@article{MoellerSchreierLietal.2009, author = {M{\"o}ller, Birgit and Schreier, Herbert and Li, Alice and Romer, Georg}, title = {Gender identity disorder in children and adolescents}, series = {Current problems in pediatric and adolescent health care}, volume = {39}, journal = {Current problems in pediatric and adolescent health care}, doi = {10.1016/j.cppeds.2009.02.001}, pages = {117 -- 143}, year = {2009}, subject = {Adolescent}, language = {en} } @article{MoellerSchreierRomer2009, author = {M{\"o}ller, Birgit and Schreier, Herbert and Romer, Georg}, title = {Geschlechtsidentit{\"a}tsst{\"o}rungen im Kindes- und Jugendalter}, series = {Zeitschrift f{\"u}r Sexualforschung}, volume = {22}, journal = {Zeitschrift f{\"u}r Sexualforschung}, issn = {0932-8114}, doi = {10.1055/s-0029-1224554}, pages = {227 -- 254}, year = {2009}, language = {de} } @article{LamparterHolsteinThiessenetal.2010, author = {Lamparter, Ulrich and Holstein, Christa and Thießen, Malte and Wierling, Dorothee and Wiegand-Grefe, Silke and M{\"o}ller, Birgit}, title = {65 Jahre sp{\"a}ter}, series = {Forum der Psychoanalyse}, volume = {26}, journal = {Forum der Psychoanalyse}, issn = {0178-7667}, doi = {10.1007/s00451-010-0053-5}, pages = {365 -- 387}, year = {2010}, language = {de} } @article{ErnstBeierleinRomeretal.2011, author = {Ernst, Johanna Christine and Beierlein, Volker and Romer, Georg and M{\"o}ller, Birgit and Koch, Uwe and Bergelt, Corinna}, title = {Psychosoziale Versorgung von Kindern mit einem an Krebs erkrankten Elternteil - Eine Bestandsaufnahme spezifischer Versorgungsangebote in Deutschland}, series = {Psychotherapie, Psychosomatik, medizinische Psychologie}, volume = {61}, journal = {Psychotherapie, Psychosomatik, medizinische Psychologie}, doi = {10.1055/s-0031-1286303}, pages = {426 -- 434}, year = {2011}, abstract = {Children of a parent having cancer are at greater risk to develop mental health problems. Aim is to investigate specific psychosocial care for children having a parent with cancer, as well as to characterize and assess utilization and needs of affected minor children. Employees of institutions in Germany supplying psychosocial care to families with a parent having cancer were surveyed, using a semi-structured interview (n = 29). Specific psychosocial care for affected children is limited and heterogeneous in Germany. Regarding different distress stages of those families, the situation could be interpreted as eligible. However, this primarily reflects the low quality assurance of care. Results suggest that in addition to preventive care needs of children having a parent with cancer, increased needs exist in specific risk constellations, like in single parent families.}, subject = {Adult}, language = {de} } @article{RomerKuehneBergeltetal.2011, author = {Romer, Georg and K{\"u}hne, Franziska and Bergelt, Corinna and M{\"o}ller, Birgit}, title = {Seelische Gesundheitsvorsorge f{\"u}r Kinder krebskranker Eltern}, series = {Psychotherapeut}, volume = {56}, journal = {Psychotherapeut}, issn = {0935-6185}, doi = {10.1007/s00278-011-0849-9}, pages = {400 -- 408}, year = {2011}, language = {de} } @article{KrattenmacherKuehneErnstetal.2012, author = {Krattenmacher, Thomas and K{\"u}hne, Franziska and Ernst, Johanna and Bergelt, Corinna and Romer, Georg and M{\"o}ller, Birgit}, title = {Parental cancer: factors associated with children's psychosocial adjustment - a systematic review}, series = {Journal of psychosomatic research}, volume = {72}, journal = {Journal of psychosomatic research}, doi = {10.1016/j.jpsychores.2012.01.011}, pages = {344 -- 356}, year = {2012}, abstract = {OBJECTIVE Children of cancer patients have an increased risk of developing psychosocial problems. But not all children are alike vulnerable to this stressful event. Thus, knowledge of risk and protective factors is required to design specific diagnostic tools and interventions for this vulnerable population. This study aims to provide a review and methodological evaluation of current studies examining factors associated with children's psychosocial adjustment when a parent has cancer. METHODS Four databases were systematically searched for quantitative research articles examining associative factors of children's adjustment. Study characteristics were analyzed and methodological quality was assessed by two independent reviewers. RESULTS 28 studies examining associative factors in 2896 families were identified. The included studies used a broad range of instruments assessing children's adjustment. Most patients were female breast cancer patients with middle to high socio-economic status. The majority of included studies used correlational approaches and cross-sectional designs. None of the studies examined toddlers or assessed children's quality of life. Across studies with low to high quality, we found no evidence of illness-related factors, except worse disease status that was related to lower adjustment. Evidence from moderate to high quality studies suggest that better family functioning indicates better adjustment, whereas parent's depressive mood indicates worse adjustment of the children. Child-related factors were inconsistent. CONCLUSION Health professionals should pay attention to cancer patients' dependent children. In order to identify this at-risk population, parent's depressive mood and poor family functioning should be considered. Future studies should also assess children's quality of life and child-related factors.