Reinoso M, Forns M
Department de Personalitat, Avaluació i Tractament Psicològic, Facultat de Psicologia, Universitat de Barcelona, Barcelona, España.
An Pediatr (Barc). 2012 May;76(5):268-78. doi: 10.1016/j.anpedi.2011.08.001. Epub 2011 Oct 12.
To assess psychosocial adjustment in middle childhood in internationally adopted children in Spain.
One hundred and one internationally adopted children (67% girls), aged 8 to 12, and their adoptive parents (97 mothers and 67 fathers) completed the Behaviour Assessment System for Children (BASC). Descriptive analyses and mean comparisons (Student's t test and ANOVA) were conducted to test for gender, age at adoption, current age and area of origin differences for each informant on the scales and composite-scales of the BASC. Multiple linear regression analyses were then performed. Agreement between mothers and fathers was calculated using intra-class correlation coefficients (ICC). Percentages of children in the normal and symptomatic range in composite-scales were compared to the theoretical ones using chi square tests.
The results showed that children were generally well-adjusted, regardless of the informant. Differences were found in children's adjustment by area of origin, gender and current age, although values remained within the normal range. The ICC ranged from 0.46 (satisfactory) to 0.84 (excellent). Compared to the normal-group, more children showed difficulties in adapting to school (24.8%; as reported by children), externalising problems, (27.8% and 28.3%; as reported by mothers and fathers, respectively), and behavioural and adaptive difficulties (28.4% and 29.9%, respectively; as reported by fathers).
About 25% of the internationally adopted children showed adaptive difficulties in basic areas, clearly identified using the BASC, which need psychological and paedological support.
评估西班牙国际收养儿童童年中期的心理社会适应情况。
101名国际收养儿童（67%为女孩），年龄在8至12岁之间，以及他们的养父母（97名母亲和67名父亲）完成了儿童行为评估系统（BASC）。进行描述性分析和均值比较（学生t检验和方差分析），以检验BASC量表和综合量表上每个报告者在性别、收养时年龄、当前年龄和原籍地区方面的差异。然后进行多元线性回归分析。使用组内相关系数（ICC）计算父母之间的一致性。使用卡方检验将综合量表中处于正常范围和有症状范围的儿童百分比与理论值进行比较。
结果表明，无论报告者如何，儿童总体上适应良好。在儿童的适应情况方面，发现了原籍地区、性别和当前年龄的差异，尽管数值仍在正常范围内。ICC范围从0.46（满意）到0.84（优秀）。与正常组相比，更多儿童在适应学校方面存在困难（儿童报告为24.8%）、外化问题（母亲和父亲报告分别为27.8%和28.3%）以及行为和适应困难（父亲报告分别为28.4%和29.9%）。
约25%的国际收养儿童在基本领域存在适应困难，使用BASC能够明确识别这些困难，这些儿童需要心理和儿科方面的支持。
