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Social-Emotional Development

in Orphan Children
Maria Soubbotina
EDPS 650

Content
 Introduction
 Role of Attachment theory, Family
Socialization, and Neurodevelopmental
perspective
 Developmental outcomes in institutions
 Post-adoptions outcomes
 Concluding remarks

Introduction
 Worldwide over 7 million children are in institutional care http://www.sos-
usa.org/our-impact/childrens-statistics#sthash.k8wCie4F.dpuf
 In Canada 67,000 children were in out-of-home care in 2007 (Mulcahy
and Trocmé, 2010).
 Approximately 2000 international adoptions in Canada annually
(Statistics Canada)
 “lack or loss of species typical parental stimulation is among the
most potent stressors early in life” (Levine, 1995)
 Attachment theory, familial socialization & neurodevelopmental
perspective predict poor outcomes
 What are the social emotional outcomes? Are outcomes malleable?

Attachment Theory
 Bond between child/caregiver has evolutionary purpose
 Depends upon warmth and consistency of caregiver
 Promotes sense of security, which in turn promotes exploration
 Critical period 0-3 yrs
 Develop Internal Working Model which guides future relationships
(Zeanah et al, 2011)
Familial Socialization
 Genetics and environment influence social-emotional development;
environment makes larger contribution in early years
 Promotes development of attachment
 Development of emotional regulation
 Empathy and emotion recognition
 Problem solving in social situations
 Reciprocal behavior
 Development of pro-social behavior
 Development of cognitive abilities (language, memory, EF etc)


(Gauvain & Perez, 2007; Grusec, 2011; Morris et al, 2007)
Neurological perspective
 Caregiver behavior and attachment modulate stress response
 Social neglect associated with abnormal cortical regulation
 Lower threshold for HPA axis activation
 Affect amygdala and hippocampus development
 Stress hormones impede prefrontal cortex development
 Consequences for emotion regulation, attention and memory
 Early care provides sensory experience, which promotes dendritic
growth


(Loman & Gunnar, 2010; Nelson et al, 2013)

Institutionalized children
 Global delays in intellectual, motor, and social-emotional functioning
(Morrison et al, 1995)
 Atypical attachment (Chilsom et al, 1995; Zeanah et al, 2005)
 Attachment predicts problem behavior (Tores et al, 2012)
 Less interaction, more aggression & negative affect (Vorria et al, 2003)
 Poor social skills, more problems with peers & lower social status
(Palazios et al, 2013)
 Impaired emotion recognition (Camras et al, 2006) & ToM (Dobrova-Krol et al, 2010)
 Lower grey and white matter volumes (Sheridan et al, 2012)
 Frontal lobe activation asymmetry (McLaughlin et al 2011)
 Larger limbic structures & related emotion dysregulation (Tottenhom, 2012)
 Altered face recognition circuit (Parker et al, 2005)
Adopted children
 Evidence of catching up across all areas (VanIJzendoorn et al, 2006; VanLonden,
2007)
 Able to form attachment; higher proportion of insecure (Barcons et al, 2014;
Escobar et al, 2014)
 Typical emotional understanding, moderated by emotional
availability (Garvin et al, 2012; Tarullo et al, )
 Social competence and social status similar to typical (Palacios et al, 2013)
 Peer acceptance and victimization moderated by age of adoption
(Pitula et al, 2014)
 Similar or higher rates of behavioral problems, moderated by
attachment & age at adoption (Escobar et al, 2014; Gunnar et al, 2007)

Conclusions
 Evidence of resilience despite early adversity
 Benefit of adoption
 Caregiver factors influence outcomes (Barone, 2012; Garvin et al, 2012)
 Caregiver behavior can be enhanced (Hoksbergen, 1997)
 Outcomes vary by age of adoption and country of origin (differences
in institution settings?) (Barcons et al, 2012; Camras et al, 2006; Gunnar et el, 2007)
 Changes in institutional settings improve outcomes: caregiver/child
ratio, caregiver consistency, integrated age group, communication
and responsiveness (Berument 2013; McCall et al 2013).
 More research needed on specific weaknesses and interventions
Reference:
Barcons, N., Abrines, N., Brun, C., Sartini, C., Fumadó, V., & Marre, D. (2014). Attachment and adaptive skills in
children of international adoption. Child & Family Social Work, 19(1), 89-98.
Berument, S. K. (2013). Environmental Enrichment and Caregiver Training to Support the Development of Birth to
6‐Year‐Olds in Turkish Orphanages. Infant Mental Health Journal, 34(3), 189-201.
Camras, N. A., Perlman, S. B., Wismer Fries, A. B. & Pollak, S. D. (2006) Post-institutionalized Chinese and Eastern
European children: heterogeneity in the development of emotion understanding. International Journal of
Behavioral Development, 30, 193–199.
Chisholm, K., Carter, M. C., Ames, E. W., & Morison, S. J. (1995). Attachment security and indiscriminately friendly
behavior in children adopted from Romanian orphanages. Development and Psychopathology, 7(02), 283-294.
Dobrova-Krol, N.A., VanIJzendoorn, M.H.,Bekermans-Kranenburg, M.J. & Juffers, F. (2010). Effects of perinatal HIV
infection and early institutional rearing on physical and cognitive development of children in Ukraine. Child
Development 81(1), 237-251.
Escobar, M. J., Pereira, X., & Santelices, M. P. (2014). Behavior problems and attachment in adopted and non-adopted
adolescents. Children and Youth Services Review, 42, 59-66.
Garvin, M. C., Tarullo, A. R., Van Ryzin, M., & Gunnar, M. R. (2012). Postadoption parenting and socioemotional
development in postinstitutionalized children. Development and psychopathology, 24(01), 35-48.
Gunnar, M. R., & Van Dulmen, M. H. (2007). Behavior problems in postinstitutionalized internationally adopted children.
Development and psychopathology, 19(01), 129-148.
Grusec, J. E. (2011). Socialization processes in the family: Social and emotional development. Annual review of
psychology, 62, 243-269.
Hoksbergen, R. A., Riksen‐Walraven, J. M., & Kohnstamm, G. A. (1997). Early intervention in adoptive families:
Supporting maternal sensitive responsiveness, infant–mother attachment, and infant competence. Journal of Child
Psychology and Psychiatry, 38(8), 1039-1050.
Levine, S. (2005). Developmental determinants of sensitivity and resistance to stress. Psychoneuroendocrinology, 30,
939–946




