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Buechel C, Friedmann A, Eber S, Behrends U, Mall V, Nehring I. The change of psychosocial stress factors in families with infants and toddlers during the COVID-19 pandemic. A longitudinal perspective on the CoronabaBY study from Germany. Front Pediatr 2024; 12:1354089. [PMID: 38562139 PMCID: PMC10982396 DOI: 10.3389/fped.2024.1354089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Accepted: 03/01/2024] [Indexed: 04/04/2024] Open
Abstract
Background Over nearly three years, the COVID-19 pandemic has had a lasting impact on people's lives and mental health worldwide with its far-reaching restrictions and concerns about infections and other personal consequences. Families were particularly affected and showed increased stress and psychological problems. Long-term effects cannot be ruled out. So far, data on young families are sparse. The present longitudinal analysis (n = 932) of the CoronabaBY study investigated the development of parenting stress, parental affective symptoms, and child's mental health in young families with children aged 0-3 years in Germany as well as potential influencing factors. Methods The observational study includes two measurement points over the course of the pandemic (baseline and follow-up). Data was collected by app using standardized questionnaires. Results N = 932 participants, mainly mothers (94.7%) born in Germany (93.1%) with higher education (61.3% with at least high school diploma) and a comfortable financial situation participated in the longitudinal study. Children were on average 14.7 months old at baseline (SD: 12, range: 1-39 months). While the proportion of parents who perceived the pandemic as stressful decreased significantly from baseline (60%) to follow-up (52.3%), the proportion with parenting stress increased significantly (from 40.1% to 45.4%). Both parental and child mental health problems remained constant over time, with infants crying/feeding/sleeping problems ranging above pre-pandemic comparative data. Most predictive for high parenting stress at follow-up was high parenting stress at baseline. This was also true for parental affective symptoms (depression/anxiety) and child mental health problems. Conclusions Despite faded pandemic restrictions, parents remained burdened. Support services do not appear to have been sufficient to help families out of their stressful situation. Our results indicate a need for action regarding low-threshold services that effectively reach affected families. Trial registration The study was pre-registered in OSF (https://osf.io/search/?q=tksh5&page=1).
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Affiliation(s)
- Catherine Buechel
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, Munich, Germany
| | - Anna Friedmann
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, Munich, Germany
| | - Stefan Eber
- Professional Association of Pediatricians in Bavaria (BVKJ) and PaedNetz Bayern, Munich, Germany
| | - Uta Behrends
- Children’s Hospital, School of Medicine, Technical University Munich, Munich, Germany
| | - Volker Mall
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, Munich, Germany
| | - Ina Nehring
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, Munich, Germany
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Friedmann A, Buechel C, Seifert C, Eber S, Mall V, Nehring I. Easing pandemic-related restrictions, easing psychosocial stress factors in families with infants and toddlers? Cross-sectional results of the three wave CoronabaBY study from Germany. Child Adolesc Psychiatry Ment Health 2023; 17:76. [PMID: 37353851 DOI: 10.1186/s13034-023-00618-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 05/19/2023] [Indexed: 06/25/2023] Open
Abstract
BACKGROUND Families with young children are particularly vulnerable for the stressors induced by the COVID-19 pandemic. However, studies on their psychosocial situation during the course of the crisis are still sparse. METHODS In a comparison of three survey waves (wave I and III = high COVID-19 incidences), we cross-sectionally investigated the proportion of families (Ntotal = 2940) with children aged 0-3 years experiencing pandemic burden, parenting stress, and parental and child mental health problems in relation to COVID-19 incidences and restrictions in Southern Germany via validated questionnaires. Potential influencing factors were also explored. RESULTS The number of parents with a high pandemic burden decreased over the course of the pandemic with a peak of 65.3% in wave I (significant changes except wave II versus III). Participants with high parenting stress significantly increased from 38.2% in wave I to 51.2% in wave III. The number of parents with symptoms of depression and anxiety remained constantly high with a maximum of 28.4% being affected. Infants with crying/sleeping problems increased significantly from 26.4% in wave I to 35.5% in wave III. Toddlers' emotional and behavioral problems showed a peak of 23.9% in wave III (no significant changes). Increased family conflicts were the strongest predictor for parenting stress (ß = 0.355), maternal (ß = 0.305), infants' (ß = 0.149) and toddlers' (ß = 0.216) mental health problems during the pandemic. CONCLUSIONS Psychosocial stress factors in families with infants and toddlers remained highly pronounced and even partly increased irrespective of pandemic events. The findings suggest a staggered negative impact of pandemic-related factors on young children's mental health. Promoting infants' mental health as well as strengthening parental resources by reducing parenting stress should be a top healthcare priority in the aftermath of COVID-19. Trial registration The study was pre-registered in OSF ( https://osf.io/search/?q=tksh5&page=1 ).
