CHILD BEREAVEMENT

描述(改编自申请者摘要)：本次调查 评估对失去亲人的儿童的预防性干预。这个 干预包括以育儿为中心的计划和平行的应对 儿童增强计划。预防计划的目的是 修改四个具体的风险和保护因素(即父母 温暖、稳定的积极事件、消极的生活事件和父母 士气低落)，这是在该中心之前的研究中发现的 调解父母死亡对儿童症状的影响，并 改进第五个可能的中介因素，即儿童的应对技能。这个 干预建立在之前开发的以家庭为基础的计划基础上 (Sandler等人，1991年，见附录A)。一项随机的田间试验 早期的预防计划显示出一些积极的效果，特别是 和大一点的孩子在一起。这个节目比上一个节目要好。 通过：a)纳入单独的家长和儿童干预组成部分； B)使用不同的小组，采用适合年龄的教学方法 青春期前和青春期儿童；以及c)1年随访结果 评估。 这项研究的具体目的是：1)评估 青海省丧亲儿童多因素预防性干预 产生：a)家庭环境的变化调节变量和 儿童的应对和(B)儿童抑郁和行为的变化 2)评估项目对家庭环境调解人的影响， 青少年(8-12岁)的应对方式和心理健康结果 3)评估对儿童的赡养费 1年后计划对调解人和症状学的影响 干预；4)用交叉法分别检验理论模型。 将家庭环境变量与家庭环境变量和 应对变量对心理健康症状的影响；5)检验理论 家庭环境和编码变量影响心理的模型 运用中介性分析对健康症状的影响 干预计划；6)评估决定计划的因素 参与。

DESCRIPTION (Adapted from Applicant's Abstract): This investigation evaluates a preventive intervention for bereaved children. The intervention includes a parenting-focused program and a parallel coping enhancement program for children. The prevention program is intended to modify four specific risk and protective factors, (i.e., parental warmth, stable positive events, negative life events, and parent demoralization) that have been found in the Center's previous research to mediate the effects of parental death on childrens' symptoms, and to improve a fifth putative mediator, children's coping skills. The intervention builds on a previously developed family-based program (Sandler et al., 1991, see Appendix A). A randomized field trial of the earlier prevention program showed some positive effects, particularly with older children. The present program improves on the previous one by: a) inclusion of separate parent and child intervention components; b) use of separate groups with age-appropriate teaching methods for preadolescent and adolescent children; and c) 1-year followup outcome evaluation. Specific aims of the study are to: 1) assess the effectiveness of a multi- component preventive intervention for bereaved children in producing: a) changes in the family environment mediating variables and children's coping and, b) changes in childrens' depression and conduct disorder; 2) assess program impact on family environment mediators, coping, and mental health outcomes separately for younger (aged 8-12 years) and older (aged 13-16) children; 3) assess maintenance of program effects on mediators and symptomatology 1 year after intervention; 4) separately test theoretical models by using the cross- sectional pre-test data that relate family environment variables and coping variables to mental health symptoms; 5) test the theoretical model whereby the family environment and coding variables affect mental health symptoms using mediational analysis of the effects of the intervention program; and 6) assess factors which determine program participation.