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Introduction
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Publications
Publications (88)
An increasing heterogeneity of clinical presentations and varying levels of psychological problems characterize gender dysphoria (GD) in adolescents. These clinical patterns suggest distinct developmental trajectories. Here, we examine the onset age of GD, i.e., the percentage of early onset (EO) vs. late onset (LO), and its association with intern...
Administration mode of patient-reported outcome measures (PROMs) may influence responses. We assessed if Patient Health Questionnaire-9 (PHQ-9), Edinburgh Postnatal Depression Scale (EPDS) and Hospital Anxiety and Depression Scale – Depression subscale (HADS-D) item responses and scores were associated with administration mode. We compared (1) self...
Adolescents spend a critical amount of their free time on the Internet and social media. Transgender and gender-diverse (TGD) adolescents, who report elevated rates of mental health issues, especially internalizing problems, have both positive and negative online social experiences (e.g., support and cyberbullying). This can have both beneficial an...
Zusammenfassung: Fragestellung: Nichtbinäre Geschlechtsidentitäten werden in der Transgender-Gesundheitsversorgung und -forschung zunehmend sichtbar. Gleichzeitig ist wenig bekannt über die verschiedenen Geschlechtsidentitäten von transgeschlechtlichen Jugendlichen, ob diese stabil oder veränderbar sind und welche Faktoren das Geschlechtserleben be...
(1) Background: Adolescents admitted as acute inpatients belong to a particularly psychosocially vulnerable population. This study aimed to examine the clinical characteristics of an affected population in Germany using a theory-based approach. (2) Methods: We assessed the mental health problems, levels of personality functioning, and the severity...
Objectives: For transgender and gender diverse (TGD) adolescents, the internet and social media have several risks and benefits. The present study aims at assessing how and for which purposes TGD adolescents use the internet and social media and how often they experience support compared to cyberbullying online. Methods: The sample comprised 114 TG...
Paedophilic sexual interest is often linked to an emergence during adolescence, but concrete empirical knowledge on its development and early viable treatments remains scarce. The aim of this article is to provide an overview about the current state of research on juveniles with sexual interest in children as well as to introduce the Hamburg Youth...
Clinical research on transgender and gender-nonconforming (TGNC) adolescents has focused on binary individuals or often not differentiated among gender identities. Recent studies suggest that a considerable proportion of TGNC adolescents identify as non-binary and that these youth report more internalizing problems as well as different transition-r...
Medical complications during pregnancy have been frequently reported from Western Africa with a particular importance of infectious complications. Placental tissue can either become the target of infectious agents itself, such as, e.g., in the case of urogenital schistosomiasis, or be subjected to contamination with colonizing or infection-associat...
This article was about stress experienced by parents of sick infants in the CDS study
This article was about common mental disorders among pregnant women in the Ghana on the CDS study
Item 10 of the Edinburgh Postnatal Depression Scale (EPDS) is intended to assess thoughts of intentional self-harm but may also elicit concerns about accidental self-harm. It does not specifically address suicide ideation but, nonetheless, is sometimes used as an indicator of suicidality. The 9-item version of the EPDS (EPDS-9), which omits item 10...
Zusammenfassung
Einleitung Für die kontrovers diskutierte Diagnose Geschlechtsinkongruenz (GI) / Geschlechtsdysphorie (GD) im Kindes- und Jugendalter werden international steigende Zahlen in der Inanspruchnahme sowie zunehmend heterogene Verläufe für trans* Entwicklungen berichtet. Bisher existieren nur wenige Studien, welche die Zuweisungszahlen u...
The assessment of psychomotor development in young children from low‐ and middle‐income countries is impeded due to the lack of tools specifically designed for these resource‐constrained contexts. This cross‐sectional study aimed at analysing the measurement properties of the Kilifi Developmental Inventory (KDI) in two‐year‐old children. We adminis...
Background
Parental reflective functioning (PRF) refers to parents’ mental capacity to understand their own and their children’s behaviors in terms of envisioned mental states. As part of a broader concept of parental mentalization, PRF has been identified as one of the central predictors for sensitive parenting. However, the unique contribution of...
Background
Young transgender or gender nonconforming (TGNC) children and adolescents or those with a gender dysphoria (GD) diagnosis show an increased risk of suicidal and nonsuicidal self-harming thoughts and behaviors (STBs). Data from German-speaking regions on this topic and studies comparing self- and parent-reported STBs have been scarce. The...
Background
The SARS-COVID-19 pandemic and its associated disease control restrictions have in multiple ways affected families with young children, who may be especially vulnerable to mental health problems. Studies report an increase in perinatal parental distress as well as symptoms of anxiety or depression in children during the pandemic. Current...
