed in institutions at or shortly after birth. Measures included observed caregiving when children were 30 months of age, observed attachment security at 42 months, and caregiver reports of children's psychopathology at 54 months. At 54 months, some children remained in institutions, others were in foster care, others had been adopted domestically, and still others had been returned to their biological families. Thus, the children had experienced varying amounts of institutional rearing.
resultsAfter controlling for gender, quality of caregiving when children were 30 months old was associated with symptoms of multiple domains of psychopathology at 54 months of age. Ratings of security of attachment at 42 months mediated the associations between quality caregiving at 30 months and fewer symptoms of psychopathology at 54 months.
conclusionsAmong deprived young children, high-quality caregiving at 30 months predicted reduced psychopathology and functional impairment at 54 months. Security of attachment mediated this relationship. Interventions for young children who have experienced deprivation may benefit from explicitly targeting caregiver-child attachment relationships.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.