What a loving home means to a child's wellbeing

Depriving children of a loving family environment causes lasting damage to their intelligence, emotional wellbeing and even their physical stature, according to the most extensive study of social deprivation yet. A lack of care and attention left children with stunted growth, substantially lower IQs and more behavioural and psychological problems than children who had been better cared for.

The extent to which children are sensitive to the environment they grow up in emerged from an unprecedented study, the Bucharest Early Intervention Project. It is the first randomised clinical trial set up to investigate the effects of social deprivation on the emotional, psychological and physical health of children. The study has been running for five years and records the wellbeing of children in a Romanian orphanage from an early age, and the changes they experience when transferred to foster care. The orphanage represents an extreme of social deprivation because the children are typically looked after by a rota of carers who will be responsible for 12 to 15 children at any one time.

[.] The study found that a child's environment had a marked effect on intelligence and emotional development. It measured IQ and ability to express positive emotions in 136 children aged six to 30 months. All had spent time in the orphanage, but 69 had been moved into foster homes. The studies showed that children in the most deprived conditions had exceptionally low IQs, but once they were removed to foster homes, improved when tested again at 42 and 54 months. Similarly, the children's ability to express positive emotions also improved markedly when they were moved into a family environment.

The report, at the American Association for the Advancement of Science meeting in St Louis yesterday, shows that emotional and cognitive impairments caused by a poor social environment can be substantially improved if living conditions are improved early enough, according to Professor Nathan Fox of the University of Maryland.

Not all of the psychological problems caused by a difficult upbringing were fixed by later improving conditions. Psychiatric problems were three and a half times more common among institutionalised children, but moving them to stable family environments did not always improve their mental condition. While the study showed children in foster homes had few psychiatric problems, with less anxiety and depression than those in orphanages, their behavioural problems, including being aggressive and confrontational, did not subside. The children's response was different depending on gender, with girls more likely to have emotional problems and boys more prone to behavioural disorders.

Charles Nelson, a paediatrics specialist at Harvard University, used measurements of brain activity to assess whether a lack of social interaction and attention might harm children's neural development. Using EEG (electroencephaolograms), Dr Nelson looked at the strength of brain activity relative to children who had never been institutionalised. The measurements showed children in the orphanage had less powerful activity in all parts of their brains. In this case, placing the children into foster homes failed to bring about significant improvement.

In a further brain study, Dr Nelson's team used a test called ERP, event-related potential, which measures the brain's response to certain stimuli, such as being shown happy, sad, angry or fearful faces. "What we are seeing is that with the institutionalised children their brain's response to the faces was weaker and they took longer to respond," he said.

(Ian Sample, American Association for the Advancement of Science meeting, St Louis, reported in The Guardian, 18.02.06)