权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Children with MR: Family Processes and Dual Diagnosis

患有 MR 的儿童：家庭过程和双重诊断

基本信息

批准号：
8389871
负责人：
Bruce L Baker
金额：
$ 47.75万
依托单位：
UNIVERSITY OF CALIFORNIA LOS ANGELES
依托单位国家：
美国
项目类别：
财政年份：
1998
资助国家：
美国
起止时间：
1998-05-01 至 2015-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8389871
关键词：
Adaptive Behaviors Address Adolescence Adolescent Age Area Behavior Behavior Disorders Behavioral Child Childhood Cognitive Comorbidity Complex Control Groups Data Set Development Developmental Process Diagnosis Disease Early Intervention Economics Educational Curriculum Emotional Ethnic group Family Family Process Family Relationship Family Study Future Genetic Growth Health Hispanics Home environment Intellectual functioning disability Knowledge Latino Left Life Longitudinal Studies Measurement Measures Mental Health Mental Retardation Mental disorders Modeling National Institute of Child Health and Human Development Not Hispanic or Latino Outcome Parent-Child Relations Parenting Education Parents Participant Prevention Preventive Intervention Problem behavior Process Prospective Studies Psychopathology Recruitment Activity Regulation Reporting Research Risk Sampling Schools Services Stress Structure Syndrome System Therapeutic Time Youth aged base cohort comparison group coping design dual diagnosis early adolescence early childhood experience intervention program physical conditioning programs prospective public health relevance resilience social skills theories

项目摘要

DESCRIPTION (provided by applicant): About 50% of children and adolescents with intellectual disability have a mental disorder or serious behavior problems; this is three times as high as is found in typically developing youth. This "dual diagnosis" (intellectual disability and mental disorder) puts them at much heightened risk for a host of unfavorable long- term life outcomes. Too, these youth present major coping and health challenges to their families and also economic challenges to the service delivery system. While there are certainly some syndrome-related contributions to dual diagnosis, most children with mild or borderline intellectual disability do not have identified genetic syndromes. There have been dramatic advances in developmental psychopathology in addressing the basic questions of continuity of mental disorder across childhood, and the mechanisms by which risk and protective factors have an influence. Unfortunately, youth with intellectual disability are routinely excluded from most studies, so there has been little advance in our understanding of prevention of dual diagnosis. This is a proposal to continue the Collaborative Family Study, a unique longitudinal prospective study that focuses on the development of psychopathology and social competence in youth with intellectual disability; there is also a contrasting group of typically developing youth. The primary aim is to determine the emergence and continuity of psychopathology from early childhood through adolescence, and to understand the dynamic influences of early and ongoing family processes, as well as school experiences, on regulatory capacities and outcomes for children with and without intellectual disability. The CFS has assessed 190 children and their families annually from child age 3 to 9 years, obtaining in- depth child developmental assessments, naturalistic and structured observations of parent-child interactions and children's emotional and behavioral regulation, comprehensive reports of parent and child functioning, and assessments from the children's schools. Findings to date indicate that early family processes do relate to the child's self-regulatory abilities and child subsequent challenging behaviors, which, in turn, increase stress and impair mental and physical health in the child's family. We propose continuing the CFS through early adolescence (ages 12 13, 15), when risk for many mental disorders increases. We will recruit an additional sample (n=90) that will be at least 60% Hispanic, and study the relationships between family processes and youths' psychopathology and social competence within two prominent cultural groups (Hispanics and non- Hispanic Whites). This study has direct

描述（由申请人提供）：大约50%的智力障碍儿童和青少年存在精神障碍或严重的行为问题；这是正常发育青少年的三倍。这种“双重诊断”（智力障碍和精神障碍）使他们面临许多不利的长期生活结果的风险大大增加。这些年轻人也给他们的家庭带来了重大的应对和健康挑战，也给服务提供系统带来了经济挑战。虽然双重诊断肯定有一些与综合症相关的因素，但大多数患有轻度或边缘智力障碍的儿童并没有发现遗传综合症。发展精神病理学在解决童年期精神障碍连续性的基本问题以及风险和保护因素的影响机制方面取得了巨大进展。不幸的是，智力障碍青少年通常被排除在大多数研究之外，因此我们对预防双重诊断的理解几乎没有进展。这是一项继续进行合作家庭研究的提案，这是一项独特的纵向前瞻性研究，重点关注智力障碍青少年的精神病理学和社会能力的发展；还有一个形成鲜明对比的群体是典型的发展青年。主要目的是确定从幼儿期到青春期的精神病理学的出现和连续性，并了解早期和持续的家庭过程以及学校经历对智力障碍和非智力障碍儿童的监管能力和结果的动态影响。中心每年对190名3至9岁的儿童及其家庭进行评估，获得深入的儿童发展评估、亲子互动、儿童情绪和行为调节的自然和结构化观察、家长和儿童功能的综合报告以及儿童学校的评估。迄今为止的研究结果表明，早期家庭过程确实与孩子的自我调节能力和孩子随后的挑战性行为有关，这反过来又会增加孩子家庭的压力并损害孩子的身心健康。我们建议在青春期早期（12、13、15 岁）继续 CFS，此时许多精神障碍的风险会增加。我们将招募一个至少 60% 为西班牙裔的额外样本 (n=90)，并研究两个著名文化群体（西班牙裔和非西班牙裔白人）中家庭过程与青少年心理病理学和社会能力之间的关系。这项研究直接