The course of early disinhibited social engagement among post-institutionalized adopted children

Jamie M. Lawler; Kalsea J. Koss; Colleen M. Doyle; Megan R. Gunnar

doi:10.1111/jcpp.12606

The course of early disinhibited social engagement among post-institutionalized adopted children

Jamie M. Lawler, Kalsea J. Koss, Colleen M. Doyle, Megan R. Gunnar

Institute of Child Development

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

Abstract

Background: Approximately 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. Methods: DSE 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). Results: DSE 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. Conclusions: The rate of increase in DSE postadoption, rather than the level observed at adoption, is predictive of disordered social engagement by age 5 years.

Original language	English (US)
Pages (from-to)	1126-1134
Number of pages	9
Journal	Journal of Child Psychology and Psychiatry and Allied Disciplines
Volume	57
Issue number	10
DOIs	https://doi.org/10.1111/jcpp.12606
State	Published - Oct 1 2016

Bibliographical note

Funding Information:
The authors thank the families for their participation and the International Adoption Project. Grant support was provided by R01 MH080905 and P50 MH078105 (to M.R.G.), by the Center for Neurobehavioral Development (University of Minnesota), and by NIMH training grant T32 MH018921 (to K.J.K.). The content is solely the responsibility of the authors and does not represent the views of the National Institutes of Health. The authors have declared that they have no competing or potential conflicts of interest in relation to this article.

Keywords

Adoption
attachment disorders
deprivation
developmental psychopathology
social behavior

Publisher link

10.1111/jcpp.12606

http://europepmc.org/articles/pmc5030154

Find It

Find It at U of M Libraries

Cite this

@article{0219839543044623b519d4cdbb34d10e,

title = "The course of early disinhibited social engagement among post-institutionalized adopted children",

abstract = "Background: Approximately 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. Methods: DSE 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). Results: DSE 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. Conclusions: The rate of increase in DSE postadoption, rather than the level observed at adoption, is predictive of disordered social engagement by age 5 years.",

keywords = "Adoption, attachment disorders, deprivation, developmental psychopathology, social behavior",

author = "Lawler, {Jamie M.} and Koss, {Kalsea J.} and Doyle, {Colleen M.} and Gunnar, {Megan R.}",

note = "Funding Information: The authors thank the families for their participation and the International Adoption Project. Grant support was provided by R01 MH080905 and P50 MH078105 (to M.R.G.), by the Center for Neurobehavioral Development (University of Minnesota), and by NIMH training grant T32 MH018921 (to K.J.K.). The content is solely the responsibility of the authors and does not represent the views of the National Institutes of Health. The authors have declared that they have no competing or potential conflicts of interest in relation to this article.",

year = "2016",

month = oct,

day = "1",

doi = "10.1111/jcpp.12606",

language = "English (US)",

volume = "57",

pages = "1126--1134",

journal = "Journal of Child Psychology and Psychiatry and Allied Disciplines",

issn = "0021-9630",

publisher = "Wiley-Blackwell Publishing Ltd",

number = "10",

}

TY - JOUR

T1 - The course of early disinhibited social engagement among post-institutionalized adopted children

AU - Lawler, Jamie M.

AU - Koss, Kalsea J.

AU - Doyle, Colleen M.

AU - Gunnar, Megan R.

N1 - Funding Information: The authors thank the families for their participation and the International Adoption Project. Grant support was provided by R01 MH080905 and P50 MH078105 (to M.R.G.), by the Center for Neurobehavioral Development (University of Minnesota), and by NIMH training grant T32 MH018921 (to K.J.K.). The content is solely the responsibility of the authors and does not represent the views of the National Institutes of Health. The authors have declared that they have no competing or potential conflicts of interest in relation to this article.

PY - 2016/10/1

Y1 - 2016/10/1

N2 - Background: Approximately 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. Methods: DSE 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). Results: DSE 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. Conclusions: The rate of increase in DSE postadoption, rather than the level observed at adoption, is predictive of disordered social engagement by age 5 years.

AB - Background: Approximately 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. Methods: DSE 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). Results: DSE 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. Conclusions: The rate of increase in DSE postadoption, rather than the level observed at adoption, is predictive of disordered social engagement by age 5 years.

KW - Adoption

KW - attachment disorders

KW - deprivation

KW - developmental psychopathology

KW - social behavior

UR - http://www.scopus.com/inward/record.url?scp=84979561819&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84979561819&partnerID=8YFLogxK

U2 - 10.1111/jcpp.12606

DO - 10.1111/jcpp.12606

M3 - Article

C2 - 27460336

AN - SCOPUS:84979561819

SN - 0021-9630

VL - 57

SP - 1126

EP - 1134

JO - Journal of Child Psychology and Psychiatry and Allied Disciplines

JF - Journal of Child Psychology and Psychiatry and Allied Disciplines

IS - 10

ER -

The course of early disinhibited social engagement among post-institutionalized adopted children

Abstract

Bibliographical note

Keywords

Publisher link

Find It

Other files and links

Fingerprint

Cite this