Assessment of Psychosocial Stress and Mental Health Disorders in Parents and Their Children in Early Childhood: Cross-Sectional Results from the SKKIPPI Cohort Study.

early childhood mental health mother-child attachment parents postnatal regulatory problems stressors

Journal

Children (Basel, Switzerland)
ISSN: 2227-9067
Titre abrégé: Children (Basel)
Pays: Switzerland
ID NLM: 101648936

Informations de publication

Date de publication:
30 Jul 2024
Historique:
received: 05 06 2024
revised: 22 07 2024
accepted: 26 07 2024
medline: 31 8 2024
pubmed: 31 8 2024
entrez: 29 8 2024
Statut: epublish

Résumé

Early childhood can be a stressful period for families with a significant impact on parents' mental health, the child's healthy development, and the development of a secure mother-child attachment. The goal of the cross-sectional study part of SKKIPPI was to assess the occurrence of psychosocial stress and mental health disorders in parents as well as in their offspring in early childhood in three German regions. Based on random samples from three residents' registration offices, parents with infants aged up to 12 months were invited to participate. An online screening questionnaire was developed in four languages to assess common psychosocial stressors and mental health problems of parents with small children. The study enrolled 4984 mothers and 962 fathers. The most common potential psychosocial stressors were professional problems (mothers 22%, fathers 33%), lack of social support (20%, 14%), and severe, negative experiences in childhood (22%, 16%). Obsessive-compulsive thoughts (21%, 16%) and depressive (9%, 9%) and anxiety symptoms (11%, 7%) were the most frequently reported mental health problems by both parents. Regulatory problems of the child were reported by between 1.5% and 5.1% of parents. The study showed that a substantial proportion of parents are burdened by psychosocial problems and suffer from mental health problems in the first years after the birth of their children. Early preventive and low-threshold support measures should be available in the health and social care system. Low-threshold questionnaires, which cover a wide range of possible stress factors, should be further developed for the practical healthcare of this group of people.

Sections du résumé

BACKGROUND/OBJECTIVES OBJECTIVE
Early childhood can be a stressful period for families with a significant impact on parents' mental health, the child's healthy development, and the development of a secure mother-child attachment. The goal of the cross-sectional study part of SKKIPPI was to assess the occurrence of psychosocial stress and mental health disorders in parents as well as in their offspring in early childhood in three German regions.
METHODS METHODS
Based on random samples from three residents' registration offices, parents with infants aged up to 12 months were invited to participate. An online screening questionnaire was developed in four languages to assess common psychosocial stressors and mental health problems of parents with small children.
RESULTS RESULTS
The study enrolled 4984 mothers and 962 fathers. The most common potential psychosocial stressors were professional problems (mothers 22%, fathers 33%), lack of social support (20%, 14%), and severe, negative experiences in childhood (22%, 16%). Obsessive-compulsive thoughts (21%, 16%) and depressive (9%, 9%) and anxiety symptoms (11%, 7%) were the most frequently reported mental health problems by both parents. Regulatory problems of the child were reported by between 1.5% and 5.1% of parents.
CONCLUSIONS CONCLUSIONS
The study showed that a substantial proportion of parents are burdened by psychosocial problems and suffer from mental health problems in the first years after the birth of their children. Early preventive and low-threshold support measures should be available in the health and social care system. Low-threshold questionnaires, which cover a wide range of possible stress factors, should be further developed for the practical healthcare of this group of people.

Identifiants

pubmed: 39201854
pii: children11080920
doi: 10.3390/children11080920
pmc: PMC11352251
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : German Health Care Innovation Funds
ID : No 01 VSF17027

