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ARTICLE The Mental Health of US Adolescents Adopted in Infancy Margaret A. Keyes, PhD; Anu Sharma, PhD; Irene J. Elkins, PhD; William G. Iacono, PhD; Matt McGue, PhD Objective: To determine whether adopted adolescents ments based on child and parent reports of attention- are at excess risk for clinically relevant behavioral and deficit/hyperactivity, oppositional defiant, conduct, ma- emotional problems. jor depressive, and separation anxiety disorders; teacher reports of psychological health; and contact with men- Design: We examined whether adopted and non- tal health professionals. adopted adolescents differed on quantitative indicators of mental health and the prevalence of childhood disor- Results: Adoptees scored only moderately higher than ders and whether differences exist between internation- nonadoptees on quantitative measures of mental health. ally and domestically placed adoptees. Nevertheless, being adopted approximately doubled the odds of having contact with a mental health profes- Setting: Assessments occurred at the University of Min- sional (odds ratio [OR], 2.05; 95% confidence interval nesota from December 11, 1998, to June 4, 2004. [CI], 1.48-2.84) and of having a disruptive behavior dis- order (OR, 2.34; 95% CI, 1.72-3.19). Relative to inter- Participants: Adolescents adopted in infancy were sys- national adoptees, domestic adoptees had higher odds of tematically
JAMA Pediatrics – American Medical Association
Published: May 1, 2008
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