Jörg M. Fegert's research while affiliated with University Hospital Ulm and other places
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Publications (185)
ZUSAMMENFASSUNG
Gegenstand und Ziel Das Forschungsprojekt hatte zum Ziel, den Ist-Stand der Forschung zu Prävention und Intervention bei häuslicher Gewalt darzustellen sowie Möglichkeiten und Grenzen einer familienorientierten Prävention häuslicher Gewalt auszuloten.
Material und Methoden Es wurde eine Literaturanalyse zu Prävalenzen, Folgen und Be...
ZUSAMMENFASSUNG
Gegenstand und Ziel Der Artikel beinhaltet die Darstellung der Inhalte und erste Evaluationsergebnisse eines Online-Kurses zu den Themenbereichen nicht suizidales selbstverletzendes Verhalten (NSSV) und Suizidalität, welcher für Schulpersonal entwickelt wurde.
Material und Methoden Analyse der Evaluation eines Online-Kurses (N = 117...
ZUSAMMENFASSUNG
Gegenstand und Ziel Das Ziel dieses Artikels ist es, die direkten und indirekten Folgen verschiedener Krisen für die psychische Gesundheit und Teilhabe von Kindern und Jugendlichen aufzuzeigen, Risikogruppen zu identifizieren und Präventionsstrategien für den Erhalt der psychischen Gesundheit von Kindern und Jugendlichen in Krisen d...
ZUSAMMENFASSUNG
Hintergrund Seit Jahrzehnten nimmt der psychosoziale Behandlungs- und Interventionsbedarf im hausärztlichen Setting zu. Insbesondere als schwierig empfundene Interaktionsstile sowie tabuisierte psychosoziale Probleme stellen Hausärzte häufig vor Herausforderungen.
Ziel der Arbeit In dieser Arbeit beschreiben wir den inhaltlichen Hin...
ZUSAMMENFASSUNG
Gegenstand und Ziel Im Artikel werden Lücken und Herausforderungen der Kostenfolgenschätzung zu Kindeswohlgefährdung im SGB VIII und im Gesundheitssektor (SGB V) beschrieben, die für den Gesundheitssektor anhand von Berechnungen zu Daten gesetzlicher Krankenversicherungen illustriert werden.
Material und Methoden Die Berechnungen ba...
ZUSAMMENFASSUNG
Gegenstand und Ziel In den vergangenen Jahren wurden immer wieder Fälle von (sexualisierter) Gewalt in medizinischen Institutionen bekannt. Dies führte vielfach zu einer institutionellen Krise, da keine Abläufe für solche Fälle in der Institution etabliert waren.
Material und Methoden Dargestellt werden Formen von Risikofaktoren für...
Background:
Adverse childhood experiences (ACEs) are highly prevalent and increase the risk for long-term adverse health outcomes. Next to well-known ACE-associated risks for morbidity, recent research is increasingly invested in exploring pathways towards health, overall functioning, and partaking in society following early adversity.
Objectives...
Background
Social distancing strategies during the SARS-CoV-2 pandemic have left families facing a variety of different constraints. Especially in this stressful time, children need a stable parental home to prevent developmental consequences. Additional risk factors such as maternal childhood maltreatment (CM) may affect mother’s psychosomatic hea...
Fluoxetine is the recommended first-line antidepressant in many therapeutic guidelines for children and adolescents. However, little is known about the relationships between drug dose and serum level as well as the therapeutic serum reference range in this age group. Within a large naturalistic observational prospective multicenter clinical trial (...
Background
About 50% of rare diseases have symptom onset during childhood. A high level of nursing care and an often uncertain prognosis put caregivers of the affected children at high risk for psychological distress. At the same time, their caregivers have limited access to appropriate psychological care. Aim of this study was to evaluate a web-ba...
The oxytocin receptor gene (OXTR) is of interest when investigating the effects of early adversity on DNA methylation. However, there is heterogeneity regarding the selection of the most promising CpG sites to target for analyses. The goal of this study was to determine functionally relevant clusters of CpG sites within the OXTR CpG island in 113 m...
