Trial reportPediatrics2014
Indiscriminate behaviors in previously institutionalized young children.
Trial report in Pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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
18 citing papers in PubMed, 72 citations in OpenAlex.
- Disinhibited Social Engagement Disorder in Early Childhood Predicts Reduced Competence in Early Adolescence.Journal of abnormal child psychology · 2019Trial
- The effects of early institutionalization on emotional face processing: evidence for sparing via an experience-dependent mechanism.The British journal of developmental psychology · 2017Trial
- Enhancing Parenting Quality for Young Children Adopted Internationally: Results of a Randomized Controlled Trial.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53Trial
- Growth in self-regulation over the course of adolescence mediates the effects of foster care on psychopathology in post-institutionalized children: a randomized clinical trial.Clinical psychological science : a journal of the Association for Psychological Science · 2021Article
- Development and Examination of the Reactive Attachment Disorder and Disinhibited Social Engagement Disorder Assessment Interview.Assessment · 2020Article
- Disinhibited attachment behavior among infants of mothers with borderline personality disorder, depression, and no diagnosis.Personality disorders · 2019Article
- Signs of attachment disorders and social functioning among early adolescents with a history of institutional care.Child abuse & neglect · 2019Article
- Course of Disinhibited Social Engagement Disorder From Early Childhood to Early Adolescence.Journal of the American Academy of Child and Adolescent Psychiatry · 2018Article
- Assessment of attachment disorder symptoms in foster children: comparing diagnostic assessment tools.Child and adolescent psychiatry and mental health · 2018Article
- Disorganized attachment in infancy: a review of the phenomenon and its implications for clinicians and policy-makers.Attachment & human development · 2017Review
- Altered ventral striatal-medial prefrontal cortex resting-state connectivity mediates adolescent social problems after early institutional care.Development and psychopathology · 2017Article
- Convergence between observations and interviews in clinical diagnosis of reactive attachment disorder and disinhibited social engagement disorder.Clinical child psychology and psychiatry · 2017Article
- The role of learning in social development: Illustrations from neglected children.Developmental science · 2017Article
- The Effects of Psychosocial Deprivation on Attachment: Lessons from the Bucharest Early Intervention Project.Psychodynamic psychiatry · 2017Article
- The course of early disinhibited social engagement among post-institutionalized adopted children.Journal of child psychology and psychiatry, and allied disciplines · 2016Observational
- Discrimination of amygdala response predicts future separation anxiety in youth with early deprivation.Journal of child psychology and psychiatry, and allied disciplines · 2016Article
- Trauma- and Stressor-Related Disorders Among Children and Adolescents.Focus (American Psychiatric Publishing) · 2016Article
- Annual research review: Attachment disorders in early childhood--clinical presentation, causes, correlates, and treatment.Journal of child psychology and psychiatry, and allied disciplines · 2015Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveThis study included 54-month-old children with a history of institutional care. Our goal was to: (1) examine differences in indiscriminate social behaviors in children with a history of institutional care compared with home-reared children; (2) test whether foster care reduces indiscriminate social behaviors in a randomized controlled trial; and (3) examine early predictors of indiscriminate behaviors.
methodsParticipants were 58 children with a history of institutional care and 31 never-institutionalized control (NIG) subjects enrolled in a randomized controlled trial of foster care for institutional care, assessed from toddlerhood to 54 months. Indiscriminate social behaviors were measured naturalistically by using the Stranger at the Door procedure.
resultsIn the Stranger at the Door procedure, children with a history of institutional care left with a stranger at higher rates than NIG subjects (33% vs. 3.5%; P < .001). Children in the care as usual group left more than NIG subjects (41.9% vs. 3.6%; P ≤ .001). The differences between the foster care group (24.1%) and the care as usual group and between foster care group and NIG were not significant. In a logistic regression, early disorganized attachment behaviors, baseline developmental quotient, and caregiving quality after randomization contributed to variance at 54 months. In the same analysis using only children with a history of institutional care, only disorganized attachment contributed significantly to 54-month indiscriminate social behaviors (Exp[B] = 1.6 [95% confidence interval: 1.1-2.5]).
conclusionsObserved socially indiscriminate behaviors at 54 months were associated with prolonged exposure to institutional care. Young children raised in conditions of deprivation who fail to develop organized attachments as toddlers are at increased risk for subsequent indiscriminate behaviors.
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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.