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Affiliation(s)
- Anna Friedmann
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, Heiglhofstraße 65, 81377, Munich, Germany.
| | - Catherine Buechel
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, Heiglhofstraße 65, 81377, Munich, Germany
| | - Clara Seifert
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, Heiglhofstraße 65, 81377, Munich, Germany
- Chair of Human Movement Science, Department of Sport and Health Sciences, Technical University of Munich, Munich, Germany
| | - Stefan Eber
- Professional Association of Pediatricians in Bavaria (BVKJ) and PaedNetz Bayern, Munich, Germany
| | - Volker Mall
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, Heiglhofstraße 65, 81377, Munich, Germany
| | - Ina Nehring
- Chair of Social Pediatrics, TUM School of Medicine, Technical University of Munich, Heiglhofstraße 65, 81377, Munich, Germany
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Thyen U, Spiegler J, Konrad K. [The biopsychosocial understanding of health disorders and impairments in children with a focus on developmental neurological relationships]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2023:10.1007/s00103-023-03732-1. [PMID: 37322378 DOI: 10.1007/s00103-023-03732-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Accepted: 05/31/2023] [Indexed: 06/17/2023]
Abstract
The distinction between mental (spiritual and psychological) and physical health disorders is particularly difficult due to the special features of neurobiological development in children and adolescents. In this review article, the basics of developmental neurology are briefly described. On the basis of some congenital or early acquired neurological diseases, it is then shown to what extent mental processes can be impaired in interactions with the social context. Taking these aspects into account plays an important role in child and family-oriented counseling and support. The common occurrence of physical, mental, and psychological development disorders, which is also very variable between individuals and fluctuates over the course of a person's life, requires good interdisciplinary cooperation between conservative and surgical child and adolescent medicine and child and adolescent psychiatry.
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Affiliation(s)
- Ute Thyen
- Klinik für Kinder- und Jugendmedizin, Universität zu Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.
| | - Juliane Spiegler
- Klinik für Kinder- und Jugendmedizin, Universität Würzburg, Würzburg, Deutschland
| | - Kerstin Konrad
- Sektion Klinische Neuropsychologie des Kindes- und Jugendalters, Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, RWTH Aachen, Aachen, Deutschland
- JARA-Brain Institut-II Molekulare Neurowissenschaften und Bildgebung (INM-11), Forschungszentrum Jülich/Aachen, Aachen, Deutschland
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Felter J, Baker A, Lieberman L, Fein J, Reidy MC, Showstark M. Adverse Childhood Experiences and Trauma-Informed Care. J Physician Assist Educ 2022; 33:264-269. [PMID: 35917473 DOI: 10.1097/jpa.0000000000000449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Affiliation(s)
- Jeanne Felter
- Jeanne Felter, PhD, LPC , is chair and an associate professor in the Department of Counseling and Behavioral Health at Thomas Jefferson University in Philadelphia, Pennsylvania
- Amy Baker, MS, PA-C , is director and a professor in the Physician Assistant Program at West Chester University in West Chester, Pennsylvania
- Leslie Lieberman, MSW , is senior director of training and organizational development for the Health Federation of Philadelphia in Philadelphia, Pennsylvania
- Joel Fein, MD, MPH , is a professor of pediatrics and emergency medicine at the Perelman School of Medicine, University of Pennsylvania, and an attending physician in emergency medicine and co-director of the Center for Violence Prevention at Children's Hospital of Philadelphia in Philadelphia, Pennsylvania
- Mary Clare Reidy, RN, MPH , is director of collaborative partnerships at the Health Federation of Philadelphia in Philadelphia, Pennsylvania
- Mary Showstark, MPAS, PA-C , is an adjunct assistant professor at the Yale School of Medicine/ Yale Institute for Global Health at Yale University in New Haven, Connecticut
| | - Amy Baker
