CAREGIVER SENSITIVITY AND CONSISTENCY AND CHILDREN'S PRIOR FAMILY EXPERIENCE AS CONTEXTS FOR EARLY DEVELOPMENT WITHIN INSTITUTIONS

• Published in: Infant mental health journal 2018-07, Vol.39 (4), p.432-448
• Main Authors: Hawk, Brandi N., Mccall, Robert B., Groark, Christina J., Muhamedrahimov, Rifkat J., Palmov, Oleg I., Nikiforova, Natalia V.
• Format: Article
• Language: English
• Subjects: caregiver intervention; Caregivers; Caregivers - psychology; Child Development - physiology; Child Rearing - psychology; Child, Institutionalized - psychology; Children & youth; Cognitive development; Family - psychology; Female; hierarchical linear modeling; HLM; Humans; Infant; institución; institution; Institutionalization; Interpersonal Relations; intervención de quien presta el cuidado; Intervention; Intervention für Pflegepersonal; Intervention sur les Personnes prenant soin des enfants; Male; orfanato; orphanage; Orphelinat; Russia; Waisenhaus; المؤسسة ، دار الأيتام ، تدخل الرعاية ، HLM; 児童養護施設; 孤兒院; 施設; 機構; 照顧者干預; 養育者の介入
• ISSN: 0163-9641; 1097-0355
• DOI: 10.1002/imhj.21721

ABSTRACT The current study addressed whether two institution‐wide interventions in St. Petersburg, Russian Federation, that increased caregiver sensitivity (Training Only: TO) or both caregiver sensitivity and consistency (Training plus Structural Changes: T+SC) promoted better socioemotional and cognitive development than did a No Intervention (NoI) institution during the first year of life for children who were placed soon after birth. It also assessed whether having spent less than 9 versus 9 to 36 months with a family prior to institutionalization was related to children's subsequent socioemotional and cognitive development within these three institutions. The Battelle Developmental Inventory (J. Newborg, J.R. Stock, L. Wnek, J. Guidubaldi, & J. Svinicki, 1988) was used to assess the socioemotional and cognitive functioning of children in NoI (n = 95), TO (n = 104), and T+SC (n = 86) at two to three time points during their first 6 to 12 months of residency. Results suggest that improving caregiver sensitivity can improve the cognitive development of infants in the first year of institutionalization whereas improving caregiver consistency in addition to sensitivity is more beneficial for socioemotional development than is sensitivity alone. Similarly, for children in T+SC, longer time with a family prior to institutionalization (consistent caregiver, unknown sensitivity) was associated with better socioemotional, but not cognitive, baseline scores and more rapid cognitive than socioemotional development during institutionalization. These results suggest caregiver sensitivity is more highly related to cognitive development whereas caregiver consistency is more related to socioemotional development in the first years of life. RESUMEN El presente estudio trató el asunto de si dos intervenciones de toda la institución en San Petersburgo, Federación Rusa, las cuales incrementaron la sensibilidad de quien presta el cuidado (Sólo Entrenamiento: TO) o ambas, la sensibilidad y la consistencia de quien presta el cuidado (Entrenamiento más Cambios Estructurales: T+SC) promovieron un mejor desarrollo socio‐emocional y cognitivo que una institución de No Intervención (NoI) durante el primer año de vida para niños que fueron llevados allí pronto después del nacimiento. El estudio también evaluó si el haber pasado menos de 9 versus de 9 a 36 meses con una familia antes de ser institucionalizados tuvo relación con el subsecuente desarrollo socio‐emocional y cognitivo