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Cognitive recovery in socially deprived young children: the Bucharest Early Intervention Project
Charles A Nelson1, Charles H Zeanah, Nathan A Fox
1Harvard Medical School and Children's Hospital, Boston, MA 02215, USA.
Insights
Children in institutions showed poorer cognitive development. Early placement in foster care significantly improved cognitive outcomes, especially for younger children, highlighting the benefits of family environments.
Area of Science:
- Developmental Psychology
- Child Welfare Studies
- Neuroscience
Background:
- Early institutionalization can negatively impact child development.
- Understanding the effects of institutional care versus foster care is crucial for child welfare.
- Identifying sensitive periods for cognitive development is key to effective interventions.
Purpose of the Study:
- To compare the cognitive development of abandoned children in institutional care versus foster care.
- To investigate the long-term cognitive outcomes associated with early institutionalization.
- To determine if there is a sensitive period for cognitive development in response to environmental changes.
Main Methods:
- A randomized controlled trial design was employed.
- Participants were abandoned children randomly assigned to institutional care or foster care.
- Cognitive development was assessed up to 54 months of age.
Main Results:
- Children remaining in institutions exhibited significantly lower cognitive outcomes.
- Children moved to foster care showed improved cognitive development compared to those in institutions.
- The most substantial cognitive gains were observed in the youngest children placed in foster care.
Conclusions:
- Early institutionalization has detrimental effects on cognitive development.
- Foster care placement offers significant advantages for the cognitive development of abandoned children.
- Results suggest a sensitive period for cognitive development, emphasizing the importance of timely family-based placements.
Abstract:
In a randomized controlled trial, we compared abandoned children reared in institutions to abandoned children placed in institutions but then moved to foster care. Young children living in institutions were randomly assigned to continued institutional care or to placement in foster care, and their cognitive development was tracked through 54 months of age. The cognitive outcome of children who remained in the institution was markedly below that of never-institutionalized children and children taken out of the institution and placed into foster care. The improved cognitive outcomes we observed at 42 and 54 months were most marked for the youngest children placed in foster care. These results point to the negative sequelae of early institutionalization, suggest a possible sensitive period in cognitive development, and underscore the advantages of family placements for young abandoned children.
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