Effects on Children of Persistent Exposure to Political Violence: Follow-up

持续接触政治暴力对儿童的影响：后续行动

• 批准号: 8296902
• 负责人: L ROWELL HUESMANN
• 金额: $ 44.11万
• 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: 2006-09-15 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8296902
• 关键词: Accounting; Adolescence; Adult; Affect; Age; Aggressive behavior; Alcohol or Other Drugs use; Arousal; Behavior; Behavioral; Belief; Biological; Child; Childhood; Chronic; Clinical; Cognitive; Communities; Conflict (Psychology); Data; Data Analyses; Diagnostic; Emotional; Employment; Exposure to; Galvanic Skin Response; Goals; Growth; Health behavior; Hydrocortisone; Interpersonal Violence; Intervention; Interview; Lead; Link; Long-Term Effects; Longitudinal Studies; Measures; Mediating; Mediation; Mediator of activation protein; Mental Health; Monitor; Outcome; Paint; Palestinian; Parenting behavior; Parents; Participant; Patient Self-Report; Pattern; Perception; Phase; Play; Political Activities; Problem behavior; Process; Questionnaires; Recording of previous events; Risk; Role; Sampling; Self Concept; Social support; Stress; Substance abuse problem; Symptoms; Syndrome; System; Testing; Time; Violence; War; Youth; anti social; biological adaptation to stress; cohort; coping; criminal behavior; desensitization; design; early adolescence; economic outcome; emerging adult; emotion regulation; emotional factor; experience; externalizing behavior; follow-up; insight; interest; male; peer; psychologic; response; social; social cognition; willingness; young adult; youth violence; Accounting; Adolescence; Adult; Affect; Age; Aggressive behavior; Alcohol or Other Drugs use; Arousal; Behavior; Behavioral; Belief; Biological; Child; Childhood; Chronic; Clinical; Cognitive; Communities; Conflict (Psychology); Data; Data Analyses; Diagnostic; Emotional; Employment; Exposure to; Galvanic Skin Response; Goals; Growth; Health behavior; Hydrocortisone; Interpersonal Violence; Intervention; Interview; Lead; Link; Long-Term Effects; Longitudinal Studies; Measures; Mediating; Mediation; Mediator of activation protein; Mental Health; Monitor; Outcome; Paint; Palestinian; Parenting behavior; Parents; Participant; Patient Self-Report; Pattern; Perception; Phase; Play; Political Activities; Problem behavior; Process; Questionnaires; Recording of previous events; Risk; Role; Sampling; Self Concept; Social support; Stress; Substance abuse problem; Symptoms; Syndrome; System; Testing; Time; Violence; War; Youth; anti social; biological adaptation to stress; cohort; coping; criminal behavior; desensitization; design; early adolescence; economic outcome; emerging adult; emotion regulation; emotional factor; experience; externalizing behavior; follow-up; insight; interest; male; peer; psychologic; response; social; social cognition; willingness; young adult; youth violence

