CHILDREN EXPOSED TO MVAS: ASSESSMENT OF EFFECTS

接触 MVAS 的儿童：影响评估

• 批准号: 2255924
• 负责人: Joseph Robert Scotti
• 金额: $ 3.58万
• 依托单位: WEST VIRGINIA UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1996
• 资助国家: 美国
• 起止时间: 1996-04-01 至 1999-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2255924
• 关键词: adolescence (12-20); behavior test; child behavior disorders; child mental disorders; child psychology; clinical research; data collection methodology /evaluation; diagnosis design /evaluation; diagnosis quality /standard; disease /disorder proneness /risk; family structure /dynamics; human subject; mental disorder diagnosis; middle childhood (6-11); preschool child (1-5); psychological shock; psychological stressor; psychometrics; psychophysiology; questionnaires; vehicular accident

Over 50 million persons each year experience an accidental injury. Motor vehicle accidents (MVAs) comprise perhaps the largest portion of those injuries, and are one distinctive class of events that may be defined as a traumatic stressor. There is ample evidence that adult survivors of MVAs experience a diverse array of post-trauma symptoms, including post- traumatic stress disorder (PTSD), other Axis I disorders, and increased physiological arousal. In comparison, there has been a notable lack of empirical investigation of the effects of MVAs on child survivors. The development of adequate assessment procedures is needed to document the behavioral and psychological effects on child survivors of MVAs. The proposed study will involve the use of psychometric instruments (to assess child, parent, and family functioning), psychophysiological measurement (during neural, school-related stressor, and MVA-related stressor vignettes), and behavioral observation to examine the effects of child involvement in MVAs. A total of 90 children will participate in the multi-method assessment, and will be assigned to one of three subject groups, based on history of exposure to MVAs (none versus one or more) and psychometric test results (no distress versus measurable distress or behavioral disturbance): (a) Non-MVA. (b) MVA/Nondistressed, and (c) NVA/Distressed. Data will e analyze via correlational, multi variate analysis of variance, and multiple regression procedures. There are three specific aims of the proposed project. First, is the development of reliable assessment procedures to study the behavioral, psychological, and physiological effects of MVA involvement on children. There are few well established measures specifically addressing the effects of trauma on children. Second, is the determination of the validity of such assessments; and the relations between event characteristics, personal and family history (i.e., mediating and moderating variables), and clinical outcome. The third aim is to develop a brief screening questionnaire that may assist in the identification of children at-risk for behavioral and psychological problems following involvement in an MVA. This aspect has, perhaps, the broadest implications for child development and health, given the potentially deleterious effects of trauma on typical developmental progression (e.g., progress in school, social development, future psychopathology).

每年超过5000万人意外受伤。 发动机 车辆事故（MVA）可能是其中最大的部分 受伤，是一个独特的事件类别，可以定义为 创伤性压力源。 有足够的证据表明MVA的成年幸存者 体验各种各样的创伤后症状，包括 创伤性应激障碍（PTSD），其他轴I疾病并增加 生理唤醒。 相比之下，有明显的缺乏 MVA对儿童幸存者的影响的实证研究。 这 需要制定足够的评估程序来记录 行为和心理对MVA的儿童幸存者的影响。 拟议的研究将涉及使用心理测量仪器（ 评估孩子，父母和家庭功能），心理生理学 测量（在神经，学校相关的压力源和MVA相关期间 压力源小插图）和行为观察，以检查 儿童参与MVA。 共有90名儿童将参加 多方法评估，并将分配给三个主题之一 基于接触MVA的历史（无与一个或多个）和 心理测试结果（没有遇险与可衡量的遇险或 行为干扰）：（a）非MVA。 （b）MVA/非分布和（c） NVA/苦恼。 数据将通过相关，多变量进行分析 分析方差和多元回归程序。 拟议项目有三个特定的目标。 首先，是 制定可靠的评估程序来研究行为， MVA参与对儿童的心理和生理影响。 很少有良好的措施专门针对效果 儿童创伤。 第二，确定有效性 这样的评估；以及事件特征，个人之间的关系 和家族史（即中介和调节变量）和临床 结果。 第三个目的是制定简短的筛选问卷， 可以协助识别儿童在风险中的行为和 参与MVA后的心理问题。 这方面有 也许，鉴于儿童的最广泛影响 创伤对典型发育的潜在有害影响 进步（例如，学校，社会发展，未来的进步 心理病理学）。