Coping among ethnic men sexually abused as chldren

项目描述（由申请人提供）：我们建议建立一个为期五年、多民族、多学科的“创伤与心理健康合作中心”（CCTMHD），以促进跨学科研究，探讨创伤经历对少数民族人群创伤后应激障碍、抑郁症及其伴随的认知/情绪、行为、心理和生物学过程的患病率和影响。总体目标是告知新的战略，以减少与创伤暴露相关的心理健康差异。急性和慢性压力的多种来源结合在一起，在少数民族的生活中产生了累积效应，导致我们使用适应负荷的概念框架来描述暴力发生的社会文化背景；(2)研究创伤性事件评价中的文化差异；(3)确定族群内部的保护性和脆弱性因素；(4)表征导致心理健康差异的心理健康症状和求助的表达。该中心由Gail Wyatt博士领导，与经验丰富的少数民族心理健康研究团队合作，包括一个行政核心，负责协调和整合中心的所有活动，包括指导研究人员和一个方法与统计核心，负责为中心所有研究人员和项目提供方法支持。项目1是一项为期4年的纵向研究，题为“拉丁美洲人的亲密伴侣暴力和心理健康结果”，由M. Rodriguez博士领导。他将调查现有的205名拉丁裔母亲的创伤后应激障碍和抑郁症的纵向病程，依恋和相关的生物后遗症，这些母亲在亲密伴侣暴力史上有所不同。项目二，“儿童性虐待（CSA）的披露与评估：与创伤后应激障碍、抑郁症及相关生物标志物的关系”，由dr。J. Vargas-Carmona和T. Loeb。本研究历时两年，主要研究了110名有CSA病史的黑人和拉丁裔女性的CSA披露和自责的影响。项目3是一项为期两年的试点研究，名为“少数民族男性在儿童时期遭受性虐待的应对方式”，由F. Galvan博士领导。他将招募150名拉丁裔和黑人男性来研究应对策略上的种族差异及其在心理困扰、儿童性创伤的生物效应和心理健康服务利用方面的调节或中介作用。该中心将促进对创伤和心理健康差异的最先进的研究，并为未来干预措施的发展提供信息，以缩小这些差距。

DESCRIPTION (provided by applicant): We propose to establish a five-year, multi-ethnic and multi-disciplinary "Collaborative Center for Trauma and Mental Health" (CCTMHD) to promote interdisciplinary research examining the prevalence and impact of traumatic experiences on PTSD, depression and concomitant cognitive/emotional, behavioral, psychological and biological processes in ethnic minority populations. The overarching aim is to inform new strategies to reduce mental health disparities associated with trauma exposure. Multiple sources of acute and chronic stress combine to have a cumulative effect in the lives of ethnic minorities, giving rise to our use of the conceptual framework of allostatic load to (1) describe the socio-cultural context in which violence occurs; (2) examine cultural differences in the appraisal of traumatic events; (3) identify protective and vulnerability factors within ethnic groups; and (4) characterize the expression of mental health symptoms and help-seeking that contribute to mental health disparities. The Center, led by Dr. Gail Wyatt in collaboration with an experienced team of minority mental health researchers includes an Administrative Core, which will coordinate and integrate all Center activities including mentoring of investigators and a Methods & Statistics Core, which will be responsible for providing methodological support to all Center investigators and projects. Project 1 is a 4-year, longitudinal study, "Intimate Partner Violence and Mental Health Outcomes among Latinas", led by Dr. M. Rodriguez. He will investigate the longitudinal course of PTSD and depression, attachment and related biological sequelae in an existing cohort of 205 Latina mothers, who vary on intimate partner violence histories. Project 2, "Disclosure & Appraisal of Child Sexual Abuse (CSA): Relationships with PTSD, Depression, & Associated Biomarkers" is led by Drs. J. Vargas-Carmona and T. Loeb. This 2-year pilot study focuses on the impact of CSA disclosure and self-blame among 110 Black and Latina women with CSA histories. Project 3, a 2-year pilot study, "Coping among Ethnic Men Sexually Abused as Children", is led by Dr. F. Galvan. He will recruit 150 Latino and Black men to examine ethnic differences in coping strategies and their role as possible moderators or mediators of psychological distress, biological effects of childhood sexual trauma and mental health service utilization. This Center will stimulate state-of-the-art research on trauma and mental health disparities, and inform the development of future interventions to close these gaps.