DESCRIPTION (provided by applicant): The present application is a continuation proposal for an ongoing longitudinal study of the effects of exposure to conflict and violence on the mental health and behavior of Palestinian and Israeli youth. Three cohorts of youth (originally ages 8, 11, and 14) have been assessed three times at one-year intervals. Analyses of the data collected through June 2010 have shown that exposure to ethnic-political and war violence is related to subsequent post-traumatic stress symptoms and aggression directed at peers. The goals of the current proposal are to continue analyses with the three waves of data collected by June 2010 and to collect one more wave of data with a more intense focus on the older cohort as they now reach adulthood (age 20 in 2013) in order to examine effects of cumulative exposure to violence on clinical syndromes, substance use, antisocial and aggressive behavior, and endorsement of politically-motivated violence. Additionally, we will examine age-relevant potential protective factors that we did not previously assess for this older cohort (e.g., civic engagement, employment, constructive activities, political activism, and post traumatic growth). Our focus on the older cohort is motivated by the recognition that early adulthood is a period in which new opportunities and experiences present challenges to adjustment and when age-salient protective factors may moderate the impact of persistent exposure to violence. However, for all age cohorts, we propose to extend our assessment of mental health outcomes and extend our examination of the role of emotional reactivity in response to ethnic-political violence exposure by collecting bio-markers (e.g., cortisol) and assessing skin conductance in response to viewing a video depicting interpersonal violence. This will allow us to test key theoretical propositions concerning mediating cognitive and emotional processes that might account for the long-term effects of violence exposure and distinguish between those highly exposed youth who display more externalizing problems and those who display more internalizing problems. PUBLIC HEALTH RELEVANCE: The present application is a continuation proposal for an ongoing longitudinal study of the effects of exposure to ethnic-political conflict and violence on the mental health and behavior of Palestinian and Israeli youth (three cohorts starting at ages 8, 11, and 14) who have been assessed three times at one-year intervals. We will re-interview youth in all three cohorts, but with a particular focus on the oldest cohort (age 20 in 2013), to examine the effects of cumulative exposure to ethnic-political violence on clinical syndromes, substance use, antisocial and aggressive behavior, and risk for participation in political violence for these youth who are on the verge of adulthood and to examine factors (e.g., civic engagement, employment, constructive activities, political activism, post traumatic growth) that might protect them against these outcomes; and for all age cohorts, to test social-cognitive and emotional factors (e.g., deregulated stress response systems) that might account for the long-term effects of exposure on mental health and aggression. The results of this new phase will add significant value to our existing data by presenting clinical diagnostic information linked to therapeutically- meaningful bio-behavioral and social-cognitive mechanisms impacted by long-term exposure to violence, thus adding new and valuable insights to the design of targeted interventions for children coping with the negative effects of violence exposure.

描述（由申请人提供）：目前的申请是一项持续的纵向研究，涉及冲突和暴力对巴勒斯坦和以色列青年的心理健康和行为的影响的影响。三个年轻人（最初年龄在8、11和14岁）以一年的间隔进行了三次评估。对2010年6月收集的数据的分析表明，暴露于种族政治和战争暴力与随后的创伤后压力症状和针对同龄人的侵略有关。当前建议的目标是在2010年6月收集的三波数据浪潮中继续进行分析，并收集一波数据，并更加强烈地关注较旧的队列，因为它们现在达到了成年（2013年20岁），以检查累积暴力暴力对临床综合症的影响，临床综合症，药物使用，反社会和侵害行为和侵害行为和竞争性，并属于综合行为和综合序列，并综合综合。此外，我们将研究与以前没有评估过这种较老的队列（例如，公民参与，就业，建设性活动，政治活动和创伤后增长）的潜在保护因素。我们对较旧的队列的关注是因为人们认识到成年早期是一个新的机会和经验，而新的机会和经验给调整带来了挑战，而年龄较高的保护因素可能会减轻持续暴露于暴力的影响。但是，对于所有年龄段的人群，我们建议扩展对心理健康成果的评估，并扩展我们对情感反应性作用在响应民族政治暴力中的作用 通过收集生物标志物（例如皮质醇）和评估皮肤电导来观看描述人际关系暴力的视频，暴露于暴露。这将使我们能够测试有关介导认知和情感过程的关键理论主张，这些命题可能解释了暴力暴露的长期影响，并区分那些表现出更多外部化问题的高度暴露的青年和表现出更多内在化问题的年轻人。 公共卫生相关性：目前的申请是一项持续的纵向研究，该提案是对暴露于种族政治冲突和暴力的影响对巴勒斯坦和以色列青年的心理健康和行为的影响（从8、11和14岁开始的三个同伙）进行了三年的评估。我们将重新介绍所有三个队列中的青年，但特别关注最古老的队列（2013年20岁），以研究累积暴露于民族政治暴力对临床综合症的影响 对于那些处于成年期的年轻人而言，可能会保护他们免受这些结果的影响；以及所有年龄段的人群，可以测试社会认知和情感因素（例如，放松调节的压力反应系统），可能解释了暴露对心理健康和侵略性的长期影响。这一新阶段的结果将通过提供与治疗性有意义的生物行为和社会认知机制相关的临床诊断信息，从而为我们的现有数据增添重要价值，从而影响了长期暴露于暴力行为，从而增加了针对儿童对暴力负面影响的儿童设计的设计，从而增加了新的和有价值的见解。