Natural disaster effects on aggressive children and their caretakers: Outcomes ac

自然灾害对攻击性儿童及其看护者的影响：结果

• 批准号: 8439222
• 负责人: JOHN E LOCHMAN
• 金额: $ 39.41万
• 依托单位: UNIVERSITY OF ALABAMA IN TUSCALOOSA
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-20 至 2018-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8439222
• 关键词: Address; Adolescence; Aggressive behavior; Alcohol or Other Drugs use; Anxiety; Area; Attention; Attenuated; Autonomic nervous system; Behavioral; Caregivers; Characteristics; Child; Cognitive Therapy; Data; Data Collection; Diagnostic; Disasters; Disease; Disruptive Behavior Disorder; Distress; Emotional; Emotional disorder; Environment; Ethnic Origin; Event; Exposure to; Family; Family Characteristics; Funding; Galvanic Skin Response; Genes; Genetic Markers; Grant; Heart Rate; Intervention; Intervention Trial; Life; Link; Measures; Mental Depression; Mental Health Services; Natural Disasters; Nervous System Physiology; Outcome; Parenting behavior; Parents; Patient Self-Report; Physiological; Post-Traumatic Stress Disorders; Prevention Research; Psychophysiology; Public Health; Race; Research; Risk; Risk Factors; Role; Sampling; Scientific Advances and Accomplishments; Services; Sex Characteristics; Sinus Arrhythmia; Social Functioning; Social support; Socioeconomic Status; Stress; Substance abuse problem; Support System; Time; Tornadoes; Trauma; Youth; base; biopsychosocial; cohort; coping; follow-up; high risk; innovation; peer; public health relevance; respiratory; response; sex; social; substance use prevention; teacher; therapy design; trial comparing; tv watching; Address; Adolescence; Aggressive behavior; Alcohol or Other Drugs use; Anxiety; Area; Attention; Attenuated; Autonomic nervous system; Behavioral; Caregivers; Characteristics; Child; Cognitive Therapy; Data; Data Collection; Diagnostic; Disasters; Disease; Disruptive Behavior Disorder; Distress; Emotional; Emotional disorder; Environment; Ethnic Origin; Event; Exposure to; Family; Family Characteristics; Funding; Galvanic Skin Response; Genes; Genetic Markers; Grant; Heart Rate; Intervention; Intervention Trial; Life; Link; Measures; Mental Depression; Mental Health Services; Natural Disasters; Nervous System Physiology; Outcome; Parenting behavior; Parents; Patient Self-Report; Physiological; Post-Traumatic Stress Disorders; Prevention Research; Psychophysiology; Public Health; Race; Research; Risk; Risk Factors; Role; Sampling; Scientific Advances and Accomplishments; Services; Sex Characteristics; Sinus Arrhythmia; Social Functioning; Social support; Socioeconomic Status; Stress; Substance abuse problem; Support System; Time; Tornadoes; Trauma; Youth; base; biopsychosocial; cohort; coping; follow-up; high risk; innovation; peer; public health relevance; respiratory; response; sex; social; substance use prevention; teacher; therapy design; trial comparing; tv watching