Références

Pediatrics. 2006 Mar;117(3):836-42
pubmed: 16510665
Acta Psychiatr Scand. 2008 Dec;118(6):459-68
pubmed: 18840256
J Affect Disord. 2016 Dec;206:189-203
pubmed: 27475890
Trials. 2020 Jun 5;21(1):490
pubmed: 32503611
Z Psychosom Med Psychother. 2007;53(1):9-28
pubmed: 17311728
BMC Psychiatry. 2021 Feb 27;21(1):118
pubmed: 33639894
Front Psychiatry. 2018 Feb 01;8:248
pubmed: 29449816
J Child Psychol Psychiatry. 2007 Jan;48(1):62-70
pubmed: 17244271
Psychol Med. 2007 Aug;37(8):1119-29
pubmed: 17407618
Arch Womens Ment Health. 2005 May;8(1):29-35
pubmed: 15868391
Nurs Res. 2001 Sep-Oct;50(5):275-85
pubmed: 11570712
Curr Psychiatry Rep. 2022 Apr;24(4):229-237
pubmed: 35384553
J Health Organ Manag. 2020 Oct 14;34(8):915-923
pubmed: 33063505
Dtsch Arztebl Int. 2020 Oct 16;117(42):709-716
pubmed: 33559586
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2020 Mar;63(3):254-266
pubmed: 32047976
Br J Psychiatry. 2017 May;210(5):315-323
pubmed: 28302701
J Affect Disord. 2015 Dec 1;188:60-7
pubmed: 26342890
Arch Dis Child. 2011 Jul;96(7):622-9
pubmed: 21508059
Early Hum Dev. 2017 Dec;115:23-31
pubmed: 28869923
Prax Kinderpsychol Kinderpsychiatr. 2013;62(5):327-47
pubmed: 23802351
AIMS Public Health. 2018 Jul 20;5(3):260-295
pubmed: 30280116
J Am Acad Child Adolesc Psychiatry. 2001 Jan;40(1):18-26
pubmed: 11195555
Clin Child Fam Psychol Rev. 2021 Sep;24(3):529-541
pubmed: 34046813
Lancet. 2005 Jun 25-Jul 1;365(9478):2201-5
pubmed: 15978928
J Am Acad Child Adolesc Psychiatry. 2001 Jul;40(7):811-9
pubmed: 11437020
Eur J Epidemiol. 2010 May;25(5):349-55
pubmed: 20349116
Eur Arch Psychiatry Neurol Sci. 1986;236(1):21-5
pubmed: 3527708
Infant Ment Health J. 2008;29(3):203-218
pubmed: 19122769
Arch Dis Child. 2014 Sep;99(9):800-6
pubmed: 24972780
Front Pediatr. 2024 Mar 18;12:1354089
pubmed: 38562139
J Clin Epidemiol. 2008 Apr;61(4):344-9
pubmed: 18313558
J Affect Disord. 2010 Apr;122(1-2):86-95
pubmed: 19616305
BMC Psychiatry. 2008 Apr 16;8:24
pubmed: 18412979
Child Adolesc Psychiatry Ment Health. 2022 May 17;16(1):37
pubmed: 35581664
Ann Epidemiol. 2007 Sep;17(9):643-53
pubmed: 17553702
J Health Monit. 2019 Dec 11;4(4):57-65
pubmed: 35146259
Soc Psychiatry Psychiatr Epidemiol. 2021 Jun;56(6):1103-1112
pubmed: 33337512
Eur Child Adolesc Psychiatry. 2024 Jun;33(6):1883-1894
pubmed: 37668699
Children (Basel). 2023 Dec 01;10(12):
pubmed: 38136087
Arch Womens Ment Health. 2015 Oct;18(5):659-71
pubmed: 25956589
J Epidemiol Community Health. 2008 Jan;62(1):42-7
pubmed: 18079332

Auteurs

Julia Fricke (J)

Institute of Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany.
Unit for Municipal Health Strategies for the City of Freiburg and the District of Breisgau-Hochschwarzwald, 79104 Freiburg, Germany.

Marie Bolster (M)

Institute of Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany.

Katja Icke (K)

Institute of Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany.

Natalja Lisewski (N)

Institute of Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany.

Lars Kuchinke (L)

International Psychoanalytic University, 10555 Berlin, Germany.

Christiane Ludwig-Körner (C)

International Psychoanalytic University, 10555 Berlin, Germany.

Franziska Schlensog-Schuster (F)

University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, 3000 Bern, Switzerland.

Thomas Reinhold (T)

Institute of Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany.
Institute for Complementary and Integrative Medicine, University Hospital Zurich, University of Zurich, 8091 Zurich, Switzerland.

Anne Berghöfer (A)

Institute of Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany.

Stephanie Roll (S)

Institute of Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany.

Thomas Keil (T)

Institute of Social Medicine, Epidemiology and Health Economics, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany.
Institute for Clinical Epidemiology and Biometry, University of Wuerzburg, 97070 Wuerzburg, Germany.
State Institute of Health, Bavarian Health and Food Safety Authority, 97688 Bad Kissingen, Germany.

Classifications MeSH