Cultural Resilience of Rural and Remote Ojibwe Families

描述(申请人提供)：本申请是对公告的回应 PA-00-082，农村和边境人群中的精神障碍研究。它 寻求五年资金用于350名Ojibwe的纵向诊断研究 10岁至12岁(4-6年级)的儿童及其父母 生活在明尼苏达州北部的两个美洲印第安人乡村保留地和 威斯康星州和三个更偏远、经济欠发达的加拿大保护区。 此应用程序来自于与Ojibwe乐队在 通过NIDA资助的中西部上段基础(DA 13580)和预防(DA 10049)研究计划。拟议研究的目的是确定 精神障碍的前兆和问题的外化和内化 症状和评估特定的文化风险和保护因素 在之前的研究中已经确定了。一种很有希望的模型将被研究 提出文化保护因素(例如，传统习俗、 传统灵性和Ojibwe身份)高于其他 奥吉布儿童的复原力因素。此外，特定的文化风险 (例如，与预订相关的歧视和负面生活事件 生命)的作用增加了这一人群的风险，即使当其他危险因素 都被考虑过了。风险和保护因素将根据以下方面进行评估 偏远地区(例如加拿大的储量)与同化程度较高的 经济上；发达的美国保留地。使用计算机辅助个人 面谈时，将对儿童进行品行障碍筛查(光盘4.0)， 对立违抗障碍，注意缺陷多动障碍， 物质滥用障碍、严重抑郁和广泛性焦虑障碍。 子报告和父报告都将用于诊断和症状 报告。父母将接受精神障碍(药物滥用)的筛查 障碍、反社会人格障碍、严重抑郁和泛化 焦虑障碍)。此外，为了检验文化风险的模型 和保护因素，我们还将调查正式和非正式的帮助 在农村和偏远社区的奥吉布人中寻找。此应用程序 非常具有成本效益，因为如果获得资金，它将延长正在进行的NIDA 资助对450个奥吉布韦家庭进行的纵向诊断研究(DA 13580) 总共有800个美洲印第安人和第一民族家庭在六个保留地和 三个偏远的加拿大保护区。它将允许更复杂的调查 通过增加样本的大小和多样性以及 增加新的维度(例如，传统知识和服务的差异 利用)对这项研究。

DESCRIPTION (provided by applicant): This application responds to announcement PA-00-082, Research on Mental Disorders in Rural and Frontier Populations. It seeks five years of funding for a longitudinal diagnostic study of 350 Ojibwe children aged ten through twelve years (4th - 6th grades) and their parents who live on two rural American Indian reservations in northern Minnesota and Wisconsin and three more remote, less economically developed Canadian reserves. This application draws from more than six years of work with Ojibwe Bands in the upper Midwest through NIDA funded basic (DA 13580) and prevention (DA 10049) research programs. The purpose of the proposed research is to identify precursors of mental disorder and problematic externalizing and internalizing symptoms and to evaluate specific cultural risks and protective factors identified in previous research. A promising model will be investigated that proposes that cultural protective factors (e.g., traditional practices, traditional spirituality, and Ojibwe identity) operate over and above other resiliency factors for Ojibwe children. In addition, specific cultural risks (e.g., discrimination and negative life events associated with reservation life) function to increase risk to this population even when other risk factors are considered. Risks and protective factors will be evaluated in terms of remote location (e.g., the Canadian reserves) vs. the more assimilated and economically; developed U.S. reservations. Using computer assisted personal interviewing, the children will be screened (DISC 4.0) for Conduct Disorder, Oppositional Defiant Disorder, Attention Deficit Hyperactivity Disorder, Substance Abuse Disorder, Major Depression, and Generalized Anxiety Disorder. Both child and parent reports will be used for both diagnostic and symptom reports. Parents will be screened for mental disorder (Substance Abuse Disorder, Antisocial Personality Disorder, Major Depression, and Generalized Anxiety Disorder) at year 1. In addition, to examining a model of cultural risk and protective factors, we will also investigate formal and informal help seeking among Ojibwe people in rural and remote communities. This application is extremely cost effective in that if funded it will extend an ongoing NIDA funded longitudinal diagnostic study (DA 13580) of 450 Ojibwe families for a total of 800 American Indian and First Nation families on six reservations and three remote Canadian reserves. It will allow more sophisticated investigation of cultural effects by increasing both the size and diversity of the sample and add new dimensions (e.g. variance in traditional knowledge and service utilization) to the study.