TY  - JOUR
A1  - Ernst, Johanna Christine
A1  - Beierlein, Volker
A1  - Romer, Georg
A1  - Möller, Birgit
A1  - Koch, Uwe
A1  - Bergelt, Corinna
T1  - Use and need for psychosocial support in cancer patients: a population-based sample of patients with minor children
JF  - Cancer
N2  - BACKGROUND Cancer patients and their minor children have been shown to experience psychological distress. The objectives of the current study were to 1) describe the need for and use of psychosocial support and 2) determine predictors of family-centered support use in patients with minor children. METHODS A population-based sample of 1809 patients was recruited via 2 cancer registries. The eligibility criteria were age 25 years to 55 years, an initial diagnosis received no longer than 6 years before this survey, and having at least 1 minor child. Medical characteristics and self-report measures were used. RESULTS Overall, approximately 38% cases were identified as being borderline or probable anxiety cases and 16% were identified as being borderline or probable depression cases. Since diagnosis, 44% of the patients had used psychosocial support and 9% had received family-focused and child-focused support. These patients perceived a lower quality of life and poorer family functioning. Approximately 73% of patients with children wanted information concerning or psychosocial services to support their children or parenting. Use of family-centered support was not found to be predicted by disease-related factors (eg, cancer staging) but rather by subjective needs (eg, mental health and having a distressed child in the family). CONCLUSIONS The results of the current study emphasize the importance of child and parenting concerns in psychosocial care in oncology. Screenings for children and appropriate training programs for health care may increase awareness of this issue.
KW  - Adult
KW  - Anxiety Disorders/psychology
KW  - Child
KW  - Depressive Disorder/psychology
KW  - Family/psychology
KW  - Female
KW  - Germany
KW  - Health Services Needs and Demand
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Neoplasms/psychology
KW  - Parenting/psychology
KW  - Registries
KW  - Social Support
KW  - Socioeconomic Factors
Y1  - 2013
U6  - http://dx.doi.org/10.1002/cncr.28021
VL  - 119
SP  - 2333
EP  - 2341
ER  - 
TY  - JOUR
A1  - Inhestern, Laura
A1  - Beierlein, Volker
A1  - Bultmann, Johanna Christine
A1  - Möller, Birgit
A1  - Romer, Georg
A1  - Koch, Uwe
A1  - Bergelt, Corinna
T1  - Anxiety and depression in working-age cancer survivors: a register-based study
JF  - BMC cancer
N2  - BACKGROUND Anxiety and depression can be a long-term strain in cancer survivors. Little is known about the emotional situation of cancer survivors who have to deal with work- and family-related issues. The purpose of this study was to investigate anxiety and depression in working-age cancer survivors and associated factors. METHODS A register-based sample of 3370 cancer survivors (25 to 55 years at time of diagnosis) diagnosed up to six years prior to the survey was recruited from two German cancer registries. Demographic and medical characteristics as well as self-reported measures were used. RESULTS Overall, approximately 40% of the survivors reported moderate to high anxiety scores and approximately 20% reported moderate to high depression scores. Compared to the general population, working-age cancer survivors were more anxious but less depressed (p < .001). Subgroups with regard to time since diagnosis did not differ in anxiety or depression. Anxiety and depression in cancer survivors were associated with various variables. Better social support, family functioning and physical health were associated with lower anxiety and depression. CONCLUSIONS Overall, we found higher anxiety levels in cancer survivors of working-age than in the general population. A considerable portion of cancer survivors reported moderate to high levels of anxiety and depression. The results indicate the need for psychosocial screening and psycho-oncological support e.g. in survivorship programs for working-age cancer survivors. Assessing the physical health, social support and family background might help to identify survivors at risk for higher emotional distress.
KW  - Adaptation
KW  - Psychological
KW  - Adult
KW  - Anxiety/epidemiology/etiology/pathology/psychology
KW  - Cancer Survivors/psychology
KW  - Depression/epidemiology/etiology/pathology/psychology
KW  - Female
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Neoplasms/complications/epidemiology/pathology/psychology
KW  - Quality of Life
KW  - Registries
KW  - Social Support
Y1  - 2017
U6  - http://dx.doi.org/10.1186/s12885-017-3347-9
VL  - 17
SP  - 347
ER  - 
TY  - JOUR
A1  - Inhestern, Laura
A1  - Bultmann, Johanna C.
A1  - Beierlein, Volker
A1  - Möller, Birgit
A1  - Romer, Georg
A1  - Muriel, Anna C.
A1  - Moore, Cynthia W.
