Early deprivation and autonomic nervous system functioning in post-institutionalized children
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Published on: July 12, 2024
Elisa A Esposito1, Kalsea J Koss1, Bonny Donzella1
1Institute of Child Development, University of Minnesota, Minneapolis, MN, 55455.
Insights
Early institutional deprivation impacts autonomic nervous system (ANS) sympathetic tone in adopted children. This sympathetic tone, measured by pre-ejection period (PEP), mediates behavioral problems post-adoption.
Area of Science:
- Developmental psychology
- Neuroscience
- Autonomic nervous system function
Background:
- Early deprivation's effects on stress response are well-studied, but its impact on autonomic function development is less understood.
- The autonomic nervous system (ANS) plays a crucial role in stress regulation and development.
Purpose of the Study:
- To examine the longitudinal trajectories of autonomic nervous system function in children following institutional care.
- To investigate the relationship between early deprivation, autonomic function, and subsequent behavioral problems.
Main Methods:
- Longitudinal study of 60 children adopted from institutional care (15-36 months) over 16 months post-adoption.
- Comparison groups: 50 same-aged peers reared in birth families and 46 internationally adopted children from foster care.
- Autonomic function assessed via pre-ejection period (PEP) for sympathetic tone and respiratory sinus arrhythmia (RSA) for parasympathetic function.
Main Results:
- Post-institutionalized children exhibited higher sympathetic tone (PEP) compared to control groups.
- Individual differences in early PEP mediated the relationship between institutional deprivation and later behavioral problems.
- No significant group differences were observed in parasympathetic function (RSA) or in the developmental trajectories of ANS function across the 16-month period.
Conclusions:
- Early institutional deprivation significantly affects the development of sympathetic nervous system tone in adopted children.
- Sympathetic nervous system function in early post-adoption predicts later behavioral outcomes, highlighting a critical developmental pathway.
- While parasympathetic function and overall ANS trajectories normalized, early sympathetic dysregulation persists and links to behavioral challenges.
Abstract:
The relations between early deprivation and the development of the neuroendocrine and central components of the mammalian stress response have been examined frequently. However, little is known about the impact of early deprivation on the developmental trajectories of autonomic function. Children adopted between 15-36 months from institutional care were examined during their first 16 months post-adoption (N = 60). Comparison groups included same-aged peers reared in their birth families (N = 50) and children adopted internationally from overseas foster care (N = 46). The present study examined trajectories of baseline autonomic nervous system function longitudinally following entry into adopted families. Post-institutionalized children had higher sympathetic tone, measured by pre-ejection period (PEP). Individual differences in PEP soon after adoption served as a mediator between early deprivation and parent-reported behavioral problems 2 years post-adoption. There were no group differences in parasympathetic function, indexed by respiratory sinus arrhythmia. All three groups showed similar trajectories of ANS function across the 16 month period.
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