ReviewLancet (London, England)2015
The science of early adversity: is there a role for large institutions in the care of vulnerable children?
Review in Lancet (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 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
37 citing papers in PubMed, 160 citations in OpenAlex.
- Psychosocial deprivation and receptive language ability: a two-sample study.Journal of neurodevelopmental disorders · 2020Trial
- Effects of early institutionalization on emotion processing in 12-year-old youth.Development and psychopathology · 2017Trial
- Pandemic Babies: Developmental Outcomes in Preschool-Aged Children Born During the COVID-19 Era.Behavioral sciences (Basel, Switzerland) · 2026Article
- Subjective well-being of Kenyan children reunified with families from residential care institutions: A closer look at child disability.Child protection and practice · 2025Article
- The mediating role of adult attachment styles between early traumas and suicidal behaviour.Scientific reports · 2025Article
- Rates of out-of-home care among children in Canada: an analysis of national administrative child welfare data.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024Article
- Resilience and associated factors in orphaned and separated adolescents in Kenya: Understanding the relationship with care environment and HIV risks.Global public health · 2024Article
- The nutritional and feeding status of children living in selected residential child care facilities in Zambia: implications for programs and policies.Frontiers in public health · 2024Article
- Sensory processing challenges as a novel link between early caregiving experiences and mental health.Development and psychopathology · 2023Article
- Maternal incarceration increases the risk of self-harm but not suicide: a matched cohort study.Epidemiology and psychiatric sciences · 2023Article
- Effect of care environment on educational attainment among orphaned and separated children and adolescents in Western Kenya.BMC public health · 2022Article
- Case report: Improving quality of care in Kazakhstan institutions.Frontiers in psychology · 2022Article
- Association of Care Environment With HIV Incidence and Death Among Orphaned, Separated, and Street-Connected Children and Adolescents in Western Kenya.JAMA network open · 2021Observational
- 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
- Toxic stress, health and nutrition among Brazilian children in shelters.BMC pediatrics · 2021Article
- The impact of care environment on the mental health of orphaned, separated and street-connected children and adolescents in western Kenya: a prospective cohort analysis.BMJ global health · 2021Article
- Amygdala Allostasis and Early Life Adversity: Considering Excitotoxicity and Inescapability in the Sequelae of Stress.Frontiers in human neuroscience · 2021Article
- Sex-Related Difference in the Association Between Child Neglect and the Accuracy of Body Weight Perception Among Chinese Primary Schoolchildren.Frontiers in public health · 2021Observational
- Family Composition and Stability for Orphans: A Longitudinal Study of Well-Being in 5 Low- and Middle-Income Countries.International journal of public health · 2021Article
- Better Language - Faster Helper: The Relation Between Spontaneous Instrumental Helping Action and Language Ability in Family-Reared and Institutionalized Toddlers.Psychology in Russia : state of the art · 2021Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
It has been more than 80 years since researchers in child psychiatry first documented developmental delays among children separated from family environments and placed in orphanages or other institutions. Informed by such findings, global conventions, including the 1989 UN Convention on the Rights of the Child, assert a child's right to care within a family-like environment that offers individualised support. Nevertheless, an estimated 8 million children are presently growing up in congregate care institutions. Common reasons for institutionalisation include orphaning, abandonment due to poverty, abuse in families of origin, disability, and mental illness. Although the practice remains widespread, a robust body of scientific work suggests that institutionalisation in early childhood can incur developmental damage across diverse domains. Specific deficits have been documented in areas including physical growth, cognitive function, neurodevelopment, and social-psychological health. Effects seem most pronounced when children have least access to individualised caregiving, and when deprivation coincides with early developmental sensitive periods. Offering hope, early interventions that place institutionalised children into families have afforded substantial recovery. The strength of scientific evidence imparts urgency to efforts to achieve deinstitutionalisation in global child protection sectors, and to intervene early for individual children experiencing deprivation.
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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.