Psychische Erkrankungen eines Elternteils

Röhrle, Bernd; Christiansen, Hanna

doi:10.1007/978-3-540-88384-5_19

Cited by 11 publications

(6 citation statements)

References 26 publications

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“…Thus, COPMI are most likely to constitute the next generation of patients with a mental illness (12) associated with significant DALYs and economic costs (20–22). They therefore constitute an essential target high risk group to be addressed by selective prevention programs (23). This is the aim of the COMPARE-family project (see part II of the study protocol published in this research topic by Stracke et al (24).…”

Section: Introductionmentioning

confidence: 99%

Children of Mentally III Parents at Risk Evaluation (COMPARE): Design and Methods of a Randomized Controlled Multicenter Study—Part I

et al. 2019

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Objectives: Mental disorders are frequent, associated with disability-adjusted life years, societal, and economic costs. Children of parents with a mental illness (COPMI) are at an increased risk to develop disorders themselves. The transgenerational transmission of mental disorders has been conceptualized in a model that takes parental and family factors, the social environment (i.e., school, work, and social support), parent-child-interaction and possible child outcomes into account. The goal of the “Children of Mentally Ill Parents At Risk Evaluation” (COMPARE) study will thus be twofold: (1) to establish the efficacy and cost-effectiveness of a high-quality randomized controlled trial (RCT) with the aim of interrupting the intergenerational transmission of mental disorders in COPMI, (2) to test the components of the trans-generational transmission model of mental disorders. Methods: To implement a randomized controlled trial (RCT: comparison of parental cognitive behavioral therapy/CBT with CBT + Positive Parenting Program) that is flanked by four add-on projects that apply behavioral, psychophysiological, and neuro-imaging methods to examine potential moderators and mediators of risk transmission (projects COMPARE-emotion/-interaction/-work/-school). COMPARE-emotion targets emotion processing and regulation and its impact on the transgenerational disorder transmission; COMPARE-interaction focuses especially on the impact of maternal comorbid diagnoses of depression and anxiety disorders and will concentrate on different pathways of the impact of maternal disorders on socio-emotional and cognitive infant development, such as parent-infant interaction and the infant's stress regulation skills. COMPARE-work analyzes the transmission of strains a person experiences in one area of life to another (i.e., from family to work; spill-over), and how stress and strain are transmitted between individuals (i.e., from parent to child; cross-over). COMPARE-school focuses on the psychosocial adjustment, school performance, and subjective well-being in COPMI compared to an adequate control group of healthy children. Results: This study protocol reports on the interdisciplinary approach of COMPARE testing the model of the transgenerational transmission of mental disorders. Conclusion: The combination of applied basic with clinical research will facilitate the examination of specific risk transmission mechanisms, promotion, dissemination and implementation of results into a highly important but largely neglected field. Clinical Trial Registration: DRKS-ID: DRKS00013516 (German Clinical Trials Register, https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00013516 ).

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Section: Introductionmentioning

confidence: 99%

Children of Mentally III Parents at Risk Evaluation (COMPARE): Design and Methods of a Randomized Controlled Multicenter Study—Part I

et al. 2019

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“…Parentifizierung) dar, wobei die Kinder mehr die Versorgung und Verantwortung für ihre kranken Eltern übernehmen anstatt von ihren Eltern versorgt zu werden [1]. Die Risiken wirken kumulativ [1,[11][12][13][14]. Durch kürzere stationäre Behandlungen müssen psychisch Kranke länger durch Angehörige betreut werden [15].…”

Section: Introductionunclassified

Belastung von Kindern psychisch erkrankter Eltern im Normgruppenvergleich – eine Hochrisikogruppe für selektive und indizierte Prävention?

et al. 2020

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Zusammenfassung Ziel der Studie Erfassung von Verhaltensauffälligkeiten von Kindern psychisch erkrankter Eltern (KpK), Schlussfolgerungen für Prävention. Methodik Patienten in stationärer psychiatrischer Behandlung (N = 399) mit Kindern (4–18 Jahre) schätzten das Verhalten der Kinder mit der Child Behavior Checklist (CBCL) ein. Ergebnisse Verhaltensauffälligkeiten der KpK waren in allen Syndrombereichen signifikant stärker ausgeprägt als in der Normstichprobe Gesunder. Im Vergleich zu einer Klinikstichprobe der Kinder-/Jugendpsychiatrie zeigten sich insgesamt zwar weniger Auffälligkeiten, vergleichbar ausgeprägte Auffälligkeiten wurden jedoch in den Bereichen „sozialer Rückzug“ (4–11-jährige Jungen, 12–18-jährige Mädchen) und „körperliche Beschwerden“ (12–18-jährige Jungen und Mädchen) gefunden. Schlussfolgerungen Deutliche Hinweise auf selektiven, teils indizierten Präventionsbedarf bei KpK sowie auf Syndrombereiche, die in der Prävention besonders berücksichtigt werden sollten.

