Authors: Dennis Golm; Sagari Sarkar; Nuria K. Mackes; Graeme Fairchild; Mitul A. Mehta; Michael Rutter; Edmund J. Sonuga-Barke · Research

How Does Early Childhood Deprivation Affect Brain Function in Adults?

A study examining the long-term effects of early institutional deprivation on adult cognitive function and its relationship to ADHD symptoms

Source: Golm, D., Sarkar, S., Mackes, N. K., Fairchild, G., Mehta, M. A., Rutter, M., & Sonuga-Barke, E. J. (2020). The impact of childhood deprivation on adult neuropsychological functioning is associated with ADHD symptom persistence. Psychological Medicine.

What you need to know

  • Early severe deprivation in childhood can impact brain function well into adulthood, particularly affecting memory, attention, and emotional processing
  • These cognitive effects are strongly linked to persistent ADHD symptoms in adults who experienced early deprivation
  • Even after living in enriched environments for decades, some impacts of early deprivation remain evident

A Natural Experiment in Human Development

Imagine being removed from an impoverished orphanage as a young child and adopted into a loving, well-resourced family. How much would your early experiences continue to affect you decades later? This is the profound question researchers explored by studying adults who were adopted from Romanian institutions in the late 1980s and early 1990s.

The fall of Romania’s Ceaușescu regime exposed the devastating conditions in state-run orphanages, where infants and young children received minimal care and stimulation. The mass adoption of these children into UK families created a unique opportunity to study the long-term effects of early deprivation on human development.

The Study’s Design and Findings

Researchers assessed 70 Romanian adoptees (now young adults around age 25) who had spent between 3 and 41 months in institutions as children. They compared them to 22 UK adoptees who hadn’t experienced institutional care. The study examined several key areas of brain function:

  • Memory for future tasks (prospective memory)
  • Ability to control impulses
  • Recognition of emotions
  • Decision-making
  • General intelligence (IQ)

The results showed that adults who experienced early deprivation performed worse across all these areas compared to those who didn’t. Most notably, their ability to remember to do things in the future (prospective memory) was particularly affected, even after accounting for differences in IQ.

The Connection to ADHD

One of the study’s most striking findings was the strong link between early deprivation and attention-deficit/hyperactivity disorder (ADHD) symptoms in adulthood. The cognitive difficulties these adults experienced, especially in prospective memory and IQ, helped explain why they continued to show ADHD symptoms decades after leaving the institutions.

This suggests that early deprivation may create lasting changes in brain function that contribute to persistent attention and behavioral challenges throughout life.

The Surprising Pattern of Impact

Interestingly, the length of time spent in institutions didn’t predict the severity of cognitive problems. Even relatively brief periods of deprivation (3 months) appeared to affect brain function in adulthood. However, longer stays were more strongly associated with persistent ADHD symptoms.

This pattern suggests that while some brain functions may be sensitive to even brief periods of deprivation, other aspects of development may be more affected by prolonged exposure to inadequate care.

What This Means for You

These findings have important implications for several groups:

  • Adoptive families: Understanding that early experiences can have lasting effects can help families better support their children
  • Healthcare providers: Recognition of the long-term impact of early deprivation can inform assessment and treatment plans
  • Policy makers: Evidence of lasting effects strengthens the case for preventing institutional care and supporting family-based alternatives
  • Adults with similar experiences: Knowing that cognitive challenges may stem from early experiences can help in seeking appropriate support

Conclusions

  • Early deprivation can affect brain function well into adulthood, even after decades in enriched environments
  • The impact appears most strongly in memory and attention-related functions
  • These cognitive effects help explain why some adults continue to experience ADHD symptoms years after leaving institutional care
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