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Buderer C, Kirsch T, Pérez T, Swenson CC, Fürstenau U, Rhiner B, Schmid M. Child and family characteristics in multisystemic therapy for child abuse and neglect (MST-CAN): Are there associations with treatment outcome? JOURNAL OF MARITAL AND FAMILY THERAPY 2024; 50:453-476. [PMID: 38409887 DOI: 10.1111/jmft.12695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Revised: 02/02/2024] [Accepted: 02/13/2024] [Indexed: 02/28/2024]
Abstract
Evidence-based indication for targeted interventions is a central approach in the field of child welfare and psychotherapy. This study explored the characteristics of children and families referred to Multisystemic Therapy for Child Abuse and Neglect (MST-CAN) in Switzerland and their associations with treatment outcomes. We sought to identify subgroups of children and families referred to MST-CAN and understand their specific needs and alignment with the program. We identified five distinct subgroups of children: (a) those characterized by clinically significant "social withdrawal" and "anxiety/depression," (b) with multiple clinically significant emotional and behavioral problems, (c) with predominantly externalizing problems, (d) with no pathological findings at all, with parents who were less stressed and had fewer mental health problems, and (e) with mainly internalizing problems and parents whose mental health problems deteriorated during treatment. Investigating the fit of children and families referred to treatment programs can enhance the understanding of their healthcare needs and enable more individualized interventions.
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Affiliation(s)
- Corinna Buderer
- Clinic of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric Services Aargau AG, Windisch, Switzerland
| | - Tom Kirsch
- Department of Child and Adolescent Psychiatry, Psychiatric University Clinics Basel, University of Basel, Basel, Switzerland
| | - Tania Pérez
- Department of Child and Adolescent Psychiatry, Psychiatric University Clinics Basel, University of Basel, Basel, Switzerland
| | - Cynthia Cupit Swenson
- Division of Global and Community Health, Medical University of South Carolina, Charleston, South Carolina, USA
| | - Ute Fürstenau
- Mental Health Service for Children and Adolescents, Psychiatric Services Hospital Thurgau AG, Weinfelden, Switzerland
| | - Bruno Rhiner
- Mental Health Service for Children and Adolescents, Psychiatric Services Hospital Thurgau AG, Weinfelden, Switzerland
| | - Marc Schmid
- Department of Child and Adolescent Psychiatry, Psychiatric University Clinics Basel, University of Basel, Basel, Switzerland
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Ulrich SM, Lux U, Neumann A, Renner I, Walper S. [An urban-rural comparison of family stress and early childhood intervention: Data linkage between two cross-sectional studies]. Pflege 2024; 37:27-36. [PMID: 36416107 DOI: 10.1024/1012-5302/a000918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2024]
Abstract
An urban-rural comparison of family stress and early childhood intervention: Data linkage between two cross-sectional studies Abstract. Background: So far, there is insufficient information about where in Germany which families are reached by home-visiting programs and how well. One example is the provision of home-visiting program by health service professionals (LaB) in early childhood intervention. Research questions: Are there urban-rural differences in psychosocial stress among families? What differences exist in terms of expanding support services, receiving a service, and using the offered LaB? Methods: Data from a representative family survey on psychosocial stress characteristics and the use of services, and a nationwide survey of professionals on the development and expansion of early childhood intervention at the community level were linked. Analyses included descriptive statistics and regression models. Results: Most psychosocial stress characteristics were reported with similar rates in rural and urban areas. Although the LaB program is more widespread in urban regions, it was more likely to be used in rural regions when offered. LaB was more likely to be used by families with migration background, with signs of depression or anxiety of parents, and with a child with perinatal adversities, and less likely when there was a need for expansion of this service. Conclusions: The increased use in rural areas could be due to the fact that there are long distances to few centralized services. Therefore, the outreach character of the LaB program is appreciated, especially among less mobile families.
