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CBCL behavior problems of post-institutionalized international adoptees.

Brandi Hawk¹, Robert B McCall

¹University of Pittsburgh Office of Child Development, Pittsburgh, PA 15208, USA.

Clinical Child and Family Psychology Review

|June 2, 2010

Summary

International adoption age significantly impacts child behavior, with later adoption linked to more internalizing, externalizing, and attention problems. Early institutional experiences can lead to lasting behavioral dispositions.

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Assessment of Social Interaction Behaviors

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Published on: February 25, 2011

Area of Science:

Developmental Psychology
Child Psychiatry
Adoption Studies

Background:

International adoption has increased, prompting research into adoptee developmental outcomes.
Inconsistent findings in previous studies may stem from variations in institutional care, duration, assessment age, and measures.
A review focusing on the Child Behavior Checklist (CBCL) was conducted to clarify these outcomes.

Purpose of the Study:

To systematically review existing literature on developmental outcomes of internationally adopted children.
To identify key factors influencing behavioral issues in this population.
To provide a clearer understanding of the relationship between early experiences and later behavior.

Main Methods:

A focused review of 18 studies utilizing the Child Behavior Checklist (CBCL).
Analysis of outcomes based on parameters such as age at adoption, institutionalization history, and assessment age.
Comparison of behavioral problems in post-institutionalized, mixed, and non-institutional internationally adopted children.

Main Results:

Age at adoption is a critical factor; adoption after 6-18 months correlates with increased behavioral problems (Internalizing, Externalizing, Attention).
Post-institutionalized children generally exhibit more behavioral issues than mixed or non-institutional international adoptees.
Behavioral problems may emerge or intensify during adolescence, suggesting developmental trajectories beyond simple learned behaviors.

Conclusions:

Early deficient social-emotional caregiver-child interactions in institutional settings are a likely cause of later difficulties.
The timing of adoption is crucial for mitigating developmental and behavioral challenges.
Adolescent manifestation of problems indicates that early adversity shapes enduring dispositions.