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Grothus S, Sommer A, Stahlschmidt L, Hirschfeld G, Höfel L, Linder R, Zernikow B, Wager J. Pediatric chronic pain grading: a revised classification of the severity of pediatric chronic pain. Pain 2024; 165:2087-2097. [PMID: 38595202 DOI: 10.1097/j.pain.0000000000003226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 02/08/2024] [Indexed: 04/11/2024]
Abstract
ABSTRACT In this study, we describe the development and validation of a revised Pediatric Chronic Pain Grading (P-CPG) for children aged 8 to 17 years that adds emotional impairment to previously used measures of pain intensity and functional impairment. Such a measure enables the assessment of chronic pain severity in different epidemiological and clinical populations, the stratification of treatment according to pain severity, and the monitoring of treatment outcome. The P-CPG was developed using a representative sample of school children with chronic pain (n = 454; M age = 12.95, SD = 2.22). Construct validity and sensitivity to change were examined within a sample of N = 2448 children and adolescents (M age = 12.71, SD = 2.47) comprising 3 subsamples (school n = 1562, primary care n = 129, and tertiary care n = 757) affected by chronic pain to varying extents. Results showed that P-CPG grades differed significantly among the 3 subsamples, with school children being least affected by chronic pain and tertiary care patients being most affected. As P-CPG grade increased, so did pain intensity, functional impairment, pain-related school absence, and emotional impairment. Convergent validity was demonstrated by significant positive correlations between the P-CPG and global ratings of pain severity as well as objective claims data; the latter reflects greater health care costs with increasing P-CPG scores. Sensitivity to change was supported by a significant reduction in baseline P-CPG grades 3 and 6 months after intensive interdisciplinary pain treatment in tertiary care sample. In conclusion, the P-CPG is an appropriate measure of pain severity in children and adolescents with chronic pain in clinical as well as epidemiological settings.
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Affiliation(s)
- Susanne Grothus
- German Paediatric Pain Centre, Children's and Adolescents' Hospital, Datteln, Germany
- Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, Witten, Germany
| | - Ariane Sommer
- German Paediatric Pain Centre, Children's and Adolescents' Hospital, Datteln, Germany
- Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, Witten, Germany
| | - Lorin Stahlschmidt
- German Paediatric Pain Centre, Children's and Adolescents' Hospital, Datteln, Germany
- Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, Witten, Germany
| | - Gerrit Hirschfeld
- Faculty of Business, CareTech OWL University of Applied Sciences Bielefeld, Bielefeld, Germany
| | - Lea Höfel
- Center for Pain Therapy for Young People, Garmisch-Partenkirchen, Germany
| | | | - Boris Zernikow
- German Paediatric Pain Centre, Children's and Adolescents' Hospital, Datteln, Germany
- Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, Witten, Germany
- PedScience Research Institute, Datteln, Germany
| | - Julia Wager
- German Paediatric Pain Centre, Children's and Adolescents' Hospital, Datteln, Germany
- Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, Witten, Germany
- PedScience Research Institute, Datteln, Germany
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Mehl C, Müller T, Nau T, Bachmann C, Geraedts M. [Development of an indicator set for the evaluation of the quality of routine ambulatory health care for common disorders in children and adolescents]. ZEITSCHRIFT FUR EVIDENZ, FORTBILDUNG UND QUALITAT IM GESUNDHEITSWESEN 2024; 186:69-76. [PMID: 38631959 DOI: 10.1016/j.zefq.2024.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Revised: 02/28/2024] [Accepted: 03/13/2024] [Indexed: 04/19/2024]
Abstract
BACKGROUND In Germany, no consented quality indicator set (QI set) exists to date that can be used to assess the quality of pediatric care. Therefore, the aim of the project "Assessment of the quality of routine ambulatory health care for common disorders in children and adolescents" (QualiPäd) funded by the Innovation Committee of the Federal Joint Committee (grant no.: 01VSF19035) was to develop a QI set for the diseases asthma, atopic eczema, otitis media, tonsillitis, attention-deficit hyperactivity disorder (ADHD), depression and conduct disorder. METHODS For the observation period 2018/2019, quality indicators (QIs) were searched in indicator databases, guidelines and literature databases and complemented in part by newly formulated QIs (e.g., derived from guideline recommendations). The QIs were then assigned to content categories and dimensions according to Donabedian and OECD and reduced by removing duplicates. Finally, a panel of experts consulted the QIs using the modified RAND-UCLA Appropriateness Method (RAM). RESULTS The search resulted in a preliminary QI set of 2324 QIs. After the reduction steps and the evaluation of the experts, 282 QIs were included in the QI set (asthma: 72 QIs, atopic eczema: 25 QIs, otitis media: 31 QIs, tonsillitis: 12 QIs, ADHD: 53 QIs, depression: 43 QIs, conduct disorder: 46 QIs). The QIs are distributed among the following different categories: Therapy (138 QIs), Diagnostics (95 QIs), Patient-reported outcome measures/Patient-reported experience measures (PROM/PREM) (45 QIs), Practice management (31 QIs), and Health reporting (4 QIs). In the Donabedian model, 89% of the QIs capture process quality, 9% outcome quality, and 2% structural quality; according to the OECD classification, 61% measure effectiveness, 23% patient-centeredness, and 16% safety of care. CONCLUSION The consented QI set is currently being tested and can subsequently be used (possibly modified) to measure the quality of routine outpatient care for children and adolescents in Germany, in order to indicate the status quo and potential areas for improvement in outpatient care.
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Affiliation(s)
- Claudia Mehl
- Institut für Versorgungsforschung und Klinische Epidemiologie, Fachbereich Medizin der Philipps-Universität Marburg, Marburg, Deutschland.
| | - Teresa Müller
- Institut für Versorgungsforschung und Klinische Epidemiologie, Fachbereich Medizin der Philipps-Universität Marburg, Marburg, Deutschland
| | - Thorsten Nau
- Institut für Versorgungsforschung und Klinische Epidemiologie, Fachbereich Medizin der Philipps-Universität Marburg, Marburg, Deutschland
| | - Christian Bachmann
- Klinik für Kinder- und Jugendpsychiatrie/Psychotherapie, Universitätsklinikum Ulm, Ulm, Deutschland
| | - Max Geraedts
- Institut für Versorgungsforschung und Klinische Epidemiologie, Fachbereich Medizin der Philipps-Universität Marburg, Marburg, Deutschland
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Grothus S, Sommer A, Claus BB, Stahlschmidt L, Chorpita BF, Wager J. The German version of the Revised Children's Anxiety and Depression Scale-Psychometric properties and normative data for German 8- to 17-year-olds. Int J Methods Psychiatr Res 2023; 32:e1965. [PMID: 36920869 DOI: 10.1002/mpr.1965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Accepted: 02/17/2023] [Indexed: 03/16/2023] Open
Abstract
OBJECTIVES Anxiety and depression are internalizing mental disorders often commencing in childhood and manifesting in adolescence. The Revised Anxiety and Depression Scale (RCADS) is an internationally widely used standardized diagnostic tool, but the German version has only been validated in a pediatric chronic pain sample; normative data are not available. The aim of this study is to test its reliability (internal consistency) and validity (factorial, convergent, known-groups) in a representative German school sample and to provide norm data. METHODS Data were collected from N = 1562 German schoolchildren (Mage = 12.2; SDage = 2.33; range 8-17 years; 52.4% girls). RESULTS Cronbach's α ranged from 0.73 to 0.96 for the total and the six subscales (five anxiety and one depression). Confirmatory factor analysis showed the 6-factor model had acceptable to good model fit with CFI = 0.93, TLI = 0.93, RMSEA = 0.05, SRMR = 0.05, which was better than 1- and 2-factor models. The (sub)scales correlated moderate to high negatively with health-related quality of life (-0.31 ≤ τ ≤ -0.51; p < 0.001) and positively with functional impairment (0.31 ≤ τ ≤ 0.48; p < 0.001). Mean scores of anxiety and depression scales were significantly higher in girls and partly in adolescents. CONCLUSION Findings provide support for the good psychometric properties of the German RCADS in a community sample.
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Affiliation(s)
- Susanne Grothus
- German Paediatric Pain Centre, Children's and Adolescents' Hospital, Datteln, Germany
- Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, Witten, Germany
| | - Ariane Sommer
- German Paediatric Pain Centre, Children's and Adolescents' Hospital, Datteln, Germany
- Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, Witten, Germany
| | - Benedikt B Claus
- German Paediatric Pain Centre, Children's and Adolescents' Hospital, Datteln, Germany
| | - Lorin Stahlschmidt
- German Paediatric Pain Centre, Children's and Adolescents' Hospital, Datteln, Germany
- Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, Witten, Germany
| | - Bruce F Chorpita
- Department of Psychology, University of California, Oakland, California, USA
| | - Julia Wager
- German Paediatric Pain Centre, Children's and Adolescents' Hospital, Datteln, Germany
- Department of Children's Pain Therapy and Paediatric Palliative Care, Faculty of Health, School of Medicine, Witten/Herdecke University, Witten, Germany
- PedScience Research Institute, Datteln, Germany
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Klinge JL, Warschburger P, Busching R, Klein AM. Self-regulation facets differentially predict internalizing symptom trajectories from middle childhood to early adolescence: a longitudinal multimethod study. Child Adolesc Psychiatry Ment Health 2023; 17:120. [PMID: 37848960 PMCID: PMC10583422 DOI: 10.1186/s13034-023-00670-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Accepted: 10/06/2023] [Indexed: 10/19/2023] Open
Abstract
BACKGROUND Internalizing symptoms are among the most common psychological symptoms in childhood and adolescence, are highly stable and can cause severe impairment. Current research discusses lower capacities of self-regulation (SR) as risk factors for the development of internalizing symptoms. The present study identifies trajectories of internalizing symptoms in the transition phase from middle childhood to adolescence and examines multiple SR facets as predictors of potentially unfavorable trajectories, also in the presence of other established risk factors. METHODS The study utilized a community sample of N = 1453 (52.2% female) German children, who provided data at up to three measurement points (t1: 6-11 years, t2: 7-11 years, t3: 9-13 years). Trajectories of internalizing symptoms were based on parents' ratings of the emotional problems scale of the Strengths and Difficulties Questionnaire. SR facets were assessed using multiple methods and informants. Two multinomial regression analyses were conducted to predict class membership by (1) SR facets and gender and (2) SR facets, gender, and other established risk factors (education status, family adversity, peer problems). RESULTS Using growth mixture modelling, we identified three trajectory classes with stable low (n = 1200), increasing (n = 124), and early high decreasing internalizing symptoms (n = 129). In the regression analysis controlling for risk factors, membership in the increasing trajectory was significantly predicted by higher emotional reactivity (OR = 2.65, p < .001), higher cognitive flexibility/set-shifting (OR = 1.48, p = .032), and higher family adversity (OR = 1.38, p = .046). Membership in the early high decreasing trajectory was significantly predicted by higher emotional reactivity (OR = 4.15, p < .001), higher inhibitory control (OR = 1.47, p = .045), lower working-memory updating (OR = 0.69, p = .016), lower delay of gratification (OR = 0.75, p = .028), and higher family adversity (OR = 1.63, p = .001). CONCLUSIONS SR facets incrementally and differentially predict potentially unfavorable trajectories of internalizing symptoms from age 6 to 13, surpassing the predictive value of gender or education status. Higher emotional reactivity emerged as the most influential factor, which could therefore be addressed in future prevention and intervention efforts.
