Bereavement and Psychosocial Needs of AIDS orphans: A Longitudinal assessment

艾滋病孤儿的丧亲之痛和社会心理需求：纵向评估

• 批准号: 7127293
• 负责人: Xiaoming Li
• 金额: $ 42.94万
• 依托单位: WAYNE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7127293
• 关键词: AIDS; China; Chinese; academic achievement; adolescence (12-20); behavioral /social science research tag; bereavement; caregivers; child behavior disorders; child foster care /adoption; child psychology; community; human subject; institutional care facility; interview; longitudinal human study; mental health epidemiology; middle childhood (6-11); mood disorders; parent deprivation; psychosocial separation; questionnaires; social psychology

DESCRIPTION (provided by applicant): The death of a parent is one of the most traumatic events a child can experience and is accompanied by a profound and potentially lasting impact on a child's psychosocial well-being. The natural grieving process involves a requisite set of skills, which present specific challenges for children due to their developmental vulnerability (e.g., emotional and intellectual immaturity). In addition to the obstacles to a successful resolution of grief normally faced by children who have lost their parents to any other causes, children orphaned by AIDS may face additional psychological and social challenges including stigmatization, the impending or actual death of the surviving parent, and financial hardship; these challenges may further impede the grieving process, placing these children at heightened risk of prolonged mental and behavioral problems. This proposed investigation brings together an assessment model that integrates research findings from the literatures on bereavement, attachment, as well as risk and resilience to delineate the psychosocial needs of children orphaned by AIDS in China. The specific aims of the current application include (1) conducting a qualitative assessment (in-depth semi-structured individual interviews) among AIDS orphans, caregivers (surviving parent, orphanage workers, extended family members), community members (neighbors, community leaders, village doctors, local school teachers), and local leaders (at the county, township, and village levels) to explore issues related to the social and cultural context of bereavement and grief among children orphaned by AIDS and the community and caregivers' reaction to these children's psychosocial needs; (2) conducting a quantitative longitudinal psychosocial assessment of both children and their caregivers to determine the extent to which the psychosocial needs of children orphaned by AIDS are different from those of demographically matched comparison children from the same community; and to examine whether these problems are transitory or persistent and how they affect children in later life; and (3) identifying individual and contextual factors that are associated with prolonged episodes of emotional and behavioral problems among children orphaned in China. By identifying risk and resilience factors, both individual and contextual, affecting short-term and long-term psychosocial functioning of children orphaned by AIDS, this study will inform not only future intervention efforts among AIDS bereaved children, but also public policy regarding the care of AIDS orphans globally.

描述（由申请人提供）：父母的去世是孩子可能经历的最痛苦的事件之一，并且会对孩子的社会心理健康产生深远且可能持久的影响。自然的悲伤过程涉及一套必要的技能，由于儿童的发展脆弱性（例如情感和智力不成熟），这些技能给儿童带来了特定的挑战。除了因任何其他原因失去父母的儿童通常面临的成功解决悲伤的障碍之外，艾滋病孤儿还可能面临其他心理和社会挑战，包括污名化、幸存父母即将或实际死亡，以及经济困难；这些挑战可能会进一步阻碍悲伤的过程，使这些儿童面临长期精神和行为问题的更高风险。这项拟议的调查汇集了一个评估模型，该模型整合了有关丧亲、依恋以及风险和复原力的文献研究结果，以描述中国艾滋病孤儿的社会心理需求。当前应用程序的具体目标包括（1）对艾滋病孤儿、照顾者（幸存的父母、孤儿院工作人员、大家庭成员）、社区成员（邻居、社区领导、村医生、当地学校教师）和地方领导（县、乡、村各级）探讨与艾滋病孤儿和社区和社区的丧亲和悲伤的社会和文化背景有关的问题照顾者对这些儿童心理社会需求的反应； (2) 对儿童及其照顾者进行定量纵向心理社会评估，以确定艾滋病孤儿的心理社会需求与来自同一社区的人口统计匹配的对照儿童的心理社会需求的不同程度；并检查这些问题是暂时的还是持续存在的，以及它们如何影响儿童以后的生活； (3) 确定与中国孤儿情绪和行为问题长期发作相关的个体和背景因素。通过确定影响艾滋病孤儿短期和长期心理社会功能的个人和背景风险和复原力因素，这项研究不仅将为艾滋病毒孤儿的未来干预工作提供信息，而且为有关照顾艾滋病孤儿的公共政策提供信息。全球艾滋病孤儿。