Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Dev Psychopathol. 2024 Feb;36(1):40-49. doi: 10.1017/S095457942200089X. Epub 2022 Aug 19.
Studies suggest that children who have experienced neglect are at risk for bullying which in turn increases the risk for poor mental health. Here we extend this research by examining whether this risk extends to the neglect associated with severe institutional deprivation and then testing the extent to which these effects are mediated by prior deprivation-related neuro-developmental problems such as symptoms of inattention, hyperactivity and autism. Data were collected at ages 6, 11, 15, and young adulthood (22-25 years) from 165 adoptees who experienced up to 43 months of deprivation in Romanian Orphanages in 1980s and 52 non-deprived UK adoptees ( = 217; 50.23% females). Deprivation was associated with elevated levels of bullying and neuro-developmental symptoms at ages 6 through 15 and young adult depression and anxiety. Paths from deprivation to poor adult mental health were mediated via cross-lagged effects from earlier neuro-developmental problems to later bullying. Findings evidence how deep-seated neuro-developmental impacts of institutional deprivation can cascade across development to impact social functioning and mental health. These results elucidate cascade timing and the association between early deprivation and later bullying victimization across childhood and adolescence.
研究表明,经历过忽视的儿童有被欺凌的风险,而欺凌反过来又会增加心理健康不良的风险。在这里,我们通过研究这种风险是否会扩展到与严重机构剥夺相关的忽视,并检验这些影响在多大程度上被与先前剥夺相关的神经发育问题(如注意力不集中、多动和自闭症症状)所中介,从而扩展了这一研究。数据来自于 1980 年代在罗马尼亚孤儿院经历了长达 43 个月剥夺的 165 名被收养者,以及 52 名没有经历过剥夺的英国被收养者(n=217;女性占 50.23%),这些被收养者在 6 岁、11 岁、15 岁和成年早期(22-25 岁)时进行了收集。剥夺与 6 岁至 15 岁和成年早期的欺凌行为以及抑郁和焦虑呈正相关。剥夺对成年心理健康的影响是通过早期神经发育问题对后期欺凌行为的交叉滞后效应来中介的。研究结果证明了机构剥夺对神经发育的深远影响如何在整个发展过程中产生级联效应,从而影响社交功能和心理健康。这些结果阐明了级联的时间顺序以及早期剥夺与后期受欺凌之间的关联,跨越了儿童期和青春期。