Background
Restrictions imposed by national governments during SARS-CoV-2-pandemic have impacted the mental health of children around the world. Studies have already proven the importance of secure attachment acting as a protective factor in child development. Therefore, children with secure attachment have a higher chance of developing and using a...
Background
The current COVID‐19‐pandemic confronted a large number of young families with stressors. For mothers with a history of childhood maltreatment (CM), the distress during the current pandemic added to their already increased risk for a less sensitive, maltreating parenting behavior.
Objective
This study aims to investigate whether materna...
Due to the division of Germany into the German Democratic Republic and the Federal Republic of Germany following the Second World War, large parts of the population of today's Germany were socialized under different socio-economic, political, and legal conditions, which could possibly lead to different experiences with corporal punishment as a meth...
In this article, supplementary data analyses regarding the association between different types of child maltreatment (CM) and diabetes as well as mediation analyses examining the role of personality functioning are provided (original research article: ‘Associations of different types of child maltreatment and diabetes in adulthood – the mediating e...
Background: Children placed in out-of-home care report high rates of childhood maltreatment, trauma, and accumulate additional stressors (Fischer et al., 2016; Rebbe et al., 2017). Research has shown distinct trajectories of age-of-prevalence for different types of childhood maltreatment exposures (Teicher & Parigger, 2015).
Objective: The aim of t...
Zusammenfassung
Hintergrund und Fragestellung
Seit November 2020 besteht im Rahmen des Qualitätsmanagements für alle Kliniken die Verpflichtung, ein Schutzkonzept gegen (sexualisierte) Gewalt zu entwickeln. Diese Entwicklung soll auf den Ergebnissen einer Gefährdungsanalyse beruhen. Ziel einer solchen Analyse ist es, die institutionsspezifischen R...
Background
Considering the heterogenous evidence, a systematic review of the change in anxiety in European children and adolescents associated with the COVID-19 pandemic is lacking. We therefore assessed the change compared with pre-pandemic baselines stratified by gender and age as well as evaluated the impact of country-specific restriction polic...
Background: Children and adolescents placed in out-of-home care report high-rates of adversity and trauma, and accumulate further adversities after becoming of age (Schmid et al., 2022; Greeson et al., 2011). Although previous studies showed sex-differences in the prevalence of traumatic experiences (Olff, 2017), research on this topic in out-of-ho...
Hintergrund: Junge Menschen in der stationären Kinder- und Jugendhilfe berichten häufig von Misshandlungs- und Vernachlässigungserfahrungen (Burns et al., 2004; Fischer et al., 2016). Diverse Studien zeigen, dass belastende Erlebnisse in der Kindheit die soziale Teilhabe stark beeinträchtigen können (Schmid et al., 2022). Das Konzept der Lebensqual...
Einleitung: Bisher ist wenig über das Gesundheitsverhalten von Personen mit einer vermeidend/restriktiven Essstörung (ARFID) bekannt. Forschung in der Allgemeinbevölkerung zeigt, dass allgemeine Psychopathologie mit einem höherem prevention focus (d.h. Fokus den Gesundheitszustand zu halten und eine Verschlechterung zu vermeiden) beim Gesundheitsve...
Aims:
Intimate partner violence (IPV) is a major global public health problem. Although IPV is known to be frequent and perpetration and victimisation often co-occur, large representative samples assessing both, male and female IPV perpetration and victimisation and overlaps are missing to date. Thus, we aimed to assess victimisation and perpetrat...
Depressionssymptome haben bei Kindern und Jugendlichen zugenommen. Besonders bei Mädchen ist die Zahl der klinisch relevanten Depressionen angestiegen.
Oft wird ein Zusammenhang zwischen Schulschließungen während der COVID-19-Pandemie und psychischen Erkrankungen bei Kindern und Jugendlichen hergestellt. Bisher fehlte aber ein systematischer europä...
