Læknablaðið - 15.01.2012, Blaðsíða 23

RANNSÓKN
Þau börn sem stríða við vanda af þessum toga þurfa oft víðtæka
þjónustu, heilbrigðis-, félags- og menntakerfis og góð samvinna er
nauðsynleg til að sem best sé hægt að mæta þörfum þeirra.
Niðurstöður þessarar rannsóknar eru að börn ættleidd erlendis
frá eru líklegri til að sýna einkenni geð- og hegðunarvanda en
börn úr almennu viðmiðunarþýði. Hærri aldur við ættleiðingu
sem og dvöl á stofnun áður en börnin koma til kjörforelda virð-
ast vera áhættuþættir. Mikilvægt er að kjörforeldrar sem og aðrir
sem umgangast ættleidd börn séu upplýstir um þetta, því íhlutun
snemma gæti bætt stöðu barnanna.
Heimildir
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ENGLISH SUMMARY
Relationskip between pre-adoptive risk factors and psychopathological difficulties of internationally
adopted children in lceland
Lorange M', Kristmundsdottir K', Skarphedinsson G', Hermannsdottir BS2, Oddsdottir LB2, Sigurdardottir DB'
Objective: In recent years a number of children have been adopted to
lceland. The aim of our study was to evaluate which factors may affect
their mental and behavioural health.
Materials and methods: Information was collected on the health of inter-
nationally adopted children in lceland as well as on pre-adoptive risk fac-
tors. This was done using a survey developed by Dr. Dana Johnson from
the International Adoption Project at the University of Minnesota in the
United States. Other questionnaires include the Child Behavior Check-
list (CBCL), Strenghts and Difficulties Questionnaires (SDQ), Attention
Deficit/Hyper activity Rating Scale (ADHD-RS-IV) and Austism Spectrum
Screening Questionaire (ASSQ). For the comparative analysis data from
the general population was used.
Results: Children adopted after 18 months of age and who have been
institutionalised for 18 months or more showed higher risk for ADHD
symptoms and behavioral and emotional problems than the general pop-
ulation. In addition, those who were subject to severe emotional neglect
had significantly higher scores on CBCL, SDQ and ADHD-RS. A trend
was seen between risk factors and scores on ASSQ. Children adopted
before 12 months of age scored within the normal range on all question-
naires.
Conclusion: These results suggest that children adopted after 18 months
of age are at risk of psychopathological difficulties. These results empha-
size the importance of early adoption and of minimizing the time spent in
an institution.
Key words: adoption, institution, neglect, behavioral and emotional problems. Correspondence: Dagbjorg B. Sigurdardottir, dagbjorg@landspitali.is
'Department of Child and Adolescent Psychiatry, Landspitali University Hospital, Reykjavik, iceiand, 2Faculty of Psychology, University of icetand, Reykjavik,
lceland.
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