Skip to main content
Top
Published in: European Child & Adolescent Psychiatry 7/2018

01-07-2018 | Original Contribution

Trajectories of mental health problems in children of parents with mental health problems: results of the BELLA study

Authors: Angela Plass-Christl, Christiane Otto, Fionna Klasen, Silke Wiegand-Grefe, Claus Barkmann, Heike Hölling, Michael Schulte-Markwort, Ulrike Ravens-Sieberer

Published in: European Child & Adolescent Psychiatry | Issue 7/2018

Login to get access

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.
Literature
4.
go back to reference McLaughlin KA, Gadermann AM, Hwang I, Sampson NA, Al-Hamzawi A, Andrade LH, Angermeyer MC, Benjet C, Bromet EJ, Bruffaerts R, Caldas-de-Almeida JM, de Girolamo G, de Graaf R, Florescu S, Gureje O, Haro JM, Hinkov HR, Horiguchi I, Hu CY, Karam AN, Kovess-Masfety V, Lee S, Murphy SD, Nizamie SH, Posada-Villa J, Williams DR, Kessler RC (2012) Parent psychopathology and offspring mental disorders: results from the WHO World Mental Health Surveys. Br J Psychiatry 200(4):290–299. https://doi.org/10.1192/bjp.bp.111.101253 CrossRefPubMedPubMedCentral McLaughlin KA, Gadermann AM, Hwang I, Sampson NA, Al-Hamzawi A, Andrade LH, Angermeyer MC, Benjet C, Bromet EJ, Bruffaerts R, Caldas-de-Almeida JM, de Girolamo G, de Graaf R, Florescu S, Gureje O, Haro JM, Hinkov HR, Horiguchi I, Hu CY, Karam AN, Kovess-Masfety V, Lee S, Murphy SD, Nizamie SH, Posada-Villa J, Williams DR, Kessler RC (2012) Parent psychopathology and offspring mental disorders: results from the WHO World Mental Health Surveys. Br J Psychiatry 200(4):290–299. https://​doi.​org/​10.​1192/​bjp.​bp.​111.​101253 CrossRefPubMedPubMedCentral
8.
go back to reference Masten AS, Reed M-GJ (2002) Resilience in development. In: Snyder CR, Lopez SJ (eds) Handbook of positive psychology. Oxford University Press, Oxford, pp 74–88 Masten AS, Reed M-GJ (2002) Resilience in development. In: Snyder CR, Lopez SJ (eds) Handbook of positive psychology. Oxford University Press, Oxford, pp 74–88
9.
go back to reference Plass A, Haller AC, Habermann K, Barkmann C, Petermann F, Schipper M, Wiegand-Grefe S, Holling H, Ravens-Sieberer U, Klasen F (2016) Factors promoting mental health in children of parents with mental health problems: results of the BELLA Cohort study. Kindheit und Entwicklung 25(1):41–49. https://doi.org/10.1026/0942-5403/a000187 CrossRef Plass A, Haller AC, Habermann K, Barkmann C, Petermann F, Schipper M, Wiegand-Grefe S, Holling H, Ravens-Sieberer U, Klasen F (2016) Factors promoting mental health in children of parents with mental health problems: results of the BELLA Cohort study. Kindheit und Entwicklung 25(1):41–49. https://​doi.​org/​10.​1026/​0942-5403/​a000187 CrossRef
12.
go back to reference Kamtsiuris P, Lange M, Schaffrath Rosario A (2007) Der Kinder- und Jugendgesundheitssurvey (KiGGS): stichprobendesign, response und nonresponse-analyse (The German Health Interview and Examination Survey for Children and Adolescents (KiGGS): sample design, response and nonresponse analysis). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50(5–6):547–556. https://doi.org/10.1007/s00103-007-0215-9 CrossRefPubMed Kamtsiuris P, Lange M, Schaffrath Rosario A (2007) Der Kinder- und Jugendgesundheitssurvey (KiGGS): stichprobendesign, response und nonresponse-analyse (The German Health Interview and Examination Survey for Children and Adolescents (KiGGS): sample design, response and nonresponse analysis). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50(5–6):547–556. https://​doi.​org/​10.​1007/​s00103-007-0215-9 CrossRefPubMed
13.
go back to reference Ravens-Sieberer U, Otto C, Kriston L, Rothenberger A, Dopfner M, Herpertz-Dahlmann B, Barkmann C, Schon G, Holling H, Schulte-Markwort M, Klasen F, Grp BS (2015) The longitudinal BELLA study: design, methods and first results on the course of mental health problems. Eur Child Adolesc Psychiatry 24(6):651–663. https://doi.org/10.1007/s00787-014-0638-4 CrossRefPubMed Ravens-Sieberer U, Otto C, Kriston L, Rothenberger A, Dopfner M, Herpertz-Dahlmann B, Barkmann C, Schon G, Holling H, Schulte-Markwort M, Klasen F, Grp BS (2015) The longitudinal BELLA study: design, methods and first results on the course of mental health problems. Eur Child Adolesc Psychiatry 24(6):651–663. https://​doi.​org/​10.​1007/​s00787-014-0638-4 CrossRefPubMed
14.
