Observational studyJournal of child psychology and psychiatry, and allied disciplines2016
The course of early disinhibited social engagement among post-institutionalized adopted children.
Observational study in Journal of child psychology and psychiatry, and allied disciplines, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 25 citations in OpenAlex.
- Trauma of separation: the social and emotional impact of institutionalization on children in a post-soviet country.BMC public health · 2023Article
- Early adversity and children's regulatory deficits: Does postadoption parenting facilitate recovery in postinstitutionalized children?Development and psychopathology · 2020Article
- Development and Examination of the Reactive Attachment Disorder and Disinhibited Social Engagement Disorder Assessment Interview.Assessment · 2020Article
- Cortisol and Parenting Predict Pathways to Disinhibited Social Engagement and Social Functioning in Previously Institutionalized Children.Journal of abnormal child psychology · 2020Article
- Course of disinhibited social engagement behavior in clinically referred home-reared preschool children.Journal of child psychology and psychiatry, and allied disciplines · 2019Article
- Course of Disinhibited Social Engagement Disorder From Early Childhood to Early Adolescence.Journal of the American Academy of Child and Adolescent Psychiatry · 2018Article
- Adult disinhibited social engagement in adoptees exposed to extreme institutional deprivation: examination of its clinical status and functional impact.The British journal of psychiatry : the journal of mental science · 2017Article
- Early life adversity during the infant sensitive period for attachment: Programming of behavioral neurobiology of threat processing and social behavior.Developmental cognitive neuroscience · 2017Review
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundApproximately 20% of post-institutionalized (PI) children exhibit disinhibited social engagement (DSE) or the propensity to approach and engage strangers. There is little longitudinal research examining changes in DSE after adoption, or methods of identifying children with persistent behaviors.
methodsDSE was assessed observationally four times during the first 2 years postadoption in PI children 16-36 months at adoption (n = 68) relative to same-age nonadopted children (n = 52). At age 5, a validated interview determined which PI children met criteria for Disinhibited Social Engagement Disorder (DSED).
resultsDSE trajectories initially increased and then stabilized. PIs had higher DSE levels initially and a steeper increase rate than NAs. When separated into physical and nonphysical DSE components, group differences arose in initial physical DSE and the rate of change of nonphysical DSE. DSE rate of increase predicted DSED diagnosis, as did longer institutional duration and poorer institutional care.
conclusionsThe rate of increase in DSE postadoption, rather than the level observed at adoption, is predictive of disordered social engagement by age 5 years.
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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.