A1  - Koch, Uwe
A1  - Bergelt, Corinna
T1  - Psychometric properties of the Parenting Concerns Questionnaire in cancer survivors with minor and young adult children
JF  - Psycho-oncology
N2  - OBJECTIVE Although cancer patients with minor children have become more of a focus of psycho-oncological research, little is known about specific parenting concerns. Instruments to assess the concerns and worries of parents with cancer are rare. The Parenting Concerns Questionnaire (PCQ) addresses this issue. We analyzed parenting concerns in cancer survivors and evaluated the German version of the PCQ. METHODS A total of 1416 cancer survivors with minor and young adult children (≤21 years) were recruited in a register-based study. Descriptive analyses as well as reliability and validity analyses were conducted. We performed a confirmatory factorial analysis of the factor structure proposed by the authors of the original version on the PCQ. RESULTS Seventy-three percent of the cancer survivors were women, average age was 47.5 years (SD 5.9). Mean time since diagnosis was 44 months (SD 23.4). Between 18 and 31% of survivors reported that they were concerned about their children. The PCQ proved to be a reliable and valid instrument showing medium correlations with standardized measures in expected directions and discriminating between survivors with and without use of psychosocial support services. The factor structure was supported by the confirmatory factorial analysis. CONCLUSIONS Assessing parenting concerns gives an additional insight into the situation of parents with cancer. In our sample of cancer survivors, we identified one out of three survivors being concerned regarding the impact of their illness on their children. The PCQ can be considered as a valid and reliable instrument with regard to identifying concerned parents with cancer. Copyright © 2015 John Wiley & Sons, Ltd.
KW  - Adult
KW  - Adult Children/psychology
KW  - Anxiety/epidemiology/psychology
KW  - Child
KW  - Cross-Sectional Studies
KW  - Female
KW  - Germany/epidemiology
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Neoplasms/epidemiology/psychology
KW  - Parent-Child Relations
KW  - Parenting
KW  - Parents/psychology
KW  - Psychometrics
KW  - Reproducibility of Results
KW  - Social Support
KW  - Surveys and Questionnaires
KW  - Survivors/psychology
KW  - Young Adult
Y1  - 2016
U6  - http://dx.doi.org/10.1002/pon.4049
VL  - 25
SP  - 1092
EP  - 1098
ER  - 
TY  - JOUR
A1  - Inhestern, Laura
A1  - Bultmann, Johanna Christine
A1  - Beierlein, Volker
A1  - Möller, Birgit
A1  - Romer, Georg
A1  - Koch, Uwe
A1  - Bergelt, Corinna
T1  - Understanding parenting concerns in cancer survivors with minor and young-adult children
JF  - Journal of psychosomatic research
N2  - OBJECTIVE Parents with cancer are concerned about the impact of their disease on their children. However, parenting concerns and associated factors in cancer survivors have not previously been analyzed. The purpose of this study is to examine parenting concerns and to test a path model for understanding parenting concerns in cancer survivors. METHODS In a cross-sectional study, a total of 1416 parents with cancer (mean age 47.5years, 74% women) having minor or young-adult children were recruited through two cancer registries. Parenting concerns were assessed using the Parenting Concerns Questionnaire. Structural equation modeling (SEM) was used to analyze the associations between social support, parenting confidence, emotional distress, family functioning and parenting concerns. RESULTS Mothers reported higher total parenting concerns than fathers (p<0.001). We observed strong effects of emotional distress and parenting confidence on parenting concerns. Family dysfunctioning was associated with lower concerns. An indirect association between social support and parenting concerns was identified. CONCLUSION Parenting concerns in cancer survivors display the need for interventions and after care programs that focus on affected families with minor and young adult children. The results of the structural path model illustrate the associations between psychological and interactional factors. Supporting parents with cancer in their parenting confidence and strengthen social support and family functioning may not only reduce the long-term burden on the parents themselves but also the burden on the entire family.
