Brigham Young University, Provo, Utah.
Laboratory of Clinical Studies, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland.
J Am Acad Child Adolesc Psychiatry. 2021 Nov;60(11):1382-1393. doi: 10.1016/j.jaac.2021.04.021. Epub 2021 Jun 8.
Adopted children tend to show an increased risk for a variety of psychopathological outcomes, even when adoption occurs at birth, which some suggest is a result of nonrandom assignment of adoptees and parents. This study uses a nonhuman primate model, in which adoptions were randomly assigned, to investigate the behavioral and physiological outcomes associated with at-birth adoption.
Immediately following birth, rhesus monkey infants were randomly assigned to be reared by either their biological mother (n = 113) or by an unrelated, lactating, adoptive mother (n = 34). At 6 months of age, infant behavior and physiology were assessed during a stressful series of mother-infant separations. Four years later, stress-related behaviors were measured following confrontation by an unfamiliar intruder, an ecologically meaningful stressor.
When compared to infants reared by their biological mothers, adopted infants exhibited more behavioral withdrawal and higher plasma adrenocorticotropic hormone (ACTH) concentrations in response to separation. These behavioral differences persisted 4 years later during a stressful intruder challenge, with adoptees exhibiting more behavioral withdrawal, stereotypies, and impulsive approaches of the potentially aggressive intruder.
Compared to infants reared by their biological mothers, adopted infants exhibited more behavioral inhibition, impulsivity, and higher ACTH concentrations, even when subjects were randomly assigned to be adopted or to remain with their biological mother. To the extent that these findings generalize to humans, they suggest that the overall risk for psychopathology in adopted individuals persists even after random assignment to adoption conditions.
被收养的儿童往往表现出各种精神病理学结果的风险增加,即使收养发生在出生时,这表明收养者和父母的非随机分配是造成这种情况的原因。本研究采用非人类灵长类动物模型,其中收养是随机分配的,以调查与出生时收养相关的行为和生理结果。
在出生后立即,将恒河猴婴儿随机分配给其亲生母亲(n=113)或不相关的哺乳期养母(n=34)抚养。在 6 个月大时,在一系列压力很大的母婴分离过程中评估婴儿的行为和生理状况。四年后,在面对陌生的入侵者(一种生态相关的应激源)时,测量与应激相关的行为。
与由亲生母亲抚养的婴儿相比,被收养的婴儿在分离时表现出更多的行为退缩和更高的血浆促肾上腺皮质激素(ACTH)浓度。这些行为差异在 4 年后的压力性入侵者挑战中仍然存在,被收养者表现出更多的行为退缩、刻板行为和对潜在攻击性入侵者的冲动接近。
与由亲生母亲抚养的婴儿相比,即使随机分配给收养或与亲生母亲在一起的条件下,被收养的婴儿表现出更多的行为抑制、冲动和更高的 ACTH 浓度。如果这些发现可以推广到人类,那么它们表明,即使在随机分配收养条件后,被收养者的整体精神病理学风险仍然存在。