Adult disinhibited social engagement in adoptees exposed to extreme institutional deprivation : examination of its clinical status and functional impact

  • Background: Early-life institutional deprivation produces disinhibited social engagement (DSE). Portrayed as a childhood condition, little is known about the persistence of DSE-type behaviours into, presentation during, and their impact on, functioning in adulthood. Aims: We examine these issues in the young adult follow-up of the English and Romanian Adoptees study. Method: A total of 122 of the original 165 Romanian adoptees who had spent up to 43 months as children in Ceauşescu's Romanian orphanages and 42 UK adoptees were assessed for DSE behaviours, neurodevelopmental and mental health problems, and impairment between ages 2 and 25 years. Results: Young adult DSE behaviour was strongly associated with early childhood deprivation, with a sixfold increase for those who spent more than 6 months in institutions. However, although DSE overlapped with autism spectrum disorder and attention-deficit hyperactivity disorder symptoms it was not, in itself, related to broader patterns of mental health problems or impairments in daily functioning in young adulthood. Conclusions: DSE behaviour remained a prominent, but largely clinically benign, young adult feature of some adoptees who experienced early deprivation.
Metadaten
Author:Mark Kennedy, Jana Kreppner, Nicky Knights, Robert Kumsta, Barbara Maughan, Dennis Golm, Jonathan Hill, Michael Rutter, Wolff Schlotz, Edmund Sonuga-Barke
URN:urn:nbn:de:hebis:30:3-467354
DOI:https://doi.org/10.1192/bjp.bp.117.200618
ISSN:1472-1465
ISSN:0007-1250
Pubmed Id:https://pubmed.ncbi.nlm.nih.gov/28935662
Parent Title (English):The British journal of psychiatry
Publisher:The Royal College of Psychiatrists
Place of publication:London
Document Type:Article
Language:English
Year of Completion:2018
Date of first Publication:2018/01/02
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2018/06/19
Volume:211
Issue:5
Page Number:7
First Page:289
Last Page:295
Note:
Copyright: © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) licence.
HeBIS-PPN:435645323
Institutes:Psychologie und Sportwissenschaften / Psychologie
Angeschlossene und kooperierende Institutionen / MPI für empirische Ästhetik
Dewey Decimal Classification:1 Philosophie und Psychologie / 15 Psychologie / 150 Psychologie
Sammlungen:Universitätspublikationen
Licence (German):License LogoCreative Commons - Namensnennung 4.0