The English and Romanian Adoptees (ERA) study constituted an
invaluable "natural experiment" in which there was a rapid,
easily-timed transition from a profoundly depriving environment in
Romanian institutions to generally well-functioning adoptive
families in England. Multimodal methods of assessment were used
throughout the assessments at 4, 6, 11, and 15 years of age. Four
key findings were particularly striking. First, institutional
deprivation was associated with an apparently deprivation-specific
pattern of combinations of quasiautism, disinhibited attachment,
cognitive impairment, and inattention/overactivity. Second,
longitudinal growth curves showed a relative deceleration of growth
between 11 and 15 years (possibly due to early puberty). Third,
institutional deprivation without subnutrition was associated with
a major impairment in head growth. Fourth, the effects of
institutional deprivation were as strong at 15 years as they had
been earlier in childhood.
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