Maladaptive Eating-Depression Symptom Networks across Mexican American Children's Cultural Development

墨西哥裔美国儿童文化发展中的适应不良饮食抑郁症状网络

基本信息

批准号：
10676775
负责人：
Juan Carlos Hernandez
金额：
--
依托单位：
ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-08-01 至 2023-08-02
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10676775
关键词：
9 year old Acculturation Adolescence Adoption Adult Age Automobile Driving Behavioral Child Child Behavior Checklist Child Development Childhood Cognition Data Depressed mood Development Diagnostic Early identification Eating Eating Behavior Eating Disorders Effectiveness Emotional Ethnic Population Etiology Family Feeling hopeless Fellowship Foundations Functional disorder Funding Goals Grant Hispanic Hispanic Populations Hybrids Hyperphagia Influentials Internet Intervention K-Series Research Career Programs Link Literature Low income Mainstreaming Maps Mental Depression Mental Health Mexican Mexican Americans Minority Modeling Moods National Institute on Minority Health and Health Disparities Outcome Pathway Analysis Play Probability Psyche structure Psychology Questionnaires Recommendation Reporting Research Research Project Grants Research Training Risk Risk Factors Role Sampling Severities Structure Symptoms System Time Training Variant Youth analytical tool behavioral health depressive symptoms diagnostic tool emotional eating ethnic minority experience food restriction health disparity improved innovation insight minority children network dysfunction network models physical conditioning protective factors psychologic racial population targeted treatment

项目摘要

Project Abstract: Research demonstrates that maladaptive eating (e.g., overeating, food restriction) and persistent depressive symptoms often co-occur and may reinforce each other over time. However, little is known regarding the etiology of early maladaptive eating and depressive symptoms among Mexican American children and how variations in cultural moderators impact the development of transdiagnostic dysfunctional mechanisms. Previous research suggests that Mexican American children who develop a stronger cultural orientation to Mexican practices (i.e., enculturation) may have better outcomes than those who develop a stronger orientation to U.S. practices (i.e., acculturation). This study aims to map early dysfunctional mechanisms between maladaptive eating and depressive symptoms across Mexican American child development, identify which specific symptoms are most influential to mechanisms driving dysfunction, and explore how enculturation (protective) and acculturation (risk) influence functional domains across childhood. My long-term research goal is to explore mental and physical illness trajectories among Hispanic populations to predict onset and course of illness and increase the effectiveness of mainstream interventions. Consistent with this goal, the current project proposes to use symptom network analysis to examine the development of maladaptive eating behaviors and depressive symptoms across a sample of 240 low-income Mexican American children assessed at ages 6, 7.5, and 9 years old. Grounded in the existing literature, I hypothesize that the association between maladaptive eating behaviors and depressive symptoms will become stronger across time. I also hypothesize that the symptoms most influential to dysfunctional mechanisms will remain consistent across time. Finally, I hypothesize that more enculturated Mexican American children will have less dysfunctional connections than more acculturated Mexican American children. This will be the first study to examine maladaptive eating–depression symptom networks among Mexican American children and the first to consider cultural development as a potential protective (enculturation) and risk (acculturation) factor of early dysfunction. Results will inform important etiological questions and identify optimal symptoms to target in treatment that can yield the most treatment gains for improving connections between maladaptive eating and depression in children. Completion of this research project and training plan will set the foundation for my early career program of research and provide clear next steps for important mechanisms and their corresponding environmental context to explore. The psychological, cultural, and statistical rigor of my training plan will prepare me to meet my goal of conducting research to predict onset and course of illness among Hispanic populations. I strongly believe that with the training from this fellowship, I will be an asset to the field of minority psychology and behavioral health.

项目摘要：研究表明，适应不良的饮食（例如暴饮暴食，食物限制）和持久抑郁症状通常会同时发生，并且可能会随着时间的流逝而相互加强。但是，鲜为人知关于墨西哥裔美国人的早期适应不良饮食和抑郁症状的病因儿童以及文化主持人的变化如何影响转诊功能障碍的发展机制。先前的研究表明，发展了更强大文化的墨西哥裔美国儿童墨西哥实践（即培养）的定位可能比发展的人更好对美国实践（即适应）的更强指导。这项研究旨在绘制早期功能失调墨西哥裔美国儿童的适应不良饮食与抑郁症状之间的机制开发，确定哪些特定症状对驱动功能障碍的机制影响最大，以及探索培养（保护性）和培养（风险）如何影响整个儿童期的功能领域。我的长期研究目标是探索西班牙裔的精神和身体疾病轨迹人群预测疾病的发作和进程，并提高主流干预的有效性。与这个目标一致，当前的项目建议使用症状网络分析来检查在240个低收入样本中发展适应不良的饮食行为和抑郁症状墨西哥裔美国儿童在6、7.5和9岁时评估。基于现有文献，我假设适应不良的饮食行为与抑郁症状之间的关联将成为跨时间更强壮。我还假设，对功能失调机制影响最大的症状将在整个时间内保持一致。最后，我假设更多文化的墨西哥裔美国儿童将与更多的墨西哥裔美国儿童相比，连接功能失调。这将是第一个检查适应不良饮食 - 抑郁症状网络网络的研究墨西哥裔美国儿童，也是第一个将文化发展视为潜在受保护的儿童（培养）和风险（适应）早期功能障碍的因素。结果将为重要的病因提供信息问题并确定可以在治疗中靶向的最佳症状改善儿童适应不良饮食与抑郁症之间的联系。完成这项研究项目和培训计划将为我的早期研究计划奠定基础，并提供明确的下一步重要机制及其相应的环境环境的步骤。心理，我的培训计划的文化和统计严格将为我做准备，以实现进行研究的目标预测西班牙裔人群中的发病和病程。我坚信，通过这个奖学金，我将成为少数民族心理学和行为健康领域的资产。