Traumatic Grief and Mental Health Outcomes in Parentally Bereaved Children

失去父母的儿童的创伤性悲伤和心理健康结果

• 批准号: 7487779
• 负责人: JULIE B KAPLOW
• 金额: $ 16.33万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 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 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7487779
• 关键词: Acquired Immunodeficiency Syndrome; Acute; Address; Adolescence; Affect; Anxiety; Bereavement; Child; Childhood; Clinical; Data; Data Analyses; Data Collection; Development; Empirical Research; Environmental Risk Factor; Epidemiology; Etiology; Future; Goals; Grief reaction; Health; Individual; K-Series Research Career Programs; Longitudinal Studies; Mental Depression; Mental Health; Mentored Clinical Scientist Development Award (K08); Methodology; Modeling; Natural Disasters; Numbers; Outcome; Parents; Physiological; Pilot Projects; Post-Traumatic Stress Disorders; Prevention; Psyche structure; Psychologist; Psychophysiology; Purpose; Reaction; Research; Research Personnel; Research Project Grants; Risk; Stress; Symptoms; Testing; Training; United States; Violence; War; Work; design; functional disability; immune function; pediatric trauma; post-doctoral training; programs; psychosocial; theories

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）：在美国和世界各地，大量儿童因战争、艾滋病、自然灾害或暴力而在痛苦的情况下失去了父母。因此，童年创伤性悲伤（悲伤和创伤后应激的结合）是一个严重的问题，可能会造成严重的心理健康后果。然而，几乎没有实证研究来阐明童年创伤性悲伤、正常（简单）丧亲和丧亲背景下的创伤后应激障碍（PTSD）之间的差异。此外，缺乏对儿童创伤性悲伤和相关功能障碍发展的社会心理、情境和生理风险和保护因素的理论指导研究。尽管已经努力向遭受创伤性损失影响的儿童提供社会心理援助，但这些项目的实施并没有经过经验验证的儿童创伤性悲伤模型。该导师临床科学家发展奖（K08）的目的是使候选人（最近接受过儿童创伤博士后培训的临床心理学家）成为一名独立研究者，对儿童创伤性悲伤的病因和后果进行综合研究，包括创伤后应激障碍（PTSD）、焦虑、抑郁和免疫功能。拟议的研究重点是开发和测试儿童创伤性悲伤的病因学综合模型的主要组成部分。为了测试这个模型，候选人将接受发展流行病学、童年丧亲之痛、压力心理生理学和纵向研究方法方面的培训。研究项目包括：(1) 对两项大规模纵向研究进行二次数据分析，涉及检查儿童创伤性悲伤的症状和长期后果；(2) 一项试点研究，检查父母创伤性悲伤的急性风险和保护因素失去亲人的孩子。在该 K 奖背景下获得的培训将使候选人准备好提交 R01 申请，该申请旨在测试失去父母的儿童的创伤性悲伤的病因和后果的精细纵向模型。这项工作将有助于我们了解儿童创伤性悲伤的病因、病程和长期后果，并最终协助其评估、预防和治疗。