Zeanah Charles H, Humphreys Kathryn L, Fox Nathan A, Nelson Charles A
Tulane University School of Medicine, USA.
Stanford University, USA.
Curr Opin Psychol. 2017 Jun;15:182-188. doi: 10.1016/j.copsyc.2017.02.024. Epub 2017 Mar 10.
The Bucharest Early Intervention Project is the first and only randomized controlled trial of foster care as an alternative to institutional care for orphaned and abandoned children. Across various domains of brain and behavioral development we demonstrated that children in families developed more favorably than children in institutions, that foster care remediates some but not all compromises associated with institutional placement and that earlier placement in foster care leads to more developmental gains in some but not all domains. In addition to early placement, higher quality of care provided and more stable placements for children all enhanced outcomes. These results have important implications for science, practice and policy.
布加勒斯特早期干预项目是首个也是唯一一个针对寄养照料作为孤儿和弃儿机构照料替代方案的随机对照试验。在大脑和行为发展的各个领域，我们证明了家庭环境中的儿童比机构中的儿童发育得更好，寄养照料能纠正一些但并非所有与机构安置相关的发育缺陷，而且更早进入寄养照料在某些但并非所有领域能带来更多的发育进步。除了早期安置外，为儿童提供的更高质量照料以及更稳定的安置环境都能改善结果。这些结果对科学、实践和政策都具有重要意义。
