Exposure to trauma has a significant influence on developmental and mental health in young children. The proposed project is a renewal application designed to extend the findings of R01 MH079252-03 that successfully tested and modeled the relation between potential protective factors and mental health outcomes for a sample of 302 youth in foster care over three time points. The results indicated that constructs like child appraisal of events and coping or problem-solving style mediated the relation between maltreatment exposure and adjustment, specifically aggression. Moreover, the results indicated that cognitive systems like IQ operated as a moderator of the relation. Taken together, the results suggest the next line of research questions put forth in the proposed project. The project seeks to better illuminate the core components of appraisal (or threat perception) and problem-solving skills (or working memory skills) that accounted for adjustment in school-age youth by expanding the investigation to a younger age. In the proposed project, we will prospectively and longitudinally assess how dimensional components of trauma exposure (i.e., frequency, chronicity, and severity) influence the Negative Valence System (threat) and Cognitive Systems (working memory) to predict adjustment for early childhood-aged youth. The sample will be composed of 180 youth (and their parents and teachers) ages 3-5 at baseline, stratified by risk for trauma exposure making it possible to identify differential effects of trauma across a sample of youth who vary over time in their exposure to different levels of chronicity, frequency, and severity. The project will assess trauma as early as it can be reliably assessed across the spectrum of events commonly accepted as traumatic and provide a model test of the how the dimensions of those baseline traumas and new traumas over time impact emotion regulation and working memory. Moreover, the project will compare baseline emotion regulation and working memory functioning with post-trauma functioning in the smallest reasonable time frame so that the actual impact of the events on youth emotion regulation and working memory can be more reliably determined than ever before. The project will also extend the work by accounting for parental emotional response to the child in the exposure-outcome relation. The project is important and innovative in that it will include assessment of emotional regulation and working memory using state-of-the-art tools across a variety of modalities (physiological heart rate, observational measures, laboratory tasks, standardized measures, and self-report) to provide the clearest possible picture of the interaction between the constructs. Testing models of trauma dimensions over time and focusing on the core components of emotion regulation, working memory and parent-child interaction as mechanisms of how trauma confers risk to developmental health are rare and needed for the field to advance beyond long lists of the multifinality of responses youth demonstrate (both positive and detrimental) post-trauma exposure.

Public Health Relevance

The project will determine how dimensions of trauma exposure (frequency, chronicity, and severity) impact emotion regulation and working memory skills in early childhood-aged youth. Using physiological, observational, and self-report data, the project will account for the role of pre-trauma functioning and parent emotion regulation and model the relations between the study variables over time.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH079252-08
Application #
9428454
Study Section
Social Psychology, Personality and Interpersonal Processes Study Section (SPIP)
Program Officer
Wagner, Ann
Project Start
2009-08-01
Project End
2021-01-31
Budget Start
2018-02-01
Budget End
2019-01-31
Support Year
8
Fiscal Year
2018
Total Cost
Indirect Cost
Name
University of Kansas Lawrence
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
076248616
City
Lawrence
State
KS
Country
United States
Zip Code
66045
Gabrielli, Joy; Jackson, Yo; Tunno, Angela M et al. (2017) The blind men and the elephant: Identification of a latent maltreatment construct for youth in foster care. Child Abuse Negl 67:98-108
Huffhines, Lindsay; Tunno, Angela M; Cho, Bridget et al. (2016) Case file coding of child maltreatment: Methods, challenges, and innovations in a longitudinal project of youth in foster care. Child Youth Serv Rev 67:254-262
Jackson, Yo; Cushing, Christopher C; Gabrielli, Joy et al. (2016) Child Maltreatment, Trauma, and Physical Health Outcomes: The Role of Abuse Type and Placement Moves on Health Conditions and Service Use for Youth in Foster Care. J Pediatr Psychol 41:28-36
Gabrielli, Joy; Hambrick, Erin P; Tunno, Angela M et al. (2015) Longitudinal Assessment of Self-Harm Statements of Youth in Foster Care: Rates, Reporters, and Related Factors. Child Psychiatry Hum Dev 46:893-902
Hambrick, Erin P; Tunno, Angela M; Gabrielli, Joy et al. (2014) Using Multiple Informants to Assess Child Maltreatment: Concordance Between Case File and Youth Self-Report. J Aggress Maltreat Trauma 23:751-771
Jackson, Yo; Gabrielli, Joy; Fleming, Kandace et al. (2014) Untangling the relative contribution of maltreatment severity and frequency to type of behavioral outcome in foster youth. Child Abuse Negl 38:1147-59
Jackson, Yo; Gabrielli, Joy; Tunno, Angela M et al. (2012) Strategies for Longitudinal Research with Youth in Foster Care: A Demonstration of Methods, Barriers, and Innovations. Child Youth Serv Rev 34:1208-1213
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