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“…Studies have shown that about 23–32% of patients admitted to mental health care are caring for children (Test et al, 1990 ; Östman and Hansson, 2002 ; Fraser et al, 2006 ; Pretis and Dimova, 2008 ; Maybery et al, 2009 ). Given the number of families in Germany and the overall rates of adult psychological illness, this suggests ~3.8 million children that have a parent with a psychological disorder (Wittchen, 2000 ; Statistisches Bundesamt, 2006 ; Röhrle and Christiansen, 2009 ).…”

Section: Introductionmentioning

confidence: 99%

“…Various interventions (i.e., cognitive behavior based parent, parent–child, and child intervention programs, mother–infant interaction programs addressing parenting skills, psycho-education programs for parents and children) have been developed to meet the needs of this group of young people (reviews: Fraser et al, 2006 ; Mattejat and Remschmidt, 2008 ; Gladstone and Beardslee, 2009 ; National Research Council and Institute of Medicine, 2009 ; Röhrle and Christiansen, 2009 ; Christiansen et al, 2011 ). Recent reviews of interventions for children of parents with depressive disorders (Beardslee et al, 1998 , 2008 ; Gladstone and Beardslee, 2009 ; National Research Council and Institute of Medicine, 2009 ), and children of parents with substance use disorders (Christiansen et al, 2011 ), have shown positive results with lasting long-term effects (in the Family Talk Intervention studies by Beardslee follow-up effects were sustained for 20 years with children in the intervention group showing lower numbers of psychological disorders).…”

Section: Introductionmentioning

confidence: 99%

Children of mentally ill parents—a pilot study of a group intervention program

et al. 2015

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Objective: The transgenerational transmission of mental disorders is one of the most prominent risk factors for the development of psychological disorders. Children of mentally ill parents are a vulnerable high risk group with overall impaired development and high rates of psychological disorders. To date there are only a few evidence based intervention programs for this group overall and hardly any in Germany. We translated the evidence based Family Talk Intervention by Beardslee (2009) and adapted it for groups. First results of this pilot study are presented.Method: This investigation evaluates a preventive group intervention for children of mentally ill parents. In a quasi-experimental design three groups are compared: an intervention group (Family Talk Intervention group: n = 28), a Wait Control group (n = 9), and a control group of healthy children (n = 40). Mean age of children was 10.41 years and parental disorders were mostly depressive/affective disorders (n = 30), but a small number also presented with Attention-Deficit/Hyperactivity Disorder (n = 7).Results: Children of mentally ill parents showed higher rates of internalizing/externalizing disorders before and after the intervention compared to children of parents with no disorders. Post intervention children's knowledge on mental disorders was significantly enhanced in the Family Talk Intervention group compared to the Wait Control group and the healthy control group. Parental ratings of externalizing symptoms in the children were reduced to normal levels after the intervention in the Family Talk Intervention group, but not in the Wait Control group.Discussion: This pilot study of a group intervention for children of mentally ill parents highlights the importance of psycho-education on parental mental disorders for children. Long-term effects of children's enhanced knowledge about parental psychopathology need to be explored in future studies.

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Psychische Erkrankungen eines Elternteils

Cited by 11 publications

References 26 publications

Children of Mentally III Parents at Risk Evaluation (COMPARE): Design and Methods of a Randomized Controlled Multicenter Study—Part I

Children of Mentally III Parents at Risk Evaluation (COMPARE): Design and Methods of a Randomized Controlled Multicenter Study—Part I

Belastung von Kindern psychisch erkrankter Eltern im Normgruppenvergleich – eine Hochrisikogruppe für selektive und indizierte Prävention?

Children of mentally ill parents—a pilot study of a group intervention program

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