KW  - Adolescent
KW  - Adult
KW  - Adult Children/psychology
KW  - Child
KW  - Preschool
KW  - Comprehension
KW  - Cross-Sectional Studies
KW  - Female
KW  - Humans
KW  - Infant
KW  - Newborn
KW  - Male
KW  - Middle Aged
KW  - Neoplasms/epidemiology/psychology
KW  - Parent-Child Relations
KW  - Parenting/psychology
KW  - Social Support
KW  - Surveys and Questionnaires
KW  - Survivors/psychology
KW  - Young Adult
Y1  - 2016
U6  - http://dx.doi.org/10.1016/j.jpsychores.2016.05.008
VL  - 87
SP  - 1
EP  - 6
ER  - 
TY  - JOUR
A1  - Inhestern, Laura
A1  - Bultmann, Johanna Christine
A1  - Beierlein, Volker
A1  - Möller, Birgit
A1  - Romer, Georg
A1  - Koch, Uwe
A1  - Bergelt, Corinna
T1  - Elterliche Sorgen und psychische Belastung bei krebskranken Eltern mit minderjährigen und jungerwachsenen Kindern
JF  - Psychotherapie, Psychosomatik, medizinische Psychologie
N2  - Background Aim of the study was to analyze parenting concerns in cancer survivors and to identify covariats for parenting concerns. Method In a cross-sectional epidemiological sample of cancer survivors with minor children (n=1416) demographic and disease-related variables and psychological distress (HADS) were assessed. Parenting concerns were assessed using the Parenting Concerns Questionnaire (PCQ). The instrument covers the 3 subscales concerns about the 'practical impact' of the disease on the children, about the 'emotional impact' and concerns about the 'co-parent'. Results 73% of survivors were female; mean age was 47.5 years (SD 5.9). 24% to 71% of patients reporting parenting concerns showed normal levels of anxiety and depression. We identified living alone, younger age of the youngest child, higher tumor stage and suffering from a comorbidity as significantly associated with parenting concerns in all subscales of the PCQ. Low socio-economic status was found to be significantly associated with parenting concerns regarding the emotional and practical impact of the disease. Being a mother was associated with concerns in the subscale co-parent. Discussion Parents with cancer not only suffer from psychological distress but also from parenting concerns about the impact of their disease on their children. Psychological support services should broach the issue of parenting concerns. Families at risk should be identified to allocate tailored support. Hintergrund Ziel der dargestellten Untersuchung ist es, elterliche Sorgen von Krebsüberlebenden zu untersuchen und Kovariaten dieser spezifischen Belastungen zu identifizieren. Material & Methoden In einer epidemiologischen Stichprobe von n=1416 an Krebs erkrankten Eltern wurden soziodemografische und medizinische Merkmale sowie die psychische Belastung der Eltern (HADS) erhoben. Elterliche Sorgen wurden mit dem Parenting Concerns Questionnaire (PCQ) erhoben, der die Subskalen Sorgen um die ‚praktischen Auswirkungen‘ der Erkrankung auf die Kinder, ‚emotionale Auswirkungen‘ auf die Kinder und Sorgen in Bezug auf den ‚Co-Elternteil‘ umfasst. Ergebnisse 73% der Krebsüberlebenden sind Frauen, das durchschnittliche Alter liegt bei 47,5 Jahren (SD 5,9). Zwischen 24% und 71% der Patienten mit elterlichen Sorgen zeigen in den Skalen der HADS unauffällige Werte. Alleinleben, jüngeres Alter des jüngsten Kindes, ein höheres Tumorstadium und das Vorhandensein einer weiteren körperlichen Erkrankung sind mit Sorgen in allen 3 Subskalen des PCQ positiv assoziiert. Ein niedriger Sozialstatus konnte als Kovariate für elterliche Sorgen auf emotionaler Ebene und auf praktischer Ebene identifiziert werden. Weibliches Geschlecht ist assoziiert mit Sorgen auf der Subskala Co-Elternteil. Diskussion Betroffene Eltern sind neben der allgemeinen psychischen Belastung durch die Erkrankung auch durch Sorgen um ihre Kinder belastet. Psychologische Unterstützungsangebote für krebskranke Eltern sollten auch spezifische elterliche Sorgen thematisieren. Eltern mit Risikokonstellationen für eine erhöhte Belastung sollten besonders berücksichtigt werden, um bedarfsgerecht Unterstützung anbieten zu können.
KW  - Adolescent
KW  - Adult
KW  - Child
KW  - Preschool
KW  - Cost of Illness
KW  - Cross-Sectional Studies
KW  - Female
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Neoplasms/psychology
KW  - Parenting
KW  - Parents/psychology
KW  - Social Support
KW  - Survivors
KW  - Young Adult
Y1  - 2017
U6  - http://dx.doi.org/10.1055/s-0043-110139
VL  - 67
SP  - 279
EP  - 287
ER  - 
TY  - JOUR
A1  - Krattenmacher, Thomas
A1  - Kühne, Franziska
A1  - Ernst, Johanna
A1  - Bergelt, Corinna
A1  - Romer, Georg
A1  - Möller, Birgit
T1  - Parental cancer: factors associated with children's psychosocial adjustment - a systematic review
JF  - Journal of psychosomatic research
N2  - 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.
