Related Experiment Video
Updated: Aug 16, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Immediate behavioral and developmental considerations for internationally adopted children transitioning to families
1Department of Pediatrics, International Adoption Clinic, Tufts University School of Medicine, The Floating Hospital for Children-New England Medical Center, Boston, MA 02111, USA. lmiller1@tufts-nemc.org
Insights
International adoption brings joy, but behavioral concerns like feeding and sleeping issues are common in infants and toddlers. Pediatrician guidance helps families navigate these challenges for a smoother transition.
Area of Science:
- Pediatrics
- Child Psychology
- Family Studies
Background:
- International adoption is a significant life event for families.
- Adopted children, particularly infants and toddlers, may exhibit behavioral concerns post-adoption.
- Common issues include feeding, sleeping, emotional distress, and developmental delays.
Purpose of the Study:
- To describe common behavioral and developmental issues in internationally adopted children.
- To highlight the importance of pediatrician guidance during the transition period.
Main Methods:
- Observational data on behavioral and developmental patterns in newly adopted children.
- Clinical observations of common challenges faced by adoptive families.
Main Results:
- Feeding and sleeping problems are frequent in the initial weeks.
- While some children show emotional distress or developmental delays, most show rapid recovery.
- Anticipatory guidance is crucial for successful integration.
Conclusions:
- Most internationally adopted children adapt well with family support.
- Pediatricians play a vital role in providing anticipatory guidance to adoptive families.
- Early support can mitigate challenges and promote healthy development.
Abstract:
The arrival of a newly adopted child into the family is usually a joyous time. Behavioral concerns arise in many internationally adopted children, most of whom are infants or toddlers at the time of placement with their adoptive families. Problems with feeding, sleeping, and other daily activities are often prominent in the first few weeks after the adoption. Some children display emotional distress and developmental delays; however, most recover rapidly. Anticipatory guidance from the pediatrician can assist families and children with this major life transition.
Related Concept Videos
Relationship with Parents: Attachment
Relationship with Other Adult Family Members and Siblings
Attachment
Autism Spectrum Disorder
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
Socioemotional Development during Infancy
Primary Temperament Types
Stella Chess...
Theory of Romantic Attachment in Adulthood

