Julian Megan M, McCall Robert B, Groark Christina J, Muhamedrahimov Rifkat J, Palmov Oleg I, Nikiforova Natasha V
University of Michigan.
University of Pittsburgh.
Appl Dev Sci. 2019;23(3):273-293. doi: 10.1080/10888691.2017.1420480. Epub 2018 Feb 15.
This study is a post-adoption follow-up of a social-emotional intervention in St. Petersburg, Russian Federation Baby Homes (BHs). Children previously resided in BHs and received Care as Usual (CAU, =220), Training Only (TO, =94), or Training plus Structural Changes (T+SC, =45). This study examined intervention effects 0-6.5 years post-adoption to the USA, at age 9 months to 7 years old. Adoptive parents completed questionnaires on their child's social and behavioral development. Intervention graduates had better attachment security, less indiscriminate friendliness, and fewer behavior problems than CAU graduates. Children who had longer exposure to intervention conditions had better attachment security, but poorer executive function, externalizing and internalizing problems, and competence. Thus, although post-institutionalized children were generally functioning in the normal range in early childhood and effect sizes were small, a social-emotional intervention in institutions is associated with modest benefits to attachment and behavior problems and apparent decrements to executive function.
本研究是对俄罗斯联邦圣彼得堡婴儿之家（BHs）一项社会情感干预措施的收养后随访。儿童曾居住在婴儿之家，分别接受常规照料（CAU，n = 220）、仅接受培训（TO，n = 94）或培训加结构改变（T + SC，n = 45）。本研究考察了这些儿童被收养到美国0至6.5年后（年龄在9个月至7岁之间）的干预效果。养父母填写了关于其子女社会和行为发展的问卷。与接受常规照料的儿童相比，接受干预的儿童在依恋安全性方面表现更好，无差别友好行为更少，行为问题也更少。接触干预条件时间更长的儿童具有更好的依恋安全性，但执行功能、外化和内化问题以及能力方面较差。因此，尽管机构照料后的儿童在幼儿期总体功能处于正常范围且效应量较小，但机构内的社会情感干预与在依恋和行为问题方面有适度益处以及执行功能明显下降有关。
