Childhood socioeconomic disadvantage, cumulative Adverse Childhood Experiences, and adolescent depression and anxiety symptoms

童年社会经济劣势、累积的不良童年经历以及青少年抑郁和焦虑症状

基本信息

批准号：
10676396
负责人：
Chelsea Moore
金额：
$ 4.47万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-08-28 至 2025-08-27
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10676396
关键词：
Address Adolescence Adolescent Advocacy Age Anxiety Birth Black race Child Welfare Childhood Clinical Clinical assessments Complex Data Data Set Distal Ethnic Origin Exposure to Family Fellowship Fostering Future Hispanic Household Individual Individual National Research Service Award Interpersonal Violence Knowledge Low Income Population Low income Mediating Mental Depression Mental Health Mental disorders Mentorship Methods Michigan Modeling National Research Service Awards Nursing Research Outcome Participant Personal Satisfaction Policies Poverty Prevention Prevention strategy Primary Prevention Public Health Public Policy Race Research Research Personnel Research Project Grants Resource Allocation Resources Risk Risk Factors Role Sampling Studies School Nursing Schools Shapes Social Work Statistical Models Strategic Planning Surgeon Surveys Techniques Time Training Trauma United States Universities Update Work Youth abuse neglect adolescent health adverse childhood events anxiety symptoms biological sex career child depression child poverty childhood adversity depressive symptoms early childhood ethnic diversity experience faculty mentor health equity implementation intervention insight pre-doctoral programs racial diversity secondary analysis skills social social factors social health determinants socioeconomic disadvantage suicidal

项目摘要

Project Summary/Abstract. Cumulative Adverse Childhood Experiences (ACEs) and childhood socioeconomic disadvantage (SED) have each been identified as major contributors to poor adolescent mental health and have been associated with one another. However, less is known about how cumulative ACEs and childhood SED operate together to influence adolescent mental health, resulting in disagreement among childhood adversity researchers. Without a clearer understanding of this complex relationship, we risk overlooking largely impactful social factors that influence adolescent health and well-being and our efforts to address the current youth mental health crisis will be hindered. The purpose of this Ruth L. Kirschstein National Research Service Award (NRSA) Individual Pre- Doctoral Fellowship in Nursing Research (F31) application is to prepare the applicant for a career as an independent investigator focused on expanding our collective knowledge of social risk factors and informing primary prevention strategies related to childhood adversity and adolescent mental health. The proposed fellowship consists of two complementary components: 1) a training plan aimed at developing the applicant’s methods proficiency, substantive expertise, and role attainment; and 2) a research project that will further our understanding of the relationship between childhood SED, ACE exposure, and adolescent depression and anxiety. A strong mentorship team that includes sponsors and collaborators from the University of Michigan’s Schools of Nursing, Public Health, and Social Work, as well as consultants from UM’s Poverty Solutions and School of Public Policy will provide interdisciplinary expertise in childhood adversity/trauma, child poverty, youth mental health, policy advocacy, intervention implementation, and advanced statistical techniques. The proposed research project will utilize data collected as part of the large, diverse, longitudinal Fragile Families and Child Wellbeing Study from birth through age 15. The specific aims are to: 1a) Investigate for the presence of distinct profiles of ACE exposure during early childhood and how childhood SED predicts profile membership; 1b) Examine the association between distinct ACE profiles and adolescent depression and anxiety, and if childhood SED moderates these associations; and 2) Investigate for transitions in ACE profile membership during early childhood, how childhood SED influences profile transitions, and how transitions are associated with mental health. Additional exploratory analyses will be conducted to assess the influence of additional social determinants of health, including race/ethnicity and biological sex. This study aligns with the NINR’s updated strategic plan by addressing health equity through the study of key social determinants of health and well-being. Findings from this study are critical for shaping future policy and research agendas, the allocation of scarce resources, and better identifying subpopulations in the clinical setting that are at greater risk for poor mental health.

项目摘要/摘要。累积的不良儿童经历（ACE）和儿童社会经济障碍（SED）每个人都被确定为青少年心理健康不良的主要贡献者，并且已经相关彼此。但是，关于累积的AC和儿童SED操作员如何共同了解的知之甚少影响青少年的心理健康，导致儿童广告研究人员之间的分歧。没有对这种复杂关系的更清晰的了解，我们冒着忽视影响很大的社会因素的风险影响青少年的健康和福祉，以及我们解决当前青年心理健康危机的努力受到阻碍。这个露丝·柯希斯坦国家研究服务奖（NRSA）个人的目的护理研究（F31）申请的博士学位奖学金是为职业做好准备的独立研究者致力于扩大我们对社会风险因素的集体知识并告知与儿童广告和青少年心理健康有关的主要预防策略。提议奖学金包括两个完整的组成部分：1）旨在制定申请人的培训计划方法的熟练程度，实质性专业知识和角色尝试； 2）一个研究项目，将进一步了解儿童SED，ACE暴露和青少年抑郁症与焦虑。一个强大的心态团队，包括密歇根大学的赞助商和合作者护理，公共卫生和社会工作的学校，以及UM贫困解决方案的顾问公共政策学校将提供儿童广告/创伤的跨学科专业知识，儿童贫困，青年心理健康，政策倡导，干预实施和先进的统计技术。拟议的研究项目将利用收集的数据作为大型，潜水员，纵向的一部分从出生到15岁的脆弱家庭和儿童健康研究。具体目的是：1a）调查为了在幼儿期间出现ACE暴露的不同特征以及儿童SED如何预测个人资料会员资格； 1b）检查不同的ACE概况与青少年抑郁症与动画，如果童年时代的SED促进了这些关联； 2）调查ACE概况中的过渡童年时期的成员资格，童年时期如何影响概况过渡以及过渡如何与心理健康有关。将进行其他探索性分析，以评估健康的其他社会决定者，包括种族/种族和生物学性别。这项研究通过研究通过研究来解决卫生公平，与NINR的最新战略计划保持一致健康和福祉的关键社会决定者。这项研究的发现对于塑造未来至关重要政策和研究议程，稀缺资源的分配，以及更好地识别临床环境的心理健康风险更大。