IMPACT OF CHILD NEGLECT IN SUBSTANCE ABUSE FAMILIES

儿童忽视对药物滥用家庭的影响

• 批准号: 6795581
• 负责人: ADA C MEZZICH
• 金额: $ 42.94万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-01 至 2006-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6795581
• 关键词: academic achievement; adolescence (12-20); behavioral /social science research tag; child abuse; clinical research; family structure /dynamics; health behavior; human subject; longitudinal human study; middle childhood (6-11); psychopathology; sex behavior; substance abuse related disorder

Male and female children (N=300) of proband fathers with or without DSM-IV Substance Use Disorder (SUD) will be prospectively studies in a panel design to determine the impact of parental SUD on medical/dental psychological and educational neglect. In each of these latter neglect domains, severity will be measured according to "failure to provide" and "level of supervision". Guided by contemporary developmental psychopathology research and theory, parent (substance abuse, psychopathology, self- regulation) and child (self-regulation) characteristics are hypothesized to conjointly determine the quality of the dyadic relationship culminating in neglect. The severity of physical, psychological and educational outcomes (e.g., dental neglect yields cavities, disease, tooth fractures, etc.; educational neglect yields school failure, truancy, etc.) is hypothesized to covary with and predict substance use and health risk behaviors. The relative influence of contextual factors (e.g. availability of supportive other adults, older sibling serving as a parent substitute, etc.) on the impact of parental neglect will be determined. In addition, the extent to which the impact of neglect can be attenuated by individual protective resources (e.g. coping skills, high intelligence, high self-esteem) to result in resilient outcomes will also be delineated. The project is innovative in several key respects: 1) it focuses on neglect in the population of older youth and adolescents which has not been systematically researched; 2) consistent with developmental theory, this project investigates neglect as the outcome of both parent and child characteristics; 3) it enables prospectively tracking intraindividual factors in familial context that increase or decrease the risk for neglect and subsequent outcomes; 4) it characterizes neglect in an age appropriate manner within a symmetrical measurement schema consisting of 3 types of neglect x 2 types of parental manifestation (see above); and, 5) it provides the opportunity to delineate the impact substance use disorder on child neglect and subsequent outcomes which portend resilience as well as adverse sequelae.

有或没有DSM-IV药物使用障碍（SUD）的概率和女性儿童（n = 300）将在面板设计中进行研究，以确定父母SUD对医学/牙科心理和教育忽视的影响。 在后者的每个忽视领域中，将根据“未能提供”和“监督水平”来衡量严重性。在当代发展心理病理学研究与理论的指导下，父母（滥用药物，心理病理学，自我调节）和儿童（自我调节）特征的指导下，可以合同确定二聚体关系的质量，导致忽视。 假设身体，心理和教育成果的严重性（例如牙齿忽视会产生腔，疾病，牙齿骨折等；教育忽视会产生学校失败，逃学等），以与药物使用和健康风险行为相关。将确定上下文因素的相对影响（例如其他成年人的支持性，老年兄弟姐妹用作父母替代品等）将确定父母忽视的影响。 此外，还将划定个人保护资源（例如应对技巧，高智力，高自尊心）导致弹性结果的忽视影响的程度。该项目在几个关键方面都是创新的：1）它专注于尚未系统地研究的年长青年和青少年人口的忽视； 2）与发展理论一致，该项目将忽视视为父母和子女特征的结果； 3）它可以前瞻性地跟踪家族背景下的个体因素，以增加或减少忽视和随后的结果的风险； 4）它在对称测量模式中以适当的年龄方式进行忽视，该模式由3种类型的忽略x 2种of x 2类型的父母表现形式组成（请参见上文）； 5）它提供了将影响物质使用障碍描述在儿童忽视和随后的结果的机会，这些结果预示了弹性和不良后遗症。

项目成果

Impact of parental substance use disorder and child neglect severity on substance use involvement in male offspring.

• DOI: 10.1023/a:1013662132189
• 发表时间: 2001-12-01
• 期刊: Prevention science : the official journal of the Society for Prevention Research
• 作者: Kirisci, L;Dunn, M G;Tarter, R E
• 通讯作者: Tarter, R E