Novel Mixed-Method Research and Training in Racism-Related Trauma and Mental Health Disparities Among Black Youth

拟议的K23的总体目标是支持Donte Bernard博士获得必要的技能，以 成为一名独立的健康差异调查员，拥有专注于解释的研究计划 以及减少黑人青年中与种族主义有关的创伤带来的心理健康后遗症。种族主义-- 与创伤相关的问题是黑人青年生活中普遍存在的重大公共卫生问题。然而， 缺乏研究来区分种族主义相关创伤相对于其他创伤的独特影响 痛苦的经历。此外，在识别与文化相关的概念方面仍然存在差距，这些概念可能 与种族主义有关的创伤和消极的精神健康结果之间的联系，可以作为 在发生与种族主义有关的事件后促进复原力的干预措施的可延展性目标。需要 这项高影响力的研究--因此，领导这项研究的训练有素的临床科学家--是重要的 与NIMHD的优先事项保持一致，科学地了解健康差距的原因，以改善 种族和少数民族社区的生活。拟议的K23直接解决了这些限制 通过有前途的候选人(在种族歧视研究方面有很强的基础，但需要额外的 培训)，这是一个全面的培训计划，由一群非常成功的导师和著名的 研究环境和新颖的混合方法研究，利用NIMH R01资助的积极纵向研究 关于受害儿童和心理健康的研究，以更好地了解(A)对种族的经历和反应-- 与种族主义有关的创伤(通过定性方法)；(B)种族主义相关创伤的独特影响--超越其他 心理社会创伤事件--关于心理健康后遗症的内化和外化；以及(C)种族主义如何-- 相关警觉性和种族认同影响种族主义相关创伤与心理健康之间的关系 随着时间的推移，结果是跨部门的。这些主要研究目的的发现将为初步的 促进种族主义相关创伤后心理健康复原力的治疗纲要(探索性 目标)。现场导师(Danielson博士、Hughes-Halbert博士、Moland博士和Mueller博士)在 儿童创伤应激研究，包括种族主义相关创伤、纵向方法和混合方法， 以及干预措施的制定和评估。场外导师(圣路易斯华盛顿大学的乔博士) 将在种族相关机制和外化心理健康检查方面提供额外的指导 与种族主义有关的经历。导师、课程、研讨会、工作坊和国家 K23提供的会议出席率将确保候选人实现众多培训目标， 例如，加强对种族主义相关创伤的了解；发展与种族有关的机制方面的专门知识，以 可能加强与种族主义有关的创伤和精神健康之间的关系；以及发展能力 在定性和混合方法中。K23活动将为伯纳德博士领导一个高影响力的项目做好准备， 精心设计的心理健康差异研究，重点关注黑人青年中与种族主义相关的创伤。

The overall objective of the proposed K23 is to support Dr. Donte Bernard in acquiring the skills necessary to become an independent health disparities investigator with a program of research focused on the explication and reduction of the mental health sequelae associated with racism-related trauma among Black youth. Racism- related trauma represents a significant public health concern that is ubiquitous in the lives of Black youth. Yet, there is a lack of research that has disentangled the unique effects of racism-related trauma relative to other traumatic experiences. Moreover, a gap remains in the identification of culturally relevant constructs that may underlie the link between racism-related trauma and negative mental health outcomes and may serve as malleable targets for interventions to promote resiliency in the aftermath of racism-related events. The need for this high impact research—and, as such, highly trained clinical scientists to lead this research—is significant and consistent with NIMHD priorities to scientifically understand the causes of health disparity in order to improve the lives of racial and ethnic minority communities. The proposed K23 directly addresses these limitations through a promising candidate (with a strong foundation in racial discrimination research but need for additional training), a comprehensive Training Plan that is supported by a team of highly successful mentors and renowned research environment, and novel, mixed methods research, leveraging an active NIMH R01-funded longitudinal study on child victimization and mental health, to better understand (a) experiences and responses to race- related trauma (via qualitative methods); (b) the unique effect of racism-related trauma—above and beyond other psychosocial traumatic events—on internalizing and externalizing mental health sequalae; and (c) how racism- related vigilance and racial identity influence the relationship between racism-related trauma and mental health outcomes cross sectionally and over time. Findings from these primary study aims will inform a preliminary outline for a treatment to promote mental health resiliency in the aftermath of racism-related trauma (Exploratory Aim). On-site mentors (Drs. Danielson, Hughes-Halbert, Moreland, and Mueller) have extensive knowledge in child traumatic stress research, including racism-related trauma, longitudinal and mixed-methods approaches, and intervention development and evaluation. An off-site mentor (Dr. Joe at Washington University in St. Louis) will provide additional guidance in race-related mechanisms and examinations of externalizing mental health in relation to racism-related experiences. The mentorship, coursework, seminars, workshops, and national conference attendance afforded by the K23 will ensure that the candidate achieves numerous training goals, such as enhancing knowledge of racism-related trauma; developing expertise in race-related mechanisms that may undergird the relationship between racism-related trauma and mental health; and developing competence in qualitative and mixed methods. The K23 activities will prepare Dr. Bernard to lead a program of high impact, rigorously designed mental health disparities research focusing on racism-related trauma among Black youth.