Predictors of the rate and course of reactive attachment disorder and disinhibited social engagement disorder symptoms in foster children during the first year of placement.
| Autor: | Zimmermann J; Friedrich-Alexander-Universität Erlangen-Nürnberg, Institute for Psychology, Department for Developmental Psychology and Educational Psychology, Nägelsbachstraße 49a, 91052 Erlangen, Germany; German Youth Institute, Department for Families and Family Policies, Nockherstraße 2, 81541 Munich, Germany. Electronic address: janin.zimmermann@dji.de., Kliewer-Neumann J; University of Applied Sciences and Arts Dortmund, Applied Social Sciences, Emil-Figge-Straße 38-44, 44227 Dortmund, Germany; Ruhr-University Bochum, Research and Treatment Center for Mental Health, Center for Child and Adolescent Psychotherapy, Massenbergstraße 9-13, Bochum, Germany., Bovenschen I; Friedrich-Alexander-Universität Erlangen-Nürnberg, Institute for Psychology, Department for Developmental Psychology and Educational Psychology, Nägelsbachstraße 49a, 91052 Erlangen, Germany; German Youth Institute, Department for Families and Family Policies, Nockherstraße 2, 81541 Munich, Germany. Electronic address: bovenschen@dji.de., Lang K; Friedrich-Alexander-Universität Erlangen-Nürnberg, Institute for Psychology, Department for Developmental Psychology and Educational Psychology, Nägelsbachstraße 49a, 91052 Erlangen, Germany; Child Guidance Center, Ingolstadt, Gabelsbergerstr. 46, 85057 Ingolstadt, Germany., Gabler S; Friedrich-Alexander-Universität Erlangen-Nürnberg, Institute for Psychology, Department for Developmental Psychology and Educational Psychology, Nägelsbachstraße 49a, 91052 Erlangen, Germany. Electronic address: sandra.gabler@fau.de., Nowacki K; University of Applied Sciences and Arts Dortmund, Applied Social Sciences, Emil-Figge-Straße 38-44, 44227 Dortmund, Germany. Electronic address: katja.nowacki@fh-dortmund.de., Spangler G; Friedrich-Alexander-Universität Erlangen-Nürnberg, Institute for Psychology, Department for Developmental Psychology and Educational Psychology, Nägelsbachstraße 49a, 91052 Erlangen, Germany. Electronic address: gottfried.spangler@fau.de. |
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| Jazyk: | angličtina |
| Zdroj: | Child abuse & neglect [Child Abuse Negl] 2024 Aug; Vol. 154, pp. 106872. Date of Electronic Publication: 2024 Jun 07. |
| DOI: | 10.1016/j.chiabu.2024.106872 |
| Abstrakt: | Background: Due to adverse care experiences, foster children are at risk for developing symptoms of reactive attachment disorder (RAD) and disinhibited social engagement disorder (DSED). Objective: This study investigated the factors influencing rate and course of RAD and DSED symptoms during the first year of placement in long-term foster care. Participants and Setting: The sample consisted of 55 foster children aged 1 to 6 years. Measurements were taken at placement as well as 6 and 12 months after placement. Methods: RAD and DSED symptoms were assessed with the Disturbance of Attachment Interview (DAI). DSED symptoms were also assessed by observation with the Rating of Infant Stranger Engagement (RISE). Foster parents and caseworkers reported on children's preplacement experiences and placement characteristics. Results: RAD symptoms were rare at Wave 1 (5.5 %) and remitted in most children within the first six months of placement, t(54) = 3.06, p = .003. A total of 30.9 % of the foster children presented DSED symptoms according to the DAI, but only 5.5 % of the children according to the RISE. Foster parents reported symptom reduction, t(54) = 3.71, p = .003, while observational data indicated symptom stability. Prior placement in emergency foster care was associated with lower levels of RAD at Wave 1, F(1.62, 80.88) = 7.80, p = .002, while later placed children presented more RAD and DSED symptoms (R Conclusion: A substantial number of foster children present persistent DSED symptoms indicating a need for evidenced based interventions. Competing Interests: Declaration of competing interest The authors report no declarations of interest. (Copyright © 2024 Elsevier Ltd. All rights reserved.) |
| Databáze: | MEDLINE |
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