Interpersonal emotion regulation processes in suicidal Nepali youth

有自杀倾向的尼泊尔青少年的人际情绪调节过程

基本信息

批准号：
9907474
负责人：
MEGAN RAMAIYA
金额：
$ 4.5万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-16 至 2021-09-15
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9907474
关键词：
Address Age Anxiety Asian Americans Asians Behavioral Behavioral Sciences Bhutanese Biological Models Cause of Death Clinical Code Collaborations Communities Control Groups Country Dimensions Disease Economics Emotions Epidemic Family Focus Groups Goals Health Personnel Income Individual Interpersonal Relations Intervention Intervention Studies Laboratories Lead Link Measures Mental Depression Mental Health Mentorship Methodology Methods National Institute of Mental Health Nepal Pathway interactions Population Heterogeneity Positioning Attribute Process Public Health Publishing Qualitative Methods Recording of previous events Refugees Research Research Domain Criteria Resources Risk Risk Factors Scientific Advances and Accomplishments Social Interaction South Asian Structure Suicide Suicide prevention Symptoms Systems Theory Time Transact Universities Validation Washington Work Youth base cultural values design dynamic system emotion regulation ethnic minority population experience health goals health organization high risk population improved innovation insight low and middle-income countries neglect novel post-traumatic stress prevent protective factors psychologic social social communication suicidal suicidal adolescent suicidal behavior suicidal risk suicide rate theories therapy development tool

项目摘要

PROJECT ABSTRACT The current proposal addresses the relationship between interpersonal emotion regulation and suicide in Nepali youth. Despite the disproportionately high suicide burden in low- and middle-income countries (LMIC), the global mental health field has made limited progress in predicting and preventing youth suicide. Interpersonal factors are strongly and consistently linked to youth suicide in LMIC. However, the pathways through which interpersonal factors influence suicidal behaviors in LMIC are unclear and represent a critical gap in youth suicide prevention. Emotion regulation may provide a promising bridge between interpersonal factors and suicide in LMIC. However, current emotion regulation in LMIC is negligible and limited in its focus on the individual at the expense of the broader social and cultural context in which emotion regulation occurs. The current mixed-methods study leverages advances in clinical behavioral science and dynamic systems modeling to investigate interpersonal emotion regulation processes in Nepali youth with rapidly rising rates of suicide. The study focuses on expressive suppression (ES), an interpersonal emotion regulation mechanism with salient cultural dimensions. In this sequential exploratory study, the study aims to: (1) use qualitative methods to identify culturally-relevant behavioral indicators of ES in Nepali youth; and (2) use these indicators to code for ES during a structured laboratory observation between Nepali youth dyads that explores dynamic associations between ES and interpersonal validation, negative emotion, and suicidal behaviors. By providing a dynamic understanding of real-time interpersonal processes implicated in suicide, findings can be used to develop culturally-relevant suicide interventions for in Nepal and other LMIC where the global suicide epidemic is concentrated. Findings can also generalize to Asian-American and Nepali-origin Bhutanese refugee youth in the U.S. with rapidly rising rates of suicide. A dynamic understanding of interpersonal processes suicide significantly improves our understanding of the Research Domain Criteria “Social communication” construct and can also be extended to other disorders (e.g., depression, anxiety, and post-traumatic stress) where interpersonal processes are also central. The applicant is ideally positioned to conduct this work given her strong global mental health research and publishing background, six-year history conducting suicide and emotion regulation research in Nepal, well-situated mentorship team of relevant content and methodological experts, and access to required resources and mentorship in Nepal.

项目摘要目前的提案探讨了人际情绪调节与自杀之间的关系尽管低收入和中等收入国家（LMIC）的尼泊尔青年自杀负担过高，全球心理健康领域在预测和预防青少年自杀方面取得的进展有限。人际关系因素与中低收入国家的青少年自杀密切相关，但其途径却存在差异。人际关系因素如何影响中低收入国家的自杀行为尚不清楚，但这是一个关键因素青少年自杀预防方面的差距可能会在人际交往中提供一个有希望的桥梁。然而，目前中低收入国家的情绪调节可以忽略不计，而且其关注点也很有限。以牺牲情绪调节发生的更广泛的社会和文化背景为代价。当前的混合方法研究利用了临床行为科学和动态系统的进步建立模型来调查尼泊尔年轻人的人际情绪调节过程，其比率迅速上升该研究的重点是表达抑制（ES），一种人际情绪调节机制。在这项连续的探索性研究中，研究的目的是：（1）使用定性的方法。确定尼泊尔青年 ES 文化相关行为指标的方法；以及 (2) 使用这些指标；在尼泊尔青年二人组之间进行结构化实验室观察期间对 ES 进行编码，探索动态 ES 与人际验证、负面情绪和自杀行为之间的关联。对与自杀有关的实时人际过程的动态理解，研究结果可用于为全球自杀流行的尼泊尔和其他中低收入国家制定与文化相关的自杀干预措施研究结果也可以推广到亚裔美国人和尼泊尔裔不丹难民青年。美国自杀率迅速上升。对人际关系过程自杀的动态理解。显着提高了我们对研究领域标准“社交沟通”结构的理解也可以扩展到其他疾病（例如抑郁、焦虑和创伤后应激障碍）鉴于申请人的能力，人际交往过程也很重要。强大的全球心理健康研究和出版背景，六年的自杀历史和尼泊尔情绪调节研究，相关内容和方法论的导师团队专家，并获得尼泊尔所需的资源和指导。