Background: A growing number of studies point to a high mental health burden among children and adolescents during the COVID-19 pandemic, particularly concerning anxiety. However, the study quality and effect direction are heterogeneous in the existing primary studies with a lacking overview for the European continent. Therefore, this systematic re...
Background
SARS-CoV-2 pandemic have posed great challenges for all families and children. Health risks and fears associated with SARS-CoV-2 negatively affect the parental mental health and perceived stress, which in turn influence parental coping and thereby impairs the mental health and well-being of their children. Additional risk factors within...
Background:
Methylphenidate is the most frequently prescribed medication for the treatment of ADHD in children and adolescents in many countries. Although many randomised controlled trials support short-term efficacy, tolerability, and safety, data on long-term safety and tolerability are scarce. The aim of this study was to investigate the safety...
Background
Parents and caregivers belonged to those with the highest burdens during the COVID-pandemic. Considering the close link between parental stress and child maltreatment, identifying families with high parental stress is of utmost importance to prevent violence against children. Within this study, we thus aimed to investigate the interplay...
Dieses Kapitel bietet eine Zusammenfassung der psychiatrischen Symptomatiken die durch Einwirkung externer Noxen wie Entzündungen, Traumata, genetische bedingte Stoffwechselstörungen oder Drogen auf des kindliche Gehirn entstehen können. Dargestellt werden die altersabhängigen klinischen Erscheinungsbilder, ihre Diagnostik und Differenzialdiagnosti...
Etiological theories on the development of psychopathology often incorporate adverse childhood experiences (ACE) as an important contributing factor. Recent studies suggest personality functioning (PF; i.e., stability of the self and interpersonal relationships) as an important transdiagnostic construct that could be useful in better understanding...
Affective dysregulation (AD) is characterized by irritability, severe temper outbursts, anger, and unpredictable mood swings, and is typically classified as a transdiagnostic entity. A reliable and valid measure is needed to adequately identify children at risk of AD. This study sought to validate a parent-rated screening questionnaire, which is pa...
The quality of maternal caregiving is an important factor in the healthy development of a child. One consequence of prolonged insensitive and atypical maternal interaction behavior (e.g., withdrawing from interactions with the child and role-reversal, i.e., the takeover of the parental role or parts of it by the child) in mother-child-dyads can cau...
Background
A number of instruments for measuring child maltreatment (CM) prevalence have repeatedly been used across different countries. Although they hold the potential for providing benchmarks to tackle the gap of lacking comparability of CM prevalence across countries, contextual information about the adverse experiences such as perpetrator, c...
Der vorliegende Beitrag fasst die im Buch dargelegten Erkenntnisse zur Entwicklung von Schutzkonzepten in medizinischen Institutionen zusammen. Im Fokus stehen hierbei die grundlegenden Aspekte von Schutzkonzeptentwicklung, wie etwa die Notwendigkeit der Entwicklung einer Haltung zur Gewaltfreiheit in der Institution und die Prozesshaftigkeit von S...
In der Adoleszenz können wichtige Entwicklungsaufgaben mit dem Risiko psychisch zu erkranken zusammentreffen. Letzteres ist neben einer möglichen individuellen, auch neurobiologisch bedingten Vulnerabilität teilweise mitbeeinflusst durch traumatisierende Belastungen oder Defizite in der Emotionsregulation. Eine Reihe verschiedener Störungsbilder un...
Purpose
This study aimed to examine the role of personality functioning in the association between various types of child maltreatment (CM) (sexual, physical, and emotional abuse as well as physical and emotional neglect) and diabetes in adulthood.
Methods
Analyses are based on representative data of the German population (N=5,041) from 2016 and 2...
Background
Research points to a high depression burden among youth during the COVID-19 pandemic; however, a lack of systematic evidence exists. We determine the change in depression symptoms among children and adolescents during COVID-19 compared to pre-pandemic baselines. By using country differences in pandemic-related restrictions and school clo...
Objective
To examine and validate the self-report Questionnaire on the Regulation of Unpleasant Moods in Children (FRUST), which is a modified and shortened version of the Questionnaire for the Assessment of Emotion Regulation in Children and Adolescents (FEEL-KJ).
