Medical College of Wisconsin
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Postinstitutionalized children's development: growth, cognitive, and language outcomes. J Dev Behav Pediatr 2009 Oct;30(5):426-34

Date

08/21/2009

Pubmed ID

19692931

Pubmed Central ID

PMC2890219

DOI

10.1097/DBP.0b013e3181b1fd08

Scopus ID

2-s2.0-74049154121   98 Citations

Abstract

OBJECTIVE: Children adopted internationally from institutions are a growing population presenting to professional care providers. Although postinstitutionalized (PI) children are adopted from multiple world regions, current knowledge is predominantly based on those adopted from Romania and Eastern European countries. This study examines and compares developmental outcomes of PI children adopted from multiple world regions.

METHOD: Five to 11 years after adoption, 8- through 11-year-old PI children (N = 91), children internationally adopted early from foster care (N = 109), and nonadopted children (N = 69) completed screening measures assessing vision, hearing, growth, and cognitive and language abilities. Parents completed questionnaires on service utilization, school performance, preadoptive history, and postadoption environment.

RESULTS: Forty-four percent of PI children's growth was stunted (height <10th percentile) at adoption. At assessment, although physically smaller, nearly all PI children had average growth parameters. Relative to nonadopted children and children adopted early from foster care, PI children performed more poorly on cognitive and language screens with increased time in institution related to lower performance. Notably, group means on these measures were within the average range. PI children were more likely to be falling behind academically and to use intervention services. Family environment did not differ between PI and nonadopted children. There were few differences for PI children by world region of adoption once accounting for duration of institutionalization.

CONCLUSIONS: Despite currently living in similar environments, PI children have specific needs that differ from early-adopted and nonadopted children. Consideration of multiple factors, including length of institutionalization, is essential when providing care for these children.

Author List

Loman MM, Wiik KL, Frenn KA, Pollak SD, Gunnar MR

Author

Michelle Loman Moudry PhD Assistant Professor in the Neurology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adoption
Child
Child Development
Cognition
Environment
Female
Foster Home Care
Humans
Institutionalization
Language
Male
Neuropsychological Tests
Orphanages
Schools
Surveys and Questionnaires
Time Factors