- Jeanne Felter, PhD, LPC , is chair and an associate professor in the Department of Counseling and Behavioral Health at Thomas Jefferson University in Philadelphia, Pennsylvania
- Amy Baker, MS, PA-C , is director and a professor in the Physician Assistant Program at West Chester University in West Chester, Pennsylvania
- Leslie Lieberman, MSW , is senior director of training and organizational development for the Health Federation of Philadelphia in Philadelphia, Pennsylvania
- Joel Fein, MD, MPH , is a professor of pediatrics and emergency medicine at the Perelman School of Medicine, University of Pennsylvania, and an attending physician in emergency medicine and co-director of the Center for Violence Prevention at Children's Hospital of Philadelphia in Philadelphia, Pennsylvania
- Mary Clare Reidy, RN, MPH , is director of collaborative partnerships at the Health Federation of Philadelphia in Philadelphia, Pennsylvania
- Mary Showstark, MPAS, PA-C , is an adjunct assistant professor at the Yale School of Medicine/ Yale Institute for Global Health at Yale University in New Haven, Connecticut
| | - Leslie Lieberman
- Jeanne Felter, PhD, LPC , is chair and an associate professor in the Department of Counseling and Behavioral Health at Thomas Jefferson University in Philadelphia, Pennsylvania
- Amy Baker, MS, PA-C , is director and a professor in the Physician Assistant Program at West Chester University in West Chester, Pennsylvania
- Leslie Lieberman, MSW , is senior director of training and organizational development for the Health Federation of Philadelphia in Philadelphia, Pennsylvania
- Joel Fein, MD, MPH , is a professor of pediatrics and emergency medicine at the Perelman School of Medicine, University of Pennsylvania, and an attending physician in emergency medicine and co-director of the Center for Violence Prevention at Children's Hospital of Philadelphia in Philadelphia, Pennsylvania
- Mary Clare Reidy, RN, MPH , is director of collaborative partnerships at the Health Federation of Philadelphia in Philadelphia, Pennsylvania
- Mary Showstark, MPAS, PA-C , is an adjunct assistant professor at the Yale School of Medicine/ Yale Institute for Global Health at Yale University in New Haven, Connecticut
| | - Joel Fein
- Jeanne Felter, PhD, LPC , is chair and an associate professor in the Department of Counseling and Behavioral Health at Thomas Jefferson University in Philadelphia, Pennsylvania
- Amy Baker, MS, PA-C , is director and a professor in the Physician Assistant Program at West Chester University in West Chester, Pennsylvania
- Leslie Lieberman, MSW , is senior director of training and organizational development for the Health Federation of Philadelphia in Philadelphia, Pennsylvania
- Joel Fein, MD, MPH , is a professor of pediatrics and emergency medicine at the Perelman School of Medicine, University of Pennsylvania, and an attending physician in emergency medicine and co-director of the Center for Violence Prevention at Children's Hospital of Philadelphia in Philadelphia, Pennsylvania
- Mary Clare Reidy, RN, MPH , is director of collaborative partnerships at the Health Federation of Philadelphia in Philadelphia, Pennsylvania
- Mary Showstark, MPAS, PA-C , is an adjunct assistant professor at the Yale School of Medicine/ Yale Institute for Global Health at Yale University in New Haven, Connecticut
| | - Mary Clare Reidy
- Jeanne Felter, PhD, LPC , is chair and an associate professor in the Department of Counseling and Behavioral Health at Thomas Jefferson University in Philadelphia, Pennsylvania
- Amy Baker, MS, PA-C , is director and a professor in the Physician Assistant Program at West Chester University in West Chester, Pennsylvania
- Leslie Lieberman, MSW , is senior director of training and organizational development for the Health Federation of Philadelphia in Philadelphia, Pennsylvania
- Joel Fein, MD, MPH , is a professor of pediatrics and emergency medicine at the Perelman School of Medicine, University of Pennsylvania, and an attending physician in emergency medicine and co-director of the Center for Violence Prevention at Children's Hospital of Philadelphia in Philadelphia, Pennsylvania
- Mary Clare Reidy, RN, MPH , is director of collaborative partnerships at the Health Federation of Philadelphia in Philadelphia, Pennsylvania
- Mary Showstark, MPAS, PA-C , is an adjunct assistant professor at the Yale School of Medicine/ Yale Institute for Global Health at Yale University in New Haven, Connecticut
