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， 成为一名独立的健康差异调查员，其研究计划专注于解释 并减少黑人青年中与种族主义有关的创伤相关的心理健康后遗症。种族主义- 相关创伤是一个重要的公共卫生问题，在黑人青年的生活中无处不在。然而， 缺乏研究，已经解开了种族主义相关的创伤相对于其他创伤的独特影响， 创伤经历此外，在确定文化相关结构方面仍然存在差距， 种族主义相关的创伤和消极的心理健康结果之间的联系，并可能作为 为促进种族主义相关事件后的复原力而采取的干预措施的可延展目标。需要 这项高影响力的研究--以及因此由训练有素的临床科学家领导这项研究--意义重大， 符合NIMHD的优先事项，科学地了解健康差异的原因，以改善 种族和少数民族社区的生活。建议的K23直接解决了这些限制 通过一个有前途的候选人（在种族歧视研究方面有很强的基础，但需要更多的 培训），这是一个全面的培训计划，由一个非常成功的导师团队和著名的 研究环境，以及新颖的混合方法研究，利用积极的NIMH R 01资助的纵向 关于儿童受害和心理健康问题的研究，以更好地了解（a）种族歧视问题的经历和反应， （B）与种族主义有关的创伤的独特影响-高于和超越其他 社会心理创伤事件-心理健康后遗症的内在化和外在化;以及（c）种族主义- 相关的警惕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 跨部门和跨时期的成果。这些主要研究目标的结果将为初步的 在种族主义相关创伤后促进心理健康恢复力的治疗纲要（探索性 Aim）。现场导师（Danielson博士、Hughes-Halbert博士、莫兰博士和Mueller博士）在以下方面具有丰富的知识： 儿童创伤应激研究，包括与种族主义有关的创伤，纵向和混合方法， 以及干预措施的制定和评估。一位场外导师（圣路易斯华盛顿大学的乔博士） 将在种族相关机制和外部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，讲习班，和国家 K23提供的会议出席将确保候选人实现众多培训目标， 例如提高对种族主义相关创伤的认识;发展与种族有关的机制方面的专门知识， 可能加强与种族主义有关的创伤和心理健康之间的关系; 在定性和混合方法。K23活动将为伯纳德博士领导一个具有高度影响力的项目做好准备， 严格设计的心理健康差异研究，重点是黑人青年中与种族主义有关的创伤。

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.