Effects of Early and Prolonged Parent-Child Separation: Understanding Mental Health among Separated-Reunited Chinese American Children

早期和长期亲子分离的影响：了解失散重聚的华裔美国儿童的心理健康

基本信息

批准号：
10710057
负责人：
Shaobing Su
金额：
$ 4.35万
依托单位：
BOSTON COLLEGE
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：
2022-09-25 至 2023-12-15
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10710057
关键词：
Adolescence Adult Affect Age Area Asian Americans Award Back Biological Boston COVID-19 pandemic effects Caregivers Caucasians Child Child Care Child Development Child Mental Health Child Rearing Childhood China Chinese Chinese American Communities Compensation Country Data Development Discrimination Disparity Ethnic Origin Extended Family Face Family Foundations Gender Goals Grant High Prevalence Home Immigrant Immigration Individual Infant Institution Interpersonal Relations Intervention Intervention Studies Interview Knowledge Literature Low income Measures Mediating Mental Health Mental Health Services Mental disorders Mental health promotion Methodology Methods Migrant Modeling New York City Outcome Parents Participant Phase Policies Positioning Attribute Process Psychological Stress Recording of previous events Reporting Research Research Methodology Research Personnel Resources Risk Risk Factors Role Sampling School-Age Population Services Shapes Specific qualifier value Stress Structure Subgroup Surveys Testing Theory of Change Training United States Variant Writing Youth aged anti-Asian cohort college community based participatory research design emotional adjustment ethnic identity ethnic minority experience health disparity improved informant lens lower income families meetings mental development mental function migration modifiable risk negative affect preservation primary caregiver protective factors psychosocial racial minority resilience skills theories therapy development

项目摘要

PROJECT SUMMARY/ABSTRACT The goal of this K99/R00 proposal is to facilitate Dr. Shaobing Su's transition into the role of independent investigator focused on understanding how early and prolonged parent-child separation (i.e., separated at ages 0-6 for at least 6 months per year) shapes the mental health of separated-reunited children in the United States (US). This proposal builds on Dr. Su's strong foundation in quantitative and intervention research through a risk and resilience lens and her prior research on mental health and development of vulnerable children, especially children born to immigrants or migrants. Dr. Su seeks to expand her knowledge of the literature related to child development and parent-child separation as well as her repertoire of methodological skills, including cultural adaptation of theories, measures, and interventions for racial and ethnic minorities, qualitative and mixed- method research, Community Based Participatory Research (CBPR) approaches, and grant writing. This CBPR-based exploratory sequential mixed-methods research comprises 3 aims and 3 studies: Study 1 (Aim 1) will elucidate the mental health challenges that arise in Chinese American children with a history of early and prolonged parent-child separation; and identify potential processes that might influence mental health. Study 1 involves semi-structured interviews with Chinese separated-reunited children (N=48, aged 12-17) and their parents (N=48 primary caregiver parents). Study 2 (Aim 2) will examine mental health disparities and risks and resources between separated-reunited children and non-separated children; and explore the relationships among separation, risk, and protective factors at multiple levels, and affected children's mental health outcomes. Study 2 is a quantitative study among 200 Chinese American separated-reunited children and 200 non-separated children (aged 12-17). Study 3 (Aim 3) will identify focal areas and potential “active ingredients” to prioritize as components for development of a targeted intervention for affected children and families. Study 3 will use mixed-methods analyses to integrate qualitative (Study 1, Community Advisory Board recorded discussions) and quantitative findings (Study 2, Boston College seed grant) to seek convergence and divergence as the basis for a model of change and integrate it into existing family strengthening models for mental health interventions. The CBPR-based, mixed-methods research may deepen understanding of the impact of parent-child separation on child development and effects of multilevel risk and protective factors. Findings may inform intervention, policy, and practices for separated-reunited Chinese American children as well as other children affected by other forms of separation (e.g., children in institutional settings, children separated at the border). This award will support Dr. Su's transition to independent research in parent-child separation and mental health; and enable her to develop R01 proposals to adapt and evaluate family-strengthening interventions for affected children or to expand the research to other child cohorts with a longitudinal sequential design.

项目摘要/摘要该K99/R00建议的目标是促进Shaobing Su博士的过渡到独立的角色研究人员专注于了解早期和长期父母分离的时间（即年龄分离 0-6至少每年6个月）塑造美国分离的重组儿童的心理健康（我们）。该提议以风险为基础以及弹性镜头以及她先前关于脆弱儿童的心理健康和发展的研究，尤其是移民或移民出生的孩子。苏博士试图扩大她对与孩子有关的文献的了解发展和亲子分离以及她的方法论技巧的曲目，包括文化适应种族和少数民族的理论，措施和干预措施，定性和混合方法研究，基于社区的参与性研究（CBPR）方法和授予写作。这项基于CBPR的探索性顺序混合方法研究包括3个目标和3个研究：研究1（AIM 1）将阐明与患有的美国儿童所面临的心理健康挑战早期和长期亲子分离的历史；并确定可能影响的潜在过程心理健康。研究1涉及与中国分离的重生儿童的半结构化访谈（n = 48，年龄12-17岁）及其父母（n = 48个主要照顾者父母）。研究2（AIM 2）将检查精神健康分配以及单独重组之间的风险和资源儿童和未分离的孩子；并探索分离，风险和保护之间的关系多个级别的因素，并影响了儿童的心理健康成果。研究2是一项定量研究在200名中国分离的重组儿童和200名未分离的儿童中（12-17岁）。研究3（AIM 3）将确定焦点区域和潜在的“活性成分”，以优先考虑为受影响的儿童和家庭开发有针对性的干预措施。研究3将使用混合方法分析以整合定性（研究1，社区咨询委员会记录的讨论）和定量调查结果（研究2，波士顿学院种子赠款）寻求融合和分歧作为模型的基础将其更改并整合到现有的家庭加强模型中，以进行心理健康干预措施。基于CBPR的混合方法研究可能会加深对亲子的影响分离儿童发育以及多层次风险和保护因素的影响。调查结果可能会告知分居的美国西部儿童以及其他儿童的干预，政策和实践受其他形式的分离的影响（例如，机构环境中的儿童，在边境分离的儿童）。该奖项将支持SU博士过渡到亲子分离和心理方面的独立研究健康;并使她能够制定R01提案，以适应和评估家庭强度的干预措施受影响的儿童或通过纵向顺序设计将研究扩展到其他儿童队列。