Latent Profile Analysis in Child Bereavement

儿童丧亲之痛的潜在特征分析

基本信息

批准号：
10686859
负责人：
Rebecca Hoppe
金额：
$ 4.72万
依托单位：
VIRGINIA COMMONWEALTH UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-08-25 至 2024-08-24
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10686859
关键词：
18 year old Address Adolescent Adult Age Behavioral Bereavement COVID-19 Caregivers Cessation of life Characteristics Child Child Development Childhood Cognition Communities Competence Control Groups Coping Skills Data Data Set Development Effectiveness Effectiveness of Interventions Emotional Emotions Environment Ethnic Origin Evaluation Expressed Emotion Family Feeling Fellowship Funding Future General Population Generations Goals Grief reaction Heterogeneity Individual Individual Differences Intervention Intervention Studies Intervention Trial Knowledge Learning Logistic Regressions Mental Depression Mental Health Mental disorders Methodology Modeling Motivation National Institute of Child Health and Human Development National Institute of Mental Health National Research Service Awards Nature Onset of illness Outcome Parameter Estimation Parents Pattern Population Prevention Process Race Randomized Research Research Methodology Research Personnel Resources Risk Risk Factors Sampling Science Scientist Shapes Social Behavior Source Statistical Methods Strategic Planning Stress Subgroup Suicide Target Populations Theoretical model Time Training Treatment Efficacy Variant Work Writing adverse childhood events age group career community based treatment coping design effectiveness evaluation emotional crisis experience follow-up innovation intervention effect longitudinal analysis mental age mental development pandemic disease parent grant person centered pre-doctoral preventive intervention programs public health priorities resilience factor response sex showing emotion skills social suicidal suicidal risk theories therapy design treatment response young adult

项目摘要

PROJECT SUMMARY Parental death is the most profound childhood experience, with long-term and negative mental health consequences, including elevated risk for depression and suicide, compared to the general population. Early adolescents are particularly vulnerable to the resultant consequences of a parental death. This age group is developing and adjusting to shifts in their cognition, motivation, social behaviors, and environments, each of which shapes their interactions and relationships. Early stress experiences, such as a parental death, influence the child’s development by provoking emotional crises. These crises may contribute to the development of mental health disorders and persist into young adulthood, the peak age for mental illness onset. To mitigate these effects, bereavement interventions have targeted this population to enhance adaptive coping and emotional expression. However, empirical studies evaluating the effectiveness of these interventions are limited in number and methodological rigor, and there is little data regarding their long-term effectiveness. Moreover, these studies use variable-centered approaches, which assume all grief responses are the same, rather than person-centered approaches to account for variation in experience and individual characteristics. This application will address these limitations by leveraging a person-centered analysis (i.e., Latent Profile Analysis) to examine: individual support-seeking coping and emotional expression characteristics at baseline (i.e., near time of loss), mental health outcomes across child- and young adulthood based on those individual characteristics, and if individual differences at baseline predict intervention response. This application aligns with NICHD and NIMH priorities of enhancing understanding of longitudinal developmental and mental health outcomes of bereaved children by identifying risk factors, behavioral indicators, and intervention responses. These aims will be addressed through person-centered analyses that leverage a rich and unique dataset with five waves of data spanning child- to young adulthood in a sample of 244 parentally-bereaved children. The specific aims are: (1) to identify subgroups of bereaved children based on patterns of coping and emotional expression, (2) identify heterogeneity in longitudinal depression and suicide outcomes as a function of child coping and emotional expression patterns, and (3) examine ways in which intervention effects differ based on profile membership. Person-centered analyses are necessary for understanding the individual differences that contribute to heterogeneity in mental health outcomes and intervention response, and considers the dynamic nature of grief. This research is a timely public health priority, given the stark increase of parental loss due to COVID-19. The research and training outlined in this NRSA F31 predoctoral fellowship application will equip me with the skills and support needed to pursue a successful career as an independent research scientist, and will increase my knowledge of relevant theoretical models and their application to prevention, competencies in advanced statistical methods for longitudinal research, and scientific writing, and dissemination.

项目摘要父母死亡是最深刻的童年经历，长期和负面心理健康与普通人群相比，包括抑郁症和自杀的风险增加，包括升高的后果。早期的青少年特别容易受到父母死亡的结果。这个年龄段是发展并适应其认知，动机，社会行为和环境的转变这塑造了他们的互动和关系。早期的压力经历，例如父母死亡，影响孩子通过引起情感危机的发展。这些犯罪可能有助于发展心理健康障碍并持续到成年，这是精神疾病发作的峰值年龄。为了减轻这些影响，丧亲干预措施已针对该人群，以增强适应性应对和情感表达。但是，评估这些干预措施有效性的经验研究是数量和方法论严格限制，关于它们的长期有效性的数据很少。此外，这些研究使用以可变为中心的方法，这些方法假定所有贪婪的响应都是相同的，而不是以人为本的方法来解释经验和个人特征的差异。该应用程序将通过利用以人为中心的分析来解决这些限制（即潜在概况分析）要检查：基线时的个人支持应对和情感表达特征（即近乎损失的时间），基于这些人的儿童和年轻人的心理健康成果特征，以及基线时的个体差异预测干预响应。此应用程序对齐有了NICHD和NIMH的优先级，可以增强对纵向发展和心理健康的理解通过确定危险因素，行为指标和干预反应，丧亲儿童的结果。这些目标将通过以人为本的分析来解决在244名父母育儿的孩子样本中，五个数据浪潮跨越了儿童成年。这具体目的是：（1）根据应对和情感的模式来识别丧亲儿童的亚组表达，（2）确定纵向抑郁症和自杀结果中的异质性应对和情感表达模式，以及（3）研究干预效果不同的方法个人资料会员资格。以人为本的分析对于理解个体差异是必要的有助于心理健康成果和干预反应的异质性，并考虑了动态克里夫的本质。鉴于由于星星的增加，这项研究是及时的公共卫生优先事项新冠肺炎。此NRSA F31中概述的研究和培训将配备我拥有从事独立研究科学家成功职业所需的技能和支持，并且将增加我对相关理论模型的了解及其在预防方面的应用，纵向研究，科学写作和传播的先进统计方法。