DESCRIPTION (provided by applicant): This study will examine the effects of a tornado-related natural disaster on children and parents participating in an ongoing substance use prevention trial and will allow a unique opportunity to examine changes in children's and parents' predisaster and postdisaster functioning on a comprehensive range of biopsychic- social indicators and on substance abuse and mental health service use in an already at-risk sample. Research on the service use, substance use, behavioral and emotional effects of natural disasters on children and their caretakers has received limited empirical attention, even though such disasters have considerable public health significance due to increases in disordered emotional and behavioral functioning and service use demands. Existing studies of the aftereffects of natural disasters on children are limited by not knowing how much the disaster changed the children's predisaster functioning. This will be the first disaster study that includes extensive data on children's behavioral, emotional, (teacher, parent, peer, and self reports), social (children's peer relations based on peer, teacher and self report) and psycho- physiological (skin conductance, heart rate, respiratory sinus arrhythmia) functioning both before and after disaster exposure. Another important innovation of the proposed study is that it will follow a sample of preadolescent children identified as being at-risk prior to the disaster. Thus, the sample is likely to be more heavily influenced by the disaster (Kaminer et al., 2005; Resnick, 1995; Weems et al., 2010), because the tornado that devastated the study area adds another set of risk factors to already vulnerable children. The specific aims of the project are: 1 To explore changes in functioning pre-to-post tornado in children (emotional, behavioral, social, academic, and autonomic nervous system functioning and substance use) and primary caretakers (emotional functioning and parenting practices); 2) To explore moderation of changes in child and caretaker functioning pre-to-post tornado by degree of tornado exposure, by pre- tornado child (sex, ethnicity, temperamental anxiety) and family (socioeconomic status, post-tornado negative life events, levels of family social support, parenting practices) characteristics and by gene-by- environment (degree of exposure to the tornado) effects; 3) To explore moderation of post-tornado rates of substance abuse, mental health service use and diagnostic outcomes by degree of tornado exposure and pre-tornado child and family characteristics and by caretakers' and children's changes in functioning; 4) To determine whether cognitive behavioral intervention (Coping Power) delivered after the tornado (Cohort 3 versus Cohorts 1 and 2) attenuates increases in behavioral and emotional problems after the tornado in a transdiagnostic fashion. The funding sought here would make it possible to address these aims by supporting the assessment of the existing intervention sample at more frequent and longer-term time points and on additional measures linked to the specific aims.

描述（由申请人提供）：本研究将检查与龙卷风相关的自然灾害对参加持续的药物使用预防试验的儿童和父母的影响，并将允许独特的机会检查儿童和父母的狂热者和后撒司司机的变化，这些变化是在已经在已经稳健的样本中全面的生物心理 - 社交指标，以及对毒品滥用和心理健康服务的全面范围进行的。关于服务使用，物质使用，行为和情绪影响对儿童及其看护人的研究的研究受到了有限的经验关注，尽管由于这些灾难的情绪和行为功能和服务使用需求的混乱而增加了公共卫生的重要性。对儿童自然灾害的后遗症的现有研究受到限制，因为他们不知道灾难改变了儿童狂热者的功能。这将是第一个灾难研究 包括有关儿童行为，情感（教师，父母，同伴和自我报告）的大量数据，社交（基于同伴，老师和自我报告的儿童同伴关系）以及心理生理（皮肤电导，心率，呼吸鼻窦心律不齐）在灾难前和灾害前的功能。拟议的研究的另一个重要创新是，它将遵循在灾难之前被确定为处于危险中的前儿童样本。因此，样本可能会受到灾难的严重影响（Kaminer等，2005； Resnick，1995； Weems等，2010），因为摧毁研究区域的龙卷风为已经易受伤害的孩子增加了另一组风险因素。该项目的具体目的是：1探索儿童（情感，行为，社会，学术和自主神经系统功能和吸毒者）和主要看护者（情感功能和育儿实践）的儿童（情感，行为，社会，学术和自主神经系统功能和使用物质）的功能变化； 2）探索儿童和看护人在龙卷风暴露程度上运作的儿童和看护人的变化，通过前龙卷风的儿童（性别，种族，气质焦虑）和家庭（社会经济状况，龙卷风后，负面的生活事件，家庭社会支持的水平，家庭养育，育儿）的特征和环境效果（tentor-by-by-by-By-By-Exposuble）; 3）探索龙卷风后滥用药物，心理健康服务的使用率，以及按龙卷风暴露的程度以及龙卷风前儿童和家庭特征以及看护人的功能以及儿童在功能方面的变化； 4）确定龙卷风（队列3对1和2）后交付的认知行为干预（应对能力）是否会以转诊方式减弱龙卷风后行为和情感问题的增加。这里寻求的资金将通过在更频繁和长期的时间点以及与特定目标相关的其他措施中支持对现有干预样本的评估来解决这些目标。