Sweden has now around 38,000 individuals who have been adopted from other countries.
Most often they are transracially adopted and have a different appearance from their new
parents—“visible” adoptions. This study was made to explore the mental health of a
teenager/young adult group that arrived with their families in the southernmost county of
Sweden between 1970 and 1977. They were placed through the largest Swedish adoption
agency at that time. One hundred and forty-seven families and their 211 adopted children,
who were 13 years of age or older at the time of the investigation, were interviewed in their
homes. CBCL, SCL-90, a self-esteem questionnaire, and two family relations inventories
were also completed. Compared to nonadopted Swedish young persons of the same ages,
who had been investigated with the same inventories in earlier epidemiological studies, the
adoptees had as good mental health. The adoptees also reported good self-esteem. The pre-adoption conditions were more important than the age of arrival in itself for the risk of later
maladaptation. Family relations, various aspects of identity, and peer relations explained
much of the variance of mental health and self-esteem. Those who were most engaged in
questions about their identity and felt mostly non-Swedish had more behaviour problems.
The association, however, between the factor “Identity” and the mental health variables
approached zero for the older subjects (18–27 years of age). The majority (about 90%) of the
adoptees felt mostly Swedish. Seventy per cent didn't feel any connection to their country of
origin.