Motor Outcomes in Children Exposed to Early Psychosocial Deprivation

Department of Neurology, Boston Children's Hospital/Harvard Medical School, Boston, MA
The Journal of pediatrics (Impact Factor: 3.79). 10/2013; 164(1). DOI: 10.1016/j.jpeds.2013.09.026
Source: PubMed


To determine the effect of psychosocial deprivation early in life on motor development, assess the impact of a foster care intervention on improving motor development, and assess the association between motor and cognitive outcomes in children with a history of institutional care.
In a randomized controlled trial, children living in Romanian institutions were randomly assigned to care as usual in the institution or placed in family-centered foster care as part of the Bucharest Early Intervention Project. The average age at placement into foster care was 23 months. At age 8 years, the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition, Short Form (BOT2-SF) was applied to assess the motor proficiency of children in both groups, as well as a never-institutionalized group from the Romanian community.
Children in the never-institutionalized group did significantly better on the BOT2-SF than children who had ever been institutionalized (P < .001). There was no significant difference in performance between children in the care as usual group and the foster care group. This finding also held true for all individual items on the BOT2-SF except sit-ups. Regression analyses revealed that the between-group and within-group differences in BOT2-SF scores were largely mediated by IQ.
Early deprivation had a negative effect on motor development that was not resolved by placement in foster care. This effect was predominantly mediated by IQ. This study highlights the importance of monitoring for and addressing motor delays in children with a history of institutionalization, particularly those children with low IQ.

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Available from: Charles H Zeanah, Feb 08, 2014
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    • "• Emotional difficulties sustained through childhood (Colvert et al., 2008). • Negative effects on motor development in children who were psychosocially deprived in these orphanages (Levin et al., 2014) • Disruptions in the development of the neural circuitry involved in the recognition of facial expressions, due to psychosocial deprivation (Parker and Nelson, 2005) Rutter et al. (1999) drew the tentative conclusion that prolonged experience of such terrible social and non-social privation was responsible for these quasi-autistic symptoms. Hobson is less tentative: the circumstances of these institutions led to a form of induced autism. "
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