Project STRIVE (STudents RIsing above) - Offsetting the Health and Mental Health Costs of Resilience

STRIVE 项目（以上学生）- 抵消复原力的健康和心理健康成本

基本信息

批准号：
10674413
负责人：
ANNA Shan-Lai LAU
金额：
$ 4.85万
依托单位：
UNIVERSITY OF CALIFORNIA LOS ANGELES
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：
2022-05-01 至 2027-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10674413
关键词：
Academic achievement Aftercare Asian Americans Automobile Driving Behavioral Biological Markers Black race Black, Indigenous, People of Color Blood Pressure Body mass index Chronic stress Disadvantaged Emotions Exhibits Health Health Care Costs Hip region structure Hydrocortisone Informal Social Control Interruption Intervention Latinx Link Mental Health Mindfulness Training Modeling Morbidity - disease rate Neck Outcome Physiological Population Process Randomized Research Role Schools Site Students Study Skills Symptoms Testing Youth allostatic load anxiety symptoms attentional control children of color cost depressive symptoms emotion regulation examination questions health disparity marginalized community mindfulness intervention physical conditioning prevent preventive intervention randomized trial resilience skills socioeconomic disadvantage success

项目摘要

PROJECT SUMMARY Students in marginalized communities who `strive' to rise above adversity to achieve academic success are considered `resilient'. However, youths' resilience in one domain (i.e. academic) can come at a cost in other domains including physical and mental health morbidities that are under-identified and under-treated. Previous research suggests that Black, Indigenous and People of Color (BIPOC) who exhibit a “striving persistent behavioral style” in the face of adversity evince later health morbidities. Ironically, the same self- regulatory skills that promote academic achievement amid chronic stress can also result in physiological dysregulation that harms health and mental health1–3. Self-regulatory processes that involve emotion suppression, experiential avoidance, and unmodulated perseverance can culminate in allostatic load which fuels health disparities1,4 and internalizing symptoms of depression and anxiety5. The proposed mechanistic trial will utilize mindfulness training to permit examination of questions about the causal role of emotion regulation strategies linked to the striving persistent behavioral style in driving mental health and health morbidities among BIPOC78. The proposed Project STRIVE (STudents RIsing aboVE) will identify BIPOC students who are academically resilient in the face of disadvantage and will offer a tailored mindfulness intervention targeting self-regulation processes as a putative mechanism to interrupt the links between the striving persistent behavioral style and negative health outcomes. We propose a multisite randomized trial randomizing 504 high achieving, socioeconomically disadvantaged Black, Latinx and Asian American students in 18 schools to receive a mindfulness intervention or an attention control condition focused on study skills. The study will: (1) test the effects of the STRIVE intervention on putative self-regulation mechanisms (emotion suppression, experiential avoidance, and unmodulated perseverance) among. (2) test the effects of the STRIVE intervention on health and mental health outcomes at 12-month post-treatment, including biomarkers of allostatic load (cortisol, blood pressure, body-mass-index, waist/hip/neck circumference), health complaints, and internalizing symptoms, and (3) examine the mechanistic model linking striving persistent behavioral style and health outcomes within the STRIVE trial. If successful, this trial will build toward a scalable, secondary preventive intervention with potential for preventing both health and mental health disparities among underserved BIPOC youth at the population-level.

项目概要边缘化社区的学生“努力”克服逆境以取得学业成功然而，青少年在某一领域（即学术）的恢复力可能会付出一定的代价。其他领域，包括未得到充分识别和治疗的身心健康疾病。先前的研究表明，表现出“奋斗”精神的黑人、原住民和有色人种 (BIPOC) 具有讽刺意味的是，面对逆境时“坚持不懈的行为风格”也表明了后来的健康问题。在长期压力下促进学业成绩的调节技能也可能导致生理损害健康和心理健康的失调涉及情绪的自我调节过程。抑制、经验性回避和不受调节的毅力最终会导致非稳态负荷，加剧健康差异1,4并内化抑郁和焦虑症状5。拟议的机械试验将利用正念训练来检查有关的问题情绪调节策略的因果作用与驾驶中努力坚持的行为风格相关 BIPOC78 拟议的项目 STRIVE（学生崛起）的心理健康和健康疾病 aboVE）将识别出在面临劣势时具有学术弹性的 BIPOC 学生，并提供针对自我调节过程的定制正念干预作为一种假定的机制来中断我们提出了一个多站点的联系。随机试验将 504 名成绩优异、社会弱势群体的黑人、拉丁裔和亚洲人随机分组美国 18 所学校的学生将接受正念干预或注意力控制条件集中治疗该研究将：（1）测试 STRIVE 干预对假定的自我调节的影响。 (2) 测试中的机制（情绪抑制、经验性回避和不受调节的毅力）。 STRIVE 干预对治疗后 12 个月的健康和心理健康结果的影响，包括非稳态负荷的生物标志物（皮质醇、血压、体重指数、腰部/臀部/颈部周长）、健康主诉和内化症状，以及（3）检查联系的机制模型在 STRIVE 试验中努力实现持久的行为方式和健康结果如果成功，该试验将。建立可扩展的二级预防干预措施，有可能预防健康和精神疾病服务不足的 BIPOC 青年在人口层面的健康差异。