| | - Mary Showstark
- Jeanne Felter, PhD, LPC , is chair and an associate professor in the Department of Counseling and Behavioral Health at Thomas Jefferson University in Philadelphia, Pennsylvania
- Amy Baker, MS, PA-C , is director and a professor in the Physician Assistant Program at West Chester University in West Chester, Pennsylvania
- Leslie Lieberman, MSW , is senior director of training and organizational development for the Health Federation of Philadelphia in Philadelphia, Pennsylvania
- Joel Fein, MD, MPH , is a professor of pediatrics and emergency medicine at the Perelman School of Medicine, University of Pennsylvania, and an attending physician in emergency medicine and co-director of the Center for Violence Prevention at Children's Hospital of Philadelphia in Philadelphia, Pennsylvania
- Mary Clare Reidy, RN, MPH , is director of collaborative partnerships at the Health Federation of Philadelphia in Philadelphia, Pennsylvania
- Mary Showstark, MPAS, PA-C , is an adjunct assistant professor at the Yale School of Medicine/ Yale Institute for Global Health at Yale University in New Haven, Connecticut
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Buechel C, Nehring I, Seifert C, Eber S, Behrends U, Mall V, Friedmann A. A cross-sectional investigation of psychosocial stress factors in German families with children aged 0-3 years during the COVID-19 pandemic: initial results of the CoronabaBY study. Child Adolesc Psychiatry Ment Health 2022; 16:37. [PMID: 35581664 PMCID: PMC9113073 DOI: 10.1186/s13034-022-00464-z] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Accepted: 04/02/2022] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND Psychosocial stress during the COVID-19 pandemic is increasing particularly in parents. Although being specifically vulnerable to negative environmental exposures, research on psychosocial stress factors in infants' and toddlers' families during the pandemic is so far sparse. The CoronabaBY study investigates the perceived pandemic burden, parenting stress and parent and child mental health problems in families with children aged 0-3 years in Bavaria, Southern Germany. Further, the relationships between these psychosocial stressors are examined and sociodemographic characteristics that may be predictive of these factors will be explored. METHODS Participants were cross-sectionally surveyed via smartphone app. Standardized questionnaires on perceived pandemic burden, parenting stress, parental symptoms of depression and anxiety, infants' crying, sleeping and feeding problems or toddlers' emotional and behavioral problems were applied. RESULTS N = 991 parents (Mage = 33.7 years, SD = 4.5; 93.7% mothers, 91.5% born in Germany) with infants (n = 554; Mage = 5.9 months, SD = 3.0) or toddlers (n = 435; Mage = 25.9 months, SD = 6.5) participated in the first half-year of 2021. Sixty-five percent of the parents perceived a high pandemic burden, 37.7% experienced parenting stress and 24.1% showed affective symptoms (anxiety: 30.1%, depression: 18.5%). Feeding problems, crying/ sleeping problems and multiple regulatory problems were found in 34.8%, 26.2% and 13.5% of the infants, respectively. Amongst toddlers, 8.5% showed noticeable behavior and emotional problems. Children`s mental health problems correlated moderately with parenting stress and parental affective symptoms and weakly with perceived pandemic burden. A lower financial status, higher parental education and increasing child age were significant but weak predictors for higher parenting stress, affective symptoms and higher psychological problems in children. CONCLUSIONS A majority of the surveyed families with infants and toddlers experience the pandemic as stressful. The main challenges are parental affective symptoms and limited resources for childcare due to parenting stress. Overall, infants and toddlers show similar levels of mental health problems when being compared to pre-pandemic studies, but staggered detrimental effects on children`s mental health might occur if the stressful conditions persist. This is already indicated by correlations between parental and child psychosocial stress factors.
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Affiliation(s)
- Catherine Buechel
- Technical University of Munich, TUM School of Medicine, Chair of Social Pediatrics, Munich, Germany.
