IMPACT OF CHILD NEGLECT IN SUBSTANCE ABUSE FAMILIES

对患有或不患有DSM-IV物质使用障碍(SUD)的先证者父亲的男性和女孩(N=300)进行前瞻性研究，以确定父母SUD对医疗/牙科心理和教育忽视的影响。在后两个被忽视的领域中，严重程度将根据“未能提供”和“监督水平”来衡量。在当代发展精神病理学研究和理论的指导下，父母(药物滥用、精神病理学、自我调节)和儿童(自我调节)的特征被假设为共同决定最终导致忽视的二元关系的质量。身体、心理和教育后果的严重性(例如，忽视牙齿会导致龋齿、疾病、牙齿骨折等；教育忽视会导致学业失败、逃学等)假设与物质使用和健康危险行为相关，并对其进行预测。环境因素的相对影响(例如，是否有其他成年人提供支持，兄长作为父母的替代者等)关于父母忽视的影响将被确定。此外，还将说明个人保护资源(例如，应对技能、高智商、高自尊)能够在多大程度上减轻忽视的影响，从而产生有弹性的结果。该项目在几个关键方面是创新的：1)它关注的是尚未得到系统研究的老年青年和青少年群体中的忽视；2)该项目与发展理论一致，调查忽视是父母和孩子特征的结果；3)它能够前瞻性地跟踪家庭环境中增加或降低忽视风险和随后结果的个体内因素；4)它在由3种类型的忽视×2种父母表现组成的对称测量方案中，以适合年龄的方式表征忽视(见上文)；5)它提供了描述物质使用障碍对儿童忽视的影响以及随后预示复原力和不良后遗症的后果的机会。

Male and female children (N=300) of proband fathers with or without DSM-IV Substance Use Disorder (SUD) will be prospectively studies in a panel design to determine the impact of parental SUD on medical/dental psychological and educational neglect. In each of these latter neglect domains, severity will be measured according to "failure to provide" and "level of supervision". Guided by contemporary developmental psychopathology research and theory, parent (substance abuse, psychopathology, self- regulation) and child (self-regulation) characteristics are hypothesized to conjointly determine the quality of the dyadic relationship culminating in neglect. The severity of physical, psychological and educational outcomes (e.g., dental neglect yields cavities, disease, tooth fractures, etc.; educational neglect yields school failure, truancy, etc.) is hypothesized to covary with and predict substance use and health risk behaviors. The relative influence of contextual factors (e.g. availability of supportive other adults, older sibling serving as a parent substitute, etc.) on the impact of parental neglect will be determined. In addition, the extent to which the impact of neglect can be attenuated by individual protective resources (e.g. coping skills, high intelligence, high self-esteem) to result in resilient outcomes will also be delineated. The project is innovative in several key respects: 1) it focuses on neglect in the population of older youth and adolescents which has not been systematically researched; 2) consistent with developmental theory, this project investigates neglect as the outcome of both parent and child characteristics; 3) it enables prospectively tracking intraindividual factors in familial context that increase or decrease the risk for neglect and subsequent outcomes; 4) it characterizes neglect in an age appropriate manner within a symmetrical measurement schema consisting of 3 types of neglect x 2 types of parental manifestation (see above); and, 5) it provides the opportunity to delineate the impact substance use disorder on child neglect and subsequent outcomes which portend resilience as well as adverse sequelae.