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Affiliation(s)
- Johanna L Klinge
- International Psychoanalytic University Berlin, Stromstr. 1, 10555, Berlin, Germany.
| | - Petra Warschburger
- Department of Psychology, University of Potsdam, Karl-Liebknecht-Str. 24-25, 14476, Potsdam, Germany
| | - Robert Busching
- Department of Psychology, University of Potsdam, Karl-Liebknecht-Str. 24-25, 14476, Potsdam, Germany
| | - Annette M Klein
- International Psychoanalytic University Berlin, Stromstr. 1, 10555, Berlin, Germany
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Maurer J, Meyrose AK, Kaman A, Mauz E, Ravens-Sieberer U, Reiss F. Socioeconomic Status, Protective Factors, and Mental Health Problems in Transition from Adolescence to Emerging Adulthood: Results of the Longitudinal BELLA Study. Child Psychiatry Hum Dev 2023:10.1007/s10578-023-01582-1. [PMID: 37632556 DOI: 10.1007/s10578-023-01582-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/04/2023] [Indexed: 08/28/2023]
Abstract
Lower familial socioeconomic status (SES) is associated with more mental health problems in adolescence. The aim of this study was to identify factors that may protect adolescents from families with lower SES from developing mental health problems in emerging adulthood. Data of the population-based longitudinal BELLA study included n = 426 participants aged 13 to 17 years at t0 (2009-2012) and 18 to 24 years at t1 (2014-2017). Hierarchical multiple linear regressions with interaction terms were conducted, examining three selected protective factors (self-efficacy, family climate, and social support). Self-efficacy had a small protective effect for adolescents from families with lower SES for mental health problems in emerging adulthood. However, social support had a small protective effect for adolescents from families with higher SES. No moderating effect was found for family climate. Instead, better family climate in adolescents predicted fewer mental health problems in emerging adulthood with a small effect regardless the SES in adolescence. Results indicate the need for prevention measures for adolescents from families with lower SES for becoming mentally healthy emerging adults.
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Affiliation(s)
- Jenny Maurer
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany
- Developmental and Educational Psychology, Helmut Schmidt University, University of the Federal Armed Forces Hamburg, Hamburg, Germany
| | - Ann-Katrin Meyrose
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany
- Clinical Psychology and Psychotherapy, Helmut Schmidt University, University of the Federal Armed Forces Hamburg, Hamburg, Germany
| | - Anne Kaman
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany
| | - Elvira Mauz
- Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany
| | - Ulrike Ravens-Sieberer
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
| | - Franziska Reiss
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany
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Jörren HL, Schmidt H, Kaman A, Ravens-Sieberer U, Rumpf HJ, Pawils S. [Children's mental health: the role of screen time, parenting behavior, and parenting stress-a secondary data analysis of KiGGS and BELLA data]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2023:10.1007/s00103-023-03727-y. [PMID: 37322377 DOI: 10.1007/s00103-023-03727-y] [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: 12/21/2022] [Accepted: 05/17/2023] [Indexed: 06/17/2023]
Abstract
BACKGROUND Previous studies established a link between high screen time and mental health problems in childhood. The role of possible influencing factors is currently unclear. This study aims at testing correlations among mental health problems, high screen time, parenting stress, and inconsistent and positive parenting behavior. METHODS This study is based on data from the KiGGS and BELLA studies. For the present study, data from preschool children (age: 3-5 years, N = 417) and school children (age: 7-13 years, N = 239) were analyzed. Binary-logistic regressions were carried out to test for correlations between high screen time and children's mental health problems in cross-sectional and longitudinal analyses. Socioeconomic status, the child's gender, the parent's gender, parenting stress, and inconsistent and positive parenting behavior were used as control variables. RESULTS In the cross-sectional analysis, mental health problems in preschool children were associated with high screen time (OR = 3.02; p = 0.003), parenting stress (OR = 17.00; p < 0.001), and positive parenting behavior (OR = 0.24; p < 0.001). In the longitudinal analysis, mental health problems in school children were associated with parenting stress (OR = 4.04; p < 0.001). Socioeconomic status and the child's and parent's gender were at no point associated with mental health problems. DISCUSSION The sole existence of high screen time cannot explain mental health problems in children. Parental variables seem to be critical for children's mental health and should be considered in a holistic apporach on children's mental health in terms of strengthening parental competencies.
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Affiliation(s)
- Hannah Lea Jörren
- Klinik für Psychiatrie und Psychotherapie, Universität zu Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.
| | - Hannah Schmidt
- Klinik für Psychiatrie und Psychotherapie, Universität zu Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland
- Klinik für Kinder- und Jugendmedizin, Universität zu Lübeck, Lübeck, Deutschland
| | - Anne Kaman
- Zentrum für Psychosoziale Medizin, Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
| | - Ulrike Ravens-Sieberer
- Zentrum für Psychosoziale Medizin, Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
| | - Hans-Jürgen Rumpf
- Klinik für Psychiatrie und Psychotherapie, Universität zu Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland
| | - Silke Pawils
- Institut für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
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Rau T, Mayer S, Keller F, Allroggen M. [Development of Mental Health Problems of Girls and Boys in Residential Care Between 2008 and 2020]. ZEITSCHRIFT FUR KINDER- UND JUGENDPSYCHIATRIE UND PSYCHOTHERAPIE 2023; 51:127-138. [PMID: 35611610 DOI: 10.1024/1422-4917/a000879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Development of Mental Health Problems of Girls and Boys in Residential Care Between 2008 and 2020 Abstract. Objective: Studies show a high prevalence of mental health problems in children and adolescents in youth-welfare facilities compared to the general population. However, to date, studies on this development over time are lacking. The present study examines the development of mental health problems and psychosocial functioning in the years 2008 to 2020. Method: Mental health problems were assessed with the CBCL, psychosocial functioning with Axis VI of the MAS. In total, data from 3,269 children and adolescents from residential-care facilities located throughout Germany were included in the analysis. Results: a decrease in externalizing behaviour was observed regarding the frequency of mental health problem in children and adolescents in youth-welfare facilities from 2008 to 2020. Particularly boys aged 12 and older show less deviant behavior. Older girls show high internalizing behavior problem scores over time, but there is no consistent trend. More than a quarter of the institutionalized children in youth-welfare institutions show severely impaired psychosocial functioning at a consistent level over time. Conclusions: In light of the age and gender effects associated with the development of mental health problems over time, there is a need to regard the care situation in youth-welfare institutions.
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Affiliation(s)
- Thea Rau
- Klinik für Kinder- und Jugendpsychiatrie und Psychotherapie, Universitätsklinikum Ulm, Deutschland
| | - Sophia Mayer
- Klinik für Kinder- und Jugendpsychiatrie und Psychotherapie, Universitätsklinikum Ulm, Deutschland
| | - Ferdinand Keller
- Klinik für Kinder- und Jugendpsychiatrie und Psychotherapie, Universitätsklinikum Ulm, Deutschland
| | - Marc Allroggen
- Klinik für Kinder- und Jugendpsychiatrie und Psychotherapie, Universitätsklinikum Ulm, Deutschland
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Herrmann L, Reiss F, Becker-Hebly I, Baldus C, Gilbert M, Stadler G, Kaman A, Graumann L, Ravens-Sieberer U. Systematic Review of Gender-Specific Child and Adolescent Mental Health Care. Child Psychiatry Hum Dev 2023:10.1007/s10578-023-01506-z. [PMID: 36849848 DOI: 10.1007/s10578-023-01506-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/29/2023] [Indexed: 03/01/2023]
Abstract
Gender differences in mental health emerge as early as in childhood and adolescence, highlighting the potential need for gender-specific child and adolescent mental health care. However, it is unclear how gender-specific child and adolescent mental health care is implemented and whether its' approaches are useful. Therefore, this study reviews gender-specific interventions and their effectiveness for child and adolescent mental health. Five databases were searched for articles published between 2000 and 2021. In total, 43 studies were included. Most interventions were conducted in school (n = 15) or community settings (n = 8). Substance-related disorders (n = 13) and eating disorders (n = 12) were addressed most frequently. Most interventions targeted girls (n = 31). Various gender-specific aspects were considered, including gender-specific risk and protective factors (n = 35) and needs (n = 35). Although most interventions yielded significant improvements in mental health outcomes (n = 32), only few studies reported medium or large effect sizes (n = 13). Additionally, there was a lack of strong causal evidence derived from randomized controlled trials, calling for more rigorous trials in the research field. Nevertheless, our findings indicate that gender-specific mental health care can be a promising approach to meet gender-specific mental health needs.
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Affiliation(s)
- Lena Herrmann
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistraße 52, W29, 20246, Hamburg, Germany
| | - Franziska Reiss
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistraße 52, W29, 20246, Hamburg, Germany
| | - Inga Becker-Hebly
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistraße 52, W29, 20246, Hamburg, Germany
| | - Christiane Baldus
- German Center for Addiction Research in Childhood and Adolescence, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Martha Gilbert
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistraße 52, W29, 20246, Hamburg, Germany
| | - Gertraud Stadler
- Institute of Gender in Medicine, Charité, Universitätsmedizin Berlin, Berlin, Germany
| | - Anne Kaman
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistraße 52, W29, 20246, Hamburg, Germany
| | - Lina Graumann
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistraße 52, W29, 20246, Hamburg, Germany
| | - Ulrike Ravens-Sieberer
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistraße 52, W29, 20246, Hamburg, Germany.