- , Heiglhofstraße 65, 81377, München, Germany.
| | - Ina Nehring
- Technical University of Munich, TUM School of Medicine, Chair of Social Pediatrics, Munich, Germany
| | - Clara Seifert
- Technical University of Munich, TUM School of Medicine, Chair of Social Pediatrics, Munich, Germany
| | - Stefan Eber
- Professional Association of Pediatricians in Bavaria and PaedNetz Bayern, Munich, Germany
| | - Uta Behrends
- Department of Pediatrics, Kinderklinik München Schwabing, StKM GmbH and Klinikum rechts der Isar, Technical University of Munich, Munich, Germany
| | - Volker Mall
- Technical University of Munich, TUM School of Medicine, Chair of Social Pediatrics, Munich, Germany
| | - Anna Friedmann
- Technical University of Munich, TUM School of Medicine, Chair of Social Pediatrics, Munich, Germany
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Metzner G, Horstmann S, Barth M, Giesler JM, Jünemann S, Kaier K, Schlett C, Schroeder N, Siebolds M, Sinss F, van Staa J, Glattacker M, Renner I. Evaluation of a cross-sectoral care intervention for families with psychosocial burden: a study protocol of a controlled trial. BMC Health Serv Res 2022; 22:475. [PMID: 35410201 PMCID: PMC8996544 DOI: 10.1186/s12913-022-07787-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Accepted: 03/16/2022] [Indexed: 11/18/2022] Open
Abstract
Background Family risk factors, e.g. low socioeconomic status or parental mental health disorders, can affect children’s health and development. Thus, targeted preventive services for families with psychosocial burden are crucial. The German Early Childhood Intervention (ECI) program is a preventive approach that aims to strengthen parent’s resources by supportive services. However, research has revealed that only a proportion of the families considered to have substantial risk factors access the ECI program. To increase pediatricians’ skills in identifying risk factors, and to improve the cross-sectoral collaboration between relevant professionals and the referral of families to supportive services, the PATH-intervention (Pediatric Attention To Help) was developed. The PATH-intervention includes interprofessional quality circles and a one-day training program for the pediatricians. This study aims to evaluate this complex cross-sectoral care intervention for families with psychosocial burden. Methods Using a prospective quasi-experimental, controlled (matched-pair), longitudinal mixed-method design, we will compare families under treatment of pediatricians trained in the PATH-intervention with families under treatment of a control group of pediatricians. Participating families are asked to complete online-surveys. As a primary outcome, we will examine the use of supportive services of the ECI by burdened families. Secondary outcomes are the proportion of correctly identified families with psychosocial burden by the pediatricians, as well as information provision and motivation of the families to use the supportive services. Additionally, the cost-effectiveness ratio will be investigated. In the process evaluation, we will qualitatively explore the acceptance of the PATH-intervention of all involved stakeholders and the treatment fidelity of the trained pediatricians. Discussion This study will determine whether the PATH-intervention enables the pediatricians to identify and recommend supportive services to burdened families, as well as the families’ use of the supportive services of the ECI. Qualitative data will give insight into the acceptance of the intervention from the perspective of all stakeholders and the treatment fidelity. Results of this study could be the starting point for the broader implementation of the PATH-intervention as standard care. Trial registration German Clinical Trials Register (DRKS): DRKS00023461 (3rd December 2020); WHO UTN: U1111- 260-6575. Supplementary Information The online version contains supplementary material available at 10.1186/s12913-022-07787-9.
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Affiliation(s)
- Gloria Metzner
- Section of Health Care Research and Rehabilitation Research, Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany.
| | - Sabine Horstmann
- National Centre for Early Prevention, Federal Centre for Health Education, Maarweg 149-161, 50825, Köln, Germany
| | - Michael Barth
- Center for Pediatrics, Medical Center, University of Freiburg, Mathildenstraße 1, 79106, Freiburg, Germany
| | - Jürgen M Giesler
- Section of Health Care Research and Rehabilitation Research, Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany
| | - Susanne Jünemann
- National Centre for Early Prevention, Federal Centre for Health Education, Maarweg 149-161, 50825, Köln, Germany
| | - Klaus Kaier
- Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Zinkmattenstr. 6a, 79108, Freiburg, Germany
| | - Christian Schlett
- Section of Health Care Research and Rehabilitation Research, Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany