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Affiliation(s)
- Susanne M Ulrich
- Nationales Zentrum Frühe Hilfen, Deutsches Jugendinstitut e.V., München, Deutschland
| | - Ulrike Lux
- Nationales Zentrum Frühe Hilfen, Deutsches Jugendinstitut e.V., München, Deutschland
| | - Anna Neumann
- Nationales Zentrum Frühe Hilfen, Bundeszentrale für gesundheitliche Aufklärung, Köln, Deutschland
| | - Ilona Renner
- Nationales Zentrum Frühe Hilfen, Bundeszentrale für gesundheitliche Aufklärung, Köln, Deutschland
| | - Sabine Walper
- Nationales Zentrum Frühe Hilfen, Deutsches Jugendinstitut e.V., München, Deutschland
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Opitz A, Vogel L, Lux U, Liel C, Löchner J. Psychosocial Stressors and Resources in Parents Using Home-Visiting Programs in Early Childhood: A Study Protocol. Prax Kinderpsychol Kinderpsychiatr 2023; 72:515-528. [PMID: 37830890 DOI: 10.13109/prkk.2023.72.6.515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2023]
Abstract
Psychosocial stressors and resources present in the early life of a child play a crucial part in determining outcomes later in life. Preventive early childhood intervention services aim to reduce negative and increase positive outcomes. Home-visiting programs are an example for preventive services that are common in many countries.The present study focusses on a wide spread home-visiting program in Germany and has three main objectives: First, to characterize the professionals that conduct and the families who participate in the program. Second, to study relations between a broad range of resources and stressors. Third, to analyse potential outcome variables for future efficacy studies on early childhood intervention services. The goal is to recruit 130 professionals and 500 families from 20 cities and municipalities in Germany. For families with two caregivers, both are invited to participate. Questionnaire topics for professionals and families include a range of stressors and resources, need for support, and the work focus of the professionals. Statistical analyses will mainly be descriptive, exploring the complex interplay of stressors and resources in vulnerable families.These results will not only provide insights into how the program is currently conducted and whom it serves, but might also help to further accelerate the program and the training of professionals.
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Affiliation(s)
- Ansgar Opitz
- National Centre for Early Prevention, German Youth Institute Germany
| | - Lea Vogel
- National Centre for Early Prevention, German Youth Institute Germany
| | | | - Christoph Liel
- National Centre for Early Prevention, German Youth Institute Germany
- Department of Family Welfare and Child Protection, German Youth Institute, Munich Germany
| | - Johanna Löchner
- National Centre for Early Prevention, German Youth Institute Germany
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, UniversityHospital of Psychiatry and Psychotherapy, Tübingen Germany
- DZPG (German Center of Mental Health), Tübingen, Germany Germany
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Ahmling MK, Lorenz S, Eickhorst A, Menrath I, Liel C. [Adverse Childhood Experiences in Mothers and Intergenerational Family Violence]. Prax Kinderpsychol Kinderpsychiatr 2023; 72:483-500. [PMID: 37830887 DOI: 10.13109/prkk.2023.72.6.483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2023]
Abstract
For children, own adverse experiences, as well as their exposure to intimate partner violence poses a severe risk for health and development. In order to answer the question of intergenerational transmission of family violence, adverse childhood experiences in mothers are considered to be a significant risk factor for the occurrence of child maltreatment and intimate partner violence in families, which, however, has been little studied in Germany. Therefore, this paper uses cross-sectional data of 5.646 mothers that was taken fromthe representative study "Kinder in Deutschland - KiD 0-3". Multiple binary-logical regression models were calculated in order to examine the influence ofmaternal adverse childhood experiences on various forms of family violence. As a result, 823 mothers (9,3 %) reported adverse childhood experiences; 157 (2,8 %) admitted that their child had already been exposed to physical harm or harsh punishment, and 168 (3,0%) reported intimate partner violence since the birth of their child, respectively 493 (8,7 %) since any past relationship. Taking demographic and socioeconomic factors into account, the occurrence of all three forms of violence becamemore likely inmothers with adverse childhood experiences: physical harm of the child (OR = 2,78, p ≤ 0,001), current intimate partner violence of themother (OR = 3,76, p ≤ 0,001), as well as her lifetime experiences in general (OR = 3,67, p ≤ 0,001). Therefore, the support and guidance of families (e.g., by early childhood interventions) should take into account the connection between negative maternal childhood experiences, as well as familial forms of violence, and, if applicable, make generous preventative offers. In case of signs for familial violence, additional protective steps should be applied.
