Mental Health Prevention Science for Child Maltreatment

描述(由申请者提供)：本申请书提出了一项为期5年的职业发展计划，以启动申请者作为一名独立的儿童虐待预防科学家的职业生涯。申请人的长期目标是了解虐待和问题父母养育的代际循环背后的机制，并开发、实施和评估新的预防计划，以中断这些循环和随后的儿童心理健康。拟议的培训活动将在四个领域支持申请人的职业发展：(A)衡量虐待儿童和精神病理学；(B)对虐待儿童纵向数据进行量化分析；(C)制定心理健康干预措施和预防研究设计；(D)负责任地开展伦理研究，特别是在受创伤人口和社区中进行研究。这些领域的培训将通过以下方式进行：(A)精神病学、心理学和儿科领域虐待儿童问题科学家的直接指导和监督；(B)讲习班、课程和教程；(C)参加临床案例会议和案例研究；以及(D)参加当地和场外工作组、系列研讨会和专业会议。 这项由四个部分组成的拟议研究计划将探讨母亲童年时期虐待和忽视以及创伤后应激障碍的经历与她们育儿的几个方面之间的联系，包括她们犯下的身体虐待和忽视以及有问题的育儿行为。这个 这些关联将被检验：(A)母亲在依恋以及与管教和行为相关的社会信息处理模式方面的心理状态；以及(B)母亲与依恋人物、同伴、伴侣和心理治疗师之间的支持性关系的调节。首先，将通过对纵向、多地点LONGSCAN项目(N=820)的数据进行二次分析，检查母亲童年时的身体虐待与后来的育儿行为之间的联系。其次，一项新的前瞻性纵向调查将解决孕妇童年身体虐待和忽视、创伤后应激障碍、精神困扰和随后的育儿行为之间的联系(N=200)。第三，将制定R01赠款提案，对儿童虐待、育儿和儿童心理健康结果之间的关系进行进一步的纵向研究。第四，将制定一项R21赠款提案，为经历过童年虐待(身体虐待和忽视)并处于实施身体虐待、忽视和/或影响儿童行为结果和精神功能的问题育儿行为的高风险的孕妇规划一个基于经验的预防计划。

DESCRIPTION (provided by applicant): This application for a mentored research scientist development award proposes a 5-year career development plan to launch the applicant's career as an independent child maltreatment prevention scientist. The applicant's long-term goals are to understand the mechanisms underlying intergenerational cycles of maltreatment and problematic parenting, and to develop, implement, and evaluate novel prevention programs to interrupt these cycles and subsequent child mental health. Proposed training activities will support the applicant's career development in four areas: (a) the measurement of child maltreatment and psychopathology; (b) quantitative analysis of longitudinal child maltreatment data; (c) mental health intervention development and prevention research design; (d) the responsible conduct of ethical research, specifically with traumatized populations and in the community. Training in each of these areas will be pursued through (a) direct mentoring and supervision from child maltreatment scientists in the fields of psychiatry, psychology and pediatrics; (b) workshops, coursework, and tutorials; (c) participation in clinical case conferences and case studies; and (d) participation in local and off-site working groups, seminar series, and professional meetings and conferences. The proposed, four-part research plan will address the associations between mothers' childhood experiences of abuse and neglect and PTSD and several aspects of their parenting, including their perpetration of physical abuse and neglect and problematic parenting behaviors. The hypotheses will be tested that these associations are (a) mediated by mothers' states of mind with respect to attachment and social information processing patterns related to discipline and behavior; and (b) moderated by mothers' supportive relationships with attachment figures, peers, partners, and psychotherapists. First, associations between mothers' childhood physical abuse and later parenting behaviors will be examined through secondary analyses of data from the longitudinal, multi-site LONGSCAN project (N = 820). Second, a new, prospective longitudinal inquiry will address the associations between pregnant women's histories of childhood physical abuse and neglect, PTSD, and psychiatric distress and their subsequent parenting behaviors (N = 200). Third, an R01 grant proposal will be developed to conduct further longitudinal research on the associations between childhood maltreatment, parenting and child mental health outcomes. Fourth, an R21 grant proposal will be developed to plan an empirically-based prevention program for pregnant women who experienced childhood maltreatment (physical abuse and neglect) and who are at high risk of perpetrating physical abuse, neglect, and/or problematic parenting behaviors that affect child behavioral outcomes and psychiatric functioning.