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

基本信息

批准号：
7892275
负责人：
JULIE B KAPLOW
金额：
$ 16.28万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-01 至 2012-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7892275
关键词：
Acquired Immunodeficiency Syndrome Acute Address Adolescence Adult Affect Anxiety Bereavement Child Childhood Clinical Data Data Analyses Data Collection Development Empirical Research Environmental Risk Factor Epidemiology Etiology Future Goals Grief reaction Individual K-Series Research Career Programs Longitudinal Studies Mental Depression Mental Health Mentored Clinical Scientist Development Award (K08)Methodology Modeling Natural Disasters Outcome Parents Physiological Pilot Projects Post-Traumatic Stress Disorders Prevention Psyche structure Psychologist Psychophysiology Reaction Research Research Personnel Research Project Grants Risk Stress Symptoms Testing Training United States Violence War Work design functional disability immune function longitudinal analysis pediatric trauma physical conditioning post-doctoral training programs psychosocial theories

项目摘要

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。

项目成果

期刊论文数量（6）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Dissociation predicts later attention problems in sexually abused children.

解离预示着遭受性虐待的儿童日后会出现注意力问题。

DOI：
发表时间：
2008-02
期刊：
影响因子：
4.8
作者：
Kaplow, Julie B;Hall, Erin;Koenen, Karestan C;Dodge, Kenneth A;Amaya
通讯作者：
Amaya

Using multidimensional grief theory to explore the effects of deployment, reintegration, and death on military youth and families.

利用多维悲伤理论探讨服役、重返社会和死亡对军人青年和家庭的影响。

DOI：
发表时间：
2013-09
期刊：
影响因子：
6.9
作者：
Kaplow, Julie B;Layne, Christopher M;Saltzman, William R;Cozza, Stephen J;Pynoos, Robert S
通讯作者：
Pynoos, Robert S

Caregivers' positive emotional expression and children's psychological functioning after parental loss.

失去父母后照顾者的积极情绪表达和儿童的心理功能。

DOI：
发表时间：
2017-12
期刊：
影响因子：
0
作者：
Wardecker, Britney M;Kaplow, Julie B;Layne, Christopher M;Edelstein, Robin S
通讯作者：
Edelstein, Robin S

Psychological and environmental correlates of HPA axis functioning in parentally bereaved children: preliminary findings.

失去父母的儿童 HPA 轴功能的心理和环境相关性：初步发现。

DOI：
发表时间：
2013-04
期刊：
影响因子：
3.3
作者：
Kaplow, Julie B;Shapiro, Danielle N;Wardecker, Britney M;Howell, Kathryn H;Abelson, James L;Worthman, Carol M;Prossin, Alan R
通讯作者：
Prossin, Alan R

Individual and psychosocial mechanisms of adaptive functioning in parentally bereaved children.

失去父母的儿童的适应功能的个体和心理社会机制。