| | - Nora Schroeder
- Section of Health Care Research and Rehabilitation Research, Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany
| | - Marcus Siebolds
- Department of Health Care, Catholic University of Applied Sciences, Wörthstraße 10, 50668, Köln, Germany
| | - Frank Sinss
- National Centre for Early Prevention, Federal Centre for Health Education, Maarweg 149-161, 50825, Köln, Germany
| | - Juliane van Staa
- National Centre for Early Prevention, Federal Centre for Health Education, Maarweg 149-161, 50825, Köln, Germany
| | - Manuela Glattacker
- Section of Health Care Research and Rehabilitation Research, Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany
| | - Ilona Renner
- National Centre for Early Prevention, Federal Centre for Health Education, Maarweg 149-161, 50825, Köln, Germany
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Schmidtke C, Geene R, Hölling H, Lampert T. Mental health issues in childhood and adolescence, psychosocial resources and socioeconomic status - An analysis of the KiGGS Wave 2 data. JOURNAL OF HEALTH MONITORING 2021; 6:20-33. [PMID: 35146319 PMCID: PMC8734116 DOI: 10.25646/8865] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Accepted: 07/13/2021] [Indexed: 11/21/2022]
Abstract
Mental health burdens are among the most common health issues in childhood and adolescence. Psychosocial resources can act as protective factors and can help in preventing the development and reduce the symptoms of mental health issues. This article discusses this relationship and the availability of these resources within the three different social status groups among 11- to 17-year-olds. The database is the second wave of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS Wave 2, 2014-2017). Mental health issues were assessed via the Strengths and Difficulties Questionnaires; psychosocial resources via self-reported personal, family and social resources; social status was ascertained through a multidimensional index based on the information provided by parents on education, occupational status and income. The analyses show that 11- to 17-year-olds who have psychosocial resources are less likely to show mental health issues (independent of their social status) and that, compared to high social status, mental health issues are more frequently associated with low social status. Children from (socially) worse-off families have less access to resources. The results consequently highlight the importance of prevention and health promotion measures directed at strengthening resources. Focusing such measures on the needs of disadvantaged population groups should contribute to health equity.
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Affiliation(s)
- Claudia Schmidtke
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Raimund Geene
- Berlin School of Public Health, Alice Salomon Hochschule, Berlin
| | - Heike Hölling
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
| | - Thomas Lampert
- Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring
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Nutzerorientierte familiäre Gesundheitsförderung – Ergebnisse der wissenschaftlichen Begleitforschung zum Netzwerk Gesunde Kinder. PRÄVENTION UND GESUNDHEITSFÖRDERUNG 2021. [DOI: 10.1007/s11553-020-00807-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Zusammenfassung
Hintergrund
Das Netzwerk Gesunde Kinder (NGK) in Brandenburg ist eine im Jahr 2006 eingeführte flächendeckende Netzwerkstruktur, welche Angebote der familiären und kommunalen Gesundheitsförderung bündelt. Die Abbildung der Nutzerperspektive, die Bedarfe der Familien und die Zufriedenheit mit dem NGK waren Ziel dieser qualitativen Befragung.
Methodik
Es wurden 65 problemzentrierte qualitative Interviews sowie vier anschließende Fokusgruppen durchgeführt. Die Auswertung erfolgte in Anlehnung an „grounded theory“ und der qualitativen Inhaltsanalyse. Das Konzept der familiären Gesundheitsförderung und das familiensoziologische Erkenntnis- und Analysemodell „Doing Family“ dienten als Grundlage der qualitativen Auswertung.
Ergebnisse
Das NGK bietet eine breite Palette an Unterstützungsleistungen für junge Familien, die mit den erhobenen Bedarfen der Familien korrespondieren. Die Begleitung durch Familienpatinnen und -paten sowie regionale Angebote werden gewürdigt. Neben fachlicher Expertise wünschen sich Eltern soziale Unterstützung in der Phase der Familienwerdung. Die Angebote tragen zur Kompetenzentwicklung und der Selbstorganisation junger Familien bei. Jedoch werden Zugangsbarrieren und mangelnde Informationen bzgl. der Angebote benannt.
Diskussion
Mithilfe der Darstellung der Nutzerperspektive konnten bisher ungedeckte Bedarfe und Zugangsbarrieren identifiziert werden. Diese Erkenntnisse sollten für die weitere Gestaltung des NGK in Brandenburg sowie analoger Angebotsstrukturen in anderen Bundesländern genutzt werden.
