Traumatic Grief and Mental Health Outcomes in Parentally Bereaved Children

失去父母的儿童的创伤性悲伤和心理健康结果

• 批准号: 7281609
• 负责人: JULIE B KAPLOW
• 金额: $ 17.2万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-08-15 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7281609
• 关键词: Acquired Immunodeficiency Syndrome; Acute; Address; Adolescence; Affect; Anxiety; Bereavement; Child; Childhood; Clinical; Data; Data Analyses; Data Collection; Development; Empirical Research; Environmental Risk Factor; Epidemiology; Etiology; Future; Goals; Grief reaction; Health; Individual; K-Series Research Career Programs; Longitudinal Studies; Mental Depression; Mental Health; Mentored Clinical Scientist Development Award (K08); Methodology; Modeling; Natural Disasters; Numbers; Outcome; Parents; Physiological; Pilot Projects; Post-Traumatic Stress Disorders; Prevention; Psyche structure; Psychologist; Psychophysiology; Purpose; Reaction; Research; Research Personnel; Research Project Grants; Risk; Stress; Symptoms; Testing; Training; United States; Violence; War; Work; design; functional disability; immune function; pediatric trauma; post-doctoral training; programs; psychosocial; theories

DESCRIPTION (provided by applicant): In the United States and world-wide, a large number of children have lost a parent(s) under traumatic circumstances as a result of war, AIDS, natural disasters, or violence. Thus, childhood traumatic grief (the combination of grief and posttraumatic stress) is a serious problem with potentially significant mental health consequences. However, almost no empirical research has been conducted to elucidate the differences between childhood traumatic grief, normal (uncomplicated) bereavement, and posttraumatic stress disorder (PTSD) in the context of bereavement. Furthermore, theory-guided research on psychosocial, contextual, and physiological risk and protective factors for the development of childhood traumatic grief and associated functional impairment is lacking. While efforts have been made to provide psychosocial aid to children affected by traumatic loss, these programs are proceeding without an empirically-validated model of childhood traumatic grief. The purpose of this Mentored Clinical Scientist Development Award (K08) is to enable the candidate, a clinical psychologist with recent postdoctoral training in childhood trauma, to become an independent investigator conducting integrative research on the etiology and consequences of childhood traumatic grief, including PTSD, anxiety, depression, and immune functioning. The proposed research focuses on developing and testing main components of an etiological, integrative model of childhood traumatic grief. To test this model, the candidate will obtain training in developmental epidemiology, childhood bereavement, psychophysiology of stress, and longitudinal study methodology. Research projects include: (1) secondary data analysis of two large-scale, longitudinal studies involving the examination of symptoms and long-term consequences of childhood traumatic grief and (2) a pilot study examining acute risk and protective factors for traumatic grief in parentally bereaved children. The training obtained in the context of this K award will prepare the candidate to submit an R01 application designed to test a refined, longitudinal model of the etiology and consequences of traumatic grief in parentally bereaved children. This work will contribute to our understanding of the etiology, course, and long-term consequences of childhood traumatic grief and, ultimately, assist in its assessment, prevention, and treatment.

描述（由申请人提供）：在美国和世界范围内，大量的儿童失去了父母（S）在创伤的情况下，由于战争，艾滋病，自然灾害，或暴力。因此，童年创伤性悲伤（悲伤和创伤后压力的结合）是一个严重的问题，可能会对心理健康产生重大影响。然而，几乎没有实证研究已经进行，以阐明童年创伤性悲伤，正常（简单）丧亲之痛，和创伤后应激障碍（PTSD）丧亲之痛的背景下之间的差异。此外，缺乏对儿童创伤性悲伤和相关功能障碍发展的心理社会，背景和生理风险和保护因素的理论指导研究。虽然已经努力为受创伤性损失影响的儿童提供心理社会援助，但这些方案在没有经过医学验证的儿童创伤性悲伤模型的情况下进行。这个指导临床科学家发展奖（K 08）的目的是使候选人，临床心理学家与最近的博士后培训在儿童创伤，成为一个独立的调查员进行综合研究的病因和儿童创伤性悲伤的后果，包括创伤后应激障碍，焦虑，抑郁和免疫功能。拟议的研究重点是开发和测试的病因学，儿童创伤性悲伤的综合模型的主要组成部分。为了测试这个模型，候选人将获得发展流行病学，童年丧亲，压力心理生理学和纵向研究方法的培训。研究项目包括：（1）两项大规模纵向研究的次要数据分析，涉及儿童创伤性悲伤的症状和长期后果的检查;（2）一项试点研究，检查父母丧亲儿童创伤性悲伤的急性风险和保护因素。在这个K奖的背景下获得的培训将准备候选人提交R 01应用程序，旨在测试一个精致的，纵向模型的病因和创伤性悲伤的后果在父母丧子之痛。这项工作将有助于我们了解儿童创伤性悲伤的病因，过程和长期后果，并最终协助其评估，预防和治疗。