Intergenerational impact of war: A prospective longitudinal study

战争的代际影响：一项前瞻性纵向研究

• 批准号: 8691944
• 负责人: Theresa Stichick Betancourt
• 金额: $ 52.48万
• 依托单位: HARVARD SCHOOL OF PUBLIC HEALTH
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-10 至 2017-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8691944
• 关键词: 17 year old; Adult; Adverse effects; Affect; Africa South of the Sahara; African; Age; Behavioral; Biological; Child; Child Rearing; Child health care; Childhood; Cognitive; Collaborations; Communities; Community Participation; Conflict (Psychology); Country; Data Collection; Developed Countries; Development; Economic Development; Emotional; Enrollment; Ensure; Environment; Europe; Family; Family Process; Family Violence; Family dynamics; Female; Future Generations; Gender; Government; Health; Holocaust; Human Rights; Impairment; Individual; Institution; Interruption; Intervention; Interview; Knowledge; Link; Long-Term Effects; Longitudinal Studies; Measures; Mediating; Mental Depression; Mental Health; Military Personnel; Modeling; National Institute of Child Health and Human Development; Outcome; Parent-Child Relations; Parenting behavior; Parents; Participant; Personal Satisfaction; Population; Population Heterogeneity; Poverty; Problem behavior; Public Health; Refugees; Research; Research Design; Research Personnel; Resources; Risk; Risk Factors; Role; Security; Sierra Leone; Social Functioning; Social Network; Social support; Soldier; Source; Spouses; Stress; Surveys; Survivors; Terrorism; Trauma; Violence; War; Youth; arm; cohort; contextual factors; design; effective intervention; emotion regulation; experience; global health; improved; innovation; interest; intergenerational; intimate partner violence; male; member; offspring; physical conditioning; post-traumatic stress; prospective; public health relevance; resilience; social; social stigma; stressor; theories; therapy design; therapy development; transmission process; young adult

DESCRIPTION (provided by applicant): War-related violence is an impediment to the health and development of young people; it threatens their adult functioning and the well-being of future generations. Prior research has demonstrated high rates of emotional and behavioral problems among war-affected youth. These problems may be exacerbated in the post-conflict setting, where dramatic societal disruptions are compounded by poverty, poor educational access, and loss of key sources of familial and community support. Currently, 15 African countries are involved in war, or are experiencing post-conflict instability. Despite the high burden of conflict in sub-Saharan Africa, understanding of the intergenerational effects of such experiences is limited to studies in industrialized countries, such as those focused on the effects of the Holocaust in Europe. In diverse populations, understanding how childhood war-related experiences and post-conflict stressors influence the well-being and functioning of adults as well as the health and development of their offspring is crucial to designing effective interventions. I particular, as war-affected youth start families of their own, opportunities exist to examine how child rearing is influenced by childhood war experiences and interruptions in social relationships due to war. The proposed research will significantly advance knowledge of the intergenerational effects of war in diverse cultural groups using ecological developmental theory to study mechanisms of the intergenerational transmission of violence as well as resilience operating in individuals, families, and communities. Building on a rare prospective longitudinal study of former child soldiers and other youth exposed to war in Sierra Leone, the study will conduct a fourth wave of data collection in a cohort (N=529), first interviewed in 2002 as 10-17 year- olds, to examine the long-term effects of war experiences on adult and family mental health and functioning. A key innovation of the proposed study is the enrollment of the offspring and intimate partners of the original cohort. An expanded survey battery will assess family dynamics, parenting, intimate partner relationships, family violence, and the physical, cognitive, and emotional development of offspring. Analyses will explore mechanisms linking individual, family, and child outcomes to conflict-related experiences and post-conflict adversities and resources. The research is intended to identify parental factors, family processes, and societal mechanisms to target in interventions to help war-affected children and families achieve their full potential or healthy and productive lives. Active participation of Community Advisory Boards and strong collaborations between investigators and local institutions will inform the study design, ensure strong retention of participants and provide channels for dissemination. Research findings will identify priorities for interventions to assist diverse populations affected by war, including refugees from war-torn regions who have resettled in the US.

描述（由申请人提供）： 与战争有关的暴力妨碍青年人的健康和发展;威胁到他们成年后的功能和后代的福祉。先前的研究表明，受战争影响的青年中情绪和行为问题的发生率很高。这些问题在冲突后环境中可能会加剧，因为在冲突后环境中，贫穷、受教育机会少以及失去家庭和社区支助的主要来源，使严重的社会混乱更加严重。目前，有15个非洲国家卷入战争，或正在经历冲突后的不稳定。尽管撒哈拉以南非洲的冲突负担沉重，但对这种经历的代际影响的了解仅限于工业化国家的研究，例如侧重于影响的研究 欧洲大屠杀在不同的人群中，了解儿童时期与战争有关的经历和冲突后压力因素如何影响成年人的福祉和功能及其后代的健康和发展，对于设计有效的干预措施至关重要。特别是，随着受战争影响的青年开始组建自己的家庭，有机会研究儿童抚养如何受到童年战争经历和战争造成的社会关系中断的影响。拟议的研究将大大推进知识的代际影响的战争在不同的文化群体使用生态发展理论，研究暴力的代际传递机制，以及在个人，家庭和社区的弹性操作。在对塞拉利昂前儿童兵和其他受战争影响的青年进行的一项罕见的前瞻性纵向研究的基础上，这项研究将在一个队列（N=529）中进行第四波数据收集，第一次访谈是在2002年，年龄为10-17奥尔兹，以审查战争经历对成人和家庭心理健康和功能的长期影响。拟议研究的一个关键创新是招募了原始队列的后代和亲密伴侣。一个扩大的调查组合将评估家庭动态、养育子女、亲密伴侣关系、家庭暴力以及后代的身体、认知和情感发展。分析将探讨将个人、家庭和儿童的结果与冲突相关经历和冲突后逆境和资源联系起来的机制。这项研究的目的是确定父母因素、家庭进程和社会机制，以便在干预措施中有针对性地帮助受战争影响的儿童和家庭充分发挥潜力或过上健康和富有成效的生活。社区咨询委员会的积极参与以及研究者和当地机构之间的密切合作将为研究设计提供信息，确保参与者的强有力保留并提供传播渠道。研究结果将确定干预措施的优先事项，以帮助受战争影响的不同人群，包括来自饱受战争蹂躏地区并在美国重新定居的难民。