MENTAL HEALTH MEASURES FOR HAITIAN REFUGEE CHILDREN

海地难民儿童的心理健康措施

• 批准号: 2519757
• 负责人: Mary Catherine Smith Fawzi
• 金额: $ 7.8万
• 依托单位: HARVARD MEDICAL SCHOOL
• 依托单位国家: 美国
• 财政年份: 1996
• 资助国家: 美国
• 起止时间: 1996-09-30 至 1999-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2519757
• 关键词: African Caribbean; adolescence (12-20); behavioral /social science research tag; child behavior disorders; child mental health service; clinical research; human subject; immigrant; interview; mental disorder diagnosis; mental health epidemiology; middle childhood (6-11); nonEnglish language; posttraumatic stress disorder; psychometrics; trauma

DESCRIPTION (Adapted from applicant's abstract): Since 1975, the United States has resettled over 1.5 million refugees (U.S. Committee for Refugees, 1991). It has been documented that resettled refugees are at an increased risk of psychiatric disorder. Among refugees in the U.S., Haitian refugee children are at high risk of psychological impairment related to experiences of migration and trauma. Precise identification of psychological impairment within this high risk group constitutes an issue of major public health importance. In order to assess the service needs of Haitian children living in the U.S., valid and reliable translations of measures of psychological functioning and psychopathology are needed. Therefore, the primary goal of this investigation is to validate measures of child psychopathology for linguistically and culturally appropriate use in this population. The following measures will be the focus of this study: 1) The Diagnostic Interview Schedule for Children (DISC: NIMH, 1991); 2) The Child Behavior Checklist (CBCL; Achonbach, 1991); and 3) The Child Post- Traumatic Stress Reaction Index (Frederick, et al., 1992). Criterion validity will be investigated using DSM-IV diagnoses based upon clinical interviews and 'best-estimate' reviews by child psychiatrists as standards. Construct validity will be examined by observing whether predicted patterns of association are found between: 1) component items and underlying clinical constructs; and 2) diagnoses and risk factors identified in prior studies. The validation study serves as the foundation for future research and program development among the Haitian community in the U.S. If the above measures are appropriately validated in Haitian Creole they can serve as screening instruments for referral by school counselors for more specialized service provision. Similarly, the availability of appropriately validated measures in Haitian Creole will permit accurate prevalence estimates of psychopathology among Haitian children to be obtained in future population surveys. This will enable policy makers to allocate resources more precisely for this 'at risk' population. This research also has broader implications for delineating the sequelae of severe trauma on children.

描述（根据申请人的摘要改编）：自1975年以来 各州已经重新安置了150万难民（美国的委员会 难民，1991年）。 已经记录了重新安置的难民在 精神疾病的风险增加。 在美国的难民中 海地难民儿童有心理障碍的高风险 与移民和创伤的经历有关。 精确识别 这个高风险群体内的心理障碍构成 公共健康重大重要性问题。 为了评估海地儿童的服务需求 美国，有效和可靠的心理措施翻译 需要功能和心理病理学。 因此，主要目标 这项调查是为了验证儿童心理病理学的措施 在语言和文化上适合在该人群中使用。 以下措施将是本研究的重点：1） 儿童的诊断面试时间表（DISC：NIMH，1991年）； 2） 儿童行为清单（CBCL； Achonbach，1991）； 3）儿童后 创伤应力反应指数（Frederick等，1992）。 标准有效性将使用DSM-IV诊断研究 儿童精神科医生的临床访谈和“最佳”评论 作为标准。 通过观察是否是否会检查构造有效性 在以下方面发现了预测的关联模式：1）组件项目 和基础临床结构； 2）诊断和风险因素 在先前的研究中确定。 验证研究是未来研究的基础 如果以上 措施在海地克里奥尔语中得到了适当的验证，他们可以用作 筛选学校辅导员推荐的仪器更多 专业服务提供。 同样，可用性 在海地克里奥尔处采取适当验证的措施将允许准确 海地儿童心理病理学的患病率估计值为 在未来的人口调查中获得。 这将使政策制定者 更精确地为“处于风险”的人群分配资源。 这 研究对描述后遗症具有更广泛的影响 对儿童的严重创伤。

项目成果

Depression and post-traumatic stress disorder among Haitian immigrant students: implications for access to mental health services and educational programming.

• DOI: 10.1186/1471-2458-9-482
• 发表时间: 2009-12-22
• 期刊: BMC public health
• 影响因子: 4.5
• 作者: Fawzi MC;Betancourt TS;Marcelin L;Klopner M;Munir K;Muriel AC;Oswald C;Mukherjee JS
• 通讯作者: Mukherjee JS