“…In addition, Huynh et al (2019) reported that the experience of growing up at an orphanage has a profound impact on orphans' psychosocial development and later mental health functioning. Similar results were found in other studies, indicating that compared with noninstitutionalized children, orphans scored significantly lower on mental health and higher on emotional problems such as anxiety, depression, and stress (Atwine et al, 2005;Sahad et al, 2018). A semistructured interview conducted on orphans in their late adolescence in orphanages reported negative emotional experiences in aspects of loneliness, entrapment, boredom or idleness, deprivation, rejection, and helplessness, which were related to peer discrimination, social isolation, detachment from biological parents, and emotional neglect from the caregivers (Boadu et al, 2020).…”