KW  - Adaptation
KW  - Psychological
KW  - Child
KW  - Humans
KW  - Neoplasms/psychology
KW  - Parents/psychology
KW  - Social Adjustment
Y1  - 2012
U6  - http://dx.doi.org/10.1016/j.jpsychores.2012.01.011
VL  - 72
SP  - 344
EP  - 356
ER  - 
TY  - JOUR
A1  - Krattenmacher, Thomas
A1  - Kühne, Franziska
A1  - Führer, Daniel
A1  - Beierlein, Volker
A1  - Brähler, Elmar
A1  - Resch, Franz
A1  - Klitzing, Kai V.
A1  - Flechtner, Hans-Henning
A1  - Bergelt, Corinna
A1  - Romer, Georg
A1  - Möller, Birgit
T1  - Coping skills and mental health status in adolescents when a parent has cancer: a multicenter and multi-perspective study
JF  - Journal of psychosomatic research
N2  - OBJECTIVE Parental cancer increases the risk of psychosocial problems in adolescents. We investigated the frequency and efficacy of adolescents' coping strategies and relationships between those strategies and mental health status. Age and gender differences regarding coping and mental health were also investigated. METHODS In total, 214 adolescents from 167 families participated in a cross-sectional, multicenter study. All participants were recruited from standard oncological care. Among the participants, 52% utilized a child-centered intervention program. Adolescents' coping skills were measured using KIDCOPE. Mental health status was rated by adolescents and parents by the SDQ for symptomatology and the KIDSCREEN for well-being. RESULTS We found that 29% of the adolescents showed emotional and behavioral problems. We found gender differences in mental health status but not in coping. Adolescents used a broad spectrum of coping strategies. Active problem-solving, distraction, acceptance, wishful thinking and seeking social support were the most frequently used coping strategies. The utilization of certain coping skills was mediated by their perceived efficacy. Problem-focused or approach-oriented coping strategies generally are associated with better mental health, while avoidance-oriented coping are associated with worse mental health. Emotion-focused coping was associated with both lower and higher mental health. CONCLUSION The strategies used by adolescents to cope with parental cancer are associated with their mental health. Problem-solving and approach-oriented coping strategies should be facilitated by psychological interventions regardless of age and gender. Age and gender differences in adolescents' mental health should be further investigated because these differences are not explained by differences in coping strategies.
KW  - Adaptation
KW  - Psychological/classification/physiology
KW  - Adolescent
KW  - Adult
KW  - Age Factors
KW  - Aged
KW  - Child
KW  - Cross-Sectional Studies
KW  - Female
KW  - Humans
KW  - Male
KW  - Mental Disorders/epidemiology/etiology
KW  - Middle Aged
KW  - Neoplasms/psychology
KW  - Parents
KW  - Psychiatric Status Rating Scales
Y1  - 2013
U6  - http://dx.doi.org/10.1016/j.jpsychores.2012.10.003
VL  - 74
SP  - 252
EP  - 259
ER  - 
TY  - JOUR
A1  - Kühne, Franziska
A1  - Haagen, Miriam
A1  - Baldus, Christiane
A1  - Diareme, Stavroula
A1  - Grether, Andrea
A1  - Schmitt, Florence
A1  - Stanescu, Dan
A1  - Stöckl, Margit
A1  - Thastum, Mikael
A1  - Möller, Birgit
A1  - Romer, Georg
T1  - Implementation of preventive mental health services for children of physically ill parents: experiences in seven European countries and health care systems
JF  - General hospital psychiatry
N2  - OBJECTIVE Parental physical disease is a family issue, but families' minor children are seldom considered. The current study analyzed experiences with implementation of counseling for families with physically ill parents and minor children during a European multisite pilot project. METHOD Implementation protocols of seven European partner centers collaborating in a joint research project were analyzed by Mayring's qualitative content analysis. Both an inductive approach and a deductive approach were chosen. Satisfaction of families and therapists was considered based on information from three partner centers. RESULTS Satisfaction with counseling was rather high. Mentioned problems referred to aspects related to liaison partners, family-related aspects and physicians' concerns. Recommendations related to contacting families, liaising with other professions, implementing counseling together with a research project, and training. Results are integrated in the current dissemination literature. CONCLUSION Successful implementation was mostly determined by aspects of interdisciplinary cooperation and communication, perceived relative advantage and organizational premises. With regard to this kind of innovative child-centered family mental health services, top-down and bottom-up implementation strategies should be combined, and strategies of maintenance and sustainability should be considered from the very beginning.
