LIVING WITH POST-DEPLOYMENT STRESS: AN ETHNOGRAPHIC STUDY

忍受部署后的压力：民族志研究

• 批准号: 7718736
• 负责人: Erin P Finley
• 金额: $ 0.16万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCIENCE CENTER
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-04-01 至 2008-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7718736
• 关键词: Address; Adult; Afghanistan; Clinical; Communities; Computer Retrieval of Information on Scientific Projects Database; Conflict (Psychology); Data; Data Collection; Depth; Diagnosis; Distress; Educational process of instructing; Ethnography; Family; Family member; Female; Funding; Grant; Hispanics; Home environment; Individual; Institution; Interview; Iraq; Life; Mediation; Mental Health; Mental disorders; Methods; Military Personnel; Modeling; Motivation; Not Hispanic or Latino; Participant; Perception; Personal Satisfaction; Post-Traumatic Stress Disorders; Process; Research; Research Personnel; Resources; Risk; Services; Severity of illness; Shapes; Source; Stress; Structure; Symptoms; Texas; Trauma; United States National Institutes of Health; Veterans; Vietnam; clinically relevant; community living; expectation; experience; functional disability; insight; male; member; men; psychosocial; social; socioeconomics

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. OBJECTIVE: The proposed research will investigate how experiences of PTSD are understood, negotiated, and lived out by Hispanic and non-Hispanic male veterans, particularly in interaction with family members and as constrained by socioeconomic realities and trauma-related functional impairment. Three main research questions will be addressed during 12 months fieldwork in San Antonio, Texas, among PTSD-diagnosed Hispanic and non-Hispanic veterans of Iraq and Afghanistan. First, how do returning male veterans and their families understand and repond to the experience of trauma-related mental illness? Second, what social and cultural variables appear to most strongly influence the illness experience of PTSD? Third, how are PTSD illness experiences shaped by individual and family members' perceptions of disrupted expectations and life trajectories, particularly those relevant to motivations for entering military service and to the veteran's task of successfully functioning as an adult male following the return home? RESEARCH PLAN: Research questions will be explored among five groups of participants including: 1) the primary veterans group, which will be composed of male, PTSD-diagnosed OIF/OEF veterans (n=70); 2) the secondary veterans group, which will include PTSD-diagnosed female veterans of the conflicts in Iraq and Afghanistan and male veterans of Vietnam, and male veterans of the current conflicts who have not been diagnosed with PTSD (n=15); 3) family members of PTSD-diagnosed veterans (n=40); 4) local mental health clinicians treating veterans with PTSD (n=15); and 5) local community members (n=30). METHODS: The primary methods will be participant observation and semi-structured interviewing, all of which will be conducted by the PI. Methods will combine qualitative and quantitative data collection and analysis strategies, bridging standardized psychosocial and symptom assessment with non-pathologically framed notions of distress to explore combat PTSD as both a biomedical illness and an experience of sociomoral suffering. Participant observation in clinical and community settings will explore how PTSD is discussed and responded to across a variety of social domains with relevance for veterans. Semi-structured interviewing, accompanied among veteran participants by psychosocial and symptom assessments, will investigate explanatory models and phenomenology of PTSD illness, as well as its relationship to family and community life and well being. CLINICAL RELEVANCE: This research will provide badly-needed insight into the social and cultural factors and processes that appear to shape both risk for developing PTSD and the course and severity of the illness itself. Experience with the veterans of Vietnam has taught us how terrible, pervasive, and lasting can be the effects of trauma-related distress for PTSD-diagnosed men and their families. This research will provide in-depth data on the challenges of living with PTSD for recent veterans and their families and communities, in hopes of illuminating new possibilities for responding effectively to such challenges.

该副本是利用众多研究子项目之一 由NIH/NCRR资助的中心赠款提供的资源。子弹和 调查员（PI）可能已经从其他NIH来源获得了主要资金， 因此可以在其他清晰的条目中代表。列出的机构是 对于中心，这不一定是调查员的机构。 目的：拟议的研究将研究如何理解，谈判和非西班牙裔男性退伍军人，特别是在与家庭成员互动以及受社会经济现实和与创伤相关的功能障碍的限制的情况下，如何理解，谈判和生活。 在德克萨斯州圣安东尼奥市的12个月实地调查中，将在PTSD诊断的伊拉克和阿富汗的西班牙裔和非西班牙裔退伍军人中解决三个主要的研究问题。 首先，返回的男性退伍军人及其家人如何理解并重新训练与创伤相关的精神疾病的经历？ 其次，哪些社会和文化变量似乎最大程度地影响了PTSD的疾病经历？ 第三，如何受到个人和家庭成员对期望和生活轨迹的看法的看法，特别是与参加兵役动机以及退伍军人在返回家后作为成年男性成功起作用的任务的人们的看法，特别是与那些有关的疾病？ 研究计划：研究问题将在五组参与者中探讨：1）由男性，PTSD诊断的OIF/OEF/OEF退伍军人组成的主要退伍军人组（n = 70）； 2）中学退伍军人小组，其中包括伊拉克和阿富汗冲突的PTSD诊断为女性退伍军人，以及越南的男性退伍军人，以及当前未被诊断为PTSD的冲突的男性退伍军人（n = 15）； 3）PTSD诊断的退伍军人的家庭成员（n = 40）； 4）当地的心理健康临床医生用PTSD治疗退伍军人（n = 15）； 5）当地社区成员（n = 30）。 方法：主要方法将是参与者的观察和半结构化访谈，所有这些方法将由PI进行。 方法将结合定性和定量数据收集和分析策略，将标准化的社会心理和症状评估与非病理上的陷入困境概念结合起来，以探索PTSD的探索既既是生物医学疾病又是社会痛苦的经验。 临床和社区环境中的参与者观察将探讨如何讨论PTSD，并在各种社会领域对与退伍军人相关的各种社会领域做出反应。 半结构化的访谈伴随着经验的参与者，通过心理社会和症状评估，将研究PTSD疾病的解释模型和现象学，以及其与家庭和社区生活以及福祉的关系。 临床相关性：这项研究将为社会和文化因素和过程提供急需的见解，这些因素和过程似乎既影响发展PTSD的风险又是疾病本身的过程和严重性。 与越南退伍军人的经验教会了我们有关与创伤相关的苦难对PTSD诊断的男人及其家人的痛苦的影响。 这项研究将提供有关最近退伍军人及其家人和社区的PTSD生活挑战的深入数据，希望阐明有效应对此类挑战的新可能性。