{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T11:09:21Z","timestamp":1792062561618,"version":"4.4.0"},"reference-count":30,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":5998,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2001,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The sequelae of profound early privation are varied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To delineate the behavioural patterns that are specifically associated with institutional privation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A group of 165 children adopted from Romania before the age of 42 months were compared at 4 years and 6 years with 52 non-deprived UK children adopted in infancy. Dysfunction was assessed for seven domains of functioning. The groups were compared on which, and how many, domains were impaired.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Attachment problems, inattention\/overactivity, quasi-autistic features and cognitive impairment were associated with institutional privation, but emotional difficulties, poor peer relationships and conduct problems were not. Nevertheless, one-fifth of children who spent the longest time in institutions showed normal functioning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Attachment disorder behaviours, inattention\/overactivity and quasi-autistic behaviour constitute institutional privation patterns.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.179.2.97","type":"journal-article","created":{"date-parts":[[2002,8,29]],"date-time":"2002-08-29T21:36:18Z","timestamp":1030656978000},"page":"97-103","source":"Crossref","is-referenced-by-count":279,"title":["Specificity and heterogeneity in children's responses to profound institutional privation"],"prefix":"10.1192","volume":"179","author":[{"given":"Michael L.","family":"Rutter","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jana M.","family":"Kreppner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas G.","family":"O'Connor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S000712500026649X_ref4","volume-title":"Life Events and Illness.","author":"Brown","year":"1989"},{"key":"S000712500026649X_ref24","unstructured":"Rutter M. 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