go back to reference Kurth BM, Kamtsiuris P, Holling H, Schlaud M, Dolle R, Ellert U, Kahl H, Knopf H, Lange M, Mensink G, Neuhauser H, Rosario A, Scheidt-Nave C, Schenk L, Schlack R, Stolzenberg H, Thamm M, Thierfelder W, Wolf U (2008) The challenge of comprehensively mapping children’s health in a nation-wide health survey: design of the German KiGGS-study. BMC Public Health 8(1):196CrossRefPubMedPubMedCentral Kurth BM, Kamtsiuris P, Holling H, Schlaud M, Dolle R, Ellert U, Kahl H, Knopf H, Lange M, Mensink G, Neuhauser H, Rosario A, Scheidt-Nave C, Schenk L, Schlack R, Stolzenberg H, Thamm M, Thierfelder W, Wolf U (2008) The challenge of comprehensively mapping children’s health in a nation-wide health survey: design of the German KiGGS-study. BMC Public Health 8(1):196CrossRefPubMedPubMedCentral
15.
go back to reference Klaghofer R, Brahler E (2001) Construction and statistical testing of a short version of the SCL-90-R. Zeitschrift für Klinische Psychologie Psychiatrie und Psychotherapie 49(2):115–124 Klaghofer R, Brahler E (2001) Construction and statistical testing of a short version of the SCL-90-R. Zeitschrift für Klinische Psychologie Psychiatrie und Psychotherapie 49(2):115–124
16.
go back to reference Derogatis LR (ed) (1977) SCL-90-R administration, scoring and procedures—manual-I for the Revised version. John Hopkins University School of Medicine, Baltimore Derogatis LR (ed) (1977) SCL-90-R administration, scoring and procedures—manual-I for the Revised version. John Hopkins University School of Medicine, Baltimore
17.
go back to reference Franke GH (2002) SCL-90-R: Symptom-Checkliste von L.R. Derogatis—deutsche Version. Beltz Test GmbH, Göttingen Franke GH (2002) SCL-90-R: Symptom-Checkliste von L.R. Derogatis—deutsche Version. Beltz Test GmbH, Göttingen
18.
go back to reference Goodman R (1997) The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry 38(5):581–586CrossRefPubMed Goodman R (1997) The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry 38(5):581–586CrossRefPubMed
19.
go back to reference Goodman A, Lamping DL, Ploubidis GB (2010) When to use broader internalising and externalising subscales instead of the hypothesised five subscales on the Strengths and Difficulties Questionnaire (SDQ): data from British parents, teachers and children. J Abnorm Child Psychol 38(8):1179–1191CrossRefPubMed Goodman A, Lamping DL, Ploubidis GB (2010) When to use broader internalising and externalising subscales instead of the hypothesised five subscales on the Strengths and Difficulties Questionnaire (SDQ): data from British parents, teachers and children. J Abnorm Child Psychol 38(8):1179–1191CrossRefPubMed
20.
go back to reference Schwarzer R, Jerusalem M (1995) Generalized Self-Efficacy scale. In: Weinman J, Wright S, Johnston M (eds) Measures in health psychology: a user’s portfolio. Causal and control beliefs NFER-NELSON, Windsor, pp 35–37 Schwarzer R, Jerusalem M (1995) Generalized Self-Efficacy scale. In: Weinman J, Wright S, Johnston M (eds) Measures in health psychology: a user’s portfolio. Causal and control beliefs NFER-NELSON, Windsor, pp 35–37
21.
go back to reference Schneewind K, Beckmann M, Hecht-Jackl A (1985) Familienklima-Skalen. Bericht 8.1 und 8.2. Ludwig Maximilians Universität, Institut für Psychologie-Persönlichkeitspsychologie und Psychodiagnostik, München Schneewind K, Beckmann M, Hecht-Jackl A (1985) Familienklima-Skalen. Bericht 8.1 und 8.2. Ludwig Maximilians Universität, Institut für Psychologie-Persönlichkeitspsychologie und Psychodiagnostik, München
22.
go back to reference Currie C, Samdal O, Boyce W, Smith R (2001) Health behaviour in school-aged children: A WHO Cross-National Study (HBSC), Research Protocol for the 2001/2002 Survey. University of Edinburgh: Child and Adolescent Health Research Unit (CAHRU) Currie C, Samdal O, Boyce W, Smith R (2001) Health behaviour in school-aged children: A WHO Cross-National Study (HBSC), Research Protocol for the 2001/2002 Survey. University of Edinburgh: Child and Adolescent Health Research Unit (CAHRU)
23.
go back to reference Winkler J, Stolzenberg H (1999) Der Sozialschichtindex im Bundes-Gesundheitssurvey. Gesundheitswesen 61:S178–S183PubMed Winkler J, Stolzenberg H (1999) Der Sozialschichtindex im Bundes-Gesundheitssurvey. Gesundheitswesen 61:S178–S183PubMed
24.
