Die Frankfurter Präventionsstudie Zur psychischen und psychosozialen Integration von verhaltensauffälligen Kindern (insbesondere von ADHS) im Kindergartenalter – ein Arbeitsbericht

Hau, Stephan; Leuzinger‐Bohleber, Marianne; Brandl, Yvonne; Aulbach, Lars; Caruso, Betty; Einert, Katrin; Glindemann, Oliver; Göppel, Gerlinde; Herrmann, Paula; Hesse, P; Heumann, Jantje; Karaca, Gürkan; König, Julia; Lendle, Jochen; Rüger, Bernhard; Schwenk, A.; Staufenberg, Adelheid; Steuber, Stephan; Uhl, Christian; Vogel, Judith; Waldung, Christina; Wolf, Lisa; Huether, Gerhard

doi:10.13109/9783666451782.238

Cited by 8 publications

(3 citation statements)

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“…Furthermore, many are confronted with other stressful factors after their immigration (e.g., insecure residence status, social isolation, discrimination). A lack of early integration can be associated with a possible disruption of attachment development in the course of migration and young motherhood, as the results of the Frankfurt prevention study showed (Leuzinger-Bohleber et al, 2006, 2009, 2011.…”

Section: Introductionmentioning

confidence: 99%

Fostering Emotional Availability in Mother-Child-Dyads With an Immigrant Background: A Randomized-Controlled-Trial on the Effects of the Early Prevention Program First Steps

et al. 2022

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BackgroundIn many Western countries like Germany, the social integration of children with an immigrant background has become an urgent social tasks. The probability of them living in high-risk environments and being disadvantaged regarding health and education-related variables is still relatively higher. Yet, promoting language acquisition is not the only relevant factor for their social integration, but also the support of earlier developmental processes associated with adequate early parenting in their first months of life. The Emotional Availability Scales (EAS) measure the quality of caregiver-child-interactions as an indicator of the quality of their relationship and thus of such early parenting, focusing on mutual and emotional aspects of their interaction.MethodThis pilot study examined in a randomized controlled trial the effects of the prevention project First Steps regarding the hypothesis that the Emotional Availability (EA) improved to a greater extent in “difficult-to-reach” immigrant mother-child dyads in a psychoanalytically oriented early intervention (A, FIRST STEPS) compared to a usual care intervention (B) offered by paraprofessionals with an immigrant background. A sample of N = 118 immigrant women in Germany from 37 different countries and their children was compared with regard to the parental EA-dimensions sensitivity, structuring, non-intrusiveness and non-hostility and the child dimensions responsiveness to and involvement of the caregiver in the pre-post RCT design.Results and ConclusionDifferent from what was expected, repeated ANOVAs revealed no significant pre-post group differences for the parental dimensions. For the child dimensions the effect of time of measurement was highly significant, which can be interpreted as mostly natural developmental effects. Still, on the level of simple main effects for each intervention, only in the FIRST STEPS groups child responsiveness significantly improved. When controlled for confounding variables, a significant interaction effect for maternal sensitivity in favor of the FIRST STEPS intervention was found. The systematic group differences indicate that the more extensive and professional intervention, focusing on the individual needs of the participants, is more suitable to support the quality of the mother-child-relationship amongst immigrant mother-child dyads than usual care. The results are discussed taking into account the context of the maternal migration process and potential maternal traumatization.Clinical Trial Registration[https://clinicaltrials.gov], identifier [DRKS00004632].

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Section: Introductionmentioning

confidence: 99%

Fostering Emotional Availability in Mother-Child-Dyads With an Immigrant Background: A Randomized-Controlled-Trial on the Effects of the Early Prevention Program First Steps

et al. 2022

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“…Children with an immigrant background are still disadvantaged concerning health related variables such as obesity or psychopathological problems (Kurth & Schaffrath Rosario 2007 ; Hölling et al 2008 ; Rattay et al 2012 ; https://www.bmas.de/SharedDocs/Downloads/DE/PDF-Publikationen-DinA4/a334-4-armuts-reichtumsbericht-2013.pdf?__blob=publicationFile ; Autorengruppe Bildungsberichterstattung 2012 ), their educational achievement and are more likely to live in high-risk environments (Sachverständigenrat deutscher Stiftungen für Integration und Migration (SVR) GmbH: Deutschlands Wandel zum modernen Einwanderungsland. Jahresgutachten 2014 ; Leuzinger-Bohleber et al 2006 ; Leuzinger-Bohleber et al 2009 ; Leuzinger-Bohleber et al 2011 ). 1 However, it is not the immigrant background per se that puts these children at risk of becoming disadvantaged but it is rather the factors that are associated with their parents´ migration, psychological factors due to the different phases of migration and socio-economic factors (low socio-economic status, unemployment, insecure institutional status etc.)…”

