Evidence map›Paper›PMID 34544593›Full record

ArticleChild abuse & neglect2022

Adoption and trauma: Risks, recovery, and the lived experience of adoption.

David Brodzinsky, Megan Gunnar, Jesus Palacios

Abstract read
In one paragraph

Article in Child abuse & neglect, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

David BrodzinskyRutgers University, United States of America. Electronic address: dbrodzinsk@comcast.net.
Megan GunnarUniversity of Minnesota, United States of America.
Jesus PalaciosUniversity of Seville, Spain.

Funding

Social Buffering Over the Pubertal Transition: COVID-19 Repair SupplementR01HD095904 · NICHD · UNIVERSITY OF MINNESOTA · PI GUNNAR, MEGAN R, THOMAS, KATHLEEN M · 2019 to 2024
$3.3M
Early life stress and cardiometabolic health in adolescenceR01HL149709 · NHLBI · UNIVERSITY OF MINNESOTA · PI GUNNAR, MEGAN R · 2020 to 2023
$3.0M
NHLBI NIH HHS R01 HL149709NICHD NIH HHS R01 HD095904
6 · The paper itself

Abstract

backgroundAlthough a very heterogeneous group, adopted persons may present developmental and mental health problems of varying severity. Pre-placement adversity and trauma have often been linked to these problems. It has been also suggested that adoption itself is a psychological trauma, predisposing the individual to emotional difficulties.

objectivesThis article examines the links between early adversity, trauma, and adoption. We begin by defining trauma and then describe the way in which pre-placement adversity can undermine neurobehavioral and interpersonal functioning, increasing the risk for long-term psychological difficulties. Next, we examine children's recovery when placed in a stable adoptive home. Finally, we explore adoption as a lived experience, highlighting contextual and developmental factors that facilitate the person's positive or negative attributions about being adopted, leading to varying patterns of emotional adjustment.

conclusionsAlthough pre-placement adversity increases adopted individuals' risk for maladjustment, the human brain and behavior are malleable, and placement in a nurturing adoptive home often facilitates recovery from early adversity, with significant heterogeneity in the extent of recovery within and across domains of functioning. While there is no evidence that early adoption is a trauma for the individual, ongoing negative life circumstances, attachment difficulties, and developmentally-mediated attributions about adoption can undermine the person's self-esteem, identity, relationships, and sense of well-being. Conclusions and suggestions for future research are offered.

Indexed as

AdoptionEmotional AdjustmentChildHumansLongitudinal StudiesAdoptionAdoption as a lived experienceDevelopmental recoveryEarly life adversityNeuroplasticityTrauma

Identifiers

PMID34544593
PMCPMC8926933

What OpenQuestion holds

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Registered trials

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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.