The Impact of Early Institutionalisation on the Development of Autism
Autism is a developmental disorder that affects social interaction, communication, and repetitive behaviours. Early institutionalization has been identified as a possible factor in the development of autism. In this article, we will discuss several studies that have investigated the impact of early institutionalization on autism.
One study followed children adopted from Romanian orphanages, which were known for their poor conditions. The study found that those who spent more time in the institutions had a higher likelihood of developing autism spectrum disorder (ASD). Another study in Ghana found that children who were institutionalized had a higher likelihood of developing autism than those who were not. The authors of these studies suggest that institutionalization can affect the developing brain and contribute to the development of autism.
Children with ASD who were institutionalized also experienced more developmental delays, behavioural problems, and lower levels of communication, social skills, cognitive abilities, and emotional and behavioural problems. Early institutionalization may exacerbate the symptoms of ASD and negatively impact a child’s physical, cognitive, and emotional development.
Moreover, institutionalized children had higher levels of mental health problems, including anxiety and depression, even after entering foster care. Therefore, early intervention and support are necessary to mitigate the negative impact of institutionalization on child development. Alternative care arrangements should also be provided whenever possible.
In conclusion, more research is needed to understand the relationship between institutionalization and autism. However, it is clear that early institutionalization may increase the risk of developing ASD and exacerbate its symptoms. Early intervention and support, as well as alternative care arrangements, may help mitigate the negative impact of institutionalization on child development.
References:
Author links open overlay panelApril R. Levin MD a, a, b, c, d, ObjectiveTo determine the risk of difficulties with social communication and restricted/repetitive behaviors as well as the rate of autism in children institutionalized in early infancy and to assess the impact of a foster care intervention on amelioratin, Barnard-Brak, L., Smyke, A. T., Shattuck, P. T., Nelson, C. A., Rutter, M., Hoksbergen, R., Fombonne, E., Hodges, J., Chisholm, K., MacLean, K., Roy, P., Gunnar, M. R., Erol, N., … Kligman, G. (2014, November 29). Social communication difficulties and autism in previously institutionalized children. Journal of the American Academy of Child & Adolescent Psychiatry. Retrieved March 31, 2023, from https://www.sciencedirect.com/science/article/abs/pii/S0890856714008296
Autism spectrum disorders in institutionalized subjects. Taylor & Francis. (n.d.). Retrieved March 31, 2023, from https://www.tandfonline.com/doi/abs/10.1080/08039480801957269?role=button&needAccess=true&journalCode=ipsc20
Bos, K., Zeanah, C. H., Fox, N. A., Drury, S. S., McLaughlin, K. A., & Nelson, C. A. (2011). Psychiatric outcomes in young children with a history of institutionalization. Harvard review of psychiatry. Retrieved March 31, 2023, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3445019/
Hyperactive/impulsive symptoms and autistic trait in institutionalized … (n.d.). Retrieved March 31, 2023, from https://onlinelibrary.wiley.com/doi/abs/10.1002/cad.20445
Levin, A. R., Fox, N. A., Zeanah, C. H., & Nelson, C. A. (2015, February). Social communication difficulties and autism in previously institutionalized children. Journal of the American Academy of Child and Adolescent Psychiatry. Retrieved March 31, 2023, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4404759/
Maclean, K. (2003, November 14). The impact of institutionalization on child development: Development and psychopathology. Cambridge Core. Retrieved March 31, 2023, from https://www.cambridge.org/core/journals/development-and-psychopathology/article/abs/impact-of-institutionalization-on-child-development/5DF14A15441D8235B9A946E0EAA33D45
McCall, R. B. (2013, November 1). The consequences of early institutionalization: Can institutions be improved? – should they? Child and adolescent mental health. Retrieved March 31, 2023, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3833822/
Pollak, S. D., Nelson, C. A., Schlaak, M. F., Roeber, B. J., Wewerka, S. S., Wiik, K. L., Frenn, K. A., Loman, M. M., & Gunnar, M. R. (2010). Neurodevelopmental effects of early deprivation in postinstitutionalized children. Child development. Retrieved March 31, 2023, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2846096/
UNICEF Ghana. Related UNICEF Sites. (2021, February 24). Retrieved March 31, 2023, from https://www.unicef.org/ghana/
Variation in neural development as a result of exposure to … – PNAS. (n.d.). Retrieved March 31, 2023, from https://www.pnas.org/doi/pdf/10.1073/pnas.1200041109
Wilbarger, J., Gunnar, M., Schneider, M., & Pollak, S. (2010, October). Sensory processing in internationally adopted, post-institutionalized children. Journal of child psychology and psychiatry, and allied disciplines. Retrieved March 31, 2023, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3119572/