Adaptive functioning at age 18 years following severe early deprivation: Results of a randomized controlled trial.

IF 3.1 2区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL
Megan M Hare, Kathryn L Humphreys, Ana Cosmoiu, Nathan A Fox, Charles A Nelson, Charles H Zeanah
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Abstract

In the present study, we examined adaptive functioning data from the Bucharest Early Intervention Project, a randomized controlled trial of foster care as an alternative to institutional care following exposure to severe psychosocial deprivation. Adaptive functioning refers to the skills individuals need to meet age-appropriate social and practical demands required for independent functioning. These abilities are essential for successful navigation of daily life and can be impacted by early adversity. We report data from 134 children (55% female) assessed in early adulthood (Mage = 18.9 years). Adaptive functioning was assessed via the Vineland Adaptive Behavior Scales (Vineland). We found that 16 years after randomization occurred, those who had been randomized to the foster care group (FCG) had significantly higher scores in adaptive functioning, including communication and socialization skills, compared to those in care as usual group (CAUG). Further, when examining age equivalences (i.e., individual's adaptive functioning by representing their functional level in terms of age milestones), individuals in the FCG had higher age equivalences compared to those in the CAUG. Mediation analyses revealed that caregiving quality partially mediated the association between the intent-to-treat group (i.e., CAUG vs. FCG) and adaptive functioning, with higher caregiving quality associated with higher levels of adaptive functioning. Similarly, caregiving quality mediated the association when comparing the never-institutionalized group to the ever-institutionalized group (CAUG + FCG) and adaptive functioning. These findings underscore the positive impact of nurturing environments on children's adaptive functioning and indicate that early investment in family care as an alternative to institutional care leads to better adaptive functioning during the transition to adulthood. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

18岁早期严重剥夺后的适应功能:一项随机对照试验的结果。
在本研究中,我们检查了来自布加勒斯特早期干预项目的适应功能数据,这是一项随机对照试验,寄养作为严重社会心理剥夺后机构护理的替代方案。适应性功能是指个体为满足与年龄相适应的社会和实践需求而独立运作所需的技能。这些能力对于成功驾驭日常生活至关重要,但可能会受到早期逆境的影响。我们报告了134名儿童(55%为女性)在成年早期(年龄= 18.9岁)评估的数据。通过Vineland适应行为量表(Vineland)评估适应功能。我们发现,在随机分组发生16年后,那些被随机分配到寄养组(FCG)的儿童在适应功能(包括沟通和社交技能)方面的得分明显高于正常护理组(CAUG)的儿童。此外,当检查年龄等效性(即,通过表示年龄里程碑方面的功能水平来表示个体的适应功能)时,FCG中的个体与cag中的个体相比具有更高的年龄等效性。中介分析显示,护理质量部分介导了意向治疗组(即CAUG vs. FCG)与适应功能之间的关联,较高的护理质量与较高的适应功能水平相关。同样,在比较从未制度化组和曾经制度化组(CAUG + FCG)和适应功能时,护理质量介导了这种关联。这些发现强调了养育环境对儿童适应功能的积极影响,并表明早期投资于家庭照顾作为机构照顾的替代方案,可以在过渡到成年期获得更好的适应功能。(PsycInfo Database Record (c) 2025 APA,版权所有)。
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来源期刊
Developmental Psychology
Developmental Psychology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
5.80
自引率
2.50%
发文量
329
期刊介绍: Developmental Psychology ® publishes articles that significantly advance knowledge and theory about development across the life span. The journal focuses on seminal empirical contributions. The journal occasionally publishes exceptionally strong scholarly reviews and theoretical or methodological articles. Studies of any aspect of psychological development are appropriate, as are studies of the biological, social, and cultural factors that affect development. The journal welcomes not only laboratory-based experimental studies but studies employing other rigorous methodologies, such as ethnographies, field research, and secondary analyses of large data sets. We especially seek submissions in new areas of inquiry and submissions that will address contradictory findings or controversies in the field as well as the generalizability of extant findings in new populations. Although most articles in this journal address human development, studies of other species are appropriate if they have important implications for human development. Submissions can consist of single manuscripts, proposed sections, or short reports.
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