IMMIGRANT STRESSORS AND PSYCHO-SOCIAL ADAPTATION

移民压力源和心理社会适应

• 批准号: 3476519
• 负责人: KAREN J AROIAN
• 金额: $ 10.69万
• 依托单位: BOSTON COLLEGE
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-06-18 至 1997-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3476519
• 关键词: Commonwealth of Independent States; data collection; health care service utilization; human migration; human subject; longitudinal human study; mental health; psychological adaptation; psychological stressor; psychometrics

Migration and health is an important topic of inquiry for nursing; it is consistent with nursings' interest in high risk populations as well as individual and group adaptation to environmental contexts in relation to health outcomes. Yet, knowledge about the sources of immigrants' distress and the process of their adaptation is too limited for developing theoretically based interventions to promote positive health outcomes. Knowledge about Soviet immigrants, the largest growing refugee group in the U.S., is even more limited. Current research focuses on southeast Asians who began entering the U.S. after the Vietnam war. Yet stressors faced by Southeast Asians may not be comparable for Soviets. Although Soviet immigrants from the same cohorts as southeast Asians have not experienced the horrors of war, they have spent their entire lives under the tutelage of communism. Political, economic, and socio-cultural differences between communist and capitalist countries may pose unique adaptive challenges for Soviet immigrants resettling in the U.S. Even if the theoretical base were available for developing clinical interventions, the paucity of valid standardized measures for foreign populations limits evaluation of treatment efficacy. The purposes of this proposed research are to develop the theoretical base needed to generate clinical interventions for promoting Soviet immigrants' adaptation and the standardized instruments for testing those interventions. A sequential cross-sectional and longitudinal design and multi-methods (e.g., in-depth interviews, participant observation, clinical ratings, and standardized self-report and observational measures) will be used for inductive theory generation instrument development, and testing deductive hypotheses related to immigrants' psycho-social adaptation. The project will have 2 phases. Phase I will be exploratory and use a cross-section of immigrant cohorts to generate description of the local Soviet community and inductive hypotheses [which will be tested during Phase II] about stress and adaptation. Standardized measures that will be employed during Phase II hypothesis testing will also be pilot tested during Phase I and revised to improve their psychometric characteristics. During Phase II, cross-sectional and panel data from the standardized measures will be combined with longitudinal interview data to test hypotheses about Soviet immigrants' psychological risk and adaptation. Accomplishing these aims will provide the foundation for clinical trials that will be conducted after the completion of this project by generating the theoretical base for designing and timing interventions for promoting adaptation among high risk Soviet immigrants and the process and outcome indicators for testing the efficacy of those interventions.

迁移与健康是护理研究的一个重要课题， 符合护理人员对高危人群的兴趣， 个人和群体对环境背景的适应 健康成果。 然而，关于移民痛苦来源的知识 它们的适应过程太有限， 以理论为基础的干预措施，以促进积极的健康成果。 了解苏联移民，最大的不断增长的难民群体， 美国，就更加有限了。 目前的研究主要集中在东南亚 他们在越南战争后开始进入美国。 然而， 东南亚人可能无法与苏联人相提并论。 虽然苏联 来自东南亚的移民没有经历过 战争的恐怖，他们一生都在 共产主义。 政治、经济和社会文化差异 共产主义和资本主义国家可能会对环境造成独特的适应性挑战， 苏联移民在美国定居，即使理论基础是 可用于开发临床干预措施，缺乏有效的 外国人口限制标准化措施 治疗效果 这项研究的目的是开发 产生临床干预所需的理论基础， 促进苏联移民的适应和标准化工具 来测试这些干预措施。 连续的横截面和 纵向设计和多方法（例如，深入访谈， 参与者观察、临床评级和标准化自我报告， 观测测量）将用于归纳理论生成 工具开发，并测试有关的演绎假设， 移民的心理社会适应。 该项目将有两个阶段。 第一阶段将是探索性的，并使用移民群体的横截面， 产生对当地苏维埃社会的描述和归纳假设 [这将在第二阶段测试]关于压力和适应。 II期假设期间将采用的标准化测量 测试也将在第一阶段进行试点测试，并进行修订，以提高 他们的心理特征 在第二阶段， 标准化测量的面板数据将与 纵向访谈数据来检验关于苏联移民的假设。 心理风险与适应。 实现这些目标将提供 这是在2010年之后进行的临床试验的基础， 通过生成设计的理论基础完成本项目 和时间干预，以促进高风险苏联 移民和过程和结果的指标，用于测试的功效 这些干预措施。