Understanding emotional regulation and mood in the real-world context of homelessness through the use of geographic ecological momentary assessment

通过地理生态瞬时评估了解无家可归者现实世界中的情绪调节和情绪

• 批准号: 10375385
• 负责人: Sara Semborski
• 金额: $ 3.08万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-01 至 2023-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10375385
• 关键词: Affect; Affective; Area; Clinical; Complex; Crime; Data; Data Set; Decision Making; Dependence; Diagnosis; Ecological momentary assessment; Emotional; Emotions; Environment; Exposure to; Foundations; Funding; Future; Geographic Information Systems; Geography; HIV risk; Health; Health Services Research; Homelessness; Hot Spot; Housing; Individual; Individual Differences; Intervention; Knowledge; Lead; Life; Mediating; Mental Health; Mental Health Services; Mental disorders; Methodology; Moods; National Institute of Mental Health; Patient Self-Report; Pattern; Personal Satisfaction; Persons; Physical environment; Policies; Population; Process; Psychopathology; Questionnaires; Recommendation; Recording of previous events; Reporting; Research; Research Personnel; Resources; Risk; Role; Sampling; Science; Services; Sexual abuse; Shelter facility; Social Environment; Suggestion; Suicide; Testing; Time; Training; United States; Validation; Violence; Work; aged; analytical method; base; behavioral health; career; emerging adult; emotion regulation; emotional abuse; emotional experience; experience; foster care; health care delivery; juvenile justice system; knowledge base; member; neglect; novel; physical abuse; response; service providers; sex; skills; social; substance use; supported housing; training opportunity; violence victimization; young adult

PROJECT SUMMARY Skills in emotional regulation (ER), defined as “strategies used to influence, experience, and modulate emotions” are important for decision-making processes and can help support the navigation of complex and chaotic settings. These skills may be especially important for the estimated one-in-ten young adults, aged 18- 25, who experience homelessness over the course of one year as they navigate frequently reported traumatic experiences related to homelessness, such as emotional, physical, and sexual abuse; institutional involvement through the foster care or juvenile justice systems; and violence and victimization before and after entering homelessness. Unfortunately, these traumatic experiences themselves can result in difficulties with ER, which in turn, can lead to mental health problems which are already higher among emerging adults who have experienced homelessness. To date few studies have examined ER skills, a transdiagnostic component underlying psychopathology, among emerging adults with history of homelessness, a heterogenous population with diverse mental health diagnoses. There is some evidence that skills in emotional regulation may be protective against suicidality and violence within this population; however, we do not have a clear, broad understanding of the role of emotional regulation in navigating the social and physical environments associated with homelessness. To increase understanding of the dynamics of ER difficulties and the role of social and physical environments, the current proposal poses to use data from the Log My Life Study, a NIMH-funded dataset (1R01 MH110206), which employed geographically explicit ecological momentary assessment (GEMA). GEMA integrates ecological momentary assessment (EMA) and geographic information systems science allowing for cross-validation and enrichment of research on place, well-being, and health. The aim of this work is to better understand how the social and physical contexts of homelessness may be related to ER difficulties and will be achieve through use of GEMA data. The sample consists of both formerly homelessness (residing in supportive housing) and currently homeless (street- or shelter-based) young adults who completed questionnaires and GEMA for a period of 7 days, with an average of 7 EMA prompts daily. Housing status will serve as a main analytic axis to understand ER as the analytic sample (n=224) includes both housed (n=122) and unhoused (n=102) young adults. The findings from this work will be used to develop recommendations for mental health service providers, direct service practitioners, and policymakers regarding how to further adapt service environments to meet the complex needs of at-risk young people, including interventions for homeless young adults. As part of the proposed study, the PI will develop skills to increase capacity for mental health services research, including expertise in use of EMA that includes use of geographic and spatial applications, and continue to build knowledge of foundations of mental and behavioral health for homeless and at-risk young adults.

项目摘要 情绪调节技能（ER），定义为“用于影响、体验和调节 “情绪”对决策过程很重要，可以帮助支持复杂的导航， 混乱的环境这些技能对于估计十分之一的18岁以下的年轻人来说尤其重要。 25岁的人在一年的时间里经历了无家可归的经历，因为他们经常报告创伤性的 与无家可归有关的经历，如情感，身体和性虐待;机构参与 通过寄养或少年司法系统;以及进入之前和之后的暴力和受害 无家可归不幸的是，这些创伤性经历本身可能导致急诊室的困难， 反过来，可能导致心理健康问题，这些问题已经在那些有 经历过无家可归。到目前为止，很少有研究检查ER技能，一个transdiagnosis组件 潜在的精神病理学，在有无家可归史的新兴成年人中，异质性人群 各种各样的心理健康诊断有一些证据表明，情绪调节的技能可能是 保护这一人群中的自杀和暴力;然而，我们没有一个明确的，广泛的 理解情绪调节在引导相关的社会和物理环境中的作用 无家可归。增加对ER困难的动态以及社会和 物理环境，目前的建议提出使用的数据从日志我的生活研究，一个NIMH资助的 数据集（1 R 01 MH 110206），采用地理上明确的生态瞬时评估 （GEMA）。GEMA集成了生态瞬时评估（EMA）和地理信息系统 科学允许对地点、福祉和健康的研究进行交叉验证和丰富。的目的 这项工作是为了更好地了解无家可归的社会和物质环境如何与ER相关 这是一个困难，并将通过使用GEMA数据来实现。样本包括以前无家可归的人 （居住在支持性住房）和目前无家可归（街头或庇护所）的年轻成年人， 调查问卷和GEMA持续7天，平均每天7次EMA提示。住房状况将 作为理解ER的主要分析轴，因为分析样本（n=224）包括两种封装（n=122） 和无房青年（n=102）。这项工作的结果将用于制定建议， 心理健康服务提供者、直接服务从业者和政策制定者如何进一步适应 提供服务环境，以满足处境危险的年轻人的复杂需求，包括对无家可归者的干预 年轻人作为拟议研究的一部分，PI将开发技能，以提高心理健康能力 服务研究，包括使用EMA的专业知识，包括地理和空间应用程序的使用， 并继续为无家可归和处于危险中的年轻人建立心理和行为健康基础的知识 成年人了