Coping among ethnic men sexually abused as chldren

应对儿童时期遭受性虐待的少数民族男性

• 批准号: 7714478
• 负责人: FRANK H GALVAN
• 金额: $ 11.23万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/7714478
• 关键词: Address; Adult; African American; American; Awareness; Behavioral; Biological; Biological Markers; Blood Pressure; Body mass index; Cardiovascular system; Catecholamines; Child; Child Sexual Abuse; Chronic stress; Cognitive; Country; Distress; Emotional; Ethnic group; European; Goals; Health; Hip region structure; Hispanics; Hormones; Hydrocortisone; Intervention; Interview; Latino; Measures; Mental Depression; Mental Health; Mental Health Services; Metabolic; Mission; Outcome; Participant; Patient Self-Report; Persons; Pilot Projects; Problem Solving; Psyche structure; Questionnaires; Recording of previous events; Recruitment Activity; Religion and Spirituality; Reporting; Risk; Saliva; Sampling; Services; Social support; Stress; Structure; Substance abuse problem; Taxes; Trauma; Urine; abdominal fat; allostatic load; base; coping; depressive symptoms; ethnic difference; ethnic minority population; experience; health care service utilization; health disparity; improved; interest; male; male health; men; psychologic; psychological distress; therapy design; trauma centers

Childhood sexual abuse (CSA) among males has frequently not been recognized, with a resulting underreporting of males as victims of CSA. The lack of awareness of men as sexual victims has been accompanied by a dearth of empirical studies on male CSA and attendant issues, such as the long-term psychological, behavioral and physical consequences experienced by such men. This study, entitled, "Coping Among Ethnic Men Sexually Abused as Children" focuses on ethnic minority men who have experienced CSA. It is interested in the relationships among coping strategies and mental and physical health for people with a history of CSA. The ultimate goal of this study is to elucidate these relationships for the eventual design of interventions to address the consequences of CSA. This study has the following aims: (1) To determine if there are ethnic differences in the use of various coping strategies (e.g., religious/spiritual coping, escape-avoidance, seeking social support, etc.) among men sexually abused as children; (2) To determine the relationships between various coping strategies, symptoms of depression and biomarkers of depression and chronic stress reflecting allostatic load, a composite of biomarkers representing cumulative stress history, among each of the ethnic groups; and, (3) To determine the relationships between various coping strategies and the utilization of mental health services among those with demonstrated need for such services for each ethnic group. One hundred and fifty men with a history of CSA will be recruited, with equal representations of African Americans, Latinos and non-Latino Whites. Participants will be recruited through a variety of means. Assessments will be made for depression, substance abuse, coping strategies, use of mental health services, and various covariates. Finally, urine and saliva samples and routine health indicators (e.g., body mass index and blood pressure) will be obtained to measure the cumulative biological effects of trauma ("allostatic load"). We plan to use this information as the basis for an R01 to develop interventions to reduce depression among men with CSA.

儿童期性虐待(CSA)在男性中经常没有被认识到，结果是 少报男性是CSA的受害者。缺乏对男性作为性受害者的认识一直是 伴随而来的是缺乏对男性CSA及其相关问题的实证研究，如长期 这些人所经历的心理、行为和身体后果。这项研究题为， 《在儿童期遭受性侵的少数民族男子的应对》关注的是有 经验丰富的CSA。它关注的是应对策略与心理和身体之间的关系 对有CSA病史的人的健康。这项研究的最终目标是阐明这些关系 旨在解决CSA后果的干预措施的最终设计。这项研究的目的如下： (1)确定各种应对策略(如宗教/精神应对策略)的使用是否存在种族差异 应对、逃避、寻求社会支持等)在儿童期性虐待的男性中； 确定不同应对策略、抑郁症状与生物标志物之间的关系 抑郁和慢性应激反映了不平衡负荷，代表累积的生物标记物的组合 讲历史，各民族之间；和，(3)确定各民族之间的关系 应对策略和对精神卫生服务的利用情况 为每个民族提供服务。150名有CSA病史的男性将被招募， 非裔美国人、拉丁裔和非拉丁裔白人的代表。参与者将通过以下方式招募 各种手段。将对抑郁、药物滥用、应对策略、使用 心理健康服务，以及各种协变量。最后，尿液和唾液样本与常规健康 将获得指标(例如，体重指数和血压)来衡量累积的生物 创伤的影响(“不平衡负荷”)。我们计划利用这些信息作为R01开发的基础 减少CsA男性患者抑郁的干预措施。