KW  - Adolescent
KW  - Child
KW  - Child Health Services
KW  - Child of Impaired Parents/psychology
KW  - Preschool
KW  - Counseling
KW  - Europe
KW  - Humans
KW  - Mental Health Services
KW  - Patient Satisfaction
KW  - Pilot Projects
KW  - Preventive Health Services/organization {\&} administration
KW  - Program Development
KW  - Qualitative Research
KW  - Surveys and Questionnaires
Y1  - 2013
U6  - http://dx.doi.org/10.1016/j.genhosppsych.2012.10.005
VL  - 35
SP  - 147
EP  - 153
ER  - 
TY  - JOUR
A1  - Kuhlmann, Anna-Lena
A1  - Romer, Georg
A1  - Möller, Birgit
T1  - „Wenn man sich so besser fühlt …“
JF  - Praxis der Kinderpsychologie und Kinderpsychiatrie
N2  - If One Feels Better Like That …. Adolescent Sibling Relationship in the Context of Transgender Development A transgender development in youth can influence the relationship of concerned youth and their siblings. While in most surveys, the focus lies on transgender adolescents, both sides shall be interviewed here to capture the situation of siblings and to relate the results. For this purpose, guide interviews with ten transgender adolescents and twelve of their siblings were analysed in accordance to Grounded Theory. In most cases, participants were satisfied with the sibling relationship. After the coming-out of the transgender adolescent they showed both positive and negative reactions that, however, changed to respect and acceptance by time without exception. Doubt, compassion and grief were short lived and often replaced by joy for the transgender adolescent. Transgender youth were mostly satisfied with the reaction of their sibling though the amount of support varied. The time of coming-out and transition often led to an improvement in sibling relationship, more closeness and family cohesion. In general, siblings seem to be immediately concerned by transgenderism in adolescence. In clinical practice, they should thus be included from the beginning. By taking into account their situation, negative developments can be prevented, and the sibling relationship become usable as a resource. Zusammenfassung Eine transidente Entwicklung im Jugendalter kann die Beziehung der Betroffenen und ihrer Geschwister beeinflussen. Während in den meisten Untersuchungen der Fokus eher auf den transidenten Jugendlichen liegt, wurden hier beide Seiten befragt, um die Situation der Geschwister zu erfassen und die Ergebnisse zueinander in Beziehung setzen zu können. Hierzu wurden Leitfaden-gestützte Interviews mit zehn transidenten Jugendlichen sowie zwölf ihrer Geschwister nach den Regeln der Grounded Theory ausgewertet. In den meisten Fällen zeigten sich die Teilnehmenden mit der Geschwisterbeziehung zufrieden. Auf das Coming-out des transidenten Jugendlichen zeigten die Geschwister positive wie negativen Reaktionen, die sich jedoch im Laufe der Zeit ausnahmslos zu Respekt und Akzeptanz wandelten. Zweifel, Mitleid und Trauer waren nur von kurzer Dauer und wurden oft durch Freude für den transidenten Adoleszenten ersetzt. Die transidenten Jugendlichen zeigten sich mit der Reaktion des Geschwisters grundsätzlich zufrieden, obwohl das Maß an Unterstützung unterschiedlich war. Die Zeit des Coming-out und der Transition führte häufig zu einer Verbesserung der Geschwisterbeziehung, mehr Nähe und familiärem Zusammenhalt. Insgesamt zeigte sich, dass die Geschwister bei einer Transidentität im Jugendalter unmittelbar mitbetroffen sind und daher im klinischen Alltag von Anfang an mit einbezogen werden sollten. Durch Berücksichtigung ihrer Situation kann negativen Entwicklungen vorgebeugt und die Geschwisterbeziehung als Ressource nutzbar werden.