Purpose
To assess maternal mental health during the first weeks after birth including birth experience, postpartum adjustment to early motherhood and the perception of newborn behaviour, and how this may be influenced by the first wave of the COVID-19 pandemic.
Methods
Ninety women who gave birth after the first enforcement of nation-wide disease...
One in 12 children is born before 37 completed weeks of gestation and during the last decades survival rates and developmental outcomes of even very premature children have significantly improved. As a result, mental health sequelae of preterm birth are more frequently addressed. The manifestation of a distinct psychopathological profile with co-oc...
p>Objective: To evaluate, across multiple sample sizes, the degree that data-driven methods result in (1) optimal cutoffs different from population optimal cutoff and (2) bias in accuracy estimates. Study design and setting: A total of 1,000 samples of sample size 100, 200, 500 and 1,000 each were randomly drawn to simulate studies of different sam...
Zusammenfassung. Fragestellung: Aktuelle Studien weisen auf ein erhöhtes gemeinsames Auftreten von Geschlechtsdysphorie (GD) und Autismus-Spektrum-Störungen (ASS) hin. Diese Studie soll Aufschluss über die klinische Prävalenz von ASS bei Kindern und Jugendlichen in einer deutschen Spezialsprechstunde für GD sowie über personen- und behandlungsbezog...
There is a lack of feasible and psychometrically sound instruments assessing social-emotional development in young children in low- and middle-income countries. The objective of this cross-sectional study was to investigate the psychometric properties of the Brief Infant-Toddler Social and Emotional Assessment (BITSEA) in two West-African populatio...
2. überarbeitete Auflage
Aims
This study used a large database to develop a reliable and valid shortened form of the Edinburgh Postnatal Depression Scale (EPDS), a self‐report questionnaire used for depression screening in pregnancy and postpartum, based on objective criteria.
Methods
Item responses from the 10‐item EPDS were obtained from 5,157 participants (765 major de...
Previous research suggests that the birth of a preterm child with very low birth weight (VLBW; <1,500 g) can be traumatic for both parents and lead to short-term consequences like clinical levels of posttraumatic stress symptoms (PTSS) or even to the development of a Posttraumatic Stress Disorder (PTSD). However, little is known about possible mid-...
Objective
The Maternal Mental Health in Canada, 2018/2019, survey reported that 18% of 7,085 mothers who recently gave birth reported “feelings consistent with postpartum depression” based on scores ≥7 on a 5-item version of the Edinburgh Postpartum Depression Scale (EPDS-5). The EPDS-5 was designed as a screening questionnaire, not to classify dis...
Objective
To evaluate the Edinburgh Postnatal Depression Scale (EPDS) for screening to detect major depression in pregnant and postpartum women.
Design
Individual participant data meta-analysis.
Data sources
Medline, Medline In-Process and Other Non-Indexed Citations, PsycINFO, and Web of Science (from inception to 3 October 2018).
Eligibility c...
Objectives
Estimates of depression prevalence in pregnancy and postpartum are based on the Edinburgh Postnatal Depression Scale (EPDS) more than on any other method. We aimed to determine if any EPDS cutoff can accurately and consistently estimate depression prevalence in individual studies.
Methods
We analyzed datasets that compared EPDS scores t...
Zusammenfassung
Ziel Die Literatur zum gemeinsamen Auftreten von Geschlechtsdysphorie/Gendervarianz und Autismus-Spektrum-Störungen wird für das Kindes- und Jugendalter systematisch aufbereitet.
Methodik Für den Zeitraum 1946 bis Dezember 2018 wurde eine systematische Literaturrecherche durchgeführt.
Ergebnisse Von insgesamt 144 identifizierten Pub...
Objectives:
A previous individual participant data meta-analysis (IPDMA) identified differences in major depression classification rates between different diagnostic interviews, controlling for depressive symptoms on the basis of the Patient Health Questionnaire-9. We aimed to determine whether similar results would be seen in a different populati...
Background: Preterm births rates of infants with very low birth weight (VLBW <1500g) are increasing. Prematurity poses several risks for emotional child development, e.g., internalizing symptoms. Our understanding of this conditionin young children is limited, for at preschool age, symptoms have mostly been assessed from the mother’s perspective on...
Background:
The birth of a preterm infant can be stressful and traumatic for parents and may cause posttraumatic stress symptoms and disorders. There is a dearth of data from controlled studies regarding level, prevalence, risk, and predictors of these symptoms in parents after preterm birth.
Methods:
As part of the longitudinal HaFEn-study, dat...
Zusammenfassung
Ziel Die Untersuchung transitionsmedizinisch relevanter klinischer Charakteristika von Patienten aus der stationären Adoleszenzpsychiatrie.