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Co-occurrence, stability and manifestation of child and adolescent mental health problems: a latent transition analysis. BMC Psychol 2022; 10:267. [PMID: 36376939 PMCID: PMC9664619 DOI: 10.1186/s40359-022-00969-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Accepted: 10/29/2022] [Indexed: 11/16/2022] Open
Abstract
Background Complex constellations of socio-emotional and behavioural problems (i.e., mental health problems) in childhood and adolescence are common and heighten the risk for subsequent personality, anxiety and mood disorders in adulthood. Aims of this study included the examination of patterns of mental health problems (e.g., externalizing-internalizing co-occurrence) and their transitions to reported mental disorders by using a longitudinal person-centered approach (latent class and latent transition analysis). Methods The sample consisted of 1255 children and adolescents (51.7% female, mean age = 12.3 years, age range 8–26 years) from three time points of the comprehensive mental health and wellbeing BELLA study. Children and their parents completed the German SDQ (Strength and Difficulties Questionnaire, Goodman, 1997) and reported on diagnoses of ADHD, depression, and anxiety. Results Latent class analysis identified a normative class, an emotional problem class, and a multiple problem class. According to latent transition analysis, the majority of the sample (91.6%) did not change latent class membership over time; 14.7% of individuals showed a persistent pattern of mental health problems. Diagnoses of mental disorders were more likely to be reported by individuals in the emotional problem or multiple problem class.
Conclusions Results highlight the need for early prevention of mental health problems to avoid accumulation and manifestation in the transition to adolescence and young adulthood.
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Krammer M, Tritremmel G, Auferbauer M, Paleczek L. [Does the COVID-19 pandemic take its toll? The influence of COVID-19 induced anxiety on the social-emotional development of 12- to 13-year-olds in Austria]. ZEITSCHRIFT FUR BILDUNGSFORSCHUNG 2022; 12:43-60. [PMID: 37520851 PMCID: PMC9069953 DOI: 10.1007/s35834-022-00336-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Revised: 03/30/2022] [Accepted: 04/07/2022] [Indexed: 11/29/2022]
Abstract
During the COVID-19 pandemic, students have been severely affected by measures such as school closures and homeschooling. While it is obvious that these measures influenced students' academic achievement, there is also reason to believe that students' social-emotional development has been impacted.The present study investigates (1) the extent to which students in Austrian secondary school (12 to 13 years old) feel stressed by the COVID-19 pandemic, and (2) how the different levels of stress affect their social-emotional development. The focus of this study is on the development of problematic behavior (internalized and externalized behavior problems) and prosocial behavior. In total, 774 students participated in the study and 650 students took part in three different times of measurement, with the last time of measurement taking place just before the second school closure as a measure in the COVID-19 pandemic.Almost 20% of the respondents show higher stress-levels in terms of COVID-19 induced anxiety. Students with higher stress-levels also display a more negative development in their internalized behavior problems. Likewise, for students' development of externalized behavior problems, a trend in this direction was demonstrated, yet less pronounced. Students who reported a higher stress-level also developed more prosocial behavior. Yet, we could not statistically verify this due to violation of statistical prerequisites.
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Affiliation(s)
- Mathias Krammer
- Institut für Bildungswissenschaften, Pädagogische Hochschule Steiermark, Theodor-Körnerstraße 38/III, 8010 Graz, Österreich
| | - Gerald Tritremmel
- Institut für Bildungswissenschaften, Pädagogische Hochschule Steiermark, Theodor-Körnerstraße 38/III, 8010 Graz, Österreich
| | - Martin Auferbauer
- Institut für Bildungswissenschaften, Pädagogische Hochschule Steiermark, Theodor-Körnerstraße 38/III, 8010 Graz, Österreich
| | - Lisa Paleczek
- Institut für Bildungsforschung und PädagogInnenbildung, Universität Graz, Merangasse 70/III, 8010 Graz, Österreich
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11
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Otto C, Kaman A, Barkmann C, Döpfner M, Görtz-Dorten A, Ginsberg C, Zaplana Labarga S, Treier AK, Roessner V, Hanisch C, Koelch M, Banaschewski T, Ravens-Sieberer U. The DADYS-Screen: Development and Evaluation of a Screening Tool for Affective Dysregulation in Children. Assessment 2022; 30:1080-1094. [PMID: 35301874 PMCID: PMC10152573 DOI: 10.1177/10731911221082709] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Affective dysregulation (AD) in children is characterized by persistent irritability and severe temper outbursts. This study developed and evaluated a screening questionnaire for AD in children. The development included the generation of an initial item pool from existing instruments, a Delphi rating of experts, focus groups with experts and parents, and psychometric analyses of clinical and population-based samples. Based on data of a large community-based study, the final screening questionnaire was developed (n = 771; 49.7 % female; age M = 10.02 years; SD = 1.34) and evaluated (n = 8,974; 48.7 % female; age M = 10.00 years; SD = 1.38) with methods from classical test theory and item response theory. The developed DADYS-Screen (Diagnostic Tool for Affective Dysregulation in Children-Screening Questionnaire) includes 12 items with good psychometric properties and scale characteristics including a good fit to a one-factorial model in comparison to the baseline model, although only a "mediocre" fit according to the root mean square error of approximation (RMSEA). Results could be confirmed using a second and larger data set. Overall, the DADYS-Screen is able to identify children with AD, although it needs further investigation using clinical data.
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Affiliation(s)
| | - Anne Kaman
- University Medical Center Hamburg-Eppendorf, Germany
| | | | | | | | | | | | | | | | | | - Michael Koelch
- University of Ulm, Germany.,Rostock University Medical Center, Germany
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12
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[Examination of the Multidimensional Anxiety Inventory for Children and Adolescents (MAICA) in Clinical Samples]. Prax Kinderpsychol Kinderpsychiatr 2022; 71:100-118. [PMID: 35133250 DOI: 10.13109/prkk.2022.71.2.100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Questionnaires such as the Multidimensional Anxiety Inventory for Children and Adolescents (MAICA) provide a diagnostic approach to alert for anxiety- or depression-related problems. The aim is to examine the MAICA within two clinical samples.We first investigated whether children having anxiety- or depression-related problems (n = 94) scored higher on anxiety (i.e., emotionality and worry) and depression (i.e., dysthymia and low joy) than a non-clinical control group (n = 282). Then, we contrasted a clinical sample with other mental disorders unrelated to anxiety or depression (n = 45) with another non-clinical control group (n = 135). Across all scales of the MAICA, children with anxiety- or depression-related problems showed less favourable values than the non-clinical control group (d = 0.34 to 0.54 for anxiety, 0.55 to 0.68 for depression). Children with other mental problems showed no differences in either the anxiety or depression scales. For the use as a screening instrument, preliminary cutoff scores for identifying anxiety- or depression-related problems with the MAICA are given.
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13
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Meißner C, Meyrose AK, Kaman A, Michalkiewicz M, Ravens-Sieberer U. Associations Between Mental Health Problems in Adolescence and Educational Attainment in Early Adulthood: Results of the German Longitudinal BELLA Study. Front Pediatr 2022; 10:828085. [PMID: 35281228 PMCID: PMC8914221 DOI: 10.3389/fped.2022.828085] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Accepted: 01/31/2022] [Indexed: 11/13/2022] Open
Abstract
Mental health problems (MHP) in adolescence are a major public health concern of the 21st century. Global prevalence estimates range between 10 and 20%. Most MHP manifest by adolescence and persistence rates are high, often accumulating further impairment in early adulthood and beyond. We analyzed data of N = 433 participants from the German longitudinal BELLA study to examine whether MHP in adolescence negatively affect educational attainment in early adulthood. Externalizing and internalizing MHP among adolescents aged 11-17 years were assessed at baseline using the Strengths and Difficulties Questionnaire. Educational attainment was assessed at the 6-year follow-up based on level of education, failure to attain the expected level of education, and dropout from vocational or academic training. Findings from logistic regression analyses suggest that more pronounced externalizing MHP in adolescence predict a lower level of education in early adulthood. We did not find a corresponding effect for internalizing MHP. Adolescents with higher-educated parents were less likely to attain a lower level of education themselves and less likely to fail in attaining their expected level of education. Our findings support that educational attainment presents a central channel for intergenerational reproduction of education and forms an important pathway for upward, but also downward social mobility. The current study emphasizes school as a central setting to implement measures to prevent onset and persistence of MHP and to foster equal opportunities in education.
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Affiliation(s)
- Carina Meißner
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.,Clinical Psychology, Helmut-Schmidt-University/University of the Federal Armed Forces Hamburg, Hamburg, Germany
| | - Ann-Katrin Meyrose
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.,Clinical Psychology, Helmut-Schmidt-University/University of the Federal Armed Forces Hamburg, Hamburg, Germany
| | - Anne Kaman
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Martha Michalkiewicz
- Institute for Experimental Psychology, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
| | - Ulrike Ravens-Sieberer
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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14
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Güzelsoy N, Ravens-Sieberer U, Westenhöfer J, Devine J, Erhart M, Hölling H, Kaman A. Risks and Resources for Depressive Symptoms and Anxiety in Children and Adolescents During the COVID-19 Pandemic - Results of the Longitudinal COPSY Study. Front Psychiatry 2022; 13:901783. [PMID: 35873222 PMCID: PMC9301280 DOI: 10.3389/fpsyt.2022.901783] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 06/20/2022] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Mental health during the COVID-19 pandemic is of particularly high relevance. Especially for children and adolescents, the pandemic and its restrictions represent a significant burden. The present study aims to identify risks and resources for depressive symptoms and anxiety in children and adolescents during the pandemic in Germany. MATERIALS AND METHODS Self-reported data from the first wave of the longitudinal COVID-19 and Psychological Health (COPSY) study were used to investigate risks and resources among n = 811 children and adolescents aged 11-17 years. Depressive symptoms and anxiety were measured at the first follow-up 6 months later. Multivariate linear regression analyses were performed to investigate the effects of risks and resources on depressive symptoms and anxiety. RESULTS Parental depressive symptoms predicted depressive symptoms and anxiety in children and adolescents 6 months later. Female gender was identified as a risk factor for anxiety during the pandemic. None of the potential resources were associated with depressive symptoms or anxiety at the follow-up. CONCLUSION The findings provide evidence of risk factors for depressive symptoms and anxiety during the COVID-19 pandemic. Children and adolescents who face risk factors need to be identified early and monitored during the pandemic. Family-based intervention programs are needed to help vulnerable children and adolescents cope with the challenges of the pandemic.