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Lorenz S, Ulrich SM, Sann A, Liel C. Self-Reported Psychosocial Stress in Parents With Small Children. DEUTSCHES ARZTEBLATT INTERNATIONAL 2020; 117:709-716. [PMID: 33559586 DOI: 10.3238/arztebl.2020.0709] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/06/2019] [Revised: 12/06/2019] [Accepted: 04/06/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND Psychosocial stress in early childhood can impair children's health and development. Data on the prevalence of psychosocial stress in families with infants and toddlers in Germany are lacking. Such data could be used to determine the need for prevention and to plan the appropriate preventive measures. METHODS In 2015, a representative cross-sectional study called Kinder in Deutschland- KiD 0-3 was conducted by questionnaire in pediatricians' practices across Germany. Parents taking their children to the U3-U7a child development checks were asked to self-report information about stress in their families. The data were analyzed with descriptive statistics and chi-square tests. RESULTS Data from 7549 families went into the analysis. Stressful situations commonly reported by the parents included unplanned pregnancy (21.3%), parenthoodrelated stress (e.g., self-doubt as to parenting competence, 29.6%), and lack of familial and social support for problems and questions arising in relation to the child, as well as for temporary child care (19.7%). Most types of psychosocial stress varied as a function of the child's age group, as categorized by the particular examination for which the child was presenting at the time of the survey (U3-U7a). Couple distress, lack of social support, signs of depression or anxiety symptoms, or inner anger were more commonly reported by parents attending the later examina - tions. Such problems could be addressed by supportive measures (e.g., parent counseling, early child intervention). CONCLUSION Psychosocial stress affects a large percentage of the parents of small children. A large proportion of parents of small children suffer from psychosocial stress. This should be monitored for accumulation and stability across child development checks and addressed as appropriate. Family practitioners and pediatricians are important partners for effective cooperation between the social system and the health-care system, and for the provision of preventive measures where appropriate.
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Affiliation(s)
- Simon Lorenz
- Department of Family and Family Politics, National Center for Early Prevention, German YouthInstitute (DJI, Deutsches Jugendinstitut e.V. ), Munich, Germany
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[The risk of medical comorbidity in mental disorders with a particular focus on depressive syndromes]. ZEITSCHRIFT FUR PSYCHOSOMATISCHE MEDIZIN UND PSYCHOTHERAPIE 2019; 65:129-143. [PMID: 31154922 DOI: 10.13109/zptm.2019.65.2.129] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The risk of medical comorbidity in mental disorders with a particular focus on depressive syndromes Objectives: It has long been recognized that certain mental disorders, and in particular depressive syndromes, are associated with increased medical comorbidity. However, reliable data on the prevalence of comorbid medical diagnoses as well as the impact of these comorbidities on mortality are often rare and sometimes conflicting. Methods: A systematic literature review was conducted using PubMed and Google Scholar to provide a critical account of the current state of research on the comorbidities of medical and mental disorders, with a particular focus on depressive syndromes. Results: Among patients with mental disorders, all-cause mortality is about doubled as compared to the general population causing a significantly shortened life expectancy in the range of one to two decades. This excess mortality is primarily due to increased physical morbidity and mortality, and it cannot be excluded that, for patients with severe mental disorders, excess mortality has been increased over time. Depressive syndromes are often linked to a broad range of somatic symptoms and can be found in diseases, such as heart disease, stroke, diabetes mellitus, overweight/obesity, and asthma. Conclusion: Current studies provide ample evidence of close interactions between physical and mental health. Further developments in the field of psychosomatic medicine should take into consideration the health-related consequences of these interactions.
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Psychosoziale Risikofaktoren für chronischen Rückenschmerz in der Allgemeingesellschaft und im Leistungssport. MANUELLE MEDIZIN 2018. [DOI: 10.1007/s00337-018-0450-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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13
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[Family-oriented health promotion : A user-oriented approach for health promotion with children and families in municipalities]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2018; 61:1289-1299. [PMID: 30191269 DOI: 10.1007/s00103-018-2814-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Community health promotion with children requires a conceptual framework to support children and families and sustainably improve their health opportunities.Family-oriented health promotion is an approach to implement this demanding task. It focuses in particular on the user perspective of families. It can be conceptually presented along the life-stage approach. Pregnancy, early childhood and adolescence as well as transitions between age-specific socialization institutions are highly vulnerable. Additionally, burdened life situations are presented along familial adversities such as poverty, isolation, single parenting, external placement or illnesses, and life-specific approaches to health promotion and prevention are named. Family-oriented health promotion should avoid stigmatization and support families through municipalities and other settings.