Reference:
Loman, M. M., & Gunnar, M. R. (2010). Early experience and the development of stress reactivity and regulation in
children. Neuroscience & Biobehavioral Reviews, 34(6), 867-876.
McCall, R. B., Groark, C. J., Fish, L., Muhamedrahimov, R. J., Palmov, O. I., & Nikiforova, N. V. (2013). Maintaining a
Social‐Emotional Intervention and Its Benefits for Institutionalized Children. Child development, 84(5), 1734-1749.
McLaughlin, K. A., Fox, N. A., Zeanah, C. H., & Nelson, C. A. (2011). Adverse rearing environments and neural
development in children: the development of frontal electroencephalogram asymmetry. Biological psychiatry,
70(11), 1008-1015.
Morris, A., Silk, J., Steinberg, L., Myers, S., & Robinson, L. (2007). The role of the family context in the development of
emotion regulation. Social Development, 16, 361–388.
Morison, S. J., Ames, E. W., & Chisholm, K. (1995). The development of children adopted from Romanian orphanages.
Merrill-Palmer Quarterly (1982-), 411-430.
Nelson, H. J., Kendall, G. E., & Shields, L. (2013). Neurological and Biological Foundations of Children’s Social and
Emotional Development An Integrated Literature Review. The Journal of School Nursing, doi:
10.1177/1059840513513157 .
Palacios, J., Moreno, C., & Román, M. (2013). Social competence in internationally adopted and institutionalized
children. Early Childhood Research Quarterly, 28(2), 357-365.
Parker, S.W., Nelson, C.A., & the BEIP Core Group. (2005). An event-related potential study of the impact of
institutional rearing on face recognition. Development and Psychopathology, 17, 621–639.
Pitula, C. E., Thomas, K. M., Armstrong, J. M., Essex, M. J., Crick, N. R., & Gunnar, M. R. (2014). Peer Victimization
and Internalizing Symptoms Among Post-Institutionalized, Internationally Adopted Youth. Journal of abnormal child
psychology, 1-8.
Sheridan, M. A., Fox, N. A., Zeanah, C. H., McLaughlin, K. A., & Nelson, C. A. (2012). Variation in neural development
as a result of exposure to institutionalization early in childhood. Proceedings of the National Academy of Sciences,
109(32), 12927-12932.


Reference:
Tarullo, A. R., Bruce, J., & Gunnar, M. R. (2007). False Belief and Emotion Understanding in Post‐institutionalized
Children. Social Development, 16(1), 57-78.
Tottenham, N., Hare, T. A., Quinn, B. T., McCarry, T. W., Nurse, M., Gilhooly, T., ... & Casey, B. J. (2010). Prolonged
institutional rearing is associated with atypically large amygdala volume and difficulties in emotion regulation.
Developmental science, 13(1), 46-61.
Torres, N., Maia, J., Veríssimo, M., Fernandes, M., & Silva, F. (2012). Attachment security representations in
institutionalized children and children living with their families: links to problem behaviour. Clinical psychology &
psychotherapy, 19(1), 25-36.
Van IJzendoorn, M. H., & Juffer, F. (2006). The Emanuel Miller Memorial Lecture 2006: Adoption as intervention.
Meta‐analytic evidence for massive catch‐up and plasticity in physical, socio‐emotional, and cognitive
development. Journal of child psychology and psychiatry, 47(12), 1228-1245.
Van Londen, W. M., Juffer, F., & van IJzendoorn, M. H. (2007). Attachment, cognitive, and motor development in
adopted children: Short-term outcomes after international adoption. Journal of Pediatric Psychology, 32(10), 1249-
1258.
Vorria, P., Papaligura, Z., Dunn, J., VanIJzendoorn, M.H., Stteele, H.,Kontopoulou, A. & Sarafidou, Y. (2003). Early
experiences and attachment relationships of Greek infants raised in residential group care. Journal of Child
Psychology and Psychiatry, 44(8), 1208-1220.
Zeanah, C. H., Smyke, A. T., Koga, S. F., & Carlson, E. (2005). Attachment in institutionalized and community children
in Romania. Child development, 76(5), 1015-1028.
Zeanah, C.H., Berlin, L. J., & Borin, N.W. (2011). Practitioner review: clinical applications of attachment theory and
research for infants and young children. Journal of Child Psychology and Psychiatry, 52(8), 819-833.