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206 EFFECTS OF EARLY MALTREATMENT AND STRESSFigure 9-1 Change in developmental quotient from the Bayley exam at 42 months, IGversus FCG. Note the 10 point improvement in DQ among those placed in foster carecompared to 5 points among those remaining in the institution.coded as having fully developed attachments to their caregivers. In addition,caregivers reported significantly more signs of both emotionally withdrawn/inhibited reactive attachment disorder (RAD) 4 and indiscriminately social/disinhibited RAD in institutionalized compared to never-institutionalized children.At follow-up, signs of emotionally withdrawn/inhibited RAD were significantlylower in the foster care group than the institutionalized group, and indistinguishablefrom the never-institutionalized group. Indiscriminate sociability/disinhibitedRAD, on the other hand, was significantly lower at follow-up in the foster caregroup than in the institutional group, but was still significantly higher than in thenever-institutionalized group (Zeanah et al, 2005).Event-Related Potentials: Event-related potentials (ERPs) in response to four facialexpressions—fear, angry, happy, and sad—were collected from institutionalizedchildren and never-institutionalized children ranging in age from 7 to 32 months.The ERP findings are complicated by the fact that we observed several componentsover several regions of the scalp; moreover, previous research has revealed ratherdramatic developmental changes in the ERP across this age range. As a result, wehave subdivided our sample into those younger or older than 23 months of age, andhave focused on one specific component, the P400. The P400 component reflectsthe brain’s obligatory and specific response to faces and, as such, provides a metric

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