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[Psychosocial risk factors for chronic back pain in the general population and in competitive sports : From theory to clinical screening-a review from the MiSpEx network]. Schmerz 2018; 32:259-273. [PMID: 29946960 DOI: 10.1007/s00482-018-0307-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
BACKGROUND Lumbar back pain and the high risk of chronic complaints is not only an important health concern in the general population but also in high performance athletes. In contrast to non-athletes, there is a lack of research into psychosocial risk factors in athletes. Moreover, the development of psychosocial screening questionnaires that would be qualified to detect athletes with a high risk of chronicity is in the early stages. The purpose of this review is to give an overview of research into psychosocial risk factors in both populations and to evaluate the performance of screening instruments in non-athletes. METHODS The databases MEDLINE, PubMed, and PsycINFO were searched from March to June 2016 using the keywords "psychosocial screening", "low back pain", "sciatica" and "prognosis", "athletes". We included prospective studies conducted in patients with low back pain with and without radiation to the legs, aged ≥18 years and a follow-up of at least 3 months. RESULTS We identified 16 eligible studies, all of them conducted in samples of non-athletes. Among the most frequently published screening questionnaires, the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ) demonstrated a sufficient early prediction of return to work and the STarT Back Screening Tool (SBT) revealed acceptable performance predicting pain-related impairment. The prediction of future pain was sufficient with the Risk Analysis of Back Pain Chronification (RISC-BP) and the Heidelberg Short Questionnaire (HKF). CONCLUSION Psychosocial risk factors of chronic back pain, such as chronic stress, depressive mood, and maladaptive pain processing are becoming increasingly more recognized in competitive sports. Screening instruments that have been shown to be predictive in the general population are currently being tested for suitability in the German MiSpEx research consortium.
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Hohm E, Laucht M, Zohsel K, Schmidt MH, Esser G, Brandeis D, Banaschewski T. Resilienz und Ressourcen im Verlauf der Entwicklung. KINDHEIT UND ENTWICKLUNG 2017. [DOI: 10.1026/0942-5403/a000236] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Anhand von Daten der Mannheimer Risikokinderstudie, die sich mit der langfristigen Entwicklung von Kindern mit unterschiedlichen Risikobelastungen beschäftigt, wird gezeigt, wie Schutzfaktoren aufseiten des Kindes und seines familiären Umfelds im Verlauf der Entwicklung wirksam werden und zur Entstehung von Resilienz beitragen können. Eine besondere Rolle kommt dabei positiven frühen Eltern-Kind-Beziehungen zu (sowohl Mutter- als auch Vater-Kind-Interaktionen). Daneben spielen auch Interaktionserfahrungen im Alter von zwei Jahren des Kindes eine bedeutsame Rolle; diese schützen Risikokinder davor, eine ungünstige Entwicklung zu nehmen und tragen dazu bei, dass sich Kinder, die in psychosozialen Hochrisikofamilien aufwachsen, trotz ungünstiger „Startbedingungen“ positiv entwickeln. Neben Merkmalen der sozialen Umwelt nehmen auch sprachliche, sozial-emotionale und internale Kompetenzen des Kindes im Entwicklungsverlauf eine wichtige Rolle ein. Diese Kompetenzen ermöglichen es Risikokindern auch unter widrigen Lebensumständen (psychosoziale Hochrisikofamilien, Aufwachsen in Armutsverhältnissen) erfolgreich zu bestehen. Darüber hinaus zeigt die Arbeit, dass Resilienz ein Persönlichkeitsmerkmal ist, das ab dem frühen Erwachsenenalter eine hohe Stabilität besitzt. Mit diesen Befunden verweist die Arbeit auf die große Bedeutung der Resilienz bei der Vorhersage der langfristigen Entwicklung von Risikokindern.
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Affiliation(s)
- Erika Hohm
- Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim / Universität Heidelberg, Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters, Mannheim
| | - Manfred Laucht
- Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim / Universität Heidelberg, Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters, Mannheim
- Department Psychologie, Universität Potsdam
| | - Katrin Zohsel
- Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim / Universität Heidelberg, Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters, Mannheim
| | - Martin H. Schmidt
- Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim / Universität Heidelberg, Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters, Mannheim
| | | | - Daniel Brandeis
- Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim / Universität Heidelberg, Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters, Mannheim
- Zentrum für Kinder- und Jugendpsychiatrie und Psychotherapie, Psychiatrische Universitätsklinik Zürich
- Zürcher Zentrum für Integrative Humanphysiologie, Universität Zürich
- Zentrum für Neurowissenschaften, Universität und ETH Zürich
| | - Tobias Banaschewski
- Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim / Universität Heidelberg, Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters, Mannheim
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