Methods
The data comprised child and parent ratings of a community-screened sample...
Trends in Adolescents' Satisfaction with Their Inpatient Psychiatric Treatment: A Panel Analysis over 7 Years Abstract. Because the German legislature is increasingly enabling adolescents' participation in their psychiatric treatment, we traced changes in satisfaction of 6,893 patients at the end of their stay in 10 hospitals using BEST-J. The trea...
Stigmatizing attitudes towards mental disorders influence parents’ help-seeking behavior for their child’s mental health problems. As untreated mental disorders can cause morbidity and mortality, such parental attitudes are a serious barrier for public health promotion. Therefore, the help-seeking readiness in a distressed child’s broad social envi...
Internationally, various laws govern reporting of child abuse to child protection services by medical professionals. Whether mandatory reporting laws are in place or not, medical professionals need internal thresholds for suspicion of abuse to even consider a report (“reasonable suspicion” in US law, “gewichtige Anhaltspunkte” in German law). Objec...
For more than two years, young families have been confronted with a large number of restrictions and following burdens as a result of the SARS-CoV-2 pandemic. In fact, it became evident, that the current circumstances are particularly stressful for child's mental health. With regard to the child's mental health in times of a pandemic, additional fa...
Background
Child maltreatment is a risk factor for a range of mental disorders later in life, including dangerous self-harm and suicide attempts. A better understanding of the mechanisms underlying this association can inform prevention and intervention.
Objective
To investigate personality functioning as a potential mediator of the association of...
Zusammenfassung. Theoretischer Hintergrund: Das BDI-II ist ein Selbstbeurteilungsinstrument zur Erfassung des Schweregrads einer Depression. Es liegen kaum Analysen mit Modellen aus der Item-Response-Theorie (IRT) vor. Fragestellung: Wie hoch ist die Messgenauigkeit des BDI-II über die unterschiedlichen Ausprägungen des latenten Traits (Depressivit...
Zusammenfassung
Ziel der Studie Das Ziel dieser Studie ist es, zu untersuchen, inwiefern innerdeutsche Migration (Binnenmigration) mit allgemeiner psychischer Belastung, Somatisierung, Depressivität und Angst assoziiert ist.
Methode Daten aus zwei bevölkerungsrepräsentativen Befragungen (2020 und 2021; N=4922) wurden genutzt, um mit Hilfe von linea...
Background: The ongoing horrors of the war in Ukraine have led to enormous consequences: loss of life, severe injuries, and mass movements of civilians. Exposure to war, living in conflict zones, and forced displacement increase the risk of experiencing a broad spectrum of direct and indirect burdens towards physical and mental health, in particula...
The attachment representation (AR) of individuals affects emotional and cognitive information processes and is considered an important modulating factor of neuroendocrine stress responses. The neuropeptide oxytocin is studied as one biomolecular component underpinning this modulation. A validated procedure used in attachment-related research is the...
Background
Adverse childhood experiences (ACEs) are potentially traumatic events that occur before the age of 18. The term encompasses various adverse childhood experiences, e.g., physical, psychological, and sexual abuse, physical and psychological neglect, and family dysfunction. Prevalence estimates for a broad spectrum of ACEs against the backg...
The aim of the particular project " Teilhabeinstrument Dazugehören BaWü Adoleszenz (TiDA)" within the main project "Dazugehören BaWü" is the development of a digital assessment tool in order to estimate (imminent) participation impairments in adolescents and youth adults (between 16 and 27 years of age). The tool has been developed in cooperation w...
ZUSAMMENFASSUNG
Ziel Zentrales Ziel ist die Unterstützung der Adoleszenten im Corona-bedingt erschwerten Übergang ins Erwachsenenleben durch die Steigerung der Problemlöse- und Selbstlenkungsfähigkeit. Die Jugendlichen und jungen Erwachsenen werden mit der Teilnahme an der Intervention darin gestärkt, eigene Fähigkeiten und Ressourcen wahrzunehmen...
