LONGTERM MENTAL OUTCOMES OF CHILD ABUSE & NEGLECT

在早期的研究中，少年派令人信服地证明了童年 受害会增加儿童犯罪的风险，成人 犯罪行为和暴力犯罪行为。然而，第一阶段检查了一个 结果变量范围有限，侧重于官方逮捕记录，以及 没有解决早期可能出现的其他表现后果 虐待儿童和忽视儿童。这项跟踪研究是为了确定长期 青春期后虐待和忽视儿童的心理健康后果 并进入青壮年，并检查保护因素的作用， 可能会缓冲这些孩子中的一些人出现负面后果。 第二阶段的面谈允许对更广泛的 结果。本次后续研究的主要目标是：(1)继续 在大样本中定位、访谈和评估年轻人的适应情况 在儿童时期被虐待和/或被忽视的个人 1967年至1971年，以及与之匹配的对照组；(2)记录 儿童早期虐待和忽视的长期心理健康后果 多个功能域；(3)确定一组有弹性的 并审查保护因素的作用，这些因素可能对 缓解负面结果的发展；(4)比较 关于虐待和疏忽的回顾自我报告，其资料来自 虐待和疏忽照顾儿童的正式记录；以及(5)奠定基础 对于未来对这些人及其子女的研究(使用 目前获得的信息可作为未来行为的预测指标)。这 提案是要求提供资金，以进行400次额外的采访， 完成数据收集和编码，进行心理测量分析 并对模型进行了统计检验，并编写了稿件。 这项研究基于前瞻性队列设计，在该设计中， 身体和性虐待和被忽视的儿童样本 (n=908)大约20年前与匹配的 对照组(n=667)，无正式虐待记录和 忽视。面试需要大约2个小时完成，包括一个 一系列结构化和半结构化问题和评分表 包括个人和家庭病史，身体和性行为史 虐待和忽视、精神评估(使用NIMH-DIS)、自我报告 关于犯罪和成人犯罪，其他结果衡量标准(包括智商、 阅读能力、自尊、敌意和分离)和一些 潜在的调节变量，如应对、掌握、社会支持、 有压力的生活事件和寻求感觉的行为。所有这些信息都将 链接到早先收集的有关虐待的大量数据或 疏忽事件、安置经历与官方犯罪历史 这些个人的信息。这项研究将提供最多的 关于早期心理健康长期后果的综合数据集 虐待儿童和忽视儿童。

In earlier research, the PI demonstrated convincingly that childhood victimization places children at increased risk for delinquency, adult criminality, and violent criminal behavior. However, Phase I examined a limited range of outcome variables focusing on official arrest records, and did not address possible alternative manifestive consequences of early child abuse and neglect. This follow-up study is to determine the longterm mental health consequences of child abuse and neglect beyond adolescence and into young adulthood and to examine the role of protective factors that might buffer some of these children from developing negative outcomes. In-person interviews of Phase II permit examination of a broader range of outcomes. The main objectives of this follow-up study are: (1) to continue to locate, interview, and assess young adult adjustment in a large sample of individuals who were abused and/or neglected as children during the years 1967 through 1971 and a matched control group; (2) to document the longterm mental health consequences of early child abuse and neglect across a number of domains of functioning; (3) to identify a group of resilient children and to examine the role of protective factors which may act to mitigate against the development of negative outcomes; (4) to compare retrospective self-reports of abuse and neglect with information from official records of child abuse and neglect; and (5) to lay the foundation for future studies of these individuals and their children (using information obtained at present as predictors of future behavior). This proposal is a request for funds to conduct 400 additional interviews, to complete the data collection and coding, to perform psychometric analyses and statistical tests of the model proposed, and to prepare manuscripts. This study is based on a prospective cohorts design, in which a large sample of children who were physically and sexually abused and neglected (n=908) approximately 20 years ago are compared with those of a matched control group (n=667) of individuals with no official record of abuse and neglect. The interview takes about 2 hours to complete and consists of a series of structured and semi-structured questions and rating scales covering individual and family history, history of physical and sexual abuse and neglect, psychiatric assessment (using the NIMH-DIS), self-report of delinquency and adult criminality, other outcome measures (including IQ, reading ability, self-esteem, hostility, and dissociation) and a number of potential moderator variables, such as coping, mastery, social support, stressful life events, and sensation seeking. All of this information will be linked to the extensive data collected earlier about the abuse or neglect incident, placement experiences, and official criminal history information for these individuals. This study will provide one of the most comprehensive data sets on the longterm mental health consequences of early child abuse and neglect.