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Affiliation(s)
- Meike Kristin Ahmling
- Sozialpädiatrisches Zentrum (SPZ), Agaplesion Diakonieklinikum Rotenburg (Wümme) Deutschland
| | - Simon Lorenz
- Nationales Zentrum Frühe Hilfen, Deutsches Jugendinstitut e.V., Abteilung Familie und Familienpolitik, München; Deutschland
| | - Andreas Eickhorst
- Nationales Zentrum Frühe Hilfen, Deutsches Jugendinstitut e. V., Abteilung Familie und Familienpolitik, München Deutschland
- Hochschule Hannover, Fakultät für Diakonie, Gesundheit und Soziales Deutschland
| | - Ingo Menrath
- Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Schleswig-Holstein, Lübeck Deutschland
| | - Christoph Liel
- Deutsches Jugendinstitut e. V. Abteilung Familie und Familienpolitik Nockherstraße 2 81541 München Deutschland
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Walper S, Ulrich SM, Kindler H. [Family stressors on young children's emotional development]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2023:10.1007/s00103-023-03730-3. [PMID: 37402949 DOI: 10.1007/s00103-023-03730-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Accepted: 05/26/2023] [Indexed: 07/06/2023]
Abstract
BACKGROUND Adverse childhood experiences (ACE) have been pointed out as risk factors for physical and mental health, with consequences extending from childhood into adulthood. Based on research regarding the effects of selected ACE as well as the accumulation of ACE, this article investigates how different types of family stressors are linked to children's negative emotionality in infancy and early childhood. METHODS Data are from the KiD 0-3 study (N = 5583) and the follow-up of a subsample after 2 years (n = 681). Based on 14 stress factors, we distinguish families with no/little stressors, socioeconomic stressors, parenting stressors, and multiple stressors. RESULTS Children in multiply stressed families have the highest risk of high negative emotionality (compared to unstressed families: Odds Ratios [OR] ranging from 13.00 to 6.81), controlling for demographic characteristics, child-related stress factors (e.g., excessive crying), and caregiver childhood stress. Children in families primarily characterized by parenting stress also showed a significantly increased risk of high negative emotionality (OR ranging from 8.31 to 6.95), whereas this did not hold for children from socioeconomically stressed families (without parenting stress) compared to those from unstressed families. Longitudinal analyses of the follow-up subsample showed that changes in the number of stressors were also associated with parallel changes in children's negative emotionality. DISCUSSION These results confirm findings from international research on ACE in Germany and for early childhood. They underline the importance of a well-developed early intervention system.
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Affiliation(s)
- Sabine Walper
- Deutsches Jugendinstitut, Nockherstr. 2, 81541, München, Deutschland.
| | - Susanne M Ulrich
- Deutsches Jugendinstitut, Nockherstr. 2, 81541, München, Deutschland
| | - Heinz Kindler
- Deutsches Jugendinstitut, Nockherstr. 2, 81541, München, Deutschland
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Kolodziej D, Wolkwitz P, Schön G, Siefert S, Pawils S. Evaluation of a Child-centred Psychosocial Healthcare Intervention (KIDPROTEKT) - Results of a Cluster Randomized Controlled Trial in Paediatric and Gynaecologic Practices. INTERVENCION PSICOSOCIAL 2023; 32:33-42. [PMID: 37361631 PMCID: PMC10268543 DOI: 10.5093/pi2023a2] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 10/11/2022] [Indexed: 06/28/2023]
Abstract
KID-PROTEKT is a child-centred psychosocial healthcare intervention which aims at improving the identification of psychosocial needs and navigation in the outpatient gynaecologic and paediatric setting. In this cluster randomized-controlled trail we examined the effect of KID-PROTEKT on the referrals (to support services) in comparison to the regular gynaecologic and paediatric outpatient healthcare . A variant based on the qualification of the healthcare providers (qualified treatment, QT) and a variant with social worker (supported treatment, ST) were compared to the regular healthcare (treatment as usual, TAU). Twenty-four gynaecologic and paediatric practices were randomized to one of three study arms. Therefore 8,458 pregnant women and families recruited in one of these practices were enrolled in the study. Participating patients reported on average 1.73 (SD = 1.34) psychosocial risks. In total 522 patients were linked to a support service. Compared to TAU, the probability of a referral was significantly higher in QT (OR = 10.70) and ST (OR = 11.28). Also, a higher number of psychosocial risks were linked to a referral (OR = 2.72). These findings support the importance of a psychosocial assessment in the gynaecologic and paediatric setting.
