Trial reportDevelopment and psychopathology2017
Signs of reactive attachment disorder and disinhibited social engagement disorder at age 12 years: Effects of institutional care history and high-quality foster care.
Trial report in Development and psychopathology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 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
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.
- Meta-Analyses of the Associations Between Disinhibited Social Engagement Behaviors and Child Attachment Insecurity or Disorganization.Research on child and adolescent psychopathology · 2021Pooled it
- Effects of foster care intervention and caregiving quality on the bidirectional development of executive functions and social skills following institutional rearing.Developmental science · 2023Trial
- Family-based care buffers the stress sensitizing effect of early deprivation on executive functioning difficulties in adolescence.Child development · 2023Trial
- Disinhibited Social Engagement Disorder in Early Childhood Predicts Reduced Competence in Early Adolescence.Journal of abnormal child psychology · 2019Trial
- A prospective longitudinal study of Reactive Attachment Disorder following early institutional care: considering variable- and person-centered approaches.Attachment & human development · 2019Trial
- Sex-specific role of body weight in mediating stress susceptibility through MeA Tac2-Nk3R signaling.Translational psychiatry · 2026Article
- Disinhibited social engagement and reactive attachment behaviours in children assessed for Fetal Alcohol Spectrum Disorder (FASD): Distinguishing effects of maltreatment from inhibitory control difficulties.Research on child and adolescent psychopathology · 2026Article
- Validation of the Reactive Attachment Disorder and Disinhibited Social Engagement Disorder Assessment (RADA): AAssessment · 2025Article
- Attachment disorder symptoms in foster children: development and associations with attachment security.Child and adolescent psychiatry and mental health · 2023Article
- The Bucharest Early Intervention Project: Adolescent mental health and adaptation following early deprivation.Child development perspectives · 2022Article
- Reactive attachment disorder and disinhibited social engagement disorder in adolescence: co-occurring psychopathology and psychosocial problems.European child & adolescent psychiatry · 2022Article
- 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
- Early caregiving quality predicts consistency of competent functioning from middle childhood to adolescence following early psychosocial deprivation.Development and psychopathology · 2021Article
- High-Quality Nursing Care for the Elderly in the Department of Otolaryngology.Journal of healthcare engineering · 2021Article
- Validity of reactive attachment disorder and disinhibited social engagement disorder in adolescence.European child & adolescent psychiatry · 2020Article
- Development and Examination of the Reactive Attachment Disorder and Disinhibited Social Engagement Disorder Assessment Interview.Assessment · 2020Article
- Friendship and social functioning following early institutional rearing: The role of ADHD symptoms.Development and psychopathology · 2019Article
- Parental Risk Factors among Children with Reactive Attachment Disorder Referred to Specialized Services: A Nationwide Population-Based Study.Child psychiatry and human development · 2019Article
- 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
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
Two disorders of attachment have been consistently identified in some young children following severe deprivation in early life: reactive attachment disorder and disinhibited social engagement disorder. However, less is known about whether signs of these disorders persist into adolescence. We examined signs of reactive attachment disorder and disinhibited social engagement disorder at age 12 years in 111 children who were abandoned at or shortly after birth and subsequently randomized to care as usual or to high-quality foster care, as well as in 50 comparison children who were never institutionalized. Consistent with expectations, those who experienced institutional care in early life had more signs of reactive attachment disorder and disinhibited social engagement disorder at age 12 years than children never institutionalized. In addition, using a conservative intent-to-treat approach, those children randomized to foster care had significantly fewer signs of reactive attachment disorder and disinhibited social engagement disorder than those randomized to care as usual. Analyses within the ever institutionalized group revealed no effects of the age of placement into foster care, but number of caregiving disruptions experienced and the percentage of the child's life spent in institutional care were significant predictors of signs of attachment disorders assessed in early adolescence. These findings indicate that adverse caregiving environments in early life have enduring effects on signs of attachment disorders, and provide further evidence that high-quality caregiving interventions are associated with reductions in both reactive attachment disorder and disinhibited social engagement disorder.
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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.