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Population Analysis of Male Survivors of Child Sexual Abuse at Mid and Late Life

中晚年儿童性虐待男性幸存者群体分析

基本信息

批准号：
8791803
负责人：
Scott Douglas Easton
金额：
$ 15.65万
依托单位：
BOSTON COLLEGE
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-09-30 至 2016-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8791803
关键词：
Address Adult Age Age-Years American Americas Anger Anxiety Awareness Child Child Abuse Child Sexual Abuse Childhood Church Clinical Clinical Services Clinical Treatment Data Data Set Data Sources Development Disadvantaged Disclosure Elderly Elements Event Feeling suicidal Female Foundations Healed Health Hostility Institution Intervention Knowledge Life Cycle Stages Longevity Longitudinal Studies Masculine Mental Depression Mental Health Mental disorders Meta-Analysis Mosses Outcome Parents Participant Personal Satisfaction Personality Disorders Population Population Analysis Post-Traumatic Stress Disorders Prevention Psychophysiologic Disorders Public Health Recording of previous events Recovery Reporting Research Respondent Risk Sampling Services Sexual abuse Social support Staging Survivors Symptoms Theoretical model Time Universities Vulnerable Populations Wisconsin base boys child protection cohort coping design experience healing help-seeking behavior high school improved knowledge base male male health men middle age population based psychologic psychological outcomes public health relevance theories

项目摘要

DESCRIPTION (provided by applicant): Recent scandals in established American institutions (e.g., Catholic Church, Boy Scouts, Penn State University) have raised public awareness about the sexual abuse of boys. Subsequent research has found that approximately 15% of adult men report a history of child sexual abuse (CSA). These survivors are at increased risk for a broad range of negative psychological outcomes such as depression, anxiety, PTSD, personality disorders, and other psychiatric disorders. However, the knowledge base on this vulnerable, stigmatized, and hidden population is at a relatively nascent stage. Current studies of male survivors have major limitations including non-probability samples, samples with few/no participants over 50 years of age, and cross-sectional designs. To build a more robust research foundation about CSA and men's health, the proposed study has three specific aims. The first aim is to examine the relationship between CSA and the long-term mental health outcomes of men using data collected at midlife, early late life, and late life. The mental health outcomes include depression, anger/hostility, anxiety, psychosomatic symptoms and psychological well-being. The second aim is to investigate effect modifiers of CSA (including social support, coping style, masculine norms) on long-term mental health outcomes for men. The third aim is to examine sub-group trajectories among men who report a history of CSA. The data source for this secondary analysis will be a large, population-based dataset that followed a cohort of high school graduates from age 18 to 71 (i.e., Wisconsin Longitudinal Study). The study will have significant implications for knowledge development and public health. Understanding the influence of variables (e.g., social support, masculine norms) will strengthen our knowledge base for this vulnerable population. It will also provide vital information to revise and refine theoretical models of long-term recovery and healing from CSA. Beyond knowledge and theory development, the results will inform mental health assessment and treatment services and improve our ability to design targeted interventions for male survivors most in need of clinical services.

描述（由申请人提供）：美国知名机构最近的丑闻（例如，天主教会、童子军、宾夕法尼亚州立大学）提高了公众对男孩性虐待的认识。随后的研究发现，大约15%的成年男性报告有儿童性虐待（CSA）的历史。这些幸存者面临着更大的风险，出现广泛的负面心理后果，如抑郁、焦虑、创伤后应激障碍、人格障碍和其他精神疾病。然而，关于这一弱势、受歧视和隐藏人口的知识基础还处于相对初级的阶段。目前对男性幸存者的研究有很大的局限性，包括非概率样本，50岁以上参与者很少/没有的样本，以及横断面设计。为了建立一个关于CSA和男性健康的更强大的研究基础，拟议的研究有三个具体目标。第一个目的是研究CSA和长期的心理健康结果的男性使用的数据收集在中年，晚年早期和晚年之间的关系。心理健康结果包括抑郁、愤怒/敌意、焦虑、心身症状和心理健康。第二个目的是调查CSA（包括社会支持，应对方式，男性规范）对男性长期心理健康结果的影响。第三个目的是研究报告CSA病史的男性中的亚组轨迹。该二次分析的数据源将是一个基于人口的大型数据集，该数据集跟踪了一组18至71岁的高中毕业生（即，威斯康星州纵向研究）。这项研究将对知识发展和公共卫生产生重大影响。了解变量的影响（例如，社会支持、男性规范）将加强我们对这一弱势群体的了解。它还将提供重要的信息，以修订和完善CSA长期恢复和愈合的理论模型。除了知识和理论发展，研究结果将为心理健康评估和治疗服务提供信息，并提高我们为最需要临床服务的男性幸存者设计有针对性的干预措施的能力。