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Early Adolescent Outcomes of Institutionally Deprived and Non-Deprived Adoptees. III. Quasi-Autism

Title: Early Adolescent Outcomes of Institutionally Deprived and Non-Deprived Adoptees. III. Quasi-Autism
Language: English
Authors: Rutter, Michael; Kreppner, Jana; Croft, Carla; Murin, Marianna; Colvert, Emma; Beckett, Celia; Castle, Jenny; Sonuga-Barke, Edmund
Source: Journal of Child Psychology and Psychiatry. Dec 2007 48(12):1200-1207.
Availability: Blackwell Publishing. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8599; Fax: 781-388-8232; e-mail: customerservices@blackwellpublishing.com; Web site: http://www.blackwellpublishing.com/jnl_default.asp
Peer Reviewed: Y
Page Count: 8
Publication Date: 2007
Document Type: Journal Articles; Reports - Research
Descriptors: Disadvantaged; Early Adolescents; Clinical Diagnosis; Foreign Countries; Adoption; Diagnostic Tests; Autism; Measures (Individuals); Interviews; Behavior Patterns; Peer Relationship; Attachment Behavior
Geographic Terms: Romania; United Kingdom
DOI: 10.1111/j.1469-7610.2007.01792.x
ISSN: 0021-9630
Abstract: Background: Some young children reared in profoundly depriving institutions have been found to show autistic-like patterns, but the developmental significance of these features is unknown. Methods: A randomly selected, age-stratified, sample of 144 children who had experienced an institutional upbringing in Romania and who were adopted by UK families was studied at 4, 6, and 11 years, and compared with a non-institutionalised sample of 52 domestic adoptees. Twenty-eight children, all from Romanian institutions, for whom the possibility of quasi-autism had been raised, were assessed using the Autism Diagnostic Interview-Revised (ADI-R) and the Autism Diagnostic Observation Schedule (ADOS) at the age of 12 years. Results: Sixteen children were found to have a quasi-autistic pattern; a rate of 9.2% in the Romanian institution-reared adoptees with an IQ of at least 50 as compared with 0% in the domestic adoptees. There were a further 12 children with some autistic-like features, but for whom the quasi-autism designation was not confirmed. The follow-up of the children showed that a quarter of the children lost their autistic-like features by 11. Disinhibited attachment and poor peer relationships were also present in over half of the children with quasi-autism. Conclusions: The findings at age 11/12 years confirmed the reality and clinical significance of the quasi-autistic patterns seen in over 1 in 10 of the children who experienced profound institutional deprivation. Although there were important similarities with "ordinary" autism, the dissimilarities suggest a different meaning.
Abstractor: As Provided
Entry Date: 2008
Accession Number: EJ813489
Database: ERIC