Coping among ethnic men sexually abused as chldren

描述（由申请人提供）：我们建议建立一个为期五年，多种族和多学科的“创伤和心理健康合作中心”（CCTMHD），以促进跨学科研究，检查创伤经历对创伤后应激障碍，抑郁症和伴随的认知/情感，行为，心理和生物过程中的少数民族人口的患病率和影响。总体目标是为减少与创伤暴露相关的心理健康差异的新战略提供信息。急性和慢性压力的多种来源联合收割机结合在一起，对少数民族的生活产生累积影响，促使我们使用非稳态负荷的概念框架来：（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）确定少数民族群体内的保护和脆弱因素;（4）在少数民族群体中建立一个非稳态负荷的概念框架。（4）表征心理健康症状的表达和寻求帮助有助于心理健康差异。该中心由Gail Wyatt博士领导，与经验丰富的少数民族心理健康研究人员团队合作，包括一个行政核心，负责协调和整合所有中心活动，包括研究人员的指导和方法与统计核心，负责为所有中心研究人员和项目提供方法支持。项目1是一项为期4年的纵向研究，“拉丁美洲人的亲密伴侣暴力和心理健康结果”，由M。罗德里格斯他将调查PTSD和抑郁症，依恋和相关的生物后遗症在现有的队列205拉丁裔母亲，谁不同的亲密伴侣暴力史的纵向过程。项目2，“儿童性虐待（CSA）的披露和评估：与创伤后应激障碍，抑郁症和相关生物标志物的关系”是由J。勒布这项为期2年的试点研究的重点是CSA披露和自责之间的影响110个黑人和拉丁美洲妇女与CSA的历史。项目3是一项为期两年的试点研究，题为“少数民族男子在儿童时期遭受性虐待的应对”，由F。加尔文他将招募150名拉丁裔和黑人男性，研究应对策略的种族差异，以及他们作为心理困扰，儿童性创伤和心理健康服务利用的生物学影响的可能调节者或调解者的作用。该中心将促进对创伤和心理健康差距的最先进的研究，并为未来干预措施的发展提供信息，以缩小这些差距。

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.