Disclosure and appraisal in child sexual abuse

儿童性虐待的披露和评估

• 批准号: 7116149
• 负责人: Jennifer Vargas Carmona
• 金额: $ 11.23万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-01-01 至 2010-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7116149
• 关键词: African American; Hispanic Americans; behavioral /social science research tag; biomarker; blood pressure; child abuse; clinical research; cortisol; depression; female; human subject; interview; longitudinal human study; neuroendocrine system; posttraumatic stress disorder; psychological stressor; racial /ethnic difference; sex abuse; sex partner; violence

This two year pilot proposal, "Disclosure & Appraisal in CSA: Relationships with PTSD, Depression, and Biomarkers", is part of the proposed Collaborative Center for Trauma and Mental Health Disparities (CCTMHD) at UCLA. Women at high risk for PTSD and depression will be recruited from a community sample of Latina (N=55) and African American (N=55) women, ages 18-40, with histories of child sexual abuse (CSA). The aims are to 1) examine the role of CSA severity (based on type of physical contact, relationship of the perpetrator to the child and amount of revictimization) on current symptoms of depression and PTSD and associated biomarkers of distress 2) determine if the relationship between CSA severity and negative outcomes is mediated by disclosure patterns (CSA not disclosed, disclosed/supported or disclosed/unsupported) and/or appraisal of self-blame; and 3) explore possible racial/ethnic differences in CSA severity, rates of disclosure, and appraisal patterns. Biomarkers used in previous research quantifying cumulative burden of stress (allostatic load) will be assessed, including cortisol, DHEA, catecholamines, systolic and diastolic blood pressure and waist-to-hip ratio. Data will be collected during a face-to-face and ACASI interview using standardized psychological instruments and via a 12-hour overnight urine collection for assessment of neuroendocrine biomarkers. The findings from this pilot will be used to better understand the role of CSA severity, disclosure and appraisal of self-blame in the development of mental health problems among Latina and African American women. Implications from this study will contribute to the development of an R01 intervention for ethnically diverse women with histories of CSA, a population at high risk for mental and physical health impairments.

这个为期两年的试点提案“CSA 的披露和评估：与 PTSD、抑郁症、 和生物标志物”，是拟议的创伤和心理健康差异合作中心的一部分 （CCTMHD）在加州大学洛杉矶分校。将从社区招募患有创伤后应激障碍和抑郁症高风险的女性 年龄 18-40 岁、有儿童性行为史的拉丁裔 (N=55) 和非裔美国 (N=55) 女性样本 滥用（CSA）。目的是 1) 检查 CSA 严重程度的作用（基于身体接触的类型， 犯罪者与儿童的关系以及再次受害的程度）对当前抑郁症状的影响 和 PTSD 以及相关的痛苦生物标志物 2) 确定 CSA 严重程度和 负面结果是由披露模式（CSA 未披露、披露/支持或 披露/未证实）和/或自责评价； 3）探索可能存在的种族/民族差异 CSA 严重性、披露率和评估模式。先前研究中使用的生物标志物量化 将评估累积压力负担（调节负荷），包括皮质醇、DHEA、儿茶酚胺、 收缩压和舒张压以及腰臀比。数据将在面对面的过程中收集 使用标准化心理工具并通过 12 小时过夜尿液收集进行 ACASI 访谈 用于评估神经内分泌生物标志物。该试点的结果将用于更好地了解 CSA 严重程度、自责的披露和评估在心理健康发展中的作用 拉丁美洲和非裔美国妇女的问题。这项研究的意义将有助于 针对有 CSA 历史的多种族女性（高发群体）制定 R01 干预措施 精神和身体健康受损的风险。