Traumatic Grief Outcomes Parentally Bereaved Children

失去父母的儿童的创伤性悲伤后果

• 批准号: 7140935
• 负责人: JULIE B KAPLOW
• 金额: $ 15.8万
• 依托单位: JOHN JAY COLLEGE OF CRIMINAL JUSTICE
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2007-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7140935
• 关键词: behavioral /social science research tag; bereavement; child psychology; children; clinical research; cortisol; developmental psychology; grief; heart rate; human data; human subject; interview; longitudinal human study; mental health epidemiology; posttraumatic stress disorder; psychological models

DESCRIPTION (provided by applicant): In the United States and world-wide, a large number of children have lost a parent(s) under traumatic circumstances as a result of war, AIDS, natural disasters, or violence. Thus, childhood traumatic grief (the combination of grief and posttraumatic stress) is a serious problem with potentially significant mental health consequences. However, almost no empirical research has been conducted to elucidate the differences between childhood traumatic grief, normal (uncomplicated) bereavement, and posttraumatic stress disorder (PTSD) in the context of bereavement. Furthermore, theory-guided research on psychosocial, contextual, and physiological risk and protective factors for the development of childhood traumatic grief and associated functional impairment is lacking. While efforts have been made to provide psychosocial aid to children affected by traumatic loss, these programs are proceeding without an empirically-validated model of childhood traumatic grief. The purpose of this Mentored Clinical Scientist Development Award (K08) is to enable the candidate, a clinical psychologist with recent postdoctoral training in childhood trauma, to become an independent investigator conducting integrative research on the etiology and consequences of childhood traumatic grief, including PTSD, anxiety, depression, and immune functioning. The proposed research focuses on developing and testing main components of an etiological, integrative model of childhood traumatic grief. To test this model, the candidate will obtain training in developmental epidemiology, childhood bereavement, psychophysiology of stress, and longitudinal study methodology. Research projects include: (1) secondary data analysis of two large-scale, longitudinal studies involving the examination of symptoms and long-term consequences of childhood traumatic grief and (2) a pilot study examining acute risk and protective factors for traumatic grief in parentally bereaved children. The training obtained in the context of this K award will prepare the candidate to submit an R01 application designed to test a refined, longitudinal model of the etiology and consequences of traumatic grief in parentally bereaved children. This work will contribute to our understanding of the etiology, course, and long-term consequences of childhood traumatic grief and, ultimately, assist in its assessment, prevention, and treatment.

描述（由申请人提供）：在美国和世界范围内，由于战争，艾滋病，自然灾害或暴力，许多儿童在创伤情况下失去了父母。因此，儿童创伤性悲伤（悲伤和创伤后压力的结合）是一个严重的问题，可能会带来重大的心理健康后果。但是，几乎没有进行实证研究来阐明儿童创伤性悲伤，正常（简单）丧亲和创伤后应激障碍（PTSD）之间的差异。此外，缺乏对社会心理，背景和生理风险的理论引导研究以及为开发儿童创伤性悲伤和相关功能障碍的保护因素。尽管已努力为受创伤损失影响的儿童提供社会心理援助，但这些计划正在进行中，而没有经验验证的儿童创伤性悲伤模型。这项受过指导的临床科学家发展奖（K08）的目的是使候选人能够接受临床心理学家，并在儿童创伤中接受了博士后培训，成为一名独立的研究者，从事有关儿童创伤性悲伤的病因和后果的综合研究，包括PTSD，焦虑，焦虑，抑郁，抑郁症和免疫功能。拟议的研究重点是开发和测试儿童创伤性悲伤的病因，综合模型的主要组成部分。为了测试该模型，候选人将获得发育流行病学，儿童丧亲，压力心理生理学和纵向研究方法的培训。研究项目包括：（1）对涉及检查症状检查和儿童创伤性悲伤的长期后果的两个大规模的纵向研究的二级数据分析以及（2）一项试验研究，研究了急性风险和育儿丧亲儿童创伤性悲伤的保护因素。在该K奖的背景下获得的培训将使候选人为提交R01申请做准备，旨在测试病因的精致，纵向模型，以及在育儿丧亲的儿童中创伤性悲伤的后果。这项工作将有助于我们理解儿童创伤性悲伤的病因，过程和长期后果，并最终有助于其评估，预防和治疗。