Resilience through the High School Years

高中时期的韧性

• 批准号: 8049050
• 负责人: LESLIE B WHITBECK
• 金额: $ 60.87万
• 依托单位: UNIVERSITY OF NEBRASKA LINCOLN
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-07-01 至 2013-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8049050
• 关键词: 14 year old; Accidental Injury; Accidents; Achievement; Adolescence; Adolescent; Adult; Affect; Age; Age of Onset; Agreement; Alcohol abuse; Alcohol or Other Drugs use; American Indians; Anger; Behavior; Behavioral; Characteristics; Child; Comorbidity; Companions; Conduct Disorder; Criminal Justice; Data; Data Collection; Depressed mood; Development; Diagnostic; Discrimination; Disease; Economics; Educational workshop; Emotional; Enrollment; European; Event; Exercise; Extended Family; Failure; Family; Feeling hopeless; Female; Foundations; Funding; Gender; Goals; Government; Guide prevention; Health; Impulse Control Disorders; Indigenous; Interruption; Intervention; Left; Life; Life Cycle Stages; Longitudinal Studies; Measures; Mental Health; Mental Health Services; Mental disorders; Mentors; Minority; Modeling; Mood Disorders; Mothers; Motion; National Institute of Mental Health; Ojibwe; Only Child; Outcome; Parents; Pathway interactions; Pattern; Physical aggression; Play; Pregnancy; Prevalence; Prevention; Prevention Research; Prevention program; Problem behavior; Prospective Studies; Provider; Recruitment Activity; Reporting; Research; Research Personnel; Reservations; Risk; Risk Factors; Risk-Taking; Rural; Rural Community; Schools; Self Destructive Behavior; Social Environment; Social Work; Source; Specific qualifier value; Spirituality; Substance Use Disorder; Substance abuse problem; Symptoms; System; Training; Translating; Translational Research; Translations; Tribal Elders; Universities; Variant; Violence; Work; Youth; aged; base; career; cohort; contextual factors; critical period; depressive symptoms; deprivation; early onset; early onset substance use; experience; externalizing behavior; falls; follow-up; graduate student; health care service utilization; high school; innovation; meetings; next generation; prevent; programs; prospective; psychologic; resilience; social; suicidal behavior; theories; tribal member

DESCRIPTION (provided by applicant): This resubmitted competitive continuation seeks to extend a highly successful longitudinal, diagnostic study of 345 tribally enrolled Ojibwe children (aged 10-12 years at wave 1) and 465 of their caretakers through adolescence and the high school years. The continuation would support four additional waves of data from ages 14 16 years through ages 17 19 years. This study and its companion study of 401 Ojibwe children and 511 of their caretakers (launched one year earlier) make up the only contemporary longitudinal diagnostic study of American Indian children at these ages.The overall goal of this continuation is to investigate the effects of early onset emotional/behavioral problems and mental disorders reported in the first four waves on adjustment, mental disorder, and mental health services utilization patterns during the critical high school years. The study will use prospective data to 1) investigate culturally specific protective factors that exist within the Ojibwe culture that may prevent, delay, or reduce the consequences of early onset emotional and behavioral problems and mental disorders; and 2) investigate risk factors that are associated with indiviudal characteristics and the historical and social contexts of Ojibwe children during their high school years. Our baseline data indicate the prevalence rate for a single mental disorder increased from 26.2 percent to 44.8 percent between the ages of 10-12 years and 13-15 years and that the prevalence of two or more mental disorders [more than doubled from 10.4 percent to 26.6 percent] (combined DISC 4.0 child and female caretaker reports). The historical and social contexts of reservations/reserve present a unique developmental context for American Indian and Canadian First Nations adolescents. This prospective study is ideally situated to investigate important cultural variation in developmental pathways: 1) it incorporates culturally adapted key constructs of risk and protective factors; 2) it provides innovative new culturally specific measures of risk and protective factors that were created at the study's onset; and 3) it will provide information regarding the influence of early onset of emotional/behavioral problems and mental disorders on critical transitions and adjustment as the adolescents move through their high school years. The investigators are working closely with the tribal governments to translate these findings into empirically-based preventions aimed at reducing early onset emotional, behavioral and substance abuse problems among Ojibwe children. PUBLIC HEALTH RELEVANCE: This is the only current longitudinal diagnostic study of Indigenous adolescents beginning at ages 10-12 years and continuing through the high school years. The study has already documented a mental health/substance use crisis on the reservations and reserves with approximately one-fourth of the youth meeting lifetime criteria for conduct disorder or a substance abuse disorder at ages 13 15 years. The prevalence of lifetime single mental disorders is 44.8 percent, a rate comparable to that of adults in the National Comorbidity Study Replication. These results will guide prevention research in terms of optimal ages for interventions, gender specific risk and protective factors, and culturally specific risk and protective factors.

描述（由申请人提供）：这种重新提交的竞争性延续旨在扩展一项非常成功的纵向，诊断研究，对345个部落入学的Ojibwe儿童（在第1浪的10-12岁之间）和465名看护人的看护人和高中年份。延续将支持从14 16岁到17岁的14岁年龄段的另外四个数据浪潮。这项研究及其对401名Ojibwe儿童及其511名看护人（一年前推出）的同伴研究构成了这些年龄段的美洲印第安儿童的唯一当代纵向诊断研究。这种延续的总体目的是研究早期发作的情绪/行为问题和精神疾病的影响，在智力障碍和精神障碍和精神障碍的前四个WAVE中报道了对临床的疾病，并在精神障碍上进行了调整。该研究将使用前瞻性数据1）研究Ojibwe文化中可能预防，延迟或减少早期发作情绪和行为问题以及精神障碍的后果的文化保护因素； 2）调查与独立特征以及Ojibwe儿童在高中时期的历史和社会背景相关的危险因素。我们的基线数据表明，单个精神障碍的患病率从10-12岁和13-15岁之间的26.2％增加到44.8％，并且两种或多种精神障碍的患病率（从10.4％的10.4％增加到26.6％）（合并的椎间盘4.0儿童和女性看守者报告）。保留/储备的历史和社会背景为美洲印第安和加拿大原住民青少年带来了独特的发展环境。这项前瞻性研究是理想地研究发育途径中重要的文化差异：1）它结合了风险和保护因素的文化改编的关键构造； 2）它提供了创新的新文化特定风险和保护因素的衡量标准； 3）它将提供有关情绪/行为问题和精神障碍早期发作对关键过渡和调整的影响的信息，因为青少年在高中时期的发展。调查人员正在与部落政府紧密合作，将这些发现转化为基于经验的预防，旨在减少Ojibwe儿童的早期发作，行为和药物滥用问题。公共卫生相关性：这是目前唯一的纵向诊断研究，从10至12岁开始，一直持续到高中时代。该研究已经记录了在约13岁15岁时的预订和储备中的心理健康/药物使用危机，这些预订和储备金约为终生造成的行为障碍或药物滥用障碍。终生单个精神疾病的患病率为44.8％，这是与国家合并症研究复制中成年人相当的率。这些结果将以最佳年龄的干预措施，特定性别风险和保护因素以及具有文化特定风险和保护因素的最佳年龄来指导预防研究。