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Sensory processing in the postinstitutionalized child

S A Cermak1, L A Daunhauer

  • 1Department of Occupational Therapy, Boston University, Sargent College of Allied Health Professions, Massachusetts 02215, USA.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|July 1, 1997
PubMed
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Children adopted from Romanian orphanages often experience significant sensory processing challenges, including difficulties with touch, movement, vision, and hearing. These sensory issues correlate with behavioral problems in activity level, feeding, organization, and social-emotional development.

Area of Science:

  • Developmental Psychology
  • Neuroscience
  • Child Psychiatry

Background:

  • Institutionalization in early childhood can impact neurodevelopment.
  • Sensory processing is crucial for adaptive functioning and development.
  • Children adopted from institutional settings may face unique developmental challenges.

Purpose of the Study:

  • To investigate sensory processing abilities in children adopted from Romanian orphanages.
  • To identify specific sensory processing deficits and related behavioral difficulties.
  • To compare sensory processing in adopted children with typically developing peers.

Main Methods:

  • A cohort of 73 children adopted from Romanian orphanages (ages 3-6) was compared to 72 typically developing controls.
  • The parent-report Developmental and Sensory Processing Questionnaire assessed sensory and behavioral domains.

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  • Statistical analyses, including multiple t tests, were employed to compare groups.
  • Main Results:

    • Adopted children showed significantly greater problems in five sensory domains: touch, movement (avoidance and seeking), vision, and audition.
    • Significant behavioral difficulties were observed in activity level, feeding, organization, and social-emotional domains.
    • These deficits were significantly more pronounced compared to the control group.

    Conclusions:

    • Findings confirm clinical observations of sensory processing deficits in children with a history of institutionalization.
    • Environmental factors play a critical role in sensory integration and development.
    • This research deepens understanding of how institutionalized children adapt to post-institutional environments.