Effects of Early and Prolonged Parent-Child Separation: Understanding Mental Health among Separated-Reunited Chinese American Children

项目总结/摘要 本K99/R 00提案的目标是促进Su Shaobing Su博士过渡到独立 研究人员集中于了解早期和长期的亲子分离（即，年龄分离 0-6每年至少6个月）塑造了美国失散儿童的心理健康 （US）.这项建议建立在苏博士在定量和干预研究方面的坚实基础上， 和弹性透镜和她以前的研究心理健康和发展的弱势儿童，特别是 移民或移民的子女。苏博士寻求扩大她对儿童相关文献的知识 发展和亲子分离，以及她的方法技能，包括文化 调整理论、措施和干预措施，使之适用于少数种族和族裔，定性和混合- 方法研究，社区为基础的实证研究（CBPR）的方法，并授予写作。 这项基于CBPR的探索性顺序混合方法研究包括3个目标和3项研究： 研究1（目标1）将阐明美国华裔儿童中出现的心理健康挑战， 早期和长期的亲子分离史;并确定可能影响 心理健康研究1采用半结构式访谈法，对48名中国离散-团聚儿童进行访谈， 年龄12-17岁）及其父母（N=48名主要照顾者父母）。 研究2（目标2）将审查心理健康的差距和风险和资源之间的分离，团聚， 儿童和非分离的儿童;并探讨分离，风险和保护之间的关系 多层次的因素，并影响儿童的心理健康结果。研究二是定量研究 在200名美国华裔离散-团聚儿童和200名非离散儿童（12-17岁）中。 研究3（目标3）将确定重点领域和潜在的“活性成分”，优先作为 为受影响的儿童和家庭制定有针对性的干预措施。研究3将使用混合方法 分析，以整合定性（研究1，社区咨询委员会记录的讨论）和定量 研究结果（研究2，波士顿学院种子基金），以寻求收敛和发散作为模型的基础， 改变并将其纳入现有的加强家庭的精神健康干预模式。 以CBPR为基础的混合方法研究可以加深对亲子关系影响的理解 儿童发育和多层次风险和保护因素的影响的分离。调查结果可能会告知 对分离团聚的华裔美国儿童以及其他儿童的干预、政策和做法 受到其他形式的分离的影响（例如，收容机构中的儿童、在边境被分离的儿童）。 该奖项将支持苏博士在亲子分离和心理方面向独立研究的过渡 使她能够制定R 01建议，以调整和评估加强家庭的干预措施， 受影响的儿童或通过纵向序贯设计将研究扩展到其他儿童队列。

PROJECT SUMMARY/ABSTRACT The goal of this K99/R00 proposal is to facilitate Dr. Shaobing Su's transition into the role of independent investigator focused on understanding how early and prolonged parent-child separation (i.e., separated at ages 0-6 for at least 6 months per year) shapes the mental health of separated-reunited children in the United States (US). This proposal builds on Dr. Su's strong foundation in quantitative and intervention research through a risk and resilience lens and her prior research on mental health and development of vulnerable children, especially children born to immigrants or migrants. Dr. Su seeks to expand her knowledge of the literature related to child development and parent-child separation as well as her repertoire of methodological skills, including cultural adaptation of theories, measures, and interventions for racial and ethnic minorities, qualitative and mixed- method research, Community Based Participatory Research (CBPR) approaches, and grant writing. This CBPR-based exploratory sequential mixed-methods research comprises 3 aims and 3 studies: Study 1 (Aim 1) will elucidate the mental health challenges that arise in Chinese American children with a history of early and prolonged parent-child separation; and identify potential processes that might influence mental health. Study 1 involves semi-structured interviews with Chinese separated-reunited children (N=48, aged 12-17) and their parents (N=48 primary caregiver parents). Study 2 (Aim 2) will examine mental health disparities and risks and resources between separated-reunited children and non-separated children; and explore the relationships among separation, risk, and protective factors at multiple levels, and affected children's mental health outcomes. Study 2 is a quantitative study among 200 Chinese American separated-reunited children and 200 non-separated children (aged 12-17). Study 3 (Aim 3) will identify focal areas and potential “active ingredients” to prioritize as components for development of a targeted intervention for affected children and families. Study 3 will use mixed-methods analyses to integrate qualitative (Study 1, Community Advisory Board recorded discussions) and quantitative findings (Study 2, Boston College seed grant) to seek convergence and divergence as the basis for a model of change and integrate it into existing family strengthening models for mental health interventions. The CBPR-based, mixed-methods research may deepen understanding of the impact of parent-child separation on child development and effects of multilevel risk and protective factors. Findings may inform intervention, policy, and practices for separated-reunited Chinese American children as well as other children affected by other forms of separation (e.g., children in institutional settings, children separated at the border). This award will support Dr. Su's transition to independent research in parent-child separation and mental health; and enable her to develop R01 proposals to adapt and evaluate family-strengthening interventions for affected children or to expand the research to other child cohorts with a longitudinal sequential design.