Bereavement/Psychosocial Needs AIDS Orphans:Longitudinal

艾滋病孤儿的丧亲/心理需求：纵向

• 批准号: 7059614
• 负责人: Xiaoming Li
• 金额: $ 45.81万
• 依托单位: WAYNE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7059614
• 关键词: AIDS; China; Chinese; academic achievement; adolescence (12-20); behavioral /social science research tag; bereavement; caregivers; child behavior disorders; child foster care /adoption; child psychology; community; human subject; institutional care facility; interview; longitudinal human study; mental health epidemiology; middle childhood (6-11); mood disorders; parent deprivation; psychosocial separation; questionnaires; social psychology; AIDS; China; Chinese; academic achievement; adolescence (12-20); behavioral /social science research tag; bereavement; caregivers; child behavior disorders; child foster care /adoption; child psychology; community; human subject; institutional care facility; interview; longitudinal human study; mental health epidemiology; middle childhood (6-11); mood disorders; parent deprivation; psychosocial separation; questionnaires; social psychology

DESCRIPTION (provided by applicant): The death of a parent is one of the most traumatic events a child can experience and is accompanied by a profound and potentially lasting impact on a child's psychosocial well-being. The natural grieving process involves a requisite set of skills, which present specific challenges for children due to their developmental vulnerability (e.g., emotional and intellectual immaturity). In addition to the obstacles to a successful resolution of grief normally faced by children who have lost their parents to any other causes, children orphaned by AIDS may face additional psychological and social challenges including stigmatization, the impending or actual death of the surviving parent, and financial hardship; these challenges may further impede the grieving process, placing these children at heightened risk of prolonged mental and behavioral problems. This proposed investigation brings together an assessment model that integrates research findings from the literatures on bereavement, attachment, as well as risk and resilience to delineate the psychosocial needs of children orphaned by AIDS in China. The specific aims of the current application include (1) conducting a qualitative assessment (in-depth semi-structured individual interviews) among AIDS orphans, caregivers (surviving parent, orphanage workers, extended family members), community members (neighbors, community leaders, village doctors, local school teachers), and local leaders (at the county, township, and village levels) to explore issues related to the social and cultural context of bereavement and grief among children orphaned by AIDS and the community and caregivers' reaction to these children's psychosocial needs; (2) conducting a quantitative longitudinal psychosocial assessment of both children and their caregivers to determine the extent to which the psychosocial needs of children orphaned by AIDS are different from those of demographically matched comparison children from the same community; and to examine whether these problems are transitory or persistent and how they affect children in later life; and (3) identifying individual and contextual factors that are associated with prolonged episodes of emotional and behavioral problems among children orphaned in China. By identifying risk and resilience factors, both individual and contextual, affecting short-term and long-term psychosocial functioning of children orphaned by AIDS, this study will inform not only future intervention efforts among AIDS bereaved children, but also public policy regarding the care of AIDS orphans globally.

描述（由申请人提供）：父母的死亡是孩子可以体验到的最痛苦的事件之一，并伴随着对孩子的社会心理幸福感产生深远而可能持久的影响。自然的悲伤过程涉及一组必要的技能，由于儿童的发育脆弱性（例如，情感和智力上的不成熟），对儿童提出了具体的挑战。除了遇到成功解决悲伤的障碍，通常面临的儿童因其他任何原因而失去父母的儿童还面临艾滋病的儿童，还可能面临额外的心理和社会挑战，包括污名化，尚待父母即将来临或实际死亡，以及金融艰苦的努力；这些挑战可能会进一步阻碍悲伤的过程，使这些孩子面临长期心理和行为问题的风险。这项拟议的调查汇集了一种评估模型，该模型将有关丧亲，依恋以及风险和韧性的文献中的研究结果整合在一起，以描述中国艾滋病孤儿的儿童的社会心理需求。当前申请的具体目的包括（1）在艾滋病，照料者（幸存的父母，孤儿工人，长期家庭成员），社区成员（邻居，社区领导者，社区领导者，乡村医生，当地的学校老师）以及县级领导人（乡村和乡村阶层）的社区成员（邻居，社区领导者，当地的医生，邻居，社区领导者）（邻居，社区领导者）（邻居，社区领导者）（邻居，社区领袖在艾滋病和社区以及照顾者对这些儿童社会心理需求的反应的孤儿的悲伤中； （2）对儿童及其护理人员进行定量的纵向心理社会心理评估，以确定艾滋病孤儿的社会心理需求与来自同一社区的人口统计学比较的儿童不同；并检查这些问题是短暂的还是持久的，以及它们如何影响后来的孩子； （3）确定与中国孤儿之间情绪和行为问题长时间情感和行为问题相关的个人和上下文因素。通过确定个人和背景的风险和弹性因素，影响艾滋病孤儿的短期和长期社会心理功能，本研究不仅会为艾滋病丧亲儿童的未来干预工作提供信息，还将为全球艾滋病的艾滋病护理提供公共政策。