LONGTERM MENTAL OUTCOMES OF CHILD ABUSE & NEGLECT

在早期的研究中，PI令人信服地证明， 受害使儿童犯罪的风险增加，成人 犯罪和暴力犯罪行为。 然而，第一阶段审查了 结果变量范围有限，侧重于官方逮捕记录， 并没有解决可能的替代显式后果的早期 虐待和忽视儿童。 这项后续研究旨在确定 虐待和忽视儿童的心理健康后果超过青春期 并检查保护因素的作用， 可能会缓冲一些孩子的负面结果。 第二阶段的面谈许可证审查范围更广， 结果。本次随访研究的主要目的是：（1）继续 在大样本中定位、访谈和评估年轻人的适应能力 儿童时期受到虐待和/或忽视的人的人数 1967年至1971年和一个匹配的对照组;（2）记录 早期儿童虐待和忽视的长期心理健康后果 （3）确定一组有弹性的 儿童和审查的作用，保护因素，可能会采取行动， 减少负面结果的发展;（4）比较 虐待和忽视的回顾性自我报告， 虐待和忽视儿童的正式记录;以及（5）奠定基础 对于这些人及其子女的未来研究（使用 目前获得的信息作为未来行为的预测因子）。 这 一项提议是要求提供资金，以进行400次额外的面谈， 完成数据收集和编码，进行心理测量分析 并对提出的模型进行统计检验，并编写文稿。 这项研究是基于前瞻性队列设计，其中一个大的 遭受身体虐待和性虐待以及被忽视的儿童样本 （n=908）约20年前的比较， 对照组（n=667）的个人没有正式的滥用记录， 疏忽 面试大约需要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量表 包括个人和家庭史，身体和性史， 虐待和忽视，精神评估（使用NIMH-DIS），自我报告 青少年犯罪和成人犯罪，其他结果的措施（包括智商， 阅读能力、自尊、敌意和解离）和一些 潜在的调节变量，如应对，掌握，社会支持， 压力性生活事件和寻求刺激 所有这些信息将 与先前收集的有关虐待的广泛数据相关联，或 忽视事件、安置经历和正式犯罪史 这些人的信息。 这项研究将提供最 关于早期精神疾病长期心理健康后果的综合数据集 虐待和忽视儿童。

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.