65 children who had been taken into care before the age of 4 months formed an opportunity sample.
Natural experiment, using a matched pairs design as the institutionalised children were compared with a control group who were raised at home.
By the age of 4, 24 children had been adopted, 15 restored to their natural home and 26 remained in the institution.
The children were assessed at ages 4,8 and 16 on emotional and social competence through interview and self report questionnaires.
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