Die Prävention psychischer Erkrankungen und die Förderung psychischer Gesundheit

Kilian, Reinhold; Becker, Thomas

doi:10.1007/3-540-28954-2_26

Cited by 6 publications

(2 citation statements)

References 73 publications

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“…In contrast, work that is experienced as straining and psychologically demanding while at the same time as uncontrollable and lacking social support is predictive for depression ( 6 – 8 ). The experiences an individual makes are highly dependent on biological disposition and psychological constitution, which determine individual coping strategies ( 9 ). Work also provides financial security, which protects against social decline ( 10 ).…”

Section: Introductionmentioning

confidence: 99%

Identifying Individuals at High Risk for Permanent Disability From Depression and Anxiety

Behrens-Wittenberg

Wedegaertner

2020

Front. Psychiatry

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Mental illnesses, among which depression and anxiety are most common, are the leading cause for permanent disability. It is of interest to know what case characteristics determine if a person returns to the work force in spite of mental illness to tailor specific interventions. So far, there has been little research into this field. In the present study a sample of 202 workers who had permanent disability due to depression/anxiety were followed-up on. 22% started some kind of work during follow-up in a period of 30 to 75 months. Logistic regression analyses showed that quick progression into disability, short period of disability, younger age, adequacy of income replacement through insurance benefits and no previous disability predicted return to work. These findings also allow to identify individuals at high risk for progression into permanent disability that can benefit from supporting interventions.

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Section: Introductionmentioning

confidence: 99%

Identifying Individuals at High Risk for Permanent Disability From Depression and Anxiety

Behrens-Wittenberg

Wedegaertner

2020

Front. Psychiatry

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“…This makes children of parents with mental illness (COPMI) more likely to develop mental health problems compared with children from the general population [ 4 ]. Therefore, measures to detect early signs of mental disorder in offspring of PMI and interventions to support families with PMI are recommended in the literature [ 7 , 8 ]. However, research results regarding the effectiveness of such interventions are ambiguous: some interventions seem to be effective in terms of symptom reduction or decreased risk of diagnosis in children [ 9 ], while others did not find intervention effects on children’s mental health or social functioning [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Costs of health and social services use in children of parents with mental illness

Waldmann

Stiawa

Dinc

et al. 2021

Child Adolesc Psychiatry Ment Health

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Background Children of parents with mental illness have a higher risk of developing mental health problems when compared with the general population. Therefore, families with parents with mental illness are a suitable target group for selective prevention. In order to plan and evaluate the health economic consequences of preventive interventions for this target group, data on the societal costs related to parenthood under the condition of mental disorders are needed. To date, within Germany there has been a lack of research evaluating the costs of mental health treatment and use of social services by children and adolescents with parents with mental illness. Methods As part of a multicentre randomised controlled trial, use and costs of health and social services were assessed for a sample of 332 children and adolescents with parents with mental illness in six regions of Germany. Service use at baseline was assessed by the German version of the Children and Adolescent Mental Health Service Receipt Inventory. Costs were calculated for 12 months based on diagnosis and service user status and described separately. Cost drivers were identified by means of a two-part regression model. Results Total mean costs for 12 months for the total sample amount of € 3736.35 (95% CI: € 2816.84–4813.83) per person. Children with a psychiatric diagnosis generated a total of € 5691.93 (95% CI: € 4146.27–7451.38) of costs per person, compared to € 1245.01 (95% CI: € 657.44–1871.49) for children without a psychiatric diagnosis. The logit part indicates significant odds ratios for individual functioning and diagnosis of the child as well as for family functioning. The linear part reveals that increasing individual functioning in the child is related to decreasing costs. Conclusions Children of families with parents with mental illness use a broad spectrum of mental health care, school-based support and youth welfare services even if they are not yet diagnosed as having a mental disorder. Further research should examine whether these institutions are sufficiently qualified and interlinked to meet the support needs of this vulnerable group. Trial registration The study was registered at the 07/10/2014 before the start of data collection (04/11/2014) at the German clinical trials register (Deutsches Register Klinischer Studien, DRKS, nr: DRKS00006806, https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00006806).

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Kreativität, Kunst und Gesundheitsförderung

Röder

2023

Innovationen in Der Gesundheitsversorgung

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Die Prävention psychischer Erkrankungen und die Förderung psychischer Gesundheit

Cited by 6 publications

References 73 publications

Identifying Individuals at High Risk for Permanent Disability From Depression and Anxiety

Identifying Individuals at High Risk for Permanent Disability From Depression and Anxiety

Costs of health and social services use in children of parents with mental illness

Kreativität, Kunst und Gesundheitsförderung

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