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Affiliation(s)
- Neslihan Güzelsoy
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.,Department of Health Sciences, Faculty of Life Sciences, Competence Center Health, Hamburg University of Applied Sciences, Hamburg, Germany
| | - Ulrike Ravens-Sieberer
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Joachim Westenhöfer
- Department of Health Sciences, Faculty of Life Sciences, Competence Center Health, Hamburg University of Applied Sciences, Hamburg, Germany
| | - Janine Devine
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Michael Erhart
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.,Department of Public Health, Alice Salomon University of Applied Science, Berlin, Germany.,Department of Psychology, Apollon University of Applied Science, Bremen, Germany
| | - Heike Hölling
- Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany
| | - Anne Kaman
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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15
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[Increase of depressive symptoms among adolescents during the first COVID-19 lockdown in Germany : Results from the German family panel pairfam]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2021; 64:1533-1540. [PMID: 34731293 PMCID: PMC8564269 DOI: 10.1007/s00103-021-03451-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Accepted: 10/08/2021] [Indexed: 01/23/2023]
Abstract
BACKGROUND The COVID-19 pandemic has fundamentally changed social life within a very short time. Lockdown policies often consider the tradeoff between containing the spread of the pandemic and negative consequences for the economy. Policymakers should pay more attention to the psychological and social impacts of the lockdown. RESEARCH QUESTION How did the mental health of adolescents in Germany change during the first wave of the COVID-19 pandemic and the lockdown? MATERIALS AND METHODS Analyses are based on longitudinal data from nationwide randomly selected anchors of the German family panel pairfam. The age group considered here, born between 2001 and 2003, was surveyed for the first time in 2018/2019 in the course of a refreshment sample, and 854 of these adolescents and young adults aged 16-19 also participated in the COVID-19 supplementary survey from May to July 2020 (first lockdown). Depressiveness is assessed with the State-Trait Depression Scale. RESULTS During the first lockdown, adolescents show a significant increase in depressive symptoms. Prior to the lockdown, 10.4% had clinically relevant depressive symptoms [95% CI: 8.4; 12.5]. In spring 2020, the prevalence increased to 25.3% [95% CI: 22.4; 28.2]. Young women have a significantly higher risk of developing depressive symptoms than men of the same age. Immigrant background is an equally strong risk factor. The prevalence of depressive symptoms among adolescents with an immigrant background increased from 11% to 33%. DISCUSSION To address this increased mental health risk and the inequalities, policymakers and society should ensure access and availability of target-group-specific and low-threshold prevention and counselling.
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16
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Otto C, Kaman A, Erhart M, Barkmann C, Klasen F, Schlack R, Ravens-Sieberer U. Risk and resource factors of antisocial behaviour in children and adolescents: results of the longitudinal BELLA study. Child Adolesc Psychiatry Ment Health 2021; 15:61. [PMID: 34686200 PMCID: PMC8539834 DOI: 10.1186/s13034-021-00412-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 10/08/2021] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Antisocial behaviour is a common phenomenon in childhood and adolescence. Information on psychosocial risk and resource factors for antisocial behaviour are important for planning targeted prevention and early intervention programs. The current study explores risk and resource factors of antisocial behaviour in children and adolescents based on population-based longitudinal data. METHODS We analysed longitudinal data from the German BELLA study (n = 1145; 11 to 17 year-olds) measured at three measurement points covering two years. Latent growth analysis, linear regression models and structural equation modelling were used to explore cross-sectional and longitudinal data. RESULTS Based on baseline data, we found that stronger self-efficacy and worse family climate were each related to stronger antisocial behaviour. Longitudinal data revealed that more severe parental mental health problems, worse family climate at baseline, deteriorating family climate over time, and more social support were each associated with increasing antisocial behaviour over time. We further found a moderating effect for family climate. CONCLUSIONS Our study provides important exploratory results on psychosocial risk, resource and protective factors in the context of antisocial behaviour in children and adolescents, which need confirmation by future research. Our exploratory results point in the direction that family-based interventions for antisocial behavior in children and adolescents may benefit from considering the family climate.
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Affiliation(s)
- Christiane Otto
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, Building W29, D-20246, Hamburg, Germany
| | - Anne Kaman
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, Building W29, D-20246, Hamburg, Germany
| | - Michael Erhart
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, Building W29, D-20246, Hamburg, Germany
- Alice Salomon University of Applied Sciences, Berlin, Germany
- Apollon University of Applied Sciences, Bremen, Germany
| | - Claus Barkmann
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, Building W29, D-20246, Hamburg, Germany
| | - Fionna Klasen
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, Building W29, D-20246, Hamburg, Germany
| | - Robert Schlack
- Department of Epidemiology and Health Monitoring, Robert Koch-Institute, General-Pape- Straße 62-66, D-12101, Berlin, Germany
| | - Ulrike Ravens-Sieberer
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Martinistr. 52, Building W29, D-20246, Hamburg, Germany.
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17
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Kaman A, Otto C, Devine J, Erhart M, Döpfner M, Banaschewski T, Görtz-Dorten A, Hanisch C, Kölch M, Roessner V, Ravens-Sieberer U. Assessing anger and irritability in children: psychometric evaluation and normative data for the German version of the PROMIS® Parent Proxy Anger Scale. Qual Life Res 2021; 31:831-839. [PMID: 34586583 PMCID: PMC8921038 DOI: 10.1007/s11136-021-03001-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/15/2021] [Indexed: 11/05/2022]
Abstract
Purpose Anger and irritability are common and impairing symptoms in children. The PROMIS Anger scales assess self- and parent-reported irritable and angry mood over the past 7 days. The aim of this study was to evaluate the psychometric properties of the German version of the PROMIS Parent Proxy Short Form v1.0—Anger and to provide normative data. Methods To evaluate the psychometric properties, data from the study ADOPT Epidemiology were used. In this study, the PROMIS Anger Scale was administered to a population-based sample of n = 8746 parents of children aged 8–12 years. Psychometric analyses were carried out including the investigation of distribution characteristics, factor structure, model fit, internal consistency, and congruent validity. Normative data were calculated as percentile ranks and T-scores. Results The PROMIS Anger Scale demonstrated good psychometric properties, including satisfactory distribution characteristics, unidimensionality, good internal consistency as well as congruent validity. German normative data for the PROMIS Anger Scale are presented. Conclusion Based on first psychometric analyses, the German version of the PROMIS Anger Scale can be recommended for use in research and practice; however, further investigations using clinical data are needed. The normative data will allow researchers and clinicians an interpretation of the test scores in future applications.
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Affiliation(s)
- Anne Kaman
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Christiane Otto
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Janine Devine
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.,Psychosomatic Clinic and Outpatient Center, Argora Clinic, Berlin, Germany
| | - Michael Erhart
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.,Alice Salomon University of Applied Science, Berlin, Germany.,Apollon University of Applied Science, Bremen, Germany
| | - Manfred Döpfner
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.,School of Child and Adolescent Cognitive Behavior Therapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany
| | - Tobias Banaschewski
- Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany
| | - Anja Görtz-Dorten
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.,School of Child and Adolescent Cognitive Behavior Therapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany
| | - Charlotte Hanisch
- Department of Special Education and Rehabilitation, Faculty of Human Sciences, University of Cologne, Cologne, Germany
| | - Michael Kölch
- Department of Child and Adolescent Psychiatry/Psychotherapy, University of Ulm, Ulm, Germany.,Department of Child and Adolescent Psychiatry, Neurology, Psychosomatics and Psychotherapy, Rostock University Medical Center, Rostock, Germany
| | - Veit Roessner
- Department of Child and Adolescent Psychiatry and Psychotherapy, TU Dresden, Dresden, Germany
| | - Ulrike Ravens-Sieberer
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
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18
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Kaman A, Otto C, Klasen F, Westenhöfer J, Reiss F, Hölling H, Ravens-Sieberer U. Risk and resource factors for depressive symptoms during adolescence and emerging adulthood - A 5-year follow-up using population-based data of the BELLA study. J Affect Disord 2021; 280:258-266. [PMID: 33220562 DOI: 10.1016/j.jad.2020.11.036] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Revised: 09/18/2020] [Accepted: 11/07/2020] [Indexed: 01/06/2023]
Abstract
INTRODUCTION Depression is one of the most common mental disorders in adolescents and young adults worldwide, and causes a high burden for both individuals and society. The present study aims to investigate the role of risk and resource factors for depressive symptoms during adolescence and emerging adulthood in a German population-based cohort. METHODS Within the longitudinal BELLA study, data on risk and resource factors were collected among n = 632 children and adolescents aged 11 to 17 years. Depressive symptoms were measured five years later. Multivariate linear regression models served to investigate effects of risk and resource factors on depressive symptoms. Regression models were stratified by gender. Moreover, we explored potential interaction effects. RESULTS A negative mother-child relationship predicted depressive symptoms in girls, whereas school stress served as a risk factor in boys. Peer competence was associated with fewer depressive symptoms in girls, and family cohesion was identified as a resource factor in boys. In addition, few moderating effects of resource factors on the association between risk factors and depressive symptoms were found. LIMITATIONS As the BELLA study is a population-based observational study, we only identified associations between risk and resource factors and no cause-effect relationships. CONCLUSIONS Findings provide evidence of gender-specific risk and resource factors for depression. Individuals who are exposed to risk factors must be monitored during the transition into adulthood. Gender-sensitive prevention and early intervention programs are needed.
