Can Family Based Prevention of Conduct Problems Prevent IPV Development

基于家庭的行为问题预防能否阻碍 IPV 的发展

• 批准号: 7363886
• 负责人: Miriam K. Ehrensaft
• 金额: $ 26.59万
• 依托单位: NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2011-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7363886
• 关键词: Family; Based; Prevention; Conduct; Problems

DESCRIPTION (provided by applicant): This application responds to CDC-RFA-CE-07-002, "Family and Dyadic Focused Interventions to Prevent Intimate Partner Violence." Substantial evidence from both prospective longitudinal and clinical studies points to the role of early conduct problems as one of the most robust risk factors for IPV, even net of other risks. Despite strong evidence of overlap of antisocial / criminal behavior and intimate partner violence (IPV), there have been no evaluations of the effects of preventive interventions for antisocial behavior, on IPV risk. This study builds on a previously funded 10-year study entitled "Early Primary Prevention of Conduct Problems" (NIMH R01 1997-2007; L. Brotman, PI). The original study found immediate and short-term effects (from age 4 to age 8) in a randomized controlled trial (RCT) of a family intervention with poor, urban, minority preschool-age younger brothers and sisters of adjudicated delinquents. These youth are at high risk for juvenile delinquency, given a range of biological, family, and environmental risk factors (Brotman, Gouley, O'Neal, & Klein, 2004). With 3 yearly follow-up telephone assessments, We aim to test (1) The impact of the intervention on mean levels and slopes of physical, psychological, and sexual IPV, and attitudinal and behavior correlates of IPV in intervention participants versus controls, starting when the preschoolage targets are entering adolescence (n = 68; 9-16 years old; M = 13 years); (2) The impact of the intervention on IPV risk in their older siblings' (n = 84) in adolescence and early adulthood (the intervention produced immediate and long term change in their antisocial behavior and peer aggression); (3) Test whether the preventive intervention delivered during the preschool period reduces the risk for IPV in adolescence by: Increasing social competence and reducing negative parenting practices in early childhood; decreasing conduct problems in middle childhood; and decreasing antisocial behavior and affiliation with deviant peers, and improving critical aspects of the family environment. If untreated, children at high risk for antisocial behavior and delinquency are at greatest risk for IPV. This proposal has significant implications for public health, as findings may inform a novel approach to preventing IPV in youth who would be most resistant to standard IPV interventions when they reach adolescence.

描述（由申请人提供）：本申请响应 CDC-RFA-CE-07-002，“预防亲密伴侣暴力的家庭和二元重点干预措施”。 来自前瞻性纵向研究和临床研究的大量证据表明，即使不考虑其他风险，早期行为问题也是 IPV 最有力的风险因素之一。 尽管有强有力的证据表明反社会/犯罪行为与亲密伴侣暴力（IPV）存在重叠， 目前尚未评估反社会行为预防性干预措施对 IPV 风险的影响。 这项研究建立在先前资助的一项为期 10 年的研究的基础上，该研究题为“行为问题的早期初级预防”（NIMH R01 1997-2007；L. Brotman，PI）。 最初的研究在一项随机对照试验 (RCT) 中发现了对贫困城市少数民族学龄前少年弟弟和妹妹进行家庭干预的直接和短期影响（从 4 岁到 8 岁）。 由于一系列生物、家庭和环境风险因素，这些青少年面临青少年犯罪的高风险（Brotman、Gouley、O'Neal 和 Klein，2004 年）。 通过每年 3 次的电话随访评估，我们的目标是测试 (1) 干预对身体、心理和性 IPV 的平均水平和斜率的影响，以及干预参与者与对照组的 IPV 态度和行为相关性，从以下时间开始：学龄前目标正在进入青春期（n = 68；9-16 岁；M = 13 岁）； (2) 干预措施对其年长兄弟姐妹 (n = 84) 青春期和成年期 IPV 风险的影响 成年早期（干预对他们的反社会行为和同伴攻击行为产生了直接和长期的改变）； (3) 测试学龄前阶段提供的预防性干预措施是否可以通过以下方式降低青春期 IPV 风险： 提高社会能力并减少幼儿期的消极养育做法；减少童年中期的行为问题；减少反社会行为和与异常同龄人的联系，并改善家庭环境的关键方面。 如果不加以治疗，反社会行为和犯罪高风险儿童感染 IPV 的风险最大。 该提案对公共卫生具有重大影响，因为研究结果可能会提供一种预防青少年 IPV 的新方法，而青少年在青春期时对标准 IPV 干预措施的抵抗力最强。