}, subject = {Adaptation}, language = {en} } @article{KrattenmacherKuehneFuehreretal.2012, author = {Krattenmacher, Thomas and K{\"u}hne, Franziska and F{\"u}hrer, Daniel and Ernst, Johanna and Br{\"a}hler, Elmar and Herzog, Wolfgang and Klitzing, Kai and Flechtner, Hans-Henning and Bergelt, Corinna and Romer, Georg and M{\"o}ller, Birgit}, title = {Kinder krebskranker Eltern - elterliches Coping, famili{\"a}res Funktionsniveau und psychosoziale Anpassung der Kinder}, series = {Praxis der Kinderpsychologie und Kinderpsychiatrie}, volume = {61}, journal = {Praxis der Kinderpsychologie und Kinderpsychiatrie}, issn = {0032-7034}, doi = {10.13109/prkk.2012.61.6.447}, pages = {447 -- 462}, year = {2012}, abstract = {Children exposed to parental cancer have an increased risk of mental health problems. However, the parental illness itself and its features do not predict children's psychological adjustment. Parent- and family-related factors are more predictive for children's well-being and the incidence of psychopathological symptoms, respectively. This study focuses on parental ways of coping with illness from both, the ill and healthy parent's perspective, and the relationship with family functioning and children's adjustment. Results show a significant impact of parental coping styles on children's health-related quality of life and psychopathological symptoms and, furthermore, that this relationship is mediated by aspects of family functioning. This study support the importance of family systems approaches. Implications for further studies and practical issues are discussed.}, subject = {Adaptation}, language = {de} } @article{BergeltErnstBeierleinetal.2012, author = {Bergelt, Corinna and Ernst, Johanna Christine and Beierlein, Volker and Inhestern, Laura and Holes, Sarah and M{\"o}ller, Birgit and Romer, Georg and Koch, Uwe}, title = {Reaktive Ver{\"a}nderungen in Befinden und Verhalten von Kindern bei elterlicher Krebserkrankung--Ergebnisse einer epidemiologischen Patientenbefragung}, series = {Praxis der Kinderpsychologie und Kinderpsychiatrie}, volume = {61}, journal = {Praxis der Kinderpsychologie und Kinderpsychiatrie}, issn = {0032-7034}, doi = {10.13109/prkk.2012.61.6.378}, pages = {378 -- 395}, year = {2012}, abstract = {Children of cancer patients are at risk for developing psychological symptoms. The parental appraisal of the child's psychological condition is a key variable for the utilization of child-centred psychosocial services. This study aimed at the systematic analysis of parental appraisals of changes in the emotional condition or behaviour of their children. We conducted an epidemiologic survey with a sample size of 1,809 patients with different cancer diagnoses, giving information about 2,581 children aged 21 years or younger at time of diagnosis. Quantitative information on children's distress during the disease and on changes in psychological condition or behaviour and qualitative information on the kind of changes were analysed. About half of the children were considered to be psychologically strongly affected during the disease. For about 25 \% negative changes in psychological condition or behaviour are reported, positive changes are reported for 20 \% of the children. Negative changes are most frequently described in young children (up to five years), positive changes are most frequently described in young adults (18 to 21 years). The results indicate that from the cancer parent's view many children are substantially distressed. Thus, the implementation of additional preventive psychosocial services seems reasonable and necessary.}, subject = {Adolescent}, language = {de} } @article{KuehneKrattenmacherBeierleinetal.2012, author = {K{\"u}hne, Franziska and Krattenmacher, Thomas and Beierlein, Volker and Grimm, Johann Christian and Bergelt, Corinna and Romer, Georg and M{\"o}ller, Birgit}, title = {Minor Children of Palliative Patients: A Systematic Review of Psychosocial Family Interventions}, series = {Journal of Palliative Medicine}, volume = {15}, journal = {Journal of Palliative Medicine}, number = {8}, doi = {10.1089/JPM.2011.0380}, pages = {931 -- 945}, year = {2012}, language = {en} } @article{KuehneKrattenmacherBergeltetal.2012, author = {K{\"u}hne, Franziska and Krattenmacher, Thomas and Bergelt, Corinna and Ernst, Johanna C. and Flechtner, Hans-Henning and F{\"u}hrer, Daniel and Herzog, Wolfgang and Klitzing, Kai V. and Romer, Georg and M{\"o}ller, Birgit}, title = {Parental palliative cancer: psychosocial adjustment and health-related quality of life in adolescents participating in a German family counselling service}, series = {BMC palliative care}, volume = {11}, journal = {BMC palliative care}, doi = {10.1186/1472-684X-11-21}, pages = {21}, year = {2012}, abstract = {UNLABELLED BACKGROUND Parental palliative disease is a family affair, however adolescent's well-being and coping are still rarely considered. The objectives of this paper were a) to identify differences in psychosocial adjustment and health-related quality of life (HRQoL) among adolescents and young adults with parents suffering from palliative cancer or cancers in other disease stages, b) to relate psychosocial adjustment and health-related quality of life to adolescent coping, and c) to explore significant mediator and predictor variables. METHODS Cross-sectional data were derived from a multi-site research study of families before child-centered counselling. N=86 adolescents and young adults were included, their mean age 13.78 years (sd 2.45), 56\% being female. Performed analyses included ANCOVA, multiple linear regression, and mediation analysis. RESULTS Adolescents with parents suffering from palliative cancers reported significantly less total psychosocial problems, and better overall HRQoL. There were no significant group differences regarding coping frequency and efficacy. Our set of coping items significantly mediated the effect of parental disease stage on psychosocial problems and HRQoL. Further, parental disease status and general family functioning predicted psychosocial problems (R2adj =.390) and HRQoL (R2adj =.239) best. CONCLUSION The study indicates distress among adolescents throughout the entire parental disease process. Our analysis suggests that counselling services could offer supportive interventions which focus particularly on adolescent coping as well as family functioning.}, language = {en} }