title: Romanian adolescents: literature review and psychiatric presentation of romanian adolescents adopted in romania and in Canada.
abstract: BACKGROUND
  This article presents an overview of literature on the psychiatric sequelae of institutionalization from an attachment perspective in children adopted from Romanian Orphanages.
  
  
  METHODS
  We compare the psychiatric presentations of Romanian Canadian adoptees to same age Romanian adoptees within Romania.
  
  
  RESULTS
  10 Canadian and 24 Romanian cases were combined to form a composite of a number of adolescents presenting to the Child and Adolescent Psychiatric Division in Cluj Napoca, Romania and in Kingston, Canada.
  
  
  CONCLUSIONS
  Early institutionalization in conditions of neglect and deprivation has a major impact on subsequent biopsychosocial development of children whether they are adopted in Canada or in Romania.
authors.affiliation: Child & Adolescent Psychiatry, University of Medicine and Pharmacy "Iuliu Hatieganu," Cluj, Napoca, Romania.
authors.forename: Felicia
authors.initials: F
authors.lastname: Iftene
authors.forename: Nasreen
authors.initials: N
authors.lastname: Roberts