Posttraumatic stress disorder in adopted children from Romania.

Hoksbergen, Rac; Laak, Jan ter; Dijkum, Cor van; Rijk, S. van; Rijk, Kathinka; Stoutjesdijk, Felicia

doi:10.1037/0002-9432.73.3.255

Cited by 47 publications

(34 citation statements)

References 29 publications

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“…The theoretical basis of the interventions reviewed to date has been cognitive-behavioural and the format has been a skills-based approach. However, the fostered/adopted population of children is different from children residing with their biological parents due to the prevalence of trauma symptomology (Hoksbergen et al, 2003;Oswald et al, 2010) and therefore it has been argued that these interventions alone should not be expected to impact as positively in this more complex population (Hodges, 2005).…”

Section: Intervening Through Caregiversmentioning

confidence: 99%

Attachment Interventions with Foster and Adoptive Parents: A Systematic Review

Kerr

Cossar

2014

Child Abuse Review

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Children who have been adopted or fostered are at high risk of experiencing interpersonal difficulties and placement breakdown may occur if these difficulties are not addressed through interventions. The aim of this review was to identify the impact of attachment interventions with foster and adoptive parents on children's behavioural, emotional and relational functioning. A systematic search process was undertaken; electronic databases were searched; key journals were hand searched; reference lists of included articles were searched; and authors who have published work in the field were contacted. Ten studies met the inclusion criteria. There is some evidence to support the positive impact of these interventions for children, particularly young children aged six months to six years. However, overall, the studies were of relatively poor methodological quality, making conclusions about the efficacy of these interventions difficult. Further research is therefore required to draw clearer conclusions about the impact of attachment interventions for fostered and adopted children. Copyright © 2014 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGES:• A number of the reviewed studies reported positive outcomes in child behavioural functioning and to a lesser degree in emotional and relational functioning following intervention.• Interventions focused on constructs such as parental sensitivity, attunement to the child and the impact of abuse and neglect on attachment to new caregivers.• When quality criteria were applied, two studies focused on children aged six months to six years were found to be methodologically strong, providing some evidence for the benefit of early attachment-based interventions within this population.

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Section: Intervening Through Caregiversmentioning

confidence: 99%

Attachment Interventions with Foster and Adoptive Parents: A Systematic Review

Kerr

Cossar

2014

Child Abuse Review

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“…Turkish youths exposed to an earthquake have also shown severe or very severe levels of PTSD (Bal and Jensen 2007). Hoksbergen et al (2003) examined 80 children adopted from Romania into the Netherlands and found that 20.0% of boys and girls demonstrated clinical PTSD. A comparison with youths without PTSD revealed no age, health, or family differences but youths with PTSD did show many more behavioral problems listed on the Child Behavior Checklist.…”

Section: Ptsd and Maltreatment: Epidemiologymentioning

confidence: 99%

Posttraumatic Stress Disorder in Maltreated Youth: A Review of Contemporary Research and Thought

Kearney

Wechsler

Kaur

et al. 2009

Clin Child Fam Psychol Rev

144

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Youths who have been maltreated often experience symptoms of posttraumatic stress disorder (PTSD), and this special population has received increased attention from researchers. Pathways toward maladaptive effects of maltreatment and PTSD are remarkably similar and reflect specific biological diatheses and psychological vulnerabilities that produce wide-ranging self-regulation deficits. Developmental models of effects of maltreatment and of PTSD are thus increasingly intertwined and have begun to inform specialized assessment and treatment strategies for this population. This review covers key aspects of posttraumatic stress disorder in maltreated youth, including epidemiology, symptomatology, outcome, and risk factors as well as assessment and treatment strategies and challenges for these youths.

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“…(Hoksbergen & Walenkamp, 1983;1991;Sorgedrager, 1988;Verhulst, Althaus, & Versluis-den Bieman, 1992). In addition, specific behavioral consequences have been studied, such as Reactive Attachment Disorder (Hoksbergen, 1998;O'Connor, Rutter, & The English and Romanian Adoptees Study Team, 1999); Post Traumatic Stress Disorder (Hoksbergen, 1996(Hoksbergen, , 2001Hoksbergen et al, 2003;Verrier, 1993) and Attention Deficit Hyperactivity Disorder (Hoksbergen, 1999).…”

Section: Introduction Early Child Deprivation and Post-institutional mentioning

confidence: 99%