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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，饮食不适应(例如，暴饮暴食、食物限制)和持续性抑郁症状经常同时出现，而且随着时间的推移可能会相互加强。然而，人们对此知之甚少关于墨西哥裔美国人早期饮食不适应和抑郁症状的病因儿童与文化调节剂的差异如何影响跨诊断功能障碍的发展机制。之前的研究表明，培养出更强文化修养的墨西哥裔美国儿童适应墨西哥的做法(即，融入文化)可能比那些养成更倾向于美国的做法(即适应文化)。这项研究旨在绘制早期功能障碍的图谱墨西哥裔美国儿童饮食不适应与抑郁症状之间的机制发展，确定哪些特定症状对驱动功能障碍的机制影响最大，以及探索文化融入(保护性)和文化适应(风险)如何影响儿童的功能领域。我的长期研究目标是探索拉美裔美国人的心理和身体疾病轨迹以预测疾病的发病和病程，增加主流干预措施的有效性。与这一目标一致，本项目提出使用症状网络分析来检查 240名低收入人群饮食行为和抑郁症状的发展墨西哥裔美国儿童在6岁、7.5岁和9岁时被评估。基于现有的文献，我假设不适应饮食行为和抑郁症状之间的联系将成为随着时间的推移变得更强大。我还假设，对功能失调机制影响最大的症状随着时间的推移保持一致。最后，我假设，更多受文化熏陶的墨西哥裔美国儿童将与更多适应文化的墨西哥裔美国儿童相比，他们之间功能失调的联系更少。这将是第一个研究不适应饮食-抑郁症状网络的墨西哥裔美国儿童和第一个将文化发展视为潜在保护的人 (文化适应)和早期功能障碍的危险因素(文化适应)。结果将为重要的病因提供信息提出问题并确定最佳症状，以便在治疗中获得最大的治疗收益改善儿童饮食不适应与抑郁之间的联系。完成这项研究项目和培训计划将为我的早期职业研究计划奠定基础，并为下一步提供明确的重要机制的步骤及其相应的环境背景要探讨。心理上的，我的培训计划在文化和统计方面的严谨性将使我做好准备，以实现我的研究目标预测拉美裔人群的发病和病程。我坚信，经过来自中国的培训在这笔奖学金中，我将成为少数族裔心理学和行为健康领域的一笔财富。