Lipman E L, Offord D R, Boyle M H, Racine Y A
Department of Psychiatry, McMaster University, Hamilton, Ontario, Canada.
J Am Acad Child Adolesc Psychiatry. 1993 Sep;32(5):1007-12. doi: 10.1097/00004583-199309000-00019.
The purpose of this study is to evaluate longitudinally the strength of association between adoptive status and psychiatric and educational morbidity and substance use.
This study makes use of data from the 1983 Ontario Child Health Study and 1987 follow-up. This community survey of children (4- to 16-years-old in 1983, 8- to 20-years-old in 1987) included a subpopulation of adopted children. The primary outcomes measured were psychiatric disorder, poor school performance, and substance use.
Adoption, identified in 1983, in boys was a significant marker for psychiatric disorder in 1987. Adoption was not a significant risk indicator for educational morbidity or substance use in 1987. In the multivariate analyses, adoptive status demonstrated no independent influence on 1987 educational morbidity or substance use. However, adoptive status, in the presence of poor school performance in 1983, was a significant risk indicator for psychiatric disorder in 1987.
Adopted children did not do significantly worse than nonadopted children over time in terms of educational morbidity or substance use, but adopted boys demonstrated a significantly increased risk of psychiatric disorder versus nonadopted boys.
本研究旨在纵向评估收养状态与精神疾病、教育相关疾病及物质使用之间的关联强度。
本研究利用了1983年安大略儿童健康研究及1987年随访的数据。这项针对儿童（1983年4至16岁，1987年8至20岁）的社区调查纳入了一个收养儿童亚群体。所测量的主要结局为精神疾病、学业成绩差及物质使用。
1983年被认定为收养儿童的男孩，在1987年是精神疾病的一个显著标志。收养并非1987年教育相关疾病或物质使用的显著风险指标。在多变量分析中，收养状态对1987年的教育相关疾病或物质使用没有独立影响。然而，在1983年学业成绩差的情况下，收养状态是1987年精神疾病的一个显著风险指标。
随着时间推移，收养儿童在教育相关疾病或物质使用方面并不比非收养儿童差，但与非收养男孩相比，收养男孩患精神疾病的风险显著增加。
