Expanding the concept of birthparent loss to orphans: Exploratory findings from adolescents in institutional care in South Korea

Conservative estimates of the number of orphaned and abandoned children suggest there are approximately 132 million worldwide, of whom the majority reside in Asia followed by Sub-Saharan Africa. Research on alternative care for children in need of parental protection have largely been siloed by care setting (i.e. institutional care, adoption, foster care) without consideration of risk factors across care types. One factor specific to alternative care that occurs for all children across care settings is disruption and disconnection of birth parents as a consequence of out-of-home placement. Thus, the purpose of this cross-sectional study of 170 adolescents in institutional care in South Korea was to explore whether a common risk factor specific to the experience of family removal and placement in alternative care, cognitive appraisal of birth parent loss, was present and was a risk factor for more mental health and behavior problems. Findings affirmed the majority of adolescents in institutional care had thoughts about birth parents, but most did not express negative emotions towards birth parents. A more negative appraisal of birth parent loss was found to be a significant predictor of more depressive symptoms, PTSD symptoms, and internalizing behavior problems, but not more externalizing behavior problems. Findings suggest cognitive appraisal of birth parent loss may be a risk factor for more mental health and internal behavior problems for youth in institutional care and that systems of alternative care need to assist youth in having information about their birth parents regardless of contact.