Helder Emily J, Brooker Brianne, Kapitula Laura Ring, Goalen Brooke, Gunnoe Marjorie L
a Psychology Department , Calvin College , Grand Rapids , Michigan.
b Psychology Department , University of Windsor , Windsor , Ontario , Canada.
Appl Neuropsychol Child. 2016 Oct-Dec;5(4):237-51. doi: 10.1080/21622965.2015.1038207. Epub 2016 Mar 15.
Children adopted internationally following deprived early care have an elevated risk for difficulties with inattention/overactivity (Kreppner et al., 2001 ). The current study sought to identify predictors of inattention/overactivity and child and adoptive family challenges that co-occur with inattention/overactivity difficulties in a sample of internationally adopted children. Forty-eight children (mean age at adoption = 57.98 months, SD = 47.7 months) were examined at 3 yearly assessments, which included semistructured interviews, parent ratings, and neuropsychological assessment with children. Results revealed that older age at adoption, longer time in the adoptive home, and smaller family size were associated with greater parent-rated difficulties with inattention/overactivity. Additionally, greater inattention/overactivity difficulties were associated with poorer expressive language and reading performance, poorer child emotional-behavioral outcomes, and poorer adoptive family functioning. Given the increase in difficulties over time in the adoptive home, longer-term follow-up may be helpful to ensure appropriate intervention. Additionally, interventions may need to be more comprehensive given the connection between inattentive/overactive behaviors and other areas of functioning.
早年经历匮乏后被国际收养的儿童出现注意力不集中/多动问题的风险较高（克雷普纳等人，2001年）。本研究旨在确定国际收养儿童样本中注意力不集中/多动问题的预测因素，以及与注意力不集中/多动问题同时出现的儿童和收养家庭面临的挑战。对48名儿童（收养时的平均年龄=57.98个月，标准差=47.7个月）进行了为期三年的评估，评估包括半结构化访谈、家长评分以及对儿童的神经心理学评估。结果显示，收养时年龄较大、在收养家庭中生活的时间较长以及家庭规模较小与家长评定的注意力不集中/多动问题较多有关。此外，注意力不集中/多动问题较多与表达性语言和阅读表现较差、儿童情绪行为结果较差以及收养家庭功能较差有关。鉴于在收养家庭中随着时间推移问题会增加，长期随访可能有助于确保进行适当干预。此外，鉴于注意力不集中/多动行为与其他功能领域之间的联系，干预措施可能需要更全面。