KW  - Adolescent
KW  - Grief
KW  - Humans
KW  - Sibling Relations
KW  - Siblings/psychology
KW  - Surveys and Questionnaires
KW  - Transgender Persons/psychology
Y1  - 2020
U6  - http://dx.doi.org/10.13109/prkk.2020.69.6.524
SN  - 0032-7034
VL  - 69
SP  - 524
EP  - 540
ER  - 
TY  - JOUR
A1  - Krattenmacher, Thomas
A1  - Kühne, Franziska
A1  - Halverscheid, Susanne
A1  - Wiegand-Grefe, Silke
A1  - Bergelt, Corinna
A1  - Romer, Georg
A1  - Möller, Birgit
T1  - A comparison of the emotional and behavioral problems of children of patients with cancer or a mental disorder and their association with parental quality of life
JF  - Journal of psychosomatic research
N2  - OBJECTIVE To compare the emotional and behavioral problems of children of patients suffering from cancer or a mental disorder and their association with parental quality of life. METHODS A total of 223 children from 136 families and their 160 parents were investigated from multiple perspectives in a cross-sectional study. The consistency of different adjustment reports between family members was examined. Through mixed models, the differences between parental HRQoL and the children's symptomatology were studied with regard to the type of parental illness. The prediction of children's adjustment through parental HRQoL was further examined. Additionally, gender and age of the children were considered. RESULTS Half of the children exhibited psychosocial problems. Gender and age differences were independent of the type of parental disease. In families with parental cancer, the reports of children's adjustment were more consistent between family members than in families where a parental mental disorder was present. We found differences in HRQoL between families with mentally ill parents and those with parental cancer patients. Specifically, the healthy partners of mentally ill parents showed worse HRQoL compared with healthy partners of cancer patients. Healthy parents' reduced HRQoL was associated with worse adjustment in their children, regardless of the type of parental illness, but this result was not found for ill parents. CONCLUSION Family members confronted with parental cancer or mental disorders are more burdened compared with those from the normal population, independently of the type of disease. Our results indicate that the type of a parental disease has no direct effect on children's adjustment. However, there are disease-specific effects on parental HRQoL, which are associated with children's adjustment.
KW  - Adolescent
KW  - Affective Symptoms/psychology
KW  - Child
KW  - Female
KW  - Humans
KW  - Male
KW  - Mental Disorders/psychology
KW  - Neoplasms/psychology
KW  - Parent-Child Relations
KW  - Parents/psychology
KW  - Quality of Life
Y1  - 2014
U6  - http://dx.doi.org/10.1016/j.jpsychores.2013.11.020
VL  - 76
SP  - 213
EP  - 220
ER  - 
TY  - JOUR
A1  - Krattenmacher, Thomas
A1  - Kühne, Franziska
A1  - Führer, Daniel
A1  - Ernst, Johanna
A1  - Brähler, Elmar
A1  - Herzog, Wolfgang
A1  - Klitzing, Kai
A1  - Flechtner, Hans-Henning
A1  - Bergelt, Corinna
A1  - Romer, Georg
A1  - Möller, Birgit
T1  - Kinder krebskranker Eltern - elterliches Coping, familiäres Funktionsniveau und psychosoziale Anpassung der Kinder
JF  - Praxis der Kinderpsychologie und Kinderpsychiatrie
N2  - 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.
KW  - Adaptation
KW  - Psychological
KW  - Adolescent
KW  - Adult
KW  - Child
KW  - Child of Impaired Parents/psychology
KW  - Preschool
KW  - Family Relations
KW  - Female
KW  - Germany
KW  - Humans
KW  - Male
KW  - Neoplasms/psychology
KW  - Parents/psychology
KW  - Quality of Life/psychology
KW  - Social Adjustment
KW  - Surveys and Questionnaires
Y1  - 2012
U6  - http://dx.doi.org/10.13109/prkk.2012.61.6.447
SN  - 0032-7034
VL  - 61
SP  - 447
EP  - 462
ER  - 
TY  - JOUR
A1  - Beierlein, Volker
A1  - Bultmann, Johanna Christine
A1  - Möller, Birgit
A1  - Klitzing, Kai
A1  - Flechtner, Hans-Henning
A1  - Resch, Franz
A1  - Herzog, Wolfgang
A1  - Brähler, Elmar
A1  - Führer, Daniel
A1  - Romer, Georg
A1  - Koch, Uwe
A1  - Bergelt, Corinna
T1  - Measuring family functioning in families with parental cancer: Reliability and validity of the German adaptation of the Family Assessment Device (FAD)
JF  - Journal of psychosomatic research
N2  - OBJECTIVE The concept of family functioning is gaining importance in psycho-oncology research and health care services. The Family Assessment Device (FAD) is a well-established measure of family functioning. Psychometric properties inherent in the German 51-item adaptation of the FAD are examined in different samples of families with parental cancer. METHODS Acceptance, reliability, and validity of FAD scales are analysed in samples from different study settings (N=1701 cancer patients, N=261 partners, N=158 dependent adolescent children 11 to 18years old). RESULTS Missing items in the FAD scales (acceptance) are rare for adults (<1.1%) and adolescent children (<4.4%). In samples of adults and older adolescents (15 to 18years), all FAD scales except for the Roles scale are significantly reliable (0.75≤Cronbach's α≤0.88). The scales correlate highly (0.46≤Pearson's r≤0.59) with the criterion satisfaction with family life (convergent validity), and have smaller correlations (0.16≤r≤0.49) with measures of emotional distress and subjective well-being (divergent validity). In most FAD scales, adults seeking family counselling report worse family functioning (0.24≤Cohen's d≤0.59) than adults in other samples with parental cancer (discriminative validity). CONCLUSION Overall, the German 51-item adaptation of the FAD reveals good acceptance, reliability, and validity for cancer patients and their relatives. Particularly the scale General Functioning shows excellent psychometric properties. The FAD is suitable in the assessment of families with parental cancer for adults and adolescents older than 11years.
