Tibu Florin, Humphreys Kathryn L, Fox Nathan A, Nelson Charles A, Zeanah Charles H
Institute of Child Development, Bucharest, Romania.
Infant Ment Health J. 2014 Mar-Apr;35(2):123-31. doi: 10.1002/imhj.21428. Epub 2014 Feb 4.
Institutional rearing of young children has been demonstrated to increase risk for a broad range of psychiatric disorders and other impairments. This has led many countries to consider or to invest in foster care. However, no study to date has explored potential differences in psychiatric symptoms in children placed in different types of foster care. We assessed internalizing disorders, externalizing disorders, and attention deficit hyperactivity disorder (ADHD) in 54-month-old children living with foster families. We compared one group of children living in high-quality foster families who had benefited from specialized training and support to another group of children placed with government-sponsored foster care in Bucharest, Romania. After controlling for duration of time spent in foster care, there was a main group effect in predicting ADHD (p = .021) and a marginal group × gender interaction effect. No effects were noted for signs of externalizing disorders. There was, however, a significant group × gender interaction effect of signs of internalizing disorders (p = .007), with the girls in high-quality foster care having less severe symptomatology than did their counterparts in the government-sponsored group. Governments must invest in quality interventions for their most vulnerable citizens to prevent serious and potentially lasting problems.
幼儿机构养育已被证明会增加患多种精神疾病和其他障碍的风险。这使得许多国家考虑或投资于寄养服务。然而，迄今为止，尚无研究探讨被安置在不同类型寄养环境中的儿童在精神症状方面的潜在差异。我们评估了与寄养家庭生活在一起的54个月大儿童的内化障碍、外化障碍和注意力缺陷多动障碍（ADHD）。我们将一组受益于专门培训和支持的高质量寄养家庭中的儿童与另一组安置在罗马尼亚布加勒斯特政府资助寄养机构中的儿童进行了比较。在控制了寄养时间后，在预测ADHD方面存在主要的组间效应（p = .021）以及边缘性的组×性别交互效应。在外化障碍迹象方面未发现效应。然而，在内化障碍迹象方面存在显著的组×性别交互效应（p = .007），高质量寄养家庭中的女孩症状比政府资助组中的女孩症状轻。政府必须为其最脆弱的公民投资高质量的干预措施，以预防严重且可能持久的问题。
