IMPACT OF CHILD NEGLECT IN SUBSTANCE ABUSE FAMILIES

男性和女性儿童（N=300）的先证者父亲或没有DSM-IV物质使用障碍（SUD）将进行前瞻性研究，在面板设计，以确定父母SUD对医疗/牙科心理和教育忽视的影响。 在后面的每一个疏忽领域，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（物质滥用、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程度（例如，忽视牙齿会导致蛀牙、疾病、牙齿断裂等;忽视教育导致学业失败、逃学等）假设与物质使用和健康风险行为协变并预测物质使用和健康风险行为。背景因素的相对影响（例如，其他成年人的支持，年长的兄弟姐妹作为父母的替代品等）父母忽视的影响将被确定。 此外，还将说明个人保护性资源（如应对技能、高智商、高自尊）可在多大程度上削弱忽视的影响，从而产生有复原力的结果。该项目在几个关键方面具有创新性：（1）它侧重于尚未系统研究的老年青年和青少年人口中的忽视问题;（2）该项目根据发展理论，调查父母和子女特点造成的忽视问题; 3）它能够前瞻性地跟踪家庭背景下增加或减少忽视风险和后续结果的个体内因素; 4）它在由3种类型的忽视x 2种类型的父母表现（见上文）组成的对称测量模式中以适合年龄的方式表征忽视;以及，5）它提供了描述物质使用障碍对儿童忽视的影响以及预示恢复力和不良后遗症的后续结果的机会。

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.