Resilience through the High School Years

高中时期的韧性

• 批准号: 8049050
• 负责人: LESLIE B WHITBECK
• 金额: $ 60.87万
• 依托单位: UNIVERSITY OF NEBRASKA LINCOLN
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-07-01 至 2013-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8049050
• 关键词: 14 year old; Accidental Injury; Accidents; Achievement; Adolescence; Adolescent; Adult; Affect; Age; Age of Onset; Agreement; Alcohol abuse; Alcohol or Other Drugs use; American Indians; Anger; Behavior; Behavioral; Characteristics; Child; Comorbidity; Companions; Conduct Disorder; Criminal Justice; Data; Data Collection; Depressed mood; Development; Diagnostic; Discrimination; Disease; Economics; Educational workshop; Emotional; Enrollment; European; Event; Exercise; Extended Family; Failure; Family; Feeling hopeless; Female; Foundations; Funding; Gender; Goals; Government; Guide prevention; Health; Impulse Control Disorders; Indigenous; Interruption; Intervention; Left; Life; Life Cycle Stages; Longitudinal Studies; Measures; Mental Health; Mental Health Services; Mental disorders; Mentors; Minority; Modeling; Mood Disorders; Mothers; Motion; National Institute of Mental Health; Ojibwe; Only Child; Outcome; Parents; Pathway interactions; Pattern; Physical aggression; Play; Pregnancy; Prevalence; Prevention; Prevention Research; Prevention program; Problem behavior; Prospective Studies; Provider; Recruitment Activity; Reporting; Research; Research Personnel; Reservations; Risk; Risk Factors; Risk-Taking; Rural; Rural Community; Schools; Self Destructive Behavior; Social Environment; Social Work; Source; Specific qualifier value; Spirituality; Substance Use Disorder; Substance abuse problem; Symptoms; System; Training; Translating; Translational Research; Translations; Tribal Elders; Universities; Variant; Violence; Work; Youth; aged; base; career; cohort; contextual factors; critical period; depressive symptoms; deprivation; early onset; early onset substance use; experience; externalizing behavior; falls; follow-up; graduate student; health care service utilization; high school; innovation; meetings; next generation; prevent; programs; prospective; psychologic; resilience; social; suicidal behavior; theories; tribal member

DESCRIPTION (provided by applicant): This resubmitted competitive continuation seeks to extend a highly successful longitudinal, diagnostic study of 345 tribally enrolled Ojibwe children (aged 10-12 years at wave 1) and 465 of their caretakers through adolescence and the high school years. The continuation would support four additional waves of data from ages 14 16 years through ages 17 19 years. This study and its companion study of 401 Ojibwe children and 511 of their caretakers (launched one year earlier) make up the only contemporary longitudinal diagnostic study of American Indian children at these ages.The overall goal of this continuation is to investigate the effects of early onset emotional/behavioral problems and mental disorders reported in the first four waves on adjustment, mental disorder, and mental health services utilization patterns during the critical high school years. The study will use prospective data to 1) investigate culturally specific protective factors that exist within the Ojibwe culture that may prevent, delay, or reduce the consequences of early onset emotional and behavioral problems and mental disorders; and 2) investigate risk factors that are associated with indiviudal characteristics and the historical and social contexts of Ojibwe children during their high school years. Our baseline data indicate the prevalence rate for a single mental disorder increased from 26.2 percent to 44.8 percent between the ages of 10-12 years and 13-15 years and that the prevalence of two or more mental disorders [more than doubled from 10.4 percent to 26.6 percent] (combined DISC 4.0 child and female caretaker reports). The historical and social contexts of reservations/reserve present a unique developmental context for American Indian and Canadian First Nations adolescents. This prospective study is ideally situated to investigate important cultural variation in developmental pathways: 1) it incorporates culturally adapted key constructs of risk and protective factors; 2) it provides innovative new culturally specific measures of risk and protective factors that were created at the study's onset; and 3) it will provide information regarding the influence of early onset of emotional/behavioral problems and mental disorders on critical transitions and adjustment as the adolescents move through their high school years. The investigators are working closely with the tribal governments to translate these findings into empirically-based preventions aimed at reducing early onset emotional, behavioral and substance abuse problems among Ojibwe children. PUBLIC HEALTH RELEVANCE: This is the only current longitudinal diagnostic study of Indigenous adolescents beginning at ages 10-12 years and continuing through the high school years. The study has already documented a mental health/substance use crisis on the reservations and reserves with approximately one-fourth of the youth meeting lifetime criteria for conduct disorder or a substance abuse disorder at ages 13 15 years. The prevalence of lifetime single mental disorders is 44.8 percent, a rate comparable to that of adults in the National Comorbidity Study Replication. These results will guide prevention research in terms of optimal ages for interventions, gender specific risk and protective factors, and culturally specific risk and protective factors.

描述（由申请人提供）：这份重新提交的竞争性延续项目旨在扩展一项非常成功的纵向诊断研究，研究对象为 345 名部落登记的奥及布威儿童（第一波年龄为 10-12 岁）和 465 名他们的看护者，涵盖青春期和高中阶段。该延续将支持从 14 至 16 岁到 17 至 19 岁的另外四波数据。这项研究及其针对 401 名奥及布威儿童和 511 名看护者的配套研究（一年前启动）构成了当代唯一针对这些年龄段的美国印第安儿童的纵向诊断研究。这项延续的总体目标是调查早期前四波报告中出现的情绪/行为问题和精神障碍，涉及关键高中时期的调整、精神障碍和心理健康服务利用模式。该研究将使用前瞻性数据：1）调查奥及布威文化中存在的文化特定保护因素，这些因素可能预防、延迟或减少早发情绪和行为问题以及精神障碍的后果； 2) 调查与奥及布威儿童高中时期的个人特征以及历史和社会背景相关的风险因素。我们的基线数据表明，在 10-12 岁和 13-15 岁之间，单一精神障碍的患病率从 26.2% 增加到 44.8%，并且两种或多种精神障碍的患病率 [从 10.4% 增加到 10.4% ] 26.6%]（DISC 4.0 儿童和女性看护人报告相结合）。保留地/保留地的历史和社会背景为美洲印第安人和加拿大原住民青少年提供了独特的发展背景。这项前瞻性研究非常适合调查发展途径中重要的文化差异：1）它纳入了文化适应的风险和保护因素的关键结构； 2) 它提供了在研究开始时创建的针对风险和保护因素的创新性新文化特定措施； 3) 它将提供有关早年出现的情绪/行为问题和精神障碍对青少年在高中时期的关键转变和调整的影响的信息。研究人员正在与部落政府密切合作，将这些发现转化为基于经验的预防措施，旨在减少奥及布威儿童早发的情绪、行为和药物滥用问题。公共卫生相关性：这是目前唯一一项针对 10-12 岁土著青少年并持续到高中的纵向诊断研究。该研究已经记录了保留地和保留地的心理健康/药物滥用危机，大约四分之一的青少年在 13 至 15 岁时符合行为障碍或药物滥用障碍的终生标准。终生单一精神障碍的患病率为 44.8%，与国家合并症研究复制中成年人的患病率相当。这些结果将指导预防研究的最佳干预年龄、特定性别的风险和保护因素以及特定文化的风险和保护因素。