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Affiliation(s)
- Anne Kaman
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Christiane Otto
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Fionna Klasen
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Joachim Westenhöfer
- Hamburg University of Applied Sciences, Faculty of Life Sciences, Department Health Sciences, Competence Center Health, Hamburg, Germany
| | - Franziska Reiss
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Heike Hölling
- Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany
| | - Ulrike Ravens-Sieberer
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
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Erschens R, Loda T, Stuber F, Herrmann-Werner A, Nikendei C, Gashi K, Zipfel S, Junne F. Coping Styles Among High School Graduates Aiming to Study Medicine in Dealing With Depressive and Anxious Symptoms. Front Psychiatry 2021; 12:735371. [PMID: 34916968 PMCID: PMC8670305 DOI: 10.3389/fpsyt.2021.735371] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Accepted: 11/01/2021] [Indexed: 12/02/2022] Open
Abstract
Background: Psychological distress, its associated stressors and resilience factors, and the implications derived for the education and training of medical students and physicians have long been the subject of international studies. The study presented here investigated affective symptoms in association with coping styles in the earliest phase of University medical education: high school graduates aiming to study medicine. Materials and Methods: We conducted a self-report survey at a medical school in Germany among high school graduates who indicated being interested in studying medicine at the university's on-campus recruitment day. The questionnaire included validated instruments for the self-assessment of symptoms of depression (i.e., Patient Health Questionnaire; PHQ-9) and anxiety (i.e., Generalized Anxiety Disorder 7 (GAD-7), and participants were also asked to rate functional and dysfunctional behavior-based coping styles for symptoms of depression and anxiety. Additional variables addressed were gender, motivation, interest in studying medicine, and parental employment in medicine. Results: Of 400 high school graduates, 346 (87%) completed the survey. More than 40 (12.5%) and nearly 30 (8.4%) reported relevant symptoms of depression (PHQ-9 sum score ≥10) and anxiety (GAD-7 sum score ≥10), respectively. Among the graduates, young women had higher values for symptoms of depression than young men, and one's interested exclusively in studying human medicine tended to have marginally higher levels of symptoms of depression than ones who were also interested in other subjects. Relevant functional coping styles included seeking social support, relaxing, engaging in sports, listening to or making music, and reading books, whereas relevant dysfunctional coping styles included consuming alcohol, abusing drugs, restrictive eating, watching TV, surfing the Internet, and withdrawing and ruminating. Conclusion: The results clarify the burden and associated resilience factors of premedical high school graduates at the earliest phase of their University education. As such, they reveal ways to address educational and supportive services and support the need for further investigation into factors of success in studying human medicine.
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Affiliation(s)
- Rebecca Erschens
- Department of Psychosomatic Medicine and Psychotherapy, Medical University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany
| | - Teresa Loda
- Department of Psychosomatic Medicine and Psychotherapy, Medical University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany
| | - Felicitas Stuber
- Department of Psychosomatic Medicine and Psychotherapy, Medical University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany
| | - Anne Herrmann-Werner
- Competence Centre for University Teaching in Medicine, Baden-Wuerttemberg, Faculty of Medicine Eberhard, Karls University Tübingen, Tübingen, Germany
| | - Christoph Nikendei
- Department of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, Heidelberg, Germany
| | - Kaltrina Gashi
- Department of Psychiatry and Psychotherapy, Saarland University Hospital, Homburg, Germany
| | - Stephan Zipfel
- Department of Psychosomatic Medicine and Psychotherapy, Medical University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany
| | - Florian Junne
- Department of Psychosomatic Medicine and Psychotherapy, Otto von Guericke University Magdeburg, Magdeburg, Germany
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Hampel P, Petermann F, Stachow R. Psychische Auffälligkeiten von Jugendlichen mit Adipositas in der stationären Rehabilitation. KINDHEIT UND ENTWICKLUNG 2020. [DOI: 10.1026/0942-5403/a000322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Es wurden die Geschlechts- und Altersunterschiede in den selbst- und fremdbeurteilten psychischen Auffälligkeiten bei N = 142 Jugendlichen mit Adipositas in der stationären Rehabilitation untersucht. Mädchen wiesen im Selbsturteil höhere Ausprägungen in der Ängstlichkeit/Depressivität sowie den emotionalen und Verhaltensproblemen auf. Die Eltern gaben eine höhere Hyperaktivität ihrer Söhne an. Jüngere schätzten ihre Verhaltensprobleme höher ein als Ältere. Zudem wurde die klinische Stichprobe mit geschlechts- und altersgematchten Kontrollen aus der Normierungsstudie des Screenings psychischer Störungen im Jugendalter (SPS-J-II; Hampel & Petermann, 2012a ) verglichen ( N = 254). Es ergab sich ein 2.43-fach erhöhtes Risiko für auffällige Werte in der Ängstlichkeit/Depressivität bei den Jugendlichen mit Adipositas und ein signifikanter Mittelwertunterschied. Die Befunde sprechen für eine frühzeitige Diagnostik psychischer Auffälligkeiten und bedarfsgerechte Interventionen, um der Entwicklung komorbider psychischer Auffälligkeiten vorzubeugen.
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Affiliation(s)
- Petra Hampel
- Europa-Universität Flensburg, Abteilung Gesundheitspsychologie und -bildung
| | - Franz Petermann
- Zentrum für Klinische Psychologie und Rehabilitation, Universität Bremen
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Abstract
School-based Mindfulness Programs for Children and Adolescents Mindfulness is a mental state achieved by focusing one's awareness on the present moment, while calmly acknowledging and accepting one's bodily sensations, sensory feedback, thoughts, and feelings. Mindfulness interventions can improve proprioception, direction of attention, and emotion regulation. An accepting attitude towards thoughts and feelings reduces the experience of stress so that it is easier to cope with stressful situations. The regular practice of mindfulness exercises affects neurobiological mechanisms, which can lead to an improvement of executive functions as well as psychological health. Metaanalyses provide evidence of small effects of mindfulness interventions in schools, both in cognitive areas (executive functions, concentration, memory) and in emotional areas (anxiety, depressivity, wellbeing). The focus of this review article is on German and English-language mindfulness programmes for children and adolescents in schools, which have already been the subject of initial evaluation studies. This study presents the programmes Paws b, Mind Up, and Mehr Ruhe for children, and .b, Mind Up, AISCHU, and 8sam for adolescents, together with their evaluation results. The conclusion discusses open questions concerning conceptual and methodological issues.
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22
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Lüdeke S, Linderkamp F, Baumann T, Lembke EJ. Empirical Analysis of Creativity in Children and Adolescents with Internalizing and Externalizing Problem Behavior. CHILD & YOUTH CARE FORUM 2020. [DOI: 10.1007/s10566-020-09546-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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[Health-related quality of life and its relation to chronic diseases and mental health problems among children and adolescents : Results from KiGGS Wave 2]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2019; 62:1205-1214. [PMID: 31529184 DOI: 10.1007/s00103-019-03006-9] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
BACKGROUND Health-related quality of life (HRQoL) is increasingly established as an indicator for the subjective health of children and adolescents. The aim of this study was to describe the current HRQoL among children and adolescents in Germany aged between 11 and 17 years taking into account common chronic diseases (bronchial asthma, atopic dermatitis, obesity, ADHD) and mental health problems. METHODS The analysis is based on information obtained from 6,599 children and adolescents (51.9% girls; 48.1% boys) from KiGGS Wave 2 (2014-2017). HRQoL was measured with the multidimensional KIDSCREEN-27. The chronic diseases and mental health problems under investigation were assessed by several indicators. RESULTS Differences in HRQoL could be found as a function of age and gender. The HRQoL among girls was lower at an older age across all dimensions. These age-related differences are less pronounced among boys. The HRQoL of children and adolescents with chronic diseases and mental health problems was lower compared to their healthy peer groups. The comparison of the investigated chronic diseases and mental health problems revealed significant differences. Particularly, HRQoL was lower for children and adolescents with obesity and mental health problems. DISCUSSION The distinction of several dimensions of HRQoL allows a comprehensive understanding of age- and gender-related effects and provides a detailed assessment of the impact of chronic diseases and mental health problems. The present findings underline the importance of HRQoL as an indicator for the subjective health of children and adolescents.
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Barthel D, Ravens-Sieberer U, Schulte-Markwort M, Klasen F, Zindler A. Klinisch-psychologische Diagnostik in einer Flüchtlingsambulanz für Kinder und Jugendliche. KINDHEIT UND ENTWICKLUNG 2019. [DOI: 10.1026/0942-5403/a000286] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Für geflüchtete Kinder und Jugendliche wird in der Flüchtlingsambulanz des Universitätsklinikums Hamburg-Eppendorf ambulante psychiatrisch-psychotherapeutische und psychosoziale Versorgung angeboten. Seit Oktober 2016 durchlaufen die Patienten einen standardisierten klinisch-psychologischen Diagnostikprozess, welcher die Behandlungsplanung unterstützen soll. Von den N = 134 untersuchten Patienten im Alter von 8 bis 20 Jahren wurden n = 90 (69.8 %) mit einer gegenwärtig vorliegenden PTBS diagnostiziert. Weiterhin wiesen n = 67 (50.0 %) der Geflüchteten eine mittelgradige oder schwere depressive Episode auf. Nahezu alle Patienten gaben an, in ihrem Herkunftsland mehrfach interpersonelle Gewalt erlebt zu haben. Als Behandlungsziel wurde am häufigsten ein besserer Umgang mit negativen Gefühlen und Gedanken formuliert. Diese Ergebnisse demonstrieren, dass es sich bei den untersuchten geflüchteten Kindern und Jugendlichen, um eine äußerst stark belastete Gruppe mit hohem Behandlungsbedarf handelt.
