Adult disinhibited social engagement in adoptees exposed to extreme institutional deprivation: examination of its clinical status and functional impact

作者：Kennedy Mark; Kreppner Jana; Knights Nicky; Kumsta Robert; Maughan Barbara; Golm Dennis; Hill Jonathan; Rutter Michael; Schlotz Wolff; Sonuga Barke Edmund^*

来源：The British Journal of Psychiatry, 2017, 211(5): 289-295.

DOI：10.1192/bjp.bp.117.200618

Background
Early-life institutional deprivation produces disinhibited social engagement (DSE). Portrayed as a childhood condition, little is known about the persistence of DSE-type behaviours into, presentation during, and their impact on, functioning in adulthood.
Aims
We examine these issues in the young adult follow-up of the English and Romanian Adoptees study.
Method
A total of 122 of the original 165 Romanian adoptees who had spent up to 43 months as children in Ceausescu's Romanian orphanages and 42 UK adoptees were assessed for DSE behaviours, neurodevelopmental and mental health problems, and impairment between ages 2 and 25 years.
Results
Young adult DSE behaviour was strongly associated with early childhood deprivation, with a sixfold increase for those who spent more than 6 months in institutions. However, although DSE overlapped with autism spectrum disorder and attention-deficit hyperactivity disorder symptoms it was not, in itself, related to broader patterns of mental health problems or impairments in daily functioning in young adulthood.
Conclusions
DSE behaviour remained a prominent, but largely clinically benign, young adult feature of some adoptees who experienced early deprivation.

• 出版日期2017-11