Romanian adoption. The Manitoba experience.

Important note: Information in this article was accurate in 1997. The state of the art may have changed since the publication date.

Romanian adoption. The Manitoba experience.

Arch Pediatr Adolesc Med. 1996 Dec;150(12):1278-82. Unique Identifier : AIDSLINE MED/97112311
Benoit TC; Jocelyn LJ; Moddemann DM; Embree JE; Department of Pediatrics and Child Health, Children's Hospital,; Health Sciences Centre, Winnipeg, Manitoba.

Abstract: OBJECTIVE: To study the developmental, behavioral, and medical features in a cohort of Romanian children adopted by Manitoba families. DESIGN: A prospective longitudinal study. SETTING: The Child Development Clinic, Children's Hospital, Winnipeg, Manitoba, from September 1990 to June 1992. PATIENTS: Developmental, behavioral, and medical features were assessed in 22 Romanian children adopted by 18 Manitoba families. RESULTS: Mean (+/- SD) age at adoption was 15.5 +/- 13 months. Mean (+/- SD) age at initial assessment was 19 +/- 12 months and at follow-up, 35 +/- 13 months. Medical complications included 6 children (27%) who were positive for the hepatitis B surface antigen, 5 with intestinal parasites (23%), 1 positive for the human immunodeficiency virus, 1 with rickets (5%), and 1 with monoplegia and cleft palate (5%). Initial growth parameters were less than the fifth percentile for age for head circumference in 10 children (45%), for weight in 8 (36%), and for height in 7 (32%). At follow-up, statistically significant improvement was seen in height and weight. Initial mean (+/- SD) developmental quotients were 82 +/- 20 for gross motor, 83 +/- 23 for fine motor, 83 +/- 19 for cognitive, and 79 +/- 18 for language domains. Follow-up mean developmental quotients improved in all domains (P < .05). Twelve children (55%) displayed abnormal behavior at the initial assessment; behavioral findings persisted in 8 (36%). Initial appropriate activity level and play behavior predicted normal cognitive outcome (P < .05). CONCLUSIONS: This longitudinal study of Romanian adoptees delineates improvements in growth and development once the children are placed in a nurturing environment. The persistence of abnormal behavior in some children underscores the importance of further follow-up.

Keywords: *Adoption/PSYCHOLOGY Child Behavior Disorders/DIAGNOSIS/*ETIOLOGY Developmental Disabilities/DIAGNOSIS/*ETIOLOGY Female Growth Disorders/DIAGNOSIS/*ETIOLOGY Human Infant Male Manitoba Prospective Studies Romania/ETHNOLOGY JOURNAL ARTICLE
970228
M9721939

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