The purpose of this project is to gain a better understanding of how IPV, substance abuse and parental and child mental health are related. For instance, whether families experiencing all three parental adversities, tend to be first identified in medical records as experiencing IPV, substance misuse or mental health problems. We will also compare the mental health of children exposed to parental IPV, substance abuse, and mental ill-health (and their combination) and those who were not exposed.
We will achieve this by creating a cohort of parents and their children followed over time, based on primary and secondary care records. By assessing variation in presentations related to IPV, substance misuse and mental health in parents and children’s routine health records, our research will guide GPs’ questioning about health within the family, checking the health of family members through the GP record household link, and follow up appointments. Our research will also guide the development of family-focused interventions that use existing general practice data.
The clinical sample will include a birth cohort of mothers, fathers and children (born 1987 – 2021) from CPRD linked data using the CPRD mother-baby link. Children will be followed from birth to the latest available data point and linked to the Hospital Episode Statistics and Office for National Statistics for mortality data.
The interrelationship between intimate parental violence, parental substance misuse, parental mental health and child and young people’s mental health will be investigated by applying cross-lagged panel models. These are a type of structural equation modelling allowing for studying two or more variables measured repeatedly at one or more points in time. Cross-lagged models are typically used with longitudinal datasets to describe directional influences or reciprocal relationships between variables over time.
Findings will help us to better understand which of the parental adversities (parental intimate partner violence, parental substance misuse, parental mental health) tends to be recorded first in medical records, how strongly these events are inter-related over time, and how they influence children and young people’s mental health.
Ruth Gilbert - Chief Investigator - University College London ( UCL )
Dawid Gondek - Corresponding Applicant - University College London ( UCL )
gene feder - Collaborator - University of Bristol
Laura Howe - Collaborator - University of Bristol
Linda Wijlaars - Collaborator - University College London ( UCL )
Pia Hardelid - Collaborator - University College London ( UCL )
Rebecca Lacey - Collaborator - University College London ( UCL )
Stephen Morris - Collaborator - University of Cambridge