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Disinhibited social engagement in postinstitutionalized children: Differentiating normal from atypical behavior

Published online by Cambridge University Press:  12 March 2014

Jamie M. Lawler*
Affiliation:
University of Minnesota Institute of Child Development
Camelia E. Hostinar
Affiliation:
University of Minnesota Institute of Child Development
Shanna B. Mliner
Affiliation:
University of Minnesota Institute of Child Development
Megan R. Gunnar
Affiliation:
University of Minnesota Institute of Child Development
*
Address correspondence and reprint requests to: Jamie M. Lawler, Institute of Child Development, University of Minnesota, 51 East River Road, Minneapolis, MN 55455; E-mail: lawle084@umn.edu.

Abstract

The most commonly reported socially aberrant behavior in postinstitutionalized (PI) children is disinhibited social engagement (DSE; also known as indiscriminate friendliness). There is no gold standard for measurement of this phenomenon nor agreement on how to differentiate it from normative behavior. We adopted a developmental psychopathology approach (Cicchetti, 1984) to study this phenomenon by comparing it to normative social development and by studying its patterns over time in 50 newly adopted PI children (16–36 months at adoption) compared with 41 children adopted early from foster care overseas and 47 nonadopted (NA) controls. Using coded behavioral observations of the child's interaction with an unfamiliar adult, atypical behaviors were differentiated from normative behaviors. Principal components analysis identified two dimensions of social disinhibition. The nonphysical social dimension (e.g., initiations, proximity) showed wide variation in NA children and is therefore considered a typical form of sociability. Displays of physical contact and intimacy were rare in NA children, suggesting that they represent an atypical pattern of behavior. Both adopted groups demonstrated more physical DSE behavior than NA children. There were no group differences on the nonphysical factor, and it increased over time in all groups. Implications for understanding the etiology of DSE and future directions are discussed.

