Familien mit Kindern psychisch kranker Eltern: Ein Überblick über ambulante, familienorientierte Komplexangebote im deutschsprachigen Raum

Pohl, Sina; Fernando, Silvia Carvalho; Leggemann, Michael; Drießen, Martin

doi:10.1055/a-1310-4833

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…Ein weiteres Problem besteht in der bisherigen Evaluation dieser Interventionen. Pohl, Fernando, Leggemann, et al [39] identifizierten zwar 512 solcher Angebote, betonten jedoch, dass die Qualität der vorliegenden Studien zur Wirksamkeit der jeweiligen Interventionen unzureichend ist.…”

Section: Praktische Implikationenunclassified

Psychische Auffälligkeiten bei Kindern aus Sicht des psychisch erkrankten Elternteils

Höller

Forkmann

Natrop

et al. 2022

Psychother Psychosom Med Psychol

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Zusammenfassung Hintergrund Das Risiko für Kinder psychisch erkrankter Elternteile, ebenfalls zu erkranken, ist deutlich erhöht. In Deutschland geht man davon aus, dass das Risiko, psychisch auffällig zu werden, für ein Kind mit psychisch erkranktem Elternteil um das 2,4-fache erhöht ist. Ziel dieser Studie war es daher, einen Überblick über etwaige psychische Auffälligkeiten der Kinder psychisch erkrankter Elternteile zu erhalten. Methoden Patient:innen wurden während ihres stationären Aufenthalts in der Psychiatrie zu ihren Kindern und den psychischen Auffälligkeiten ihrer Kinder befragt. Daten von N=118 Kindern (51,7% weiblich) konnten zur Auswertung herangezogen werden. Ergebnisse Es zeigte sich, dass ca. ¼ der Kinder psychische Auffälligkeiten vorwiesen. ¼ der Kinder befand sich zudem laut Aussage des Elternteils in psychiatrisch/psychotherapeutischer Behandlung. Es zeigten sich keine Unterschiede in den psychischen Auffälligkeiten der Kinder je nach Diagnose oder sozioökonomischem Status des Elternteils. Die Ergebnisse zeigen, dass Kinder von psychisch erkrankten Elternteilen psychische Auffälligkeiten aufweisen. Genauere Untersuchungen der Versorgungssituation der betroffenen Kinder sowie die direkte Befragung ebendieser sind notwendig.

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Section: Praktische Implikationenunclassified

Psychische Auffälligkeiten bei Kindern aus Sicht des psychisch erkrankten Elternteils

Höller

Forkmann

Natrop

et al. 2022

Psychother Psychosom Med Psychol

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The cost-utility of an intervention for children and adolescents with a parent having a mental illness in the framework of the German health and social care system: a health economic evaluation of a randomized controlled trial

Waldmann,

Schaible,

Stiawa

et al. 2023

Child Adolesc Psychiatry Ment Health

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Background Children of families with a parent with a mental illness have an increased risk of developing social and mental health problems resulting in decreased quality of life. Therefore, children and adolescents living in families with a parent with mental illness are regarded as a target group for preventive interventions. To date, only a few economic evaluation studies for interventions directed at preventing the intergenerational transmission of mental health problems exist. In this investigation we estimated the cost utility of an intervention for the support of children and adolescents with a parent having a mental illness from the perspective of the German health and social care system. Methods We randomly assigned a total of 214 families with 337 children and adolescents to the intervention (INT) group (108/170) or the control (TAU) group (106/167). Families in the intervention group received on average eight intervention sessions (50–90 min) over 6 months. We estimated total cost of illness by means of the Children and Adolescent Mental Health Service Receipt Inventory (CAMHSRI) over 24 months. For the estimation of Quality-Adjusted Live Years (QALYs) we applied the KIDSCREEN-10. For estimating the incremental cost-utility of the intervention compared to treatment as usual we used the net-benefit approach. Results We estimated the annual cost of illness amounting to € 3784.59 (SD € 8581.11) in the TAU group and € 3264.44 (SD € 9431.89) in the INT group. The annual cost difference between INT and TAU was € − 516.14 (SE 1124.95) which was not significant (p ≤ 0.05). We estimated the average QALY to be 0.759 (SD 0.073) in the TAU group and 0.763 (SD 0.072). The QALY difference between INT and TAU was 0.0037 (SE 0.0092) which was not significant (p ≤ 0.05). The incremental cost utility ratio (ICUR) indicated that the gain of one additional year in full health by means of the intervention was associated with the saving of € 139.49. However, the stochastic insecurity of the ICUR did not allow a unique decision about the cost-utility of the intervention. Conclusions More information on the economic value of the intervention for families with a parent with mental illness in comparison to treatment as usual in Germany is needed. Trial registration: ClinicalTrials.gov, identifier NCT02308462; German Clinical Trials Register: DRKS00006806.

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The cost-utility of an intervention for families with a parent having a mental illness: A health economic evaluation of a randomized controlled trial

Waldmann,

Schaible,

Stiawa

et al. 2023

Preprint

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Background: Children of families with a parent with a mental illness have an increased risk of developing mental health problems. Therefore, children and adolescents living in families with a parent with mental illness are regarded as a target group for selective prevention. To date, only a few economic evaluation studies for interventions directed at preventing the intergenerational transmission of mental health problems exist. The cost utility of an intervention for the support of families with a parent having a mental illness will be estimated from the perspective of the German health and social care system. Methods: A total of 214 families with 337 children and adolescents were randomly assigned to the intervention (INT) group (108/170) or the control (TAU) group (106/167). Families in the intervention group received at least eight intervention sessions (50 to 90 minutes) over six months. Total costs of illness were estimated by means of the Children and Adolescent Mental Health Service Receipt Inventory (CAMHSRI) over 24 months. Quality-adjusted live years (QALYs) were estimated on the basis of the KIDSCREEN-10. An incremental cost-utility analysis was performed by means of the net-benefit approach. Results: The average total annual cost was estimated to be €3,784.59 (SD € 8,581.11) in the TAU group and € 3,264.44 (SD € 9,431.89) in the INT group, the annual cost difference between INT and TAU was € -516.14 (SE 1,124.95) which was not significant at p ≤ 0.05. The average QALY was estimated to be 0.759 (SD 0.073) in the TAU group and 0.763 (SD 0.072). The QALY difference between INT and TAU was 0.0037 (SE 0.0092) which was not significant at p ≤ 0.05. The incremental cost utility ratio (ICUR) indicated that the gain of one additional year in full health by means of the intervention was associated with the saving of €139.49. However, the stochastic insecurity of the ICUR did not allow a unique decision about the cost-utility of the intervention. Conclusions: More information on the economic value of the intervention for families with a parent with mental illness in comparison to treatment as usual in Germany is needed. Trial registration: ClinicalTrials.gov, identifier NCT02308462; German Clinical Trials Register: DRKS00006806.

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Familien mit Kindern psychisch kranker Eltern: Ein Überblick über ambulante, familienorientierte Komplexangebote im deutschsprachigen Raum

Cited by 3 publications

References 19 publications

Psychische Auffälligkeiten bei Kindern aus Sicht des psychisch erkrankten Elternteils

Psychische Auffälligkeiten bei Kindern aus Sicht des psychisch erkrankten Elternteils

The cost-utility of an intervention for children and adolescents with a parent having a mental illness in the framework of the German health and social care system: a health economic evaluation of a randomized controlled trial

The cost-utility of an intervention for families with a parent having a mental illness: A health economic evaluation of a randomized controlled trial

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