Effects of Child Maltreatment on Adult Substance Use & Mental Health Problems

描述（由申请人提供）：这项二级数据分析研究的目的是关注儿童虐待和其他形式的家庭逆境对成人物质使用行为（如烟草使用、酗酒、大麻使用、物质滥用风险）和心理健康问题（如抑郁和焦虑症状和障碍）的长期影响。在我们最近对利哈伊纵向研究样本的成人随访中收集了这些和其他结构的综合数据（完成于2010年7月，R01HD049767， T. Herrenkohl， PI）。早期关于儿童虐待以及相关风险和保护因素的数据是从该研究的前三波样本中收集的，该研究涵盖了15年的时间，从1976年到1977年开始，当时的儿童是学龄前儿童，18个月到6岁。第二次学龄评估于1980-1982年完成，第三次青少年评估于1990-1992年完成。这些早期研究的数据来自多个来源，包括儿童福利案件记录、出生记录、父母和孩子的观察、学校记录和父母和孩子的调查。从儿童福利记录和家长自我报告中，我们获得了关于虐待和忽视儿童的详细资料，以及父母严厉和滥用纪律的做法。来自父母和儿童参与者的数据还提供了关于儿童遭受家庭暴力以及家庭所承受压力的信息。随后在青少年和成年期间收集的数据详细说明了参与者及其家庭在生命后期的心理社会适应和福祉，持续的虐待和受害经历，以及保护和复原力的来源。本应用程序中涵盖的所有主题都具有巨大的公共卫生意义，但使用纵向数据的研究仍然不足。我们两个合作研究团队的研究人员在拟议的内容领域具有相当的专业知识，对这个独特的数据集有广泛的了解，并且在与拟议目标相关的资助研究和出版物方面有着令人印象深刻的记录。

DESCRIPTION (provided by applicant): Aims of this secondary data analysis study focus on the long-term effects of child maltreatment and other forms of family adversity on adult substance use behaviors (e.g., tobacco use, binge drinking, marijuana use, substance abuse risk) and mental health problems (e.g., depression and anxiety symptoms and disorders). Comprehensive data on these and other constructs were collected at our most recent adult follow-up of the Lehigh Longitudinal Study sample (completed July, 2010, R01HD049767, T. Herrenkohl, PI). Earlier data on child maltreatment and related risk and protective factors were collected from this sample at three prior waves of the study, which covered a 15-year period, beginning in 1976-1977 when child participants were preschoolers, 18 months to 6 years of age. A second, school-age, assessment was completed in 1980-1982, and a third, adolescent assessment, in 1990-1992. Data from these earlier waves of the study were drawn from multiple sources, including child welfare case records, birth records, observations of parents and children, school records, and parent and child surveys. From child welfare records and parent self-reports, we acquired detailed information on substantiated child abuse and neglect as well as parents' severe and abusive disciplining practices. Data from parents and child participants also provide information on children's exposure to domestic violence, as well as stresses experienced by families. Data collected later, during adolescence and adulthood, provide detailed accounts of the psychosocial adjustment and well-being of participants and their families at later life stages, ongoing experiences of abuse and victimization, and sources of protection and resilience. All covered topics in this application have enormous public health significance, yet remain understudied using longitudinal data. Investigators of our two collaborating research teams have considerable expertise in the proposed content areas, extensive knowledge of this unique dataset, and an impressive record of funded research and publications related to the proposed aims.