Type
Regular Articles
Copyright
Copyright © Cambridge University Press 2014 

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References

American Psychological Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.Google Scholar
Brannick, M. T. (1995). Critical comments on applying covariance structure modeling. Journal of Organizational Behavior, 16, 201213.Google Scholar
Bruce, J., Tarullo, A. R., & Gunnar, M. R. (2009). Disinhibited social behavior among internationally adopted children. Development and Psychopathology, 21, 157171.Google Scholar
Cicchetti, D. (1984). The emergence of developmental psychopathology. Child Development, 55, 17.Google Scholar
Chisholm, K. (1998). A three year follow-up of attachment and indiscriminate friendliness in children adopted from Romanian orphanages. Child Development, 69, 10921106.Google ScholarPubMed
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, 283294.CrossRefGoogle Scholar
English and Romanian Adoptees (ERA) Study Team. (2010). II. Methods and measures used for follow-up at 15 years of the English and Romanian Adoptee (ERA) study. Monographs of the Society for Research in Child Development, 75, 2147.Google Scholar
Fisher, L., Ames, E. W., Chisholm, K., & Savoie, L. (1997). Problems reported by parents of Romanian orphans adopted to British Columbia. International Journal of Behavioral Development, 20, 6782.Google Scholar
Gleason, M. M., Fox, N. A., Drury, S., Smyke, A., Egger, H. L., Nelson, C. A., et al. (2011). Validity of evidence-derived criteria for reactive attachment disorder: Indiscriminately social/disinhibited and emotionally withdrawn/inhibited types. Journal of the American Academy of Child & Adolescent Psychiatry, 50, 216231.Google Scholar
Gorsuch, R. L. (1983). Factor analysis (2nd ed). Mahwah, NJ: Erlbaum.Google Scholar
Gunnar, M. R. (2001). Effects of early deprivation: Findings from orphanage-reared infants and children. In Nelson, C. A. & Luciana, M. (Eds.), Handbook of developmental cognitive neuroscience (pp. 617629). Cambridge, MA: MIT Press.Google Scholar
Gunnar, M. R., Bruce, J., & Grotevant, H. D. (2000). International adoption of institutionally reared children: Research and policy. Development and Psychopathology, 12, 677693.Google Scholar
Gunnar, M. R., & van Dulmen, M. H. (2007). Behavior problems in postinstitutionalized internationally adopted children. Development and Psychopathology, 19, 129148.Google Scholar
Hodges, J., & Tizard, B. (1989). Social and family relationships of ex-institutional adolescents. Journal of Child Psychology and Psychiatry, 30, 7797.Google Scholar
Kreppner, J., Kumsta, R., Rutter, M., Beckett, C., Castle, J., Stevens, S., et al. (2010). IV. Developmental course of deprivation-specific psychological patterns: Early manifestations, persistence to age 15, and clinical features. Monographs of the Society for Research in Child Development, 75, 79101.Google Scholar
Lyons-Ruth, K., Bureau, J. F., Riley, C. D., & Atlas-Corbett, A. F. (2009). Socially indiscriminate attachment behavior in the strange situation: Convergent and discriminant validity in relation to caregiving risk, later behavior problems, and attachment insecurity. Development and Psychopathology, 21, 355367.CrossRefGoogle ScholarPubMed
Mulaik, S. A. (2010). Foundations of factor analysis (2nd ed.). Boca Raton, FL: Chapman & Hall/CRC.Google Scholar
Mullen, E. M. (1995). Mullen Scales of Early Learning. Circle Pines, MN: American Guidance Service.Google Scholar
O'Connor, T. G., Bredenkamp, D., Rutter, M., & the ERA Study Team. (1999). Attachment disturbances and disorders in children exposed to early severe deprivation. Infant Mental Health Journal, 20, 1029.Google Scholar
O'Connor, T. G., Marvin, R. S., Rutter, M., Olrick, J. T., & Britner, P. A. (2003). Child–parent attachment following early institutional deprivation. Development and Psychopathology, 15, 1938.Google Scholar
O'Connor, T. G., & Rutter, M. (2000). Attachment disorder behavior following early severe deprivation: Extension and longitudinal follow-up. Journal of the American Academy of Child & Adolescent Psychiatry, 39, 703712.Google Scholar
Oosterman, M., & Schuengel, C. (2007). Autonomic reactivity of children to separation and reunion with foster parents. Journal of the American Academy of Child & Adolescent Psychiatry, 46, 11961203.Google Scholar
Pears, K. C., Bruce, J., Fisher, P. A., & Kim, H. K. (2010). Indiscriminate friendliness in maltreated foster children. Child Maltreatment, 15, 6475.Google Scholar
Putnam, S. P., Gartstein, M. A., & Rothbart, M. K. (2006). Measurement of fine-grained aspects of toddler temperament: The early childhood behavior questionnaire. Infant Behavior & Development, 29, 386401.Google Scholar
Roy, P., Rutter, M., & Pickles, A. (2004). Institutional care: Associations between overactivity and lack of selectivity in social relationships. Journal of Psychology and Psychiatry, 45, 866873.Google Scholar
Rutter, M., Colvert, E., Kreppner, J., Beckett, C., Castle, J., Groothues, C., et al. (2007). Early adolescent outcomes for institutionally-deprived and non-deprived adoptees: I. Disinhibited attachment. Journal of Child Psychology and Psychiatry, 48, 1730.CrossRefGoogle ScholarPubMed
Save the Children. (2009). Institutional care: The last resort. London: Author. Retrieved January 29, 2013, from http://resourcecentre.savethechildren.se/content/library/documents/institutional-care-last-resort-policy-brief Google Scholar
Smyke, A. T., Zeanah, C. H., Fox, N. A., Nelson, C. A., & Guthrie, D. (2010). Placement in foster care enhances quality of attachment among young institutionalized children. Child Development, 81, 212223.Google Scholar
Smyke, A. T., Zeanah, C. H., Gleason, M. M., Drury, S. S., Fox, N. A., Nelson, C. A., et al. (2012). A randomized controlled trial comparing foster care and institutional care for children with signs of reactive attachment disorder. American Journal of Psychiatry, 169, 508514.Google Scholar
Sroufe, L. A. (1977). Wariness of strangers and the study of infant development. Child Development, 48, 731746.Google Scholar
Tapp, J. (2003). Procoder for digital video [Computer software]. Nashville, TN: Vanderbilt Kennedy Center.Google Scholar
Tizard, B., & Hodges, J. (1978). The effect of early institutional rearing on the development of eight-year-old children. Journal of Child Psychology and Psychiatry, 19, 99118.CrossRefGoogle ScholarPubMed
Tizard, B., & Rees, J. (1975). The effect of early institutional rearing on the behaviour problems and affectional relationships of four-year-old children. Journal of Child Psychology and Psychiatry, 16, 6173.Google Scholar
Williamson, J., & Greenberg, A. (2010). Families, not orphanages. Better Care Network Working Paper.Google Scholar
Zeanah, C. H., & Gleason, M. M. (2010). Reactive attachment disorder: A review for DSM-V. Retrieved from http://www.dsm5.org/ProposedRevisions/Pages/proposedrevision.aspx?rid=120 Google Scholar
Zeanah, C. H., Scheeringa, M. S., Boris, N. W., Heller, S. S., Smyke, A. T., & Trapani, J. (2004). Reactive attachment disorder in maltreated toddlers. Child Abuse and Neglect, 28, 877888.Google Scholar
Zeanah, C. H., Smyke, A. T., & Dumitrescu, A. (2002). Attachment disturbances in young children: II. Indiscriminate behavior and institutional care. Journal of the American Academy of Child & Adolescent Psychiatry, 41, 983989.Google Scholar
Zeanah, C. H., Smyke, A. T., Koga, S. F., & Carlson, E. (2005). Attachment in institutionalized and community children in Romania. Child Development, 76, 10151028.Google Scholar