Mental Health Prevention Science for Child Maltreatment

描述（由申请人提供）：本申请的指导研究科学家发展奖提出了一个5年的职业发展计划，以启动申请人的职业生涯作为一个独立的儿童虐待预防科学家。申请人的长期目标是了解虐待和问题养育的代际循环的机制，并制定，实施和评估新的预防方案，以中断这些周期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）儿童虐待和精神病理学的衡量;（B）纵向儿童虐待数据的定量分析;（c）心理健康干预措施的开发和预防研究设计;（d）负责任地进行道德研究，特别是针对受创伤的人群和社区。将通过以下方式开展上述每个领域的培训：（a）精神病学、心理学和儿科学领域的儿童虐待问题科学家的直接指导和监督;（B）讲习班、课程和辅导;（c）参加临床病例会议和病例研究;（d）参加当地和外地工作组、系列研讨会以及专业会议。 这项由四部分组成的研究计划将探讨母亲童年时期遭受虐待和忽视的经历与创伤后应激障碍及其养育子女的几个方面之间的联系，包括她们遭受身体虐待和忽视以及有问题的养育行为。的 本研究将检验以下假设：（a）这些关联是由母亲在依恋和与纪律和行为相关的社会信息处理模式方面的心理状态介导的;（B）由母亲与依恋对象、同伴、伴侣和心理治疗师的支持关系调节的。首先，母亲的童年身体虐待和后来的养育行为之间的关联将通过纵向，多站点LONGSCAN项目（N = 820）的数据的二次分析进行检查。第二，一个新的，前瞻性的纵向调查将解决孕妇的儿童身体虐待和忽视，创伤后应激障碍，精神痛苦和他们随后的养育行为（N = 200）的历史之间的关联。第三，将制定R 01赠款提案，对儿童期虐待、父母养育和儿童心理健康结果之间的关联进行进一步的纵向研究。第四，将制定一项R21赠款提案，为儿童期遭受虐待（身体虐待和忽视）的孕妇以及那些有身体虐待、忽视和/或影响儿童行为结果和精神功能的有问题的养育行为的高危孕妇制定一项基于药物的预防计划。

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.