Effects of Child Maltreatment on Adult Substance Use & Mental Health Problems

说明(申请人提供)：这项二次数据分析研究的目的集中在虐待儿童和其他形式的家庭逆境对成人药物使用行为(例如，吸烟、酗酒、大麻使用、药物滥用风险)和精神健康问题(例如，抑郁和焦虑症状和障碍)的长期影响。关于这些和其他结构的全面数据是在我们最近一次对LeHigh纵向研究样本的成人随访中收集的(完成于2010年7月，R01HD049767，T.Herrenkohl，PI)。关于虐待儿童及相关风险和保护因素的早期数据是在这项研究的前三次研究中从该样本中收集的，从1976年至1977年开始，为期15年，当时儿童参与者是18个月至6岁的学龄前儿童。1980-1982年完成了第二次学龄评估，1990-1992年完成了第三次青少年评估。这项研究的前几波数据来自多个来源，包括儿童福利案例记录、出生记录、对父母和孩子的观察、学校记录以及父母和孩子的调查。从儿童福利记录和家长自我报告中，我们获得了有关证实虐待和疏忽照顾儿童以及家长严厉和虐待行为的详细资料。来自父母和儿童参与者的数据还提供了有关儿童遭受家庭暴力的情况以及家庭所经历的压力的信息。后来在青春期和成年期收集的数据详细说明了参与者及其家人在晚年生活阶段的心理社会适应和福祉、持续遭受虐待和受害的经历以及保护和复原力的来源。本申请中涵盖的所有主题都具有巨大的公共卫生意义，但仍未充分利用纵向数据进行研究。我们两个合作研究团队的研究人员在拟议的内容领域拥有相当多的专业知识，对这一独特的数据集拥有广泛的知识，并在与拟议目标相关的资助研究和出版物方面有着令人印象深刻的记录。

DESCRIPTION (provided by applicant): Aims of this secondary data analysis study focus on the long-term effects of child maltreatment and other forms of family adversity on adult substance use behaviors (e.g., tobacco use, binge drinking, marijuana use, substance abuse risk) and mental health problems (e.g., depression and anxiety symptoms and disorders). Comprehensive data on these and other constructs were collected at our most recent adult follow-up of the Lehigh Longitudinal Study sample (completed July, 2010, R01HD049767, T. Herrenkohl, PI). Earlier data on child maltreatment and related risk and protective factors were collected from this sample at three prior waves of the study, which covered a 15-year period, beginning in 1976-1977 when child participants were preschoolers, 18 months to 6 years of age. A second, school-age, assessment was completed in 1980-1982, and a third, adolescent assessment, in 1990-1992. Data from these earlier waves of the study were drawn from multiple sources, including child welfare case records, birth records, observations of parents and children, school records, and parent and child surveys. From child welfare records and parent self-reports, we acquired detailed information on substantiated child abuse and neglect as well as parents' severe and abusive disciplining practices. Data from parents and child participants also provide information on children's exposure to domestic violence, as well as stresses experienced by families. Data collected later, during adolescence and adulthood, provide detailed accounts of the psychosocial adjustment and well-being of participants and their families at later life stages, ongoing experiences of abuse and victimization, and sources of protection and resilience. All covered topics in this application have enormous public health significance, yet remain understudied using longitudinal data. Investigators of our two collaborating research teams have considerable expertise in the proposed content areas, extensive knowledge of this unique dataset, and an impressive record of funded research and publications related to the proposed aims.