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：
10536972
负责人：
Rebecca Hoppe
金额：
$ 4.62万
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/10536972
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 Depression and Suicide 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 Parents Pattern Population Prevention Process Race Randomized Research Research Methodology Research Personnel Research Training Resources Risk Risk Factors Sampling Science Scientist Shapes Social Behavior Source Statistical Methods Strategic Planning Stress Subgroup Target Populations Theoretical model Time Training Treatment Efficacy Variant Work Writing adverse childhood events age group base 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 response sex showing emotion skills social 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.

项目概要父母去世是最深刻的童年经历，对心理健康具有长期和消极的影响后果，包括与一般人群相比，抑郁和自杀的风险增加。青少年特别容易受到父母死亡所造成的后果的影响。发展并适应他们的认知、动机、社会行为和环境的变化，每个人这会影响他们的早期压力经历，例如父母的去世。通过引发情绪危机来影响孩子的发展，这些危机可能会促进孩子的发展。精神健康障碍并持续到成年早期，即精神疾病发病的高峰年龄。为了减轻这些影响，丧亲之痛干预措施针对这一人群，以增强适应性应对然而，评估这些干预措施有效性的实证研究仍在进行中。数量和方法严格性有限，而且关于其长期有效性的数据很少。此外，这些研究使用以变量为中心的方法，假设所有悲伤反应都是相同的，而不是以人为中心的方法来解释经验和个人特征的变化。该应用程序将通过利用以人为中心的分析（即潜在概况分析）检查：个人寻求支持的应对方式和基线情绪表达特征（即，在失去亲人的近段时间），基于这些人的整个儿童期和青年期的心理健康结果特征，以及基线的个体差异是否可以预测干预反应。 NICHD 和 NIMH 的优先事项是加强对纵向发育和心理健康的了解通过识别风险因素、行为指标和干预措施来评估失去亲人的儿童的结果。这些目标将通过以人为本的分析来实现，该分析利用丰富而独特的数据集对 244 名失去父母亲的儿童进行了五波从儿童到青年时期的数据分析。具体目标是：（1）根据应对模式和情绪来确定失去亲人的儿童的亚组。表达，（2）确定纵向抑郁和自杀结果的异质性作为儿童的函数应对和情绪表达模式，以及（3）检查干预效果根据不同因素而不同的方式以人为中心的分析对于理解个体差异是必要的。有助于心理健康结果和干预反应的异质性，并考虑动态鉴于悲伤造成的父母损失急剧增加，这项研究是一项及时的公共卫生优先事项。 NRSA F31 博士前奖学金申请中概述的 COVID-19 研究和培训将装备我拥有作为独立研究科学家追求成功职业生涯所需的技能和支持，以及将增加我对相关理论模型及其在预防中的应用的了解，提高我的能力用于纵向研究、科学写作和传播的先进统计方法。