Natural disaster effects on aggressive children and their caretakers: Outcomes ac

自然灾害对攻击性儿童及其看护者的影响：结果

• 批准号: 8439222
• 负责人: JOHN E LOCHMAN
• 金额: $ 39.41万
• 依托单位: UNIVERSITY OF ALABAMA IN TUSCALOOSA
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-20 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8439222
• 关键词: Address; Adolescence; Aggressive behavior; Alcohol or Other Drugs use; Anxiety; Area; Attention; Attenuated; Autonomic nervous system; Behavioral; Caregivers; Characteristics; Child; Cognitive Therapy; Data; Data Collection; Diagnostic; Disasters; Disease; Disruptive Behavior Disorder; Distress; Emotional; Emotional disorder; Environment; Ethnic Origin; Event; Exposure to; Family; Family Characteristics; Funding; Galvanic Skin Response; Genes; Genetic Markers; Grant; Heart Rate; Intervention; Intervention Trial; Life; Link; Measures; Mental Depression; Mental Health Services; Natural Disasters; Nervous System Physiology; Outcome; Parenting behavior; Parents; Patient Self-Report; Physiological; Post-Traumatic Stress Disorders; Prevention Research; Psychophysiology; Public Health; Race; Research; Risk; Risk Factors; Role; Sampling; Scientific Advances and Accomplishments; Services; Sex Characteristics; Sinus Arrhythmia; Social Functioning; Social support; Socioeconomic Status; Stress; Substance abuse problem; Support System; Time; Tornadoes; Trauma; Youth; base; biopsychosocial; cohort; coping; follow-up; high risk; innovation; peer; public health relevance; respiratory; response; sex; social; substance use prevention; teacher; therapy design; trial comparing; tv watching

DESCRIPTION (provided by applicant): This study will examine the effects of a tornado-related natural disaster on children and parents participating in an ongoing substance use prevention trial and will allow a unique opportunity to examine changes in children's and parents' predisaster and postdisaster functioning on a comprehensive range of biopsychic- social indicators and on substance abuse and mental health service use in an already at-risk sample. Research on the service use, substance use, behavioral and emotional effects of natural disasters on children and their caretakers has received limited empirical attention, even though such disasters have considerable public health significance due to increases in disordered emotional and behavioral functioning and service use demands. Existing studies of the aftereffects of natural disasters on children are limited by not knowing how much the disaster changed the children's predisaster functioning. This will be the first disaster study that includes extensive data on children's behavioral, emotional, (teacher, parent, peer, and self reports), social (children's peer relations based on peer, teacher and self report) and psycho- physiological (skin conductance, heart rate, respiratory sinus arrhythmia) functioning both before and after disaster exposure. Another important innovation of the proposed study is that it will follow a sample of preadolescent children identified as being at-risk prior to the disaster. Thus, the sample is likely to be more heavily influenced by the disaster (Kaminer et al., 2005; Resnick, 1995; Weems et al., 2010), because the tornado that devastated the study area adds another set of risk factors to already vulnerable children. The specific aims of the project are: 1 To explore changes in functioning pre-to-post tornado in children (emotional, behavioral, social, academic, and autonomic nervous system functioning and substance use) and primary caretakers (emotional functioning and parenting practices); 2) To explore moderation of changes in child and caretaker functioning pre-to-post tornado by degree of tornado exposure, by pre- tornado child (sex, ethnicity, temperamental anxiety) and family (socioeconomic status, post-tornado negative life events, levels of family social support, parenting practices) characteristics and by gene-by- environment (degree of exposure to the tornado) effects; 3) To explore moderation of post-tornado rates of substance abuse, mental health service use and diagnostic outcomes by degree of tornado exposure and pre-tornado child and family characteristics and by caretakers' and children's changes in functioning; 4) To determine whether cognitive behavioral intervention (Coping Power) delivered after the tornado (Cohort 3 versus Cohorts 1 and 2) attenuates increases in behavioral and emotional problems after the tornado in a transdiagnostic fashion. The funding sought here would make it possible to address these aims by supporting the assessment of the existing intervention sample at more frequent and longer-term time points and on additional measures linked to the specific aims.

描述（由申请人提供）：本研究将研究龙卷风相关的自然灾害对参加正在进行的物质使用预防试验的儿童和父母的影响，并将提供一个独特的机会来研究儿童和父母在灾前和灾后的功能变化，这些变化包括生物心理-社会指标的综合范围，以及在已经处于危险中的样本中药物滥用和心理健康服务的使用。关于自然灾害对儿童及其照料者的服务使用、物质使用、行为和情感影响的实证研究得到的关注有限，尽管由于情绪和行为功能紊乱以及服务使用需求的增加，这些灾害具有相当大的公共卫生意义。现有的关于自然灾害对儿童的影响的研究受到限制，因为不知道灾难对儿童灾前功能的改变程度。这将是第一个灾难研究