KW  - Adolescent
KW  - Adult
KW  - Child
KW  - Cross-Cultural Comparison
KW  - Family Relations/psychology
KW  - Female
KW  - Germany
KW  - Humans
KW  - Male
KW  - Parents/psychology
KW  - Psychometrics/statistics {\&} numerical data
KW  - Reproducibility of Results
KW  - Statistics as Topic
KW  - Surveys and Questionnaires
Y1  - 2017
U6  - http://dx.doi.org/10.1016/j.jpsychores.2016.11.007
VL  - 93
SP  - 110
EP  - 117
ER  - 
TY  - JOUR
A1  - Bergelt, Corinna
A1  - Ernst, Johanna Christine
A1  - Beierlein, Volker
A1  - Inhestern, Laura
A1  - Holes, Sarah
A1  - Möller, Birgit
A1  - Romer, Georg
A1  - Koch, Uwe
T1  - Reaktive Veränderungen in Befinden und Verhalten von Kindern bei elterlicher Krebserkrankung--Ergebnisse einer epidemiologischen Patientenbefragung
JF  - Praxis der Kinderpsychologie und Kinderpsychiatrie
N2  - 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.
KW  - Adolescent
KW  - Adult
KW  - Child
KW  - Child Behavior Disorders/diagnosis/epidemiology/psychology
KW  - Child of Impaired Parents/psychology
KW  - Child Reactive Disorders/diagnosis/epidemiology/psychology
KW  - Preschool
KW  - Cross-Sectional Studies
KW  - Female
KW  - Germany
KW  - Health Surveys
KW  - Humans
KW  - Infant
KW  - Male
KW  - Middle Aged
KW  - Neoplasms/epidemiology/psychology
KW  - Personality Assessment
KW  - Resilience
KW  - Psychological
KW  - Young Adult
Y1  - 2012
U6  - http://dx.doi.org/10.13109/prkk.2012.61.6.378
SN  - 0032-7034
VL  - 61
SP  - 378
EP  - 395
ER  - 
TY  - JOUR
A1  - Bultmann, Johanna Christine
A1  - Beierlein, Volker
A1  - Romer, Georg
A1  - Möller, Birgit
A1  - Koch, Uwe
A1  - Bergelt, Corinna
T1  - Parental cancer: Health-related quality of life and current psychosocial support needs of cancer survivors and their children
JF  - International journal of cancer
N2  - The presence of cancer and additional parental responsibilities can increase strain for individual patients as well as for their children. The construct of health-related quality of life (HRQL) is appropriate to measure a combination of physical, mental and social consequences as a result of disease. However, previous research has merely focused on symptom checklists. This study addresses the following questions: (i) does HRQL in children and their parents with cancer differ compared to the general population? (ii) Are there any variables that are associated with HRQL in children? (iii) What are current psychosocial support needs? A population-based survey of 976 survivors (<6 years post diagnosis) with minor children between 6 and 18 years (n = 1,449) was conducted with two German cancer registries. HRQL was assessed using SF-8 (survivors) and Kidscreen (children). The results were compared to normative populations, and predictors associated with HRQL in children were evaluated within a multilevel model. We found that the HRQL in children was better compared to the norm. Only children with support needs had worse HRQL. Older age, having a mother with cancer, having a parent not living together with a partner, and worse parental physical and mental health influenced HRQL in children. Illness characteristics were irrelevant. Even with a mean of 3.5 years after diagnosis, survivors had lower physical and mental health compared to the norm. Our findings reinforce the need for health professionals to pay attention to younger patients and their children. Even years after diagnosis, life might not have returned to normal.