Methodik Verlaufsuntersuchung von N = 229 Jugendlichen und jungen Erwachsenen (Alter 16 – 25) mit psychischen Erkrankungen.
Ergebnisse Es zeigt sich ein hoher Anteil früher, schwerer psychischer...
Background:
A very low birth weight (VLBW) is considered as a significant risk factor for early-onset developmental problems in infants, but is also discussed as a potential risk factor for the development of depressive symptoms in affected parents.
Methods:
In this study, the 5-year courses of maternal and paternal depression with VLBW and term...
Background
The vast majority of research on mental health has been undertaken in high income countries. This study aimed at investigating the long-term course of maternal depressive symptoms and its association with various mother- and child-related characteristics in two West African lower middle income countries with focus on the relationship wit...
Class membership for total sample and both study sites separately.
(DOCX)
Sample characteristics regarding predictor variables used in the multinomial logistic regression analysis.
(DOCX)
Sensitivity analysis using cases with completed data on all variables (n = 650).
(DOCX)
Frühkindliche Unruhezustände sind differenziert zu betrachten. Bis zum Ende des 3. Lebensmonats werden sie als „belastendes Symptom“ aufgefasst, das in >85 % der Fälle spontan und folgenlos abklingt. Medikamentöse, alimentäre, chiropraktische und osteopathische Interventionen werden aufgrund mangelnder Wirksamkeitsnachweise nicht empfohlen. Zentral...
Dieser Beitrag behandelt die normale Entwicklung des Essverhaltens und seine Einflussfaktoren aus entwicklungspädiatrischer Sicht sowie die Entstehungsbedingungen von Fütter- oder Essverhaltensstörungen aus kinderpsychiatrischer Perspektive. Ausreichendes Wissen über das Essverhalten von Kindern ist wichtig, um Familien in der kinderärztlichen Prax...
This article highlights the normal eating behavior in early childhood and the influencing factors from a developmental pediatric perspective and the origins of eating or feeding disorders from a child psychiatric viewpoint. Knowlegde about eating behavior of children is important for counseling families in pediatric practice. The development of eat...
Background:
Both preterm delivery and survival rates of very low birth weight (VLBW: <1500g) infants are increasing. To date, the focus on studies about postpartum mental health after preterm birth has been on depression and on women. There is a paucity of research regarding prevalence, risks, and predictors of postpartum anxiety in parents after...
Background:
Major depression in antepartum women is a considerable health problem. This article aims at exploring the psychometric properties of the 9-item Patient Health Questionnaire (PHQ-9) in West African pregnant women.
Methods:
In a cross-sectional survey, the PHQ-9 was administered to n=639 Ivorian and n=389 Ghanaian women in their last t...
Preterm birth and survival rates of very low birth-weight (VLBW: <1.500g) infants have increased. Although new parents are frequently affected by depressive symptoms, little is known about prevalence, risk, and predictors of parental postpartum depression (PPD) following VLBW birth. Furthermore, most studies assessing PPD in parents of preterm chil...
Approximately 8.8 % of all newborn infants are born before 37 weeks of gestational age and are defined as preterm infants. For preterm infants the length of the initial stay in the neonatal intensive care unit (NICU) can last from weeks to months. Nowadays, medical treatment is focused on the neurological development which is affected not only by t...
Background
There are limited data on the parenting stress (PS) levels in sub-Saharan African mothers and on the association between ante- and postnatal depression and anxiety on PS.
Methods
A longitudinal birth cohort of 577 women from Ghana and Côte d’Ivoire was followed from the 3rd trimester in pregnancy to 2 years postpartum between 2010 and 2...
The aim of this study was to analyze the neurological involvement and outcome in pediatric patients with hemolytic uremic syndrome (HUS) during the 2011 epidemic caused by Escherichia coli O104:H4.
Clinical data and data from magnetic resonance imaging (MRI) scans and electroencephalography (EEG) during the acute phase of the disease and during fol...
Background: Evidence linking common mental disorders (CMD) in pregnant women to adverse birth outcomes is inconsistent, and studies often failed to control for pregnancy complications. This study aimed to explore the association between antenatal depression and anxiety symptoms and birth outcomes in a low-obstetric risk sample of mother/child dyads...
In low-income countries, perinatal depression is common, but longitudinal data on its influence on child health are rare. We examined the association between maternal depression and febrile illness in children. There were 654 mother/child dyads in Ghana and Côte d’Ivoire that were enrolled in a prospective birth cohort in 2010–2011 and underwent 2-...