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Affiliation(s)
- Désirée Kolodziej
- University Medical Center Hamburg-EppendorfHamburgGermanyUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany;
| | - Philipp Wolkwitz
- University Medical Center Hamburg-EppendorfHamburgGermanyUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany;
| | - Gerhard Schön
- University Medical Center Hamburg-EppendorfHamburgGermanyUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany;
| | - Sönke Siefert
- Catholic Children’s Hospital WilhelmstiftHamburgGermanyCatholic Children’s Hospital Wilhelmstift, Hamburg, Germany
| | - Silke Pawils
- University Medical Center Hamburg-EppendorfHamburgGermanyUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany;
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Ulrich SM, Löchner J, Walper S, Ghezih S, Lux U. Welche psychosozialen Belastungen weisen Familien mit einem Kind mit einer Entwicklungsauffälligkeit auf und welche Unterstützungsangebote nutzen sie? KINDHEIT UND ENTWICKLUNG 2022. [DOI: 10.1026/0942-5403/a000384] [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. Theoretischer Hintergrund: Früherkennung bei Entwicklungsauffälligkeiten (EA) ist wichtig, insbesondere wenn diese mit psychosozialer Belastung einhergehen. Fragestellung: Bisher ist wenig darüber bekannt, wie sich die Belastungssituation bei Familien mit Kind mit EA im Alter von 0 – 3 Jahren verändert und welche Unterstützungsangebote sie nutzen. Methode: 779 Eltern schätzten EA für ihr Kind in den Bereichen Kommunikation, Fein- und Grobmotorik, Problemlösekompetenz und Soziale Entwicklung ein und 765 Eltern füllten einen Fragebogen zu psychosozialen Belastungen (T1 und T2) aus. Ergebnisse: 30,6 % der Kinder zeigen eine EA. Die kumulierte Belastung ist bei Familien mit Kind mit EA erhöht. Im Bereich der Kommunikation, Feinmotorik und Problemlösekompetenz zeigt sich ein stärkerer Anstieg der Belastungskumulation, wenn keine Frühförderung genutzt wurde. Diskussion und Schlussfolgerung: Die elterliche Einschätzung beim frühen Erkennen einer EA sollte stärker in Betracht genommen werden.
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Affiliation(s)
- Susanne M. Ulrich
- Nationales Zentrum Frühe Hilfen (NZFH), Deutsches Jugendinstitut e.V., München, Deutschland
| | - Johanna Löchner
- Nationales Zentrum Frühe Hilfen (NZFH), Deutsches Jugendinstitut e.V., München, Deutschland
| | - Sabine Walper
- Nationales Zentrum Frühe Hilfen (NZFH), Deutsches Jugendinstitut e.V., München, Deutschland
| | - Sarah Ghezih
- Nationales Zentrum Frühe Hilfen (NZFH), Deutsches Jugendinstitut e.V., München, Deutschland
| | - Ulrike Lux
- Nationales Zentrum Frühe Hilfen (NZFH), Deutsches Jugendinstitut e.V., München, Deutschland
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Metzner G, Horstmann S, Barth M, Giesler JM, Jünemann S, Kaier K, Schlett C, Schroeder N, Siebolds M, Sinss F, van Staa J, Glattacker M, Renner I. Evaluation of a cross-sectoral care intervention for families with psychosocial burden: a study protocol of a controlled trial. BMC Health Serv Res 2022; 22:475. [PMID: 35410201 PMCID: PMC8996544 DOI: 10.1186/s12913-022-07787-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Accepted: 03/16/2022] [Indexed: 11/18/2022] Open
Abstract
Background Family risk factors, e.g. low socioeconomic status or parental mental health disorders, can affect children’s health and development. Thus, targeted preventive services for families with psychosocial burden are crucial. The German Early Childhood Intervention (ECI) program is a preventive approach that aims to strengthen parent’s resources by supportive services. However, research has revealed that only a proportion of the families considered to have substantial risk factors access the ECI program. To increase pediatricians’ skills in identifying risk factors, and to improve the cross-sectoral collaboration between relevant professionals and the referral of families to supportive services, the PATH-intervention (Pediatric Attention To Help) was developed. The PATH-intervention includes interprofessional quality circles and a one-day training program for the pediatricians. This study aims to evaluate this complex cross-sectoral care intervention for families with psychosocial burden. Methods Using a prospective quasi-experimental, controlled (matched-pair), longitudinal mixed-method design, we will compare families under treatment of pediatricians trained in the PATH-intervention with families under treatment of a control group of pediatricians. Participating families are asked to complete online-surveys. As a primary outcome, we will examine the use of supportive services of the ECI by burdened families. Secondary outcomes are the proportion of correctly identified families with psychosocial burden by the pediatricians, as well as information provision and motivation of the families to use the supportive services. Additionally, the cost-effectiveness ratio will be investigated. In the process evaluation, we will qualitatively explore the acceptance of the PATH-intervention of all involved stakeholders and the treatment fidelity of the trained pediatricians. Discussion This study will determine whether the PATH-intervention enables the pediatricians to identify and recommend supportive services to burdened families, as well as the families’ use of the supportive services of the ECI. Qualitative data will give insight into the acceptance of the intervention from the perspective of all stakeholders and the treatment fidelity. Results of this study could be the starting point for the broader implementation of the PATH-intervention as standard care. Trial registration German Clinical Trials Register (DRKS): DRKS00023461 (3rd December 2020); WHO UTN: U1111- 260-6575. Supplementary Information The online version contains supplementary material available at 10.1186/s12913-022-07787-9.