KW  - Adolescent
KW  - Adult
KW  - Child
KW  - Child Health Services
KW  - Cross-Sectional Studies
KW  - Female
KW  - Follow-Up Studies
KW  - Health Services Needs and Demand
KW  - Health Status
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Needs Assessment
KW  - Neoplasms/psychology
KW  - Parents/psychology
KW  - Prognosis
KW  - Psychology
KW  - Quality of Life
KW  - Social Support
KW  - Stress
KW  - Psychological
KW  - Surveys and Questionnaires
KW  - Survivors/psychology
Y1  - 2014
U6  - http://dx.doi.org/10.1002/ijc.28905
VL  - 135
SP  - 2668
EP  - 2677
ER  - 
TY  - JOUR
A1  - Ernst, Johanna Christine
A1  - Beierlein, Volker
A1  - Romer, Georg
A1  - Möller, Birgit
A1  - Koch, Uwe
A1  - Bergelt, Corinna
T1  - Psychosoziale Versorgung von Kindern mit einem an Krebs erkrankten Elternteil - Eine Bestandsaufnahme spezifischer Versorgungsangebote in Deutschland
JF  - Psychotherapie, Psychosomatik, medizinische Psychologie
N2  - 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.
KW  - Adult
KW  - Child
KW  - Child Health Services/statistics {\&} numerical data
KW  - Family
KW  - Germany
KW  - Health Care Surveys
KW  - Humans
KW  - Neoplasms/therapy
KW  - Parents
KW  - Quality Assurance
KW  - Health Care
KW  - Single-Parent Family
KW  - Social Support
Y1  - 2011
U6  - http://dx.doi.org/10.1055/s-0031-1286303
VL  - 61
SP  - 426
EP  - 434
ER  - 
TY  - JOUR
A1  - Becker, Inga
A1  - Gjergji-Lama, Voltisa
A1  - Romer, Georg
A1  - Möller, Birgit
T1  - Merkmale von Kindern und Jugendlichen mit Geschlechtsdysphorie in der Hamburger Spezialsprechstunde
JF  - Praxis der Kinderpsychologie und Kinderpsychiatrie
N2  - Given the increasing demand for counselling in gender dysphoria in childhood in Germany, there is a definite need for empirical data on characteristics and developmental trajectories of this clinical group. This study aimed to provide a first overview by assessing demographic characteristics and developmental trajectories of a group of gender variant boys and girls referred to the specialised Gender Identity Clinic in Hamburg. Data were extracted from medical charts, transcribed and analysed using qualitative content analysis methods. Categories were set up by inductive-deductive reasoning based on the patients' parents' and clinicians' information in the files. Between 2006 and 2010, 45 gender variant children and adolescents were seen by clinicians; 88.9% (n = 40) of these were diagnosed with gender identity disorder (ICD-10). Within this group, the referral rates for girls were higher than for boys (1:1.5). Gender dysphoric girls were on average older than the boys and a higher percentage of girls was referred to the clinic at the beginning of adolescence (> 12 years of age). At the same time, more girls reported an early onset age. More girls made statements about their (same-sex) sexual orientation during adolescence and wishes for gender confirming medical interventions. More girls than boys revealed self-mutilation in the past or present as well as suicidal thoughts and/or attempts. Results indicate that the presentation of clinically referred gender dysphoric girls differs from the characteristics boys present in Germany; especially with respect to the most salient age differences. Therefore, these two groups require different awareness and individual treatment approaches.
KW  - Adolescent
KW  - Age Factors
KW  - Child
KW  - Preschool
KW  - Cooperative Behavior
KW  - Cross-Sectional Studies
KW  - Female
KW  - Gender Identity
KW  - Germany
KW  - Gonadal Steroid Hormones/therapeutic use
KW  - Humans
KW  - Interdisciplinary Communication
KW  - Male
KW  - Outpatient Clinics
KW  - Hospital
KW  - Psychotherapy
KW  - Puberty/drug effects/psychology
KW  - Referral and Consultation
KW  - Self Mutilation/epidemiology/psychology
KW  - Sex Factors
KW  - Suicidal Ideation
KW  - Transsexualism/diagnosis/epidemiology/psychology/therapy
Y1  - 2014
SN  - 0032-7034
VL  - 63
SP  - 486
EP  - 509
ER  - 
TY  - JOUR
A1  - Kühne, Franziska
A1  - Krattenmacher, Thomas
A1  - Beierlein, Volker
A1  - Grimm, Johann Christian
A1  - Bergelt, Corinna
A1  - Romer, Georg
A1  - Möller, Birgit
T1  - Minor Children of Palliative Patients: A Systematic Review of Psychosocial Family Interventions
JF  - Journal of Palliative Medicine
Y1  - 2012
U6  - http://dx.doi.org/10.1089/JPM.2011.0380
VL  - 15
IS  - 8
SP  - 931
EP  - 945
ER  - 
TY  - JOUR
A1  - Kühne, Franziska
A1  - Krattenmