Cultural Resilience of Rural and Remote Ojibwe Families

描述（由申请人提供）：本申请响应公告 PA-00-082，农村和边境人口精神障碍研究。它 寻求五年的资金，用于350 Ojibwe的纵向诊断研究 10至12岁（4 - 6年级）的儿童及其父母， 生活在明尼苏达州北方的两个美国印第安人保留地， 威斯康星州和三个更偏远、经济欠发达的加拿大保护区。 此应用程序来自Ojibwe Bands六年多的工作， 上中西部通过NIDA资助的基本（DA 13580）和预防（DA #20049;研究项目。本研究的目的是确定 精神障碍的前兆和有问题的外化和内化 症状，并评估特定的文化风险和保护因素 在以前的研究中发现。将研究一个有前途的模型， 建议文化保护因素（例如，传统习俗， 传统的灵性，和Ojibwe身份）的运作超过其他 Ojibwe儿童的复原力因素。此外，具体的文化风险 (e.g.,与保留相关的歧视和负面生活事件 生命）的功能，以增加风险，这一人群，即使其他风险因素 考虑了风险和保护因素将根据以下方面进行评估： 远程位置（例如，加拿大储备）与更多的同化和 经济上;发达的美国保留地。使用计算机辅助个人 面试时，儿童将接受行为障碍筛查（DISC 4.0）， 对立违抗性障碍，注意力缺陷多动障碍， 物质滥用障碍、重度抑郁症和广泛性焦虑症。 子报告和父报告将用于诊断和症状 报道将对父母进行精神障碍（物质滥用）筛查 精神障碍、反社会人格障碍、重性抑郁症和广义 焦虑症（第1年）。此外，为了检验文化风险模型 和保护因素，我们还将调查正式和非正式的帮助， 在农村和偏远社区的Ojibwe人中寻找。本申请 是非常具有成本效益的，如果得到资助，它将延长正在进行的NIDA 资助的450个Ojibwe家庭的纵向诊断研究（DA 13580）， 共有800个美国印第安人和第一民族家庭在六个保留地， 三个偏远的加拿大保护区它将允许更复杂的调查 通过增加样本的规模和多样性来研究文化效应， 增加新的方面（例如传统知识和服务的差异 利用）进行研究。

DESCRIPTION (provided by applicant): This application responds to announcement PA-00-082, Research on Mental Disorders in Rural and Frontier Populations. It seeks five years of funding for a longitudinal diagnostic study of 350 Ojibwe children aged ten through twelve years (4th - 6th grades) and their parents who live on two rural American Indian reservations in northern Minnesota and Wisconsin and three more remote, less economically developed Canadian reserves. This application draws from more than six years of work with Ojibwe Bands in the upper Midwest through NIDA funded basic (DA 13580) and prevention (DA 10049) research programs. The purpose of the proposed research is to identify precursors of mental disorder and problematic externalizing and internalizing symptoms and to evaluate specific cultural risks and protective factors identified in previous research. A promising model will be investigated that proposes that cultural protective factors (e.g., traditional practices, traditional spirituality, and Ojibwe identity) operate over and above other resiliency factors for Ojibwe children. In addition, specific cultural risks (e.g., discrimination and negative life events associated with reservation life) function to increase risk to this population even when other risk factors are considered. Risks and protective factors will be evaluated in terms of remote location (e.g., the Canadian reserves) vs. the more assimilated and economically; developed U.S. reservations. Using computer assisted personal interviewing, the children will be screened (DISC 4.0) for Conduct Disorder, Oppositional Defiant Disorder, Attention Deficit Hyperactivity Disorder, Substance Abuse Disorder, Major Depression, and Generalized Anxiety Disorder. Both child and parent reports will be used for both diagnostic and symptom reports. Parents will be screened for mental disorder (Substance Abuse Disorder, Antisocial Personality Disorder, Major Depression, and Generalized Anxiety Disorder) at year 1. In addition, to examining a model of cultural risk and protective factors, we will also investigate formal and informal help seeking among Ojibwe people in rural and remote communities. This application is extremely cost effective in that if funded it will extend an ongoing NIDA funded longitudinal diagnostic study (DA 13580) of 450 Ojibwe families for a total of 800 American Indian and First Nation families on six reservations and three remote Canadian reserves. It will allow more sophisticated investigation of cultural effects by increasing both the size and diversity of the sample and add new dimensions (e.g. variance in traditional knowledge and service utilization) to the study.