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Affiliation(s)
- Dana Barthel
- Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
| | - Ulrike Ravens-Sieberer
- Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
| | - Michael Schulte-Markwort
- Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
| | - Fionna Klasen
- Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
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Otto C, Barkmann C, Döpfner M, Petermann F, Schlack R, Ravens-Sieberer U, Klasen F. Der Global-Index der Conners-Skalen. DIAGNOSTICA 2019. [DOI: 10.1026/0012-1924/a000214] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Aufmerksamkeitsdefizits- / Hyperaktivitätsstörungen (ADHS) treten in der Kindheit und Jugend häufig auf und ziehen oftmals psychische Probleme im Erwachsenenalter nach sich. Der Global-Index der etablierten Conners-Skalen dient als Screening-Instrument für eine ADHS und weitere psychische Auffälligkeiten bei Kindern und Jugendlichen in der klinischen Routine sowie in Forschungsstudien. Die vorliegende Untersuchung präsentiert die psychometrische Analyse einer deutschen Eltern- und Selbstberichtsversion des Global-Index sowie Normwerte basierend auf Daten von N = 967 13- bis 17-Jährigen aus der Allgemeinbevölkerung. Die Resultate zeigen für den Eltern- und den Selbstbericht des Global-Index sowie für die zugehörige Subskala Rastlos-Impulsiv jeweils neben einer guten internen Konsistenz Hinweise auf eine ausreichende bis gute konvergente Validität, aber die entsprechenden Kennwerte für die Subskala Emotional-Labil waren nicht ausreichend. Für beide Urteilerperspektiven wurden Stärken, aber auch strukturelle Schwächen entdeckt, die in weiteren Studien untersucht werden sollten. Die Subskala Emotional-Labil sollte mit Vorsicht verwendet werden. Die Befunde sollten nicht auf Kinder und Jugendliche außerhalb des untersuchten Altersbereichs übertragen werden.
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Affiliation(s)
- Christiane Otto
- Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
| | - Claus Barkmann
- Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
| | - Manfred Döpfner
- Klinik für Psychiatrie, Psychosomatik und Psychotherapie des Kindes- und Jugendalters, Universität zu Köln
| | - Franz Petermann
- Zentrum für Klinische Psychologie und Rehabilitation, Universität Bremen
| | - Robert Schlack
- Abteilung Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut Berlin
| | - Ulrike Ravens-Sieberer
- Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
| | - Fionna Klasen
- Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
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Lauth-Lebens M, Lauth G. Erfassung von symptomkritischen und belastenden Schulsituationen bei Kindern mit Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung: Schülerauffälligkeiten und Lehrerbelastungen. VERHALTENSTHERAPIE 2019. [DOI: 10.1159/000498974] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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In-Albon T, Christiansen H, Imort S, Krause K, Schlarb A, Schneider S, Schwarz D, Weber L, Velten J. Forschungsnetzwerk KODAP. ZEITSCHRIFT FUR KLINISCHE PSYCHOLOGIE UND PSYCHOTHERAPIE 2019. [DOI: 10.1026/1616-3443/a000528] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Theoretischer Hintergrund: Die Anzahl universitärer psychotherapeutischer Ambulanzen für Kinder und Jugendliche an psychologischen Instituten ist in nur wenigen Jahren deutlich angestiegen. Diese erfreuliche Entwicklung ist potentiell für die Versorgung von Kindern und Jugendlichen mit psychischen Störungen, die praxisnahe Lehre im Psychologiestudium, die qualifizierte Psychotherapieausbildung und die klinisch-psychologische Forschung äußerst relevant. Der Wissensstand bezüglich Diagnostik, Ätiologie und psychotherapeutischer Behandlung von psychischen Störungen im Kindes- und Jugendalter steht für viele Störungsbilder deutlich hinter dem umfangreichen Forschungs- und Wissensstand psychischer Störungen des Erwachsenenalters. Vor diesem Hintergrund ist die Initiative, Daten der universitären Psychotherapieambulanzen für Kinder und Jugendliche zusammenzuführen, ein wesentlicher Schritt, um der Altersgruppe der Kinder und Jugendlichen gleich gut begründete und evaluierte Behandlungsansätze zukommen zu lassen. KODAP – die Koordination der Datenerhebung und -auswertung an Forschungs-, Lehr- und Ausbildungsambulanzen für psychologische Psychotherapie – übernimmt dabei die Koordination dieses komplexen Vorhabens sowohl für den Kinder- und Jugend- als auch den Erwachsenenbereich. Fragestellung / Methode: Es werden die soziodemographischen und klinischen Daten der im Jahr 2016 behandelten Patient_innen, deren Eltern und jeweiligen Therapeut_innen von sieben Ambulanzen beschrieben. Hierzu werden die deskriptiven Angaben zu Diagnosehäufigkeiten, Altersstruktur, Anzahl komorbider Störungen der Patient_innen und eine soziodemographische Beschreibung der Therapeut_innen und Eltern vorgestellt und diskutiert. Ergebnisse: Für das Jahr 2016 stehen Daten von 568 Kindern und Jugendlichen zwischen 3 und 20 Jahren ( Malter = 11.89, SD = 3.68; 46.6 % weiblich) zur Verfügung. Die häufigsten Diagnosen stellten die Angststörungen (F40, F41, F93) mit 317 Diagnosen (35.30 %), gefolgt von den hyperkinetischen Störungen und den Störungen des Sozialverhaltens (F90, F91, F92) mit 195 Diagnosen (21.71 %) dar. Bei 45.6 % der Patient_innen wurde mehr als eine Störungsdiagnose festgestellt. Des Weiteren lagen die Daten von 257 Müttern bzw. 228 Vätern und 126 Therapeut_innen, davon 83.1 % weiblich, vor. Schlussfolgerungen: Die Studie zeigt die Machbarkeit der Zusammenführung und Aufbereitung der Daten aus universitären Psychotherapieambulanzen für Kinder und Jugendliche. Zudem geben die Pilotdaten einen ersten Einblick in diese Inanspruchnahmepopulation.
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Affiliation(s)
- Tina In-Albon
- Klinische Psychologie und Psychotherapie des Kindes- und Jugendalters, Universität Koblenz-Landau
| | - Hanna Christiansen
- Fachbereich Psychologie, Klinische Kinder- und Jugendpsychologie, Philipps-Universität Marburg
| | - Stephanie Imort
- Klinische Psychologie und Psychotherapie des Kindes- und Jugendalters, Abteilung für Psychologie, Fakultät für Psychologie und Sportwissenschaften, Universität Bielefeld
| | - Karen Krause
- Klinische Kinder- und Jugendpsychologie, Forschungs- und Behandlungszentrum für psychische Gesundheit, Fakultät für Psychologie, Ruhr-Universität Bochum
| | - Angelika Schlarb
- Klinische Psychologie und Psychotherapie des Kindes- und Jugendalters, Abteilung für Psychologie, Fakultät für Psychologie und Sportwissenschaften, Universität Bielefeld
| | - Silvia Schneider
- Klinische Kinder- und Jugendpsychologie, Forschungs- und Behandlungszentrum für psychische Gesundheit, Fakultät für Psychologie, Ruhr-Universität Bochum
| | - Daniela Schwarz
- Klinische Psychologie und Psychotherapie des Kindes- und Jugendalters, Universität Koblenz-Landau
| | - Lorenz Weber
- Fachbereich Psychologie, Klinische Kinder- und Jugendpsychologie, Philipps-Universität Marburg
| | - Julia Velten
- Klinische Psychologie und Psychotherapie, Forschungs- und Behandlungszentrum für psychische Gesundheit, Fakultät für Psychologie, Ruhr-Universität Bochum
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Reinelt T, Samdan G, Kiel N, Petermann F. Frühkindliche Prädiktoren externalisierender Verhaltensauffälligkeiten. KINDHEIT UND ENTWICKLUNG 2019. [DOI: 10.1026/0942-5403/a000268] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Externalisierende Verhaltensauffälligkeiten sind mit hohen gesellschaftlichen Kosten verbunden. Damit wirksame Präventions- und frühe Therapieprogramme entwickelt werden können, ist es notwendig, bereits in den ersten Lebensjahren Risiken für einen externalisierenden Entwicklungsverlauf zu identifizieren. In einer systematischen Literaturrecherche konnten aus 21 Publikationen zu 12 längsschnittlichen Geburtskohorten mit insgesamt 55 077 Kindern frühe Risiken bezogen auf eine elterliche Psychopathologie, einen niedrigen sozio-ökonomischen Status und ungünstige Eltern-Kind-Interaktionen identifiziert werden. Insbesondere eine mütterliche Depression, ein niedriger sozio-ökonomischer Status und ein harsches Erziehungsverhalten in den ersten Lebensjahren waren prädiktiv für externalisierende Verhaltensauffälligkeiten im Kindergarten und bei Schuleintritt. Implikationen für die klinische Praxis werden vorgestellt.
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Affiliation(s)
- Tilman Reinelt
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
| | - Gizem Samdan
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
| | - Natalie Kiel
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
| | - Franz Petermann
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
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Weber HM, Petermann F. Gruppentherapie bei Kindern und Jugendlichen mit aggressivem Verhalten. KINDHEIT UND ENTWICKLUNG 2018. [DOI: 10.1026/0942-5403/a000260] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Gruppentherapeutische Maßnahmen stellen einen wesentlichen Bestandteil der kognitiven Verhaltenstherapie von Kindern und Jugendlichen dar. Der Vorteil einer Gruppentherapie besteht darin, dass sie Probleme dort behandelt, wo sie entstehen – in den sozialen Beziehungen der Patienten. Kinder und Jugendliche mit aggressivem Verhalten weisen Defizite in ihren sozialen Kompetenzen auf, sodass zur Behandlung ein gruppentherapeutisches Vorgehen indiziert ist. In der vorliegenden Übersichtsarbeit werden unterschiedliche nationale und internationale Programme zur Behandlung von Kindern und Jugendlichen mit aggressivem Verhalten vorgestellt. Es wird der Frage nachgegangen, inwieweit es diesen Programmen gelingt, die wesentlichen Therapieziele bei aggressivem Verhalten umzusetzen. Dabei werden Erkenntnisse über die Wirksamkeit der einzelnen Programme diskutiert. Schließlich werden Gelingensbedingungen aufgezeigt, die die Wirksamkeit einer Gruppentherapie zur Behandlung aggressiven Verhaltens noch einmal steigern können.
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Affiliation(s)
- Hanna M. Weber
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
| | - Franz Petermann
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
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Lohbeck A, Petermann F. Factorial Validity of the Anxiety Questionnaire for Students (AFS): Bifactor Modeling and Measurement Invariance. JOURNAL OF PSYCHOEDUCATIONAL ASSESSMENT 2018. [DOI: 10.1177/0734282918794834] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The present study with 2,273 students aimed to examine the factorial validity of the Anxiety Questionnaire for Students (AFS) by using the bifactor modeling framework, that is, contrasting a confirmatory factor analysis (CFA) model to an exploratory structural equation model (ESEM) and two bifactor models (B-CFA and B-ESEM). In addition, measurement invariance and latent mean differences in the three facets of the AFS (test anxiety, manifest anxiety, dislike of school) across gender, age groups, and school types were explored. Results provided strong support for the multidimensionality of the AFS. The B-ESEM showed the best fit to the data as opposed to the other models. Also, measurement invariance across gender, age groups, and school types was fully supported. Girls and younger students generally reported higher levels of anxiety than boys and older students, while the latter stated more dislike of school than girls and younger students. Furthermore, elementary school students showed generally higher levels of anxiety than students of the other school types.
