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Associations between attachment‐related symptoms and later psychological problems among international adoptees: Results from the FinAdo study
Authors:Marko Elovainio  Hanna Raaska  Jari Sinkkonen  Sanna Mäkipää  Helena Lapinleimu
Institution:1. National Institute for Health and Welfare, Helsinki, Finland;2. Institute for Behavioural Siences, University of Helsinki, Finland;3. University of Helsinki, Helsinki University HospitalFinland;4. University of Turku and Save the Children, Finland;5. Capacitas Familia, Helsinki, Finland;6. Department of Pediatrics, Turku University Hospital and University of Turku, Finland
Abstract:We examined the associations between attachment‐related symptoms (symptoms of reactive attachment disorder (RAD), symptoms of disinhibited social engagement disorder (DSED), and clinging) and later psychological problems among international adoptees. The study population comprised internationally adopted children (591 boys and 768 girls, 6–15 years) from the ongoing Finnish Adoption (FinAdo) study. Data were gathered with self‐administered questionnaires both from adoptive parents and from adoptees aged over 9 years. Attachment‐related symptoms were measured using of a short (8‐item) questionnaire and later behavioral/emotional problems were assessed using the Child Behavior Checklist (CBCL) and the Five to Fifteen (FTF) scale for attention‐deficit/hyperactivity disorder (ADHD) symptoms. RAD and DSED symptom subscales were associated with an increased risk of emotional and behavioral problems and ADHD. Especially the mixed type of attachment‐related symptoms was strongly associated with later emotional and behavioral problems.
Keywords:Attachment  adoption  survey
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