Section: Introductionmentioning

confidence: 99%

“…The mother’s stress can have a negative impact on the emotional quality of the early mother-child relationship and attachment security and thus brings about an additional disadvantage for the children, placing them in a special risk group among the immigrant population. Results of the Frankfurt prevention study (Leuzinger-Bohleber et al 2006 ; Leuzinger-Bohleber et al 2009 ; Leuzinger-Bohleber et al 2011 ) indicated that a poor or lacking early integration can be associated with a potential disruption of “natural attachment” in the course of migration and young motherhood.…”

Section: Introductionmentioning

confidence: 99%

FIRST STEPS – a randomized controlled trial on the evaluation of the implementation and effectiveness of two early prevention programs for promoting the social integration and a healthy development of children with an immigrant background from 0–3

et al. 2015

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BackgroundThe social integration of children with an immigrant background has become one of the most urgent social responsibilities in Germany. They are more likely to live in high-risk environments and are disadvantaged with respect to health related variables as well as educationally. Quite a number of projects supporting their integration into the German society exist although many are hardly scientifically evaluated. Most of them focus on the acquisition of German language and therefore address older children (and adults). However, international experts agree that social integration is not only a matter of language but also of earlier developmental processes of children in their first months of life connected to adequate early parenting.Methods/DesignThe model project FIRST STEPS focuses on earliest prevention for children with an immigrant background, supporting their parents in the critical phase of migration and early parenthood. In a prospective randomized comparison group design the effectiveness of a psychoanalytically oriented early prevention program (intervention A) is compared to the outcomes of groups offered by paraprofessionals with an immigrant background (intervention B). Intervention A is a professional offer supporting immigrant families based on developmental psychological and on knowledge on early parenting. 180 families are randomly assigned to intervention A or B. They are supported during the first 3 years of the children’s lives. Social and family stressors, the quality of the parent–child-interaction, child attachment security, the affective, cognitive and social-emotional development of the children and the social integration of the families are assessed during and after the intervention.DiscussionThe project aims at evaluating the implementation as well as the short- and long-term effectiveness of psychoanalytically oriented intervention A compared to the outcomes of intervention B. It is expected that professionally supported early parenting (intervention A) improves the social-emotional, cognitive and language development of immigrant children as well as the social integration of their families to a greater extent than in the comparison groups. In case the model project proves to be effective, a rollout across Germany is possible. Due to the “difficult-to-reach” immigrant families challenges in recruitment, uptake and retention of participants are anticipated.Trial registrationDRKS-ID: DRKS00004632, trial registration date: 05.02.2013

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AD(H)S – Pandemie oder gesellschaftliche Hysterie? Oder: Wenn jede Abweichung von der Norm zu einer Störung wird – eine kritische Reflexion und Standortbestimmung

Bachler¹

2010

Psychotherapie Forum

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Die Frankfurter Präventionsstudie Zur psychischen und psychosozialen Integration von verhaltensauffälligen Kindern (insbesondere von ADHS) im Kindergartenalter – ein Arbeitsbericht

Cited by 8 publications

References 47 publications

Fostering Emotional Availability in Mother-Child-Dyads With an Immigrant Background: A Randomized-Controlled-Trial on the Effects of the Early Prevention Program First Steps

Fostering Emotional Availability in Mother-Child-Dyads With an Immigrant Background: A Randomized-Controlled-Trial on the Effects of the Early Prevention Program First Steps

FIRST STEPS – a randomized controlled trial on the evaluation of the implementation and effectiveness of two early prevention programs for promoting the social integration and a healthy development of children with an immigrant background from 0–3

AD(H)S – Pandemie oder gesellschaftliche Hysterie? Oder: Wenn jede Abweichung von der Norm zu einer Störung wird – eine kritische Reflexion und Standortbestimmung

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