ZUSAMMENFASSUNG
Legislative Neuerungen und damit verbundene Veränderungen in der Praxis machen eine Anpassung der heilberuflichen Stellungnahme nach § 35a SGB VIII erforderlich. Der vorliegende Artikel bietet einen Vorschlag zur Anpassung der heilberuflichen Stellungnahme. Berücksichtigung finden dabei die gesetzlichen Neuerungen durch das Kinder-...
ZUSAMMENFASSUNG
Der Übergang von der kinder- und jugendpsychiatrischen und -psychotherapeutischen Versorgung (KJPP) zu Versorgungsangeboten im Erwachsenenbereich stellt für junge Menschen mit psychischen Erkrankungen eine Herausforderung dar. Es drohen Behandlungsabbrüche, die Behandlungs- und Versorgungskontinuität ist gefährdet. Erfahrungen zeige...
ZUSAMMENFASSUNG
Dieser Artikel beschäftigt sich mit der viel diskutierten Übergangsproblematik junger Erwachsener mit seelischer Beeinträchtigung aus der Jugend- in die Eingliederungshilfe und beschreibt die hinderlichen und förderlichen Faktoren in diesem Transitionsprozess. Außerdem werden unterschiedliche Möglichkeiten diskutiert, wie ein Überga...
ZUSAMMENFASSUNG
Ziel des Teilprojekts „Teilhabeinstrument Dazugehören BaWü Adoleszenz (TiDA)“ im Projekt „Dazugehören BaWü“ ist die Entwicklung eines digitalen Instruments, mit dem (drohende) Teilhabebeeinträchtigungen bei Jugendlichen und jungen Erwachsenen (zwischen 16 und 27 Jahren) zuverlässig eingeschätzt werden können. In enger Zusammenarbeit...
ZUSAMMENFASSUNG
Gegenstand und Ziel Es wurde ein Online-Kurs über Transitionspsychiatrie für Fachkräfte aus den Heil(hilfs)berufen erstellt und evaluiert, um bestehende Lücken im Fortbildungsangebot zu schließen.
Material und Methoden Vor und nach Abschluss der Kursbearbeitung fand eine Erhebung der subjektiven Einschätzung der Kursteilnehmenden be...
The categorical approach of diagnosing mental disorders entails the problem of frequently occurring comorbidities, suggesting a more parsimonious structure of psychopathology. In this study, we therefore aim to assess how affective dysregulation (AD) is associated with attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorde...
Objective
Within a longitudinal study (10-year follow-up), we aim to examine the role of anger/irritability and limited prosocial emotion/callous-unemotional traits in predicting externalizing symptoms and adjustment problems in individuals formerly in youth residential care institutions.Method
These dimensions were assessed in 203 young adults, wi...
Background
A valid, quick and widely applicable retrospective screening tool for child maltreatment is of great importance to better adapt interventions and treatments. The Childhood Trauma Screener (CTS) , derived from the Childhood Trauma Questionnaire (CTQ), is one such instrument that aims to increase the likelihood of detecting mental and phys...
Introduction
Insufficient or faulty cooperation between the various child protection professions can have an extremly negative impact on the well-being of the concerned children. Communication problems that were revealed when dealing with cases of child abuse show the importance of adequate cooperation and common language of the involved profession...
Introduction
Professionals in the inpatient care of burdened children and adolescents are confronted with high demands in their daily work. The job satisfaction can be affected negatively, if these professionals do not have the necessary resources to carry out their work.
Objectives
In a study as part of the accompanying research of an online cour...
The large number of children, adolescents and their families with refugee experience poses an enormous challenge for the care systems. Due to the frequent traumatic experiences, minors with refugee experience are a particularly vulnerable group with respect to psychosocial stress factors and psychopathological disorders. In practice, concepts are n...
Background
Adult depression is a common consequence of adverse childhood experiences. There is also a higher likelihood of being affected by economic burdens after having experienced a traumatic event in childhood. As depression has been associated with economic burden, these long-term sequelae of childhood adversity are likely to interact.
Goals...
