Timing and chronicity of child neglect and substance use in early adulthood
Timing and chronicity of child neglect and substance use in early adulthood
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DOI：
10.1016/j.chiabu.2019.104027
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发表时间：
2019-08-01
影响因子：
4.8
通讯作者：
Lewis, Terri
中科院分区：
文献类型：
--
作者：
Dubowitz, Howard;Roesch, Scott;Lewis, Terri
背景：虐待儿童是最常见的虐待儿童形式，其后果似乎与虐待一样严重。尽管如此，这一问题却没有得到应有的重视。目的：探讨儿童期忽视的时间和长期性与成年早期物质使用之间的关系。参与者和背景：样本由475名来自前瞻性儿童虐待和忽视纵向研究的参与者组成方法：使用来自CPS报告（出生-18）和忽视自我报告（12-18）的抽象信息评估Nesternal。参与者完成了一个后续的在线调查（平均年龄24岁），探讨他们使用的substances.Results：在过去的一年中，物质使用的患病率是在这个高风险的样本，一般人群。潜在类别分析支持三个组的存在和忽视的时间：慢性新生儿，晚期新生儿和有限的新生儿。晚Needle是最强烈的模式与物质使用在成年早期。结论：高风险的青少年经历忽视开始在青春期中期特别容易受到后来的物质使用。那些与这些青年及其家庭一起工作的人可以发挥宝贵的作用，帮助确保他们的基本需求得到充分满足，并发现使用和滥用药物的早期迹象。
Background: Neglect is the most common form of child maltreatment with consequences that appear to be as serious as for abuse. Despite this, the problem has received less than its due attention.Objective: To examine the relationship between the timing and chronicity of neglect during childhood and substance use in early adulthood.Participants and setting: The sample consisted of a subset of 475 participants from the prospective Longitudinal Studies of Child Abuse and Neglect (LONGSCAN) consortium from five geographic areas around the U.S.Method: Neglect was assessed using abstracted information from CPS reports (birth-18) and self reports of neglect (12-18). Participants completed a follow-up online survey (mean age of 24 years) that probed their use of substances.Results: The prevalence of substance use during the past year was comparable in this high-risk sample to the general population. Latent class analysis supported the presence of three groups related to the presence and timing of neglect: Chronic Neglect, Late Neglect and Limited Neglect. Late Neglect was the pattern most strongly linked to substance use in early adulthood.Conclusions: High-risk youth experiencing neglect beginning in mid-adolescence are especially vulnerable to later substance use. Those working with such youth and their families can play a valuable role helping ensure their basic needs are adequately met, and recognizing early signs of substance use and abuse.