Children of Depressed Mothers: Culture & Prevention

描述(由申请者提供)：这是NIMH新少数民族教师科学家发展奖(K01)的第二次重新提交。候选人建议利用为期5年的指导支持期来增强她的理论、方法和统计技能，以支持在预防干预研究中发展新的知识和专业知识，重点关注因父母精神疾病而处于危险之中的儿童。候选人是一名临床心理学家，在社区暴力暴露、心理健康问题预防、非裔美国青年中的焦虑症和产妇抑郁方面具有博士后研究经验。本申请中概述的职业发展和研究计划将促进她成为一名独立的精神健康预防研究人员的职业目标(即，针对不同种族的高危青年和患有父母抑郁的家庭制定、组织和实施经经验验证的预防性干预措施)。这项赠款申请将实现以下目标：1)通过在文化背景下研究风险和保护，提高关于精神病理学传播的知识；2)加强对儿童心理健康预防干预措施的理论和概念理解，以减少与父母精神病理学相关的风险；3)学习进行干预试验所需的方法和统计技能；4)为非裔美国母亲抑郁的儿童设计和评估针对特定文化的预防计划。实现上述职业目标的主要工具是从事两个相关的研究。研究1是对抑郁的非裔美国母亲和她们的目标孩子进行的一项横断面描述性研究。研究1考察了文化和保护性调节因素(即扩大的家庭支持、社会技能)、机制(即消极的父母、消极的生活事件)和风险因素(即暴露于社区暴力和种族主义)，这些因素可能影响非裔美国人母亲抑郁的儿童的心理结果。研究1的重要发现将被用来在文化上调整认知心理教育预防干预，为患有父母抑郁的非裔美国家庭(Beardslee，1997a，b)。研究2包括干预的适应，一个小型开放试验，和一个随机的先导研究，以评估适应的预防干预(干预和通常治疗)。

DESCRIPTION (provided by applicant): This is a second resubmission for a NIMH Scientist Development Award for New Minority Faculty (K01). The candidate proposes to use a mentored support period of 5 years to enhance her theoretical, methodological, and statistical skills to support the development of new knowledge and expertise in preventive intervention research focusing on children at risk due to parental mental illness. The candidate is a clinical psychologist with postdoctoral research experience in community violence exposure, prevention of mental health problems, anxiety disorders among African American youth, and maternal depression. The career development and research plan outlined in this application will facilitate her career goal of being an independent mental health prevention researcher (i.e., develop, organize, and implement empirically validated preventive interventions targeted at ethnically diverse, at risk youth and families suffering with parental depression). The following objectives will be achieved in this grant application: 1) enhance knowledge of transmission of psychopathology by studying risk and protective in the context of culture; 2) enhance theoretical and conceptual understanding of child mental health preventive interventions as related to reducing risk associated with parental psychopathology; 3) learn methodological and statistical skills needed to conduct an intervention trial and; 4) design and evaluate a culturally-specific preventive program for children of depressed African American mothers. The primary vehicle for achieving the above career objectives is engaging in two related studies. Study 1 is a cross-sectional, descriptive study of depressed African American mothers and their targeted child. Study 1 examines cultural and protective moderators (i.e., extended family support, social skills), mechanisms (i.e., negative parents, negative life events) and risks factors (i.e., exposure to community violence and racism) that may impact psychological outcomes in children of depressed African American mothers. Significant findings from Study 1 will be used to culturally adapt a cognitive psychoeducation preventive intervention for African American families with parental depression (Beardslee, 1997a,b) in Study 2. Study 2 consists of the adaptation of an intervention, a small open trial, and a randomized pilot study to evaluate the adapted preventive intervention (Intervention vs. Treatment-As-Usual).