Coping among ethnic men sexually abused as chldren

简介(申请人提供)：我们建议成立一个为期五年、多种族及多学科的“创伤与精神健康合作中心”(CCTMHD)，以促进跨学科研究，探讨创伤经历对少数族裔人口的创伤后应激障碍、抑郁及相关的认知/情绪、行为、心理及生物过程的患病率及影响。总体目标是为减少与创伤暴露相关的精神健康差距的新战略提供信息。急性和慢性压力的多种来源结合在一起，在少数族裔的生活中产生累积影响，促使我们使用平衡负荷的概念框架来(1)描述暴力发生的社会文化背景；(2)在评估创伤事件时检查文化差异；(3)确定族裔群体内的保护和脆弱因素；以及(4)表征导致心理健康差异的精神健康症状和寻求帮助的表现。该中心由盖尔·怀亚特博士领导，与经验丰富的少数族裔心理健康研究人员团队合作，包括一个行政核心，负责协调和整合中心的所有活动，包括指导研究人员，以及一个方法和统计核心，负责为所有中心研究人员和项目提供方法学支持。项目1是一项为期4年的纵向研究，由M.Rodriguez博士领导，题为“拉美裔亲密伴侣暴力与心理健康结果”。他将在现有的205名拉丁裔母亲中调查创伤后应激障碍和抑郁、依恋和相关生物后遗症的纵向过程，这些母亲的亲密伴侣暴力史各不相同。项目2，“儿童性虐待(CSA)的披露和评估：与创伤后应激障碍、抑郁和相关生物标记物的关系”由J.Vargas-Carmona博士和T.Loeb博士领导。这项为期两年的试点研究集中在110名有CSA病史的黑人和拉丁裔女性中披露CSA和自责的影响。项目3是一项为期两年的先导性研究，题为“在儿童时期遭受性虐待的少数民族男子之间的应对”，由F·加尔文博士领导。他将招募150名拉丁裔和黑人男性，以检查应对策略的种族差异，以及他们作为心理痛苦、儿童期性创伤的生物影响和心理健康服务利用的可能调停者或调解人的作用。该中心将促进关于创伤和心理健康差距的最新研究，并为未来缩小这些差距的干预措施的发展提供信息。

DESCRIPTION (provided by applicant): We propose to establish a five-year, multi-ethnic and multi-disciplinary "Collaborative Center for Trauma and Mental Health" (CCTMHD) to promote interdisciplinary research examining the prevalence and impact of traumatic experiences on PTSD, depression and concomitant cognitive/emotional, behavioral, psychological and biological processes in ethnic minority populations. The overarching aim is to inform new strategies to reduce mental health disparities associated with trauma exposure. Multiple sources of acute and chronic stress combine to have a cumulative effect in the lives of ethnic minorities, giving rise to our use of the conceptual framework of allostatic load to (1) describe the socio-cultural context in which violence occurs; (2) examine cultural differences in the appraisal of traumatic events; (3) identify protective and vulnerability factors within ethnic groups; and (4) characterize the expression of mental health symptoms and help-seeking that contribute to mental health disparities. The Center, led by Dr. Gail Wyatt in collaboration with an experienced team of minority mental health researchers includes an Administrative Core, which will coordinate and integrate all Center activities including mentoring of investigators and a Methods & Statistics Core, which will be responsible for providing methodological support to all Center investigators and projects. Project 1 is a 4-year, longitudinal study, "Intimate Partner Violence and Mental Health Outcomes among Latinas", led by Dr. M. Rodriguez. He will investigate the longitudinal course of PTSD and depression, attachment and related biological sequelae in an existing cohort of 205 Latina mothers, who vary on intimate partner violence histories. Project 2, "Disclosure & Appraisal of Child Sexual Abuse (CSA): Relationships with PTSD, Depression, & Associated Biomarkers" is led by Drs. J. Vargas-Carmona and T. Loeb. This 2-year pilot study focuses on the impact of CSA disclosure and self-blame among 110 Black and Latina women with CSA histories. Project 3, a 2-year pilot study, "Coping among Ethnic Men Sexually Abused as Children", is led by Dr. F. Galvan. He will recruit 150 Latino and Black men to examine ethnic differences in coping strategies and their role as possible moderators or mediators of psychological distress, biological effects of childhood sexual trauma and mental health service utilization. This Center will stimulate state-of-the-art research on trauma and mental health disparities, and inform the development of future interventions to close these gaps.