Überblick zu medizinischen, emotionalen und sozialen Implikationen der Frühgeburt für alle Berufsgruppen, die sich mit Familien mit frühgeborenen Kindern befassen (z.B. Kinder- und Jugendärzte/-Psychiater/innen, Psycholog/innen, Pädagog/innen, Sozialpädagog/innen, Pflegekräften, Ergo-, Pysiotherapeut/innen, Frühförder/innen)
Auch in einem Kinderkrankenhaus sind Fälle von Vernachlässigung oder Misshandlung nicht an der Tagesordnung. Doch es gibt sie. Ein frühzeitiges Erkennen der Situation hilft den betroffenen Kindern, der Familie und auch den Behandlern/Therapeuten. Ein standardisiertes Vorgehen trägt dazu bei, Licht in die häufigen Grauzonen eines begründeten Verdach...
Aims: This study analyzes the central nervous system (CNS) involvement in pediatric patients with hemolytic uremic syndrome (STEC-HUS) during the German epidemic 2011 caused by Escherichia coli O104:H4 and compares the neurological outcome between patients with and without CNS involvement. Methods: Data of 50 patients aged 11.9 (1.3 to 17.5) years...
Überblick zu medizinischen, emotionalen und sozialen Implikationen der Frühgeburt für Kinderärzte, Kinder- und Jugendpsychiater und andere Berufsgruppen, die mit Familien nach Frühgeburt arbeiten.
Seitenumfang: 206
Background
Common mental disorders, particularly unipolar depressive disorders, rank among the top 5 with respect to the global burden of disease. As a major public health concern, antepartum depression and anxiety not only affects the individual woman, but also her offspring. Data on the prevalence of common mental disorders in pregnant women in s...
Studies on cognitive function in paediatric patients suffering head trauma suggest neuropsychological impairment even after mild traumatic brain injury (MTBI). The present study examined the feasibility of abbreviated neuropsychological testing in different settings in children and adolescents following MTBI.
Within the scope of two prospective stu...
Zusammenfassung
Zentrales Anliegen einer integrierten pädiatrischen, kinder- und jugendpsychiatrischen beziehungsweise -psychosomatischen Behandlung chronisch kranker Kinder und Jugendlicher ist eine rechtzeitige Differenzialdiagnostik. Eine reine Ausschlussdiagnostik, die den Kinder- und Jugendpsychiater erst hinzuzieht, wenn die somatische Diagno...
Zusammenfassung Wie alle Krankenbehandlungen, unterliegt auch die Psychotherapie mehr und mehr den Anforderungen an eine evidenzbasierte Behandlung. Auch wenn man zu Recht aus methodischen Gründen darüber streiten mag, ob sich jede Form der Psychotherapie einer solchen Evidenzbasierung unterziehen kann und sollte, so steht auf der anderen Seite das...
Unter Reproduktionsmedizinern besteht weitgehend Konsens dahingehend, dass Mehrlingsschwangerschaften aufgrund vielfältiger prä- und perinataler Risiken vermieden werden sollten. Dennoch sind 30–40 % aller Kinder nach assistierter Reproduktion Mehrlinge. Wenig geläufig sind die psychosozialen Konsequenzen für die betroffenen Familien, die weit über...
The Focus of this third part of an article summarizing source material underlying the authors’ guidelines for "Psychosomatics in Reproductive Medicine" is a description of relevant aspects of psychosomatic assessment and treatment of infertility. First, the tasks of a physician practicing patient-oriented care are described, comprising the assessme...
Im vorliegenden zweiten Teil des Quellentextes zur Leitlinie "Psychosomatik in der Repro-duktionsmedizin" wird schwerpunktmäßig auf Forschungsbefunde zur Bewältigung der Infertilität eingegangen. Diesbezüglich wird zwischen Aspekten der langfristigen Bewältigung der ungewollten Kinderlosigkeit nach einer erfolglosen medizinischen Behandlung und der...
This second part of an article summarizing source material underlying the authors’ guidelines for "Psychosomatics in Reproductive Medicine" focusses on research results dealing with coping with infertility. It is differentiated between long-term coping following medical treatments with no success and coping aspects in the context of successful trea...
The article provides the first part of the source material underlying the authors’ guidelines for "Psychosomatics in Reproductive Medicine". The research literature concerning involuntary childlessness and its treatment is summarized in this and two further articles as a basis for the practical recommendations formulated within the guidelines. Foll...
On the basis of a longitudinal study on "parenthood and child development after successful conception by IVF" in which 46 couples with 64 children born after reproductive medical treatment (IVF or ICSI) were followed up for three years, we now discuss several aspects of the psychological situation of those involved. Reference is made to the charact...
On the basis of a longitudinal study on 'parenthood and child development after successful conception by IVF' in which 46 couples with 64 children born after reproductive medical treatment (IVF or ICSI) were followed up for three years, we now discuss several aspects of the psychological situation of those involved. Reference is made to the charact...