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Walter F, Nitkowski D, Petermann F. Wie gut stimmen Eltern- und Kinderurteile bei der Einschätzung von Kinderängsten überein? KINDHEIT UND ENTWICKLUNG 2018. [DOI: 10.1026/0942-5403/a000258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Im Rahmen der vorliegenden Studie soll die Interrater-Reliabilität des Eltern- und Kinderurteils für alle Skalen des Bereichsspezifischen Angstfragebogens für Kinder und Jugendliche (BAK) und der Einfluss von möglichen Variablen (Alter und Geschlecht des Kindes) auf die Übereinstimmung von Eltern- und Kindurteil ermittelt werden. Es wurden 572 Kinder und Jugendliche (295 Mädchen; 277 Jungen) im Alter von 9 bis 16 Jahren aus der Allgemeinbevölkerung und ihre Eltern anhand des BAK zu den Ängsten befragt. Berechnet wird die Interrater-Reliabilität sowohl für die intervallskalierten Daten (T-Werte) als auch für die daraus resultierenden kategorialen Daten. Es zeigt sich ausschließlich ein Alterseffekt auf die Übereinstimmung in den Punktwerten für die Skala Naturgewalten des BAK. Für alle Skalen des BAK mit Ausnahme der Skalen Medizinischer Bereich und Trennung/Unbekanntes konnte ein Geschlechtseffekt belegt werden. Die Interrater-Reliabilitäten sind als gering bis mittelmäßig einzustufen (ICC = .33 bis .62; Krippendorffs αü = .25 bis .57; Gewichtetes Cohens ϰ = .29 bis .58). Die Beurteiler-Übereinstimmungen fallen über alle Skalen hinweg bei den Mädchen höher aus als bei den Jungen. Die Ergebnisse verdeutlichen, dass es sinnvoll ist, bei der Beurteilung der Angstsymptomatik eines Kindes sowohl das Selbsturteil als auch das Elternurteil einzuholen.
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Affiliation(s)
- Franziska Walter
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
| | - Dennis Nitkowski
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
| | - Franz Petermann
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
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Plass-Christl A, Otto C, Klasen F, Wiegand-Grefe S, Barkmann C, Hölling H, Schulte-Markwort M, Ravens-Sieberer U. Trajectories of mental health problems in children of parents with mental health problems: results of the BELLA study. Eur Child Adolesc Psychiatry 2018; 27:867-876. [PMID: 29177564 DOI: 10.1007/s00787-017-1084-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2017] [Accepted: 11/18/2017] [Indexed: 11/24/2022]
Abstract
Children of parents with mental health problems (CPM) have an increased risk for behavioral and psychological problems. This study investigated the age- and gender-specific course as well as predictors of mental health problems in CPM using the longitudinal data (baseline 1- and 2-year follow-ups) of a German general population sample from the BELLA study. Children and adolescents aged 11-17 years (at baseline) who had a parent with mental health problems (n = 325) were analyzed. The mental health problems of the children were assessed by the self-reported version of the strengths and difficulties questionnaire (SDQ). We used individual growth modeling to investigate the age- and gender-specific course, and the effects of risk as well as personal, familial and social protective factors on self-reported mental health problems in CPM. Additionally, data were examined differentiating internalizing and externalizing mental health problems in CPM. Results indicated that female compared to male CPM showed increasing mental health problems with increasing age. Mental health problems in CPM were associated with lower self-efficacy, worse family climate and less social competence over time. Internalizing problems were associated with lower self-efficacy, less social competence and more severe parental mental health problems. Externalizing problems were associated with lower self-efficacy, worse family climate and lower social competence. The main limitations of the study are the short time period (2 years) covered and the report of mental health problems by only one parent. Our findings should be considered in the development of treatment and prevention programs for mental health problems in CPM.
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Affiliation(s)
- Angela Plass-Christl
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
| | - Christiane Otto
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Fionna Klasen
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Silke Wiegand-Grefe
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Claus Barkmann
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Heike Hölling
- Department of Epidemiology and Health Monitoring, Robert-Koch-Institute, Berlin, Germany
| | - Michael Schulte-Markwort
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Ulrike Ravens-Sieberer
- Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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[Gender-specific Differences in the Degree of Burden on Children and Adolescents Taken into Custody]. Prax Kinderpsychol Kinderpsychiatr 2018; 67:48-62. [PMID: 29347894 DOI: 10.13109/prkk.2018.67.1.48] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Gender-specific Differences in the Degree of Burden on Children and Adolescents Taken into Custody Children and adolescents who were taken into care are a high-risk group for mental disorders such as externalizing problems or conduct disorders. 95 children and adolescents who were taken into care were tested with the Screening Child Trauma Questionnaire (CTQ) and the Massachusetts Youth Screening Instrument 2 (MAYSI-2). In a large proportion of those children and adolescents emotional and physical neglect and abuse was identified. There were sex differences in suicidal thoughts, somatoform disorders, and emotional abuse. The knowledge of mental disorders as well as the gender-specific characteristics is important for specialists of inhospital institutions, in order to optimize their quality of care.
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Mental Health Care Use in Children of Parents with Mental Health Problems: Results of the BELLA Study. Child Psychiatry Hum Dev 2017; 48:983-992. [PMID: 28421318 DOI: 10.1007/s10578-017-0721-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Whether parental mental health problems facilitate or hinder the use of mental health care of the parents´ children is still unclear. The present cross sectional study examined mental health care use and potential predictors in a population based sample. Children of parents with mental health problems (CPM) were nearly 5 times more likely to use mental health care compared to children of parents without mental health problems. A multiple regression analysis revealed that the most important predictors of mental health care use for CPM were active family life (OR = 2.67) and children´s own mental health problems (OR = 1.18 self-report, 1.17 parent-report). Additionally, parental strain showed a tendency to predict mental health care use (OR = 2.45). This study demonstrates that parental mental health problems are associated with mental health care use in their children and that improving certain family factors may support children´s mental health care use.
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Laakmann M, Petermann U, Petermann F. Elternarbeit im Kontext der Angstbehandlung von Kindern. KINDHEIT UND ENTWICKLUNG 2017. [DOI: 10.1026/0942-5403/a000219] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Angststörungen sind im Kindes- und Jugendalter weit verbreitet. Die kognitive Verhaltenstherapie (CBT) hat sich als Intervention der Wahl erwiesen. Neben Psychoedukation, kognitiven Techniken und Expositionsübungen ist auch die therapeutische Arbeit mit den Eltern eine häufig eingesetzte Methode. In der vorliegenden Übersichtsarbeit wird der Frage nachgegangen, ob der Einsatz von Elternarbeit in der Therapie mit ängstlichen Kindern die Effektivität der Intervention steigert. Im Rahmen eines systematischen Reviews wurden 25 Studien identifiziert, die von wenigen Elternsitzungen bis hin zu reinen Elterntrainings ein großes Spektrum der Elternarbeit bei Kindern mit einer Angststörung abdecken. Es zeigt sich, dass die CBT Wartekontrollgruppen hinsichtlich der Remissionsrate der Angststörungen generell überlegen ist. Behandlungsansätze, die neben der kindbezogenen Intervention ein Elterntraining enthalten, erweisen sich nicht wirksamer im Vergleich zu ausschließlich kindbezogenen Interventionen. Mögliche Erklärungen für das Ausbleiben der Wirksamkeitssteigerung und daraus resultierende Konsequenzen werden diskutiert.
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Affiliation(s)
- Mirjam Laakmann
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
| | - Ulrike Petermann
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
| | - Franz Petermann
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
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Abstract
Zusammenfassung. Angststörungen zählen zu den häufigsten psychischen Störungen des Kindes- und Jugendalters. Bei der Entwicklung von Ängsten kommt dem frühkindlichen Temperament, der elterlichen Psychopathologie und der genetischen Disposition eine zentrale Rolle zu. Aspekte der Emotionsregulation und Auffälligkeiten im Bindungsmuster werden zunehmend diskutiert. Gemeinsam mit den Angststörungen treten sowohl weitere internalisierende Störungen (z. B. die Depression) als auch externalisierende Auffälligkeiten (z. B. aggressives Verhalten) auf. In der Behandlung von Angststörungen scheint eine transdiagnostische Sichtweise besonders erfolgversprechend.
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Affiliation(s)
- Franz Petermann
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
| | - Ulrike Petermann
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
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37
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Schröder M, Pérez T, Buderer C, Schmid M. Bindungsauffälligkeiten und psychische Belastung bei Kindern aus der Pflegekinderhilfe und Heimerziehung. KINDHEIT UND ENTWICKLUNG 2017. [DOI: 10.1026/0942-5403/a000223] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Symptome von Bindungsstörungen, auch in Verbindung zu anderen psychischen Symptomen, sind von hoher Relevanz für die Hilfeplanung in der Kinder- und Jugendhilfe. Dennoch wurde diesen im Bereich der epidemiologischen Forschung in der Kinder- und Jugendhilfe bisher kaum die notwendige Beachtung geschenkt. Vor diesem Hintergrund wurden 116 Heimkinder, 276 Pflegekinder und 339 Kinder aus der Allgemeinbevölkerung mit der Child Behavior Checklist (CBCL) und dem Relationship Problems Questionnaire (RPQ) untersucht. Heimkinder erreichten in der CBCL signifikant höhere Werte als Pflegekinder. Die Wahrscheinlichkeit für einen auffälligen Wert in der CBCL war bei Heimkindern 20.96-mal und bei Pflegekindern 8.02-mal so hoch wie in der Allgemeinbevölkerung. Im RPQ zeigten sich keine Unterscheide zwischen Heim- und Pflegekindern. Die Wahrscheinlichkeit für einen auffälligen Wert im RPQ war bei Heimkindern 25.29-mal und bei Pflegekindern 19.37-mal so hoch wie in der Allgemeinbevölkerung. Eine Abklärung der psychischen Belastung und Bindungsproblematik des Kindes sowie eine darauf abgestimmte Hilfeplanung sind wesentlich, um einer Überforderung des Kindes und der Fürsorgeperson vorzubeugen und dem Kind korrigierende Bindungserfahrungen zu ermöglichen.
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Affiliation(s)
- Martin Schröder
- Universitäre Psychiatrische Kliniken Basel, Kinder- und Jugendpsychiatrische Klinik, Universität Basel
| | - Tania Pérez
- Universitäre Psychiatrische Kliniken Basel, Kinder- und Jugendpsychiatrische Klinik, Universität Basel
| | - Corinna Buderer
- Universitäre Psychiatrische Kliniken Basel, Kinder- und Jugendpsychiatrische Klinik, Universität Basel
| | - Marc Schmid
- Universitäre Psychiatrische Kliniken Basel, Kinder- und Jugendpsychiatrische Klinik, Universität Basel
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Nitkowski D, Lohbeck A, Petermann U, Petermann F. Hat die Angstausprägung bei Kindern und Jugendlichen in Deutschland von 1974 bis 2016 zugenommen? KINDHEIT UND ENTWICKLUNG 2017. [DOI: 10.1026/0942-5403/a000222] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Säkulare Trends bezeichnen Zu- oder Abnahmen von psychischer Symptomatik über die Zeit. Für den deutschsprachigen Raum liegen kaum Befunde darüber vor, ob sich Verhaltensauffälligkeiten bei Kindern und Jugendlichen in der Schwere über Geburtskohorten hinweg verändern. In der vorliegenden Studie wurden Selbsteinschätzungen von Kindern und Jugendlichen im Angstfragebogen für Schüler (AFS; Wieczerkowski et al., 1974 , 2016 ) aus den Jahren 1974 und 2016 analysiert, um herauszustellen, ob sich die Ausprägungen auf den Skalen „Prüfungsangst“, „Manifeste Angst“, „Schulunlust“ und „Soziale Erwünschtheit“ unterscheiden. Als Datengrundlage dienten die Normstichprobe von 1974 (N = 2374, 9 – 17 Jahre) und von 2016 (N = 2267, 9 – 17 Jahre). Die Analyse der Skalenmittelwerte wies eine leichte Abnahme der Werte auf der Skala „Prüfungsangst“ und eine geringe bis mittelstarke Zunahme auf den Skalen „Schulunlust“ und „Soziale Erwünschtheit“ nach. Über den Zeitraum von 42 Jahren lassen sich keine oder nur leichte Veränderungen in den Angstwerten finden.
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Affiliation(s)
- Dennis Nitkowski
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
| | - Annette Lohbeck
- Institut für Pädagogik, Lehr- und Lernforschung der Carl von Ossietzky-Universität Oldenburg
| | - Ulrike Petermann
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
| | - Franz Petermann
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
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Lüdtke J, Boonmann C, Dölitzsch C, In-Albon T, Jenkel N, Kölch M, Fegert JM, Schmeck K, Schmid M. Komorbide Angststörungen bei Störungen des Sozialverhaltens. KINDHEIT UND ENTWICKLUNG 2017. [DOI: 10.1026/0942-5403/a000221] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Zusammenfassung. Obwohl Angststörungen (AS) häufig komorbid mit einer Störung des Sozialverhaltens (SSV) auftreten, wurde diese Komorbidität in der Forschung weitgehend vernachlässigt. Komorbide AS wirken sich in Studien sowohl positiv als auch negativ auf den Verlauf einer SSV aus. Diese Studie zielt darauf ab, Heranwachsende mit einer SSV mit und ohne AS hinsichtlich psychischer Belastung, traumatischen Erlebnissen, psychopathischen Persönlichkeitstraits und Legalbewährung zu untersuchen. 207 Heranwachsende mit einer SSV (9 – 25 Jahre; 73.4 % männlich; SSV: N = 180, SSV und AS: N = 27), die zum Zeitpunkt der Untersuchung in Jugendhilfeeinrichtungen lebten, konnten eingeschlossen werden. Es wurden strukturierte klinische Interviews und eine psychometrische Testbatterie eingesetzt. Die Resultate zeigen, dass die Gruppe mit SSV und AS signifikant weniger externalisierende und mehr internalisierende Symptome sowie traumatische Erlebnisse aufweisen. Bezüglich psychopathischer Persönlichkeitsmerkmale und Verurteilungen (>50 % in beiden Gruppen) ergaben sich keine signifikanten Gruppenunterschiede. Die Ergebnisse legen nahe, dass die Ausprägung der SSV für die Kriminalitätsentwicklung bedeutsamer und die spezifische Komorbidität von AS aber doch ätiologisch und symptomatisch von großem Interesse ist. Diese sollte deshalb mit Längsschnittstudien und Therapieprozessanalysen intensiver beforscht werden.
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Affiliation(s)
- Janine Lüdtke
- Universitäre Psychiatrische Kliniken Basel, Kinder- und Jugendpsychiatrische Klinik, Universität Basel
| | - Cyril Boonmann
- Universitäre Psychiatrische Kliniken Basel, Kinder- und Jugendpsychiatrische Klinik, Universität Basel
| | - Claudia Dölitzsch
- Universitätsklinikum Ulm, Klinik für Kinder- und Jugendpsychiatrie/Psychotherapie
| | - Tina In-Albon
- Universität Koblenz-Landau, Klinische Psychologie und Psychotherapie des Kindes- und Jugendalters
| | - Nils Jenkel
- Universitäre Psychiatrische Kliniken Basel, Kinder- und Jugendpsychiatrische Klinik, Universität Basel
| | - Michael Kölch
- Klinik für Kinder- und Jugendpsychiatrie/-psychotherapie der Ruppiner Kliniken Hochschulklinik Medizinischen Hochschule Brandenburg
| | - Jörg M. Fegert
- Universitätsklinikum Ulm, Klinik für Kinder- und Jugendpsychiatrie/Psychotherapie
| | - Klaus Schmeck
- Universitäre Psychiatrische Kliniken Basel, Kinder- und Jugendpsychiatrische Klinik, Universität Basel
| | - Marc Schmid
- Universitäre Psychiatrische Kliniken Basel, Kinder- und Jugendpsychiatrische Klinik, Universität Basel
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Klasen F, Meyrose AK, Otto C, Reiss F, Ravens-Sieberer U. Psychische Auffälligkeiten von Kindern und Jugendlichen in Deutschland. Monatsschr Kinderheilkd 2017. [DOI: 10.1007/s00112-017-0270-8] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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41
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Haller AC, Klasen F, Petermann F, Barkmann C, Otto C, Schlack R, Ravens-Sieberer U. Langzeitfolgen externalisierender Verhaltensauffälligkeiten. KINDHEIT UND ENTWICKLUNG 2016. [DOI: 10.1026/0942-5403/a000186] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Zusammenfassung. Externalisierende Auffälligkeiten bei Kindern und Jugendlichen gehen häufig mit späteren Risikoverhaltensweisen wie Substanzkonsum, Delinquenz und Gewaltbereitschaft sowie finanziellen Problemen einher. Anhand längsschnittlicher Daten einer bundesweiten, populationsbasierten Stichprobe von 12- bis 17-jährigen Kindern und Jugendlichen (N = 629) wird der Zusammenhang zwischen externalisierenden Verhaltensauffälligkeiten (n = 116) und möglichen Langzeitfolgen beschrieben. 27.6 % der Teilnehmenden mit externalisierenden Verhaltensauffälligkeiten wiesen sechs Jahre später riskanten Alkoholkonsum auf, 13.8 % konsumierten illegale Drogen, 19 % zeigten Delinquenz und 41.4 % Gewaltbereitbereitschaft, während 29.3 % von finanziellen Problemen berichteten. Insbesondere Jungen mit externalisierenden Verhaltensauffälligkeiten aus Familien mit niedrigem sozioökonomischem Status standen unter Risiko für späteren riskanten Alkoholkonsum, Delinquenz und Gewaltbereitschaft. Externalisierende Verhaltensauffälligkeiten in Kindheit und Jugend standen unabhängig von Geschlecht, Alter und sozioökonomischem Status in Zusammenhang mit illegalem Drogenkonsum im Erwachsenenalter. Von finanziellen Problemen im Erwachsenenalter waren die älteren Jugendlichen mit niedrigem sozioökonomischem Status betroffen. Bis zu 16.5 % der untersuchten Risikoverhaltensweisen waren dem Vorkommen externalisierender Verhaltensauffälligkeiten geschuldet.
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Affiliation(s)
- Anne-Catherine Haller
- Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
| | - Fionna Klasen
- Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
| | - Franz Petermann
- Zentrum für Klinische Psychologie und Rehabilitation, Universität Bremen
| | - Claus Barkmann
- Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
| | - Christiane Otto
- Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
| | - Robert Schlack
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, Berlin
| | - Ulrike Ravens-Sieberer
- Klinik für Kinder- und Jugendpsychiatrie, -psychotherapie und -psychosomatik, Universitätsklinikum Hamburg-Eppendorf
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42
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Abstract
Zusammenfassung. Psychische Störungen gehören heute zu den häufigsten Krankheitsbildern im Kindes- und Jugendalter. Die Befragung zum seelischen Wohlbefinden und Verhalten (BELLA-Kohortenstudie) wurde als Modul zur psychischen Gesundheit des repräsentativen Kinder- und Jugendgesundheitssurveys Studie zur Gesundheit von Kindern und Jugendlichen in Deutschland (KiGGS) konzipiert. Ziel dieser längsschnittlich angelegten Kohortenstudie ist es, Erkenntnisse zur psychischen Gesundheit von Kindern und Jugendlichen in Deutschland zu gewinnen. In diesem Beitrag werden das Studiendesign sowie die Erhebungsverfahren kurz berichtet und Implikationen für die klinische Praxis ausgeführt.
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Affiliation(s)
- Ulrike Ravens-Sieberer
- Forschungssektion Kinder- und Jugendgesundheit – Child Public Health des Universitätsklinikums Hamburg-Eppendorf
| | - Fionna Klasen
- Forschungssektion Kinder- und Jugendgesundheit – Child Public Health des Universitätsklinikums Hamburg-Eppendorf
| | - Franz Petermann
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
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