Long-term effects of war-related trauma in children

战争相关创伤对儿童的长期影响

基本信息

批准号：
7025766
负责人：
Maria Magdalena Llabre
金额：
$ 18.8万
依托单位：
UNIVERSITY OF MIAMI CORAL GABLES
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-03-02 至 2008-02-28
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): The goal of this investigation is to assess psychological and health-related consequences of the Gulf crisis experience of 1990-1991 over a 12-year period, in 151 participants (initially ages 7-10) with varying levels of exposure to war-related trauma. These effects will be examined in the context of a model that includes retrospective reports of exposure to war-related trauma in 1990-1991, psychological distress measures collected in 1993 from the pre-adolescents (then ages 9-12) and their parents, life events between 1993 and 2003-2004, current exposure to war-related events, social support, and current measures of psychological distress and health-related symptoms collected in 2003. The following specific aims will be assessed in this study: 1) To evaluate predictors of current levels of psychological distress in young adults who were exposed to the Gulf crisis as children. Specifically, we will test a conceptual model of the prospective effect of exposure to war-related trauma in 1990-1991 on current psychological distress. The model specifies psychological distress reported by children and their parents in 1993 as mediators of exposure to war-related trauma on the young adults' current psychological distress. Major life events and trauma between 1993 and 2003 will be examined as an additional predictor of current psychological distress and as a mediator of exposure to war-related trauma on current levels of psychological distress. Current levels of life stress and war-related exposure will be examined as an additional predictor of current psychological distress and as subsequent mediator of prior life events and trauma on current levels of psychological distress. Social support will be examined as a protective factor for current levels of distress and as a mediator of prior life events and trauma and current stress on current levels of psychological distress; 2) To replicate and extend the conceptual model of psychological distress by examining predictors of current levels of health-related symptoms in young adults who were exposed to the Gulf crisis as children. Specifically, we will examine whether war-related trauma in 1990-1991 and levels of psychological distress assessed in 1993 prospectively predict current health-related symptoms. The model specifies psychological distress reported by children in 1993 as mediators of exposure to war-related trauma on the young adults' current health-related symptoms. Major life events and trauma between 1993 and 2003 will be examined as an additional predictor of current health-related symptoms and as a mediator of exposure to war-related trauma on current health-related symptoms. Current levels of life stress and war-related exposure will be examined as an additional predictor of current health-related symptoms and as subsequent mediator of prior life events and trauma on current health-related symptoms. Social support will be examined as a protective factor for current health-related symptoms and as a mediator of prior life events and trauma and current stress on current health-related symptoms; 3) To compare aspects of the model between males and females. We will determine whether the effects of exposure to war-related trauma are moderated by gender, such that in 2003-2004, females report higher levels of depression, anxiety, and posttraumatic stress and whether social support exerts the same influence in males as it does in females; 4) To examine whether varying levels of exposure to the Gulf crisis as children is associated with different life outcomes as young adults, including the level of education attained, employment status, marital status. Participants in the 1993 study (N = 120) will be recalled and assessed with a variety of instruments designed to measure psychological distress (PTSD, depression, anxiety), health-related symptoms (blood pressure, health complaints, sleep quality), life stress, perceived stress and exposures, and social support. A structural model adapted from the model initially proposed by Korol (1990) is specified to describe how exposure to war-related trauma in 1990-1991 may work through mediators to influence psychological distress and health in adulthood. Findings from this unique study of the long-term effects of war-related trauma have implications for theory and practice.

描述（由申请人提供）：本次调查的目的是评估 151 名不同水平的参与者（最初年龄为 7-10 岁）在 12 年期间内 1990-1991 年海湾危机经历的心理和健康相关后果暴露于与战争有关的创伤。这些影响将在一个模型的背景下进行检验，该模型包括 1990-1991 年遭受战争相关创伤的回顾性报告、1993 年从青春期前儿童（当时 9-12 岁）及其父母、生活中收集的心理困扰测量值。 1993 年至 2003-2004 年期间发生的事件、目前接触的战争相关事件、社会支持以及目前对心理困扰和健康相关症状的测量2003 年。本研究将评估以下具体目标： 1) 评估童年时期经历过海湾危机的年轻人当前心理困扰水平的预测因素。具体来说，我们将测试 1990-1991 年战争相关创伤对当前心理困扰的预期影响的概念模型。该模型将 1993 年儿童及其父母报告的心理困扰指定为暴露于战争相关创伤对年轻人当前心理困扰的中介因素。 1993 年至 2003 年间的重大生活事件和创伤将作为当前心理困扰的附加预测因素以及战争相关创伤暴露对当前心理困扰水平的调节因素进行检查。当前的生活压力和战争相关暴露水平将作为当前心理困扰的附加预测因素以及先前生活事件和创伤对当前心理困扰水平的后续调节因素进行检查。社会支持将被视为当前痛苦水平的保护因素，以及作为先前生活事件和创伤以及当前压力对当前心理痛苦水平的调节因素； 2）通过检查童年时期暴露于海湾危机的年轻人当前健康相关症状水平的预测因素来复制和扩展心理困扰的概念模型。具体来说，我们将研究 1990-1991 年的战争相关创伤和 1993 年评估的心理困扰水平是否前瞻性地预测当前的健康相关症状。该模型将 1993 年儿童报告的心理困扰指定为暴露于战争相关创伤对年轻人当前健康相关症状的中介因素。 1993 年至 2003 年间的重大生活事件和创伤将作为当前健康相关症状的附加预测因素以及战争相关创伤暴露对当前健康相关症状的中介因素进行检查。当前的生活压力和战争相关暴露水平将作为当前健康相关症状的附加预测因素以及先前生活事件和当前健康相关症状创伤的后续调节因素进行检查。将检查社会支持作为当前健康相关症状的保护因素，以及作为先前生活事件和创伤以及当前健康相关症状的当前压力的中介因素； 3）比较男性和女性模型的各个方面。我们将确定暴露于战争相关创伤的影响是否受到性别的调节，例如在 2003 年至 2004 年期间，女性报告的抑郁、焦虑和创伤后压力水平较高，以及社会支持对男性的影响是否与男性相同女性； 4) 研究儿童时期接触海湾危机的不同程度是否与年轻人不同的生活结果相关，包括受教育程度、就业状况、婚姻状况。 1993 年研究的参与者 (N = 120) 将被召回并使用各种旨在测量心理困扰（PTSD、抑郁、焦虑）、健康相关症状（血压、健康问题、睡眠质量）、生活压力的工具进行评估、感知压力和暴露以及社会支持。改编自 Korol (1990) 最初提出的模型的结构模型被指定用于描述 1990-1991 年遭受战争相关创伤如何通过中介因素影响成年后的心理困扰和健康。这项关于战争相关创伤长期影响的独特研究的结果对理论和实践都有影响。