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Affiliation(s)
- Gloria Metzner
- Section of Health Care Research and Rehabilitation Research, Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany.
| | - Sabine Horstmann
- National Centre for Early Prevention, Federal Centre for Health Education, Maarweg 149-161, 50825, Köln, Germany
| | - Michael Barth
- Center for Pediatrics, Medical Center, University of Freiburg, Mathildenstraße 1, 79106, Freiburg, Germany
| | - Jürgen M Giesler
- Section of Health Care Research and Rehabilitation Research, Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany
| | - Susanne Jünemann
- National Centre for Early Prevention, Federal Centre for Health Education, Maarweg 149-161, 50825, Köln, Germany
| | - Klaus Kaier
- Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Zinkmattenstr. 6a, 79108, Freiburg, Germany
| | - Christian Schlett
- Section of Health Care Research and Rehabilitation Research, Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany
| | - Nora Schroeder
- Section of Health Care Research and Rehabilitation Research, Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany
| | - Marcus Siebolds
- Department of Health Care, Catholic University of Applied Sciences, Wörthstraße 10, 50668, Köln, Germany
| | - Frank Sinss
- National Centre for Early Prevention, Federal Centre for Health Education, Maarweg 149-161, 50825, Köln, Germany
| | - Juliane van Staa
- National Centre for Early Prevention, Federal Centre for Health Education, Maarweg 149-161, 50825, Köln, Germany
| | - Manuela Glattacker
- Section of Health Care Research and Rehabilitation Research, Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany
| | - Ilona Renner
- National Centre for Early Prevention, Federal Centre for Health Education, Maarweg 149-161, 50825, Köln, Germany
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Lorenz S, Ulrich SM, Sann A, Liel C. Self-Reported Psychosocial Stress in Parents With Small Children. DEUTSCHES ARZTEBLATT INTERNATIONAL 2020; 117:709-716. [PMID: 33559586 DOI: 10.3238/arztebl.2020.0709] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/06/2019] [Revised: 12/06/2019] [Accepted: 04/06/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND Psychosocial stress in early childhood can impair children's health and development. Data on the prevalence of psychosocial stress in families with infants and toddlers in Germany are lacking. Such data could be used to determine the need for prevention and to plan the appropriate preventive measures. METHODS In 2015, a representative cross-sectional study called Kinder in Deutschland- KiD 0-3 was conducted by questionnaire in pediatricians' practices across Germany. Parents taking their children to the U3-U7a child development checks were asked to self-report information about stress in their families. The data were analyzed with descriptive statistics and chi-square tests. RESULTS Data from 7549 families went into the analysis. Stressful situations commonly reported by the parents included unplanned pregnancy (21.3%), parenthoodrelated stress (e.g., self-doubt as to parenting competence, 29.6%), and lack of familial and social support for problems and questions arising in relation to the child, as well as for temporary child care (19.7%). Most types of psychosocial stress varied as a function of the child's age group, as categorized by the particular examination for which the child was presenting at the time of the survey (U3-U7a). Couple distress, lack of social support, signs of depression or anxiety symptoms, or inner anger were more commonly reported by parents attending the later examina - tions. Such problems could be addressed by supportive measures (e.g., parent counseling, early child intervention). CONCLUSION Psychosocial stress affects a large percentage of the parents of small children. A large proportion of parents of small children suffer from psychosocial stress. This should be monitored for accumulation and stability across child development checks and addressed as appropriate. Family practitioners and pediatricians are important partners for effective cooperation between the social system and the health-care system, and for the provision of preventive measures where appropriate.
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Affiliation(s)
- Simon Lorenz
- Department of Family and Family Politics, National Center for Early Prevention, German YouthInstitute (DJI, Deutsches Jugendinstitut e.V. ), Munich, Germany
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Petermann U. Hilfebedarf und Hilfesysteme für Kinder und Familien. KINDHEIT UND ENTWICKLUNG 2020. [DOI: 10.1026/0942-5403/a000309] [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. Für Kinder und Jugendliche mit psychischen und Verhaltensstörungen sowie Entwicklungsstörungen existiert in Deutschland ein differenziertes Angebot an Hilfen. Dieses reicht von der Pädiatrie, über die Kinder-/Jugendpsychiatrie, die ambulante Psychotherapie bis zur Kinder- und Jugendhilfe und zu schulischen Fördermaßnahmen. Die Effizienz dieser Hilfesysteme hängt auch von deren Vernetzung und interdisziplinären Kooperation ab. Die Lösung von Schnittstellenproblemen steigert Therapieerfolge und verbessert die Langzeiteffekte.
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Affiliation(s)
- Ulrike Petermann
- Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen
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