go back to reference Lange M, Kamtsiuris P, Lange C, Schaffrath Rosario A, Stolzenberg H, Lampert T (2007) Messung soziodemographischer Merkmale im Kinder- und Jugendgesundheitssurvey (KiGGS) und ihre Bedeutung am Beispiel der Einschätzung des allgemeinen Gesundheitszustands. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50(5–6):578–589CrossRefPubMed Lange M, Kamtsiuris P, Lange C, Schaffrath Rosario A, Stolzenberg H, Lampert T (2007) Messung soziodemographischer Merkmale im Kinder- und Jugendgesundheitssurvey (KiGGS) und ihre Bedeutung am Beispiel der Einschätzung des allgemeinen Gesundheitszustands. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50(5–6):578–589CrossRefPubMed
26.
go back to reference Heck R, Thomas S, Tabata L (2014) Multilevel and longitudinal modeling with IBM SPSS. Routledge, New York Heck R, Thomas S, Tabata L (2014) Multilevel and longitudinal modeling with IBM SPSS. Routledge, New York
27.
go back to reference Field A (2015) Discovering statistics using IBM SPSS statistics, 4th edn. Sage Publications Ltd., London Field A (2015) Discovering statistics using IBM SPSS statistics, 4th edn. Sage Publications Ltd., London
28.
go back to reference McFadden D (1974) Conditional logit analysis of qualitative choice behaviour. In: Zarembka P (ed) Frontiers in Ecnometrics. Academic Press, New York, pp 105–142 McFadden D (1974) Conditional logit analysis of qualitative choice behaviour. In: Zarembka P (ed) Frontiers in Ecnometrics. Academic Press, New York, pp 105–142
30.
go back to reference Meltzer H, Gatward R, Goodman R, Ford T (2000) Mental health of children and adolescents in Great Britain. Stationery Office, LondonCrossRef Meltzer H, Gatward R, Goodman R, Ford T (2000) Mental health of children and adolescents in Great Britain. Stationery Office, LondonCrossRef
33.
go back to reference Turner SM, Beidel DC, Costello A (1987) Psychopathology in the offspring of anxiety disorder patients. J Consult Clin Psychol 55:229–235CrossRefPubMed Turner SM, Beidel DC, Costello A (1987) Psychopathology in the offspring of anxiety disorder patients. J Consult Clin Psychol 55:229–235CrossRefPubMed
34.
go back to reference Biedermann J, Petty C, Faraone SV, Henin A, Hirshfeld-Becker D, Pollack MH et al (2006) Effects of parental anxiety disorders in children at high risk for panic disorder: a controlled study. J Affect Disord 94:191–197CrossRef Biedermann J, Petty C, Faraone SV, Henin A, Hirshfeld-Becker D, Pollack MH et al (2006) Effects of parental anxiety disorders in children at high risk for panic disorder: a controlled study. J Affect Disord 94:191–197CrossRef
36.
go back to reference Clark DB, Cornelius J, Wood DS, Vanyukov M (2004) Psychopathology risk transmission in children of parents with substance use disorders. Am J Psychiatry 161:685–691CrossRefPubMedPubMedCentral Clark DB, Cornelius J, Wood DS, Vanyukov M (2004) Psychopathology risk transmission in children of parents with substance use disorders. Am J Psychiatry 161:685–691CrossRefPubMedPubMedCentral
37.
go back to reference Lieb R, Isensee B, Höfler M, Pfister H, Wittchen HU (2002) Parental major depression and the risk of depression and other mental disorders in offspring. A prospective-longitudinal community study. Arch Gen Psychiatry 59:365–374CrossRefPubMed Lieb R, Isensee B, Höfler M, Pfister H, Wittchen HU (2002) Parental major depression and the risk of depression and other mental disorders in offspring. A prospective-longitudinal community study. Arch Gen Psychiatry 59:365–374CrossRefPubMed
43.
go back to reference Wiegand-Grefe S, Geers P, Halverscheid S, Petermann F, Plass A (2010) Kinder psychisch kranker Eltern. Zusammenhänge zwischen der Krankheitsbewältigung einer elterlichen psychischen Erkrankung und der Gesundheit der Kinder. Zeitschrift für klinische Psychologie und Psychotherapie 39(1):13–23CrossRef Wiegand-Grefe S, Geers P, Halverscheid S, Petermann F, Plass A (2010) Kinder psychisch kranker Eltern. Zusammenhänge zwischen der Krankheitsbewältigung einer elterlichen psychischen Erkrankung und der Gesundheit der Kinder. Zeitschrift für klinische Psychologie und Psychotherapie 39(1):13–23CrossRef
45.
47.
Metadata
Title
Trajectories of mental health problems in children of parents with mental health problems: results of the BELLA study
Authors
Angela Plass-Christl
Christiane Otto
Fionna Klasen
Silke Wiegand-Grefe
Claus Barkmann
Heike Hölling
Michael Schulte-Markwort
Ulrike Ravens-Sieberer
Publication date
01-07-2018
Publisher
Springer Berlin Heidelberg
Published in
European Child & Adolescent Psychiatry / Issue 7/2018
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI
https://doi.org/10.1007/s00787-017-1084-x

Other articles of this Issue 7/2018

European Child & Adolescent Psychiatry 7/2018 Go to the issue