Military Parents’ Stress Exposure Associated with Mental and Behavioral Health Outcomes among Their Young Children

军人父母——压力暴露与其幼儿的心理和行为健康结果相关

• 批准号: 10288271
• 负责人: Kathrine Sullivan
• 金额: $ 7.93万
• 依托单位: NEW YORK UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-15 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10288271
• 关键词: Adult; Adverse effects; Affect; Age; Anxiety; Archives; Attention; Child; Child Abuse and Neglect; Child Mental Health; Child Support; Childhood; Chronic; Chronic stress; Couples; Data; Data Set; Department of Defense; Development; Distress; Equation; Event; Exposure to; Family; Family Study; Funding; Gender; Guns; Health; Health Promotion; Interruption; Intervention; Investments; Knowledge; Lateral; Lead; Life; Link; Longitudinal Surveys; Measures; Mediating; Mediator of activation protein; Mental Depression; Mental Health; Military Personnel; Modeling; National Institute of Child Health and Human Development; Outcome; Parents; Pathway interactions; Pattern; Population; Post-Traumatic Stress Disorders; Prevention; Process; Psyche structure; Reporting; Research; Resources; Risk; Schools; Spouses; Stress; Structure; Students; Suicide; Suicide attempt; Surveys; System; Time; War; Work; Youth; adverse childhood events; adverse outcome; behavioral health; cohort; coping; early childhood; ethnic minority population; experience; follow-up; health disparity; improved; intergenerational; lens; maltreatment; member; military family; military service; novel; novel strategies; offspring; parental role; peer; psychosocial; psychosocial stressors; racial and ethnic; service member; skills; stressor; substance use; transmission process

PROJECT SUMMARY/ABSTRACT: Although many military families cope successfully with wartime military service, mounting empirical evidence suggests that a sizeable subset of military-connected children may experience negative consequences, including mental health problems, substance use, and suicidality. Prior research has demonstrated an association between parental deployment and these outcomes, but military-specific stressors alone do not adequately explain the risk for poor adjustment among nearly 2 million military-connected youth. This knowledge gap suggests the need to examine a broader spectrum of psychosocial stressors to better explain adverse mental and behavioral health outcomes in this vulnerable sub-population. The present study employs a novel, family- level stress process lens to consider various mechanisms through which early, chronic, and recent non-military stressors may combine with military stressors to influence the mental health of military parents and more completely explain risk for adverse mental and behavioral health outcomes among young military-connected children. We use secondary data from the Department of Defense’s (DoD) Millennium Cohort Family Study (MCFS), a longitudinal survey of 9,872 married military couples. The MCFS project and linked archival DoD datasets offer a unique opportunity to explore family-level stress processes, including stress proliferation, stress sensitization, muting of psychosocial resources, and lateral proliferation of stress. Dyadic baseline data includes measures of service member’s (SM) and spouses’ early, chronic, and recent non-military stressors (e.g., maltreatment in childhood, stress related to racial/ethnic minority status, and recent traumatic life events), military stressors (e.g., deployment), psychosocial resources like coping, and mental health. Data collected at 3-year follow-up include parent-reported and objective measures of child mental and behavioral health. Using structural equation modeling, we will explore the dyadic effects of non-military and military stressors on the mental health of each parent and their partner. Further, we will explore whether each parents’ early stress exposure and psychosocial resources affect the relationship between recent stressors and their own and their partner’s mental health. Finally, we will explore the relationship between parents’ stress exposure and children’s risk for poor mental and behavioral health outcomes, considering the role of parents’ mental health as a mediator, as well as differential effects for children of different ages and genders. Findings will lead to increased understanding of the lateral proliferation of stress processes among members of a family system. Further, consistent with newer approaches to health promotion, understanding these relationships will inform targeted prevention and intervention efforts to reduce risk associated with exposure to toxic stress in young military children, support healthy family functioning, and improve developmental outcomes for these youth and their families.

项目摘要/摘要： 尽管许多军人家庭成功地应对战时兵役，但有经验证据 表明大量由军事连接的儿童子集可能会造成负面后果，包括 心理健康问题，药物使用和自杀。先前的研究表明了关联 在父母的部署和这些结果之间 解释在近200万军事连接的青年中调整不良的风险。这个知识差距 提出需要检查更广泛的社会心理压力源以更好地解释不利的精神 和行为健康结果在这个脆弱的子人群中。本研究员工是一个新颖的家庭 - 水平应力过程镜头以考虑各种机制 胜利可能会与军事压力源相结合，以影响军人的心理健康等等 完全解释了年轻军事与之相关的心理和行为健康状况不利的风险 孩子们。我们使用国防部（DOD）千年队列家庭研究的辅助数据 （MCFS），对9,872夫妇的纵向调查。 MCFS项目和链接的档案DOD 数据集为探索家庭水平的压力过程提供了独特的机会，包括压力增殖，压力 敏化，心理社会资源的静音和压力的横向增殖。二元基线数据包括 服务成员（SM）和配偶的早期，慢性和最近的非军事压力量的度量（例如 童年时期的虐待，与种族/族裔少数民族地位有关的压力以及最近的创伤性生活事件），军事 压力源（例如部署），应对和心理健康等心理社会资源。在3年收集的数据 随访包括对儿童心理和行为健康的父母报告和客观的测量。使用结构 等式建模，我们将探讨非军事和军事压力源对心理健康的二元作用 每个父母及其伴侣的此外，我们将探讨每个父母的早期压力暴露和 社会心理资源会影响最近的压力源与他们自己的关系以及伴侣的心理 健康。最后，我们将探索父母的压力暴露与孩子对贫穷的风险之间的关系 考虑父母作为调解人的心理健康的作用，以及 对不同年龄和性别的儿童的差异影响。调查结果将导致人们对 家庭系统成员之间压力过程的横向扩散。此外，与更新一致 促进健康的方法，了解这些关系将为有针对性的预防和 干预措施降低与年轻军人儿童毒性压力相关的风险，支持 健康的家庭运作，并改善这些年轻人及其家人的发展成果。