[KarenInCa]

I don't think the study is referencing adopted children vs children raised in SWIs. I took it to read that "those not adopted" was referring to children that were not adopted, and were living with one or both of their bio parents. I don't think the study is orphanage specific, or even International Adoption specific, but rather adopted vs nonadopted specific.

Here is a link to another writing of the same, that was posted on another forum earlier today. Adopted Teens Face Higher Risk for ADHD : NPR

I actually find it interesting to note in the report:
"We found that most of the adolescents — adopted and non-adopted — were overwhelmingly psychologically healthy," Keyes says.


I think a lot of it has to do with how the adoption is (or is not) embraced by the adoptive family. And if the child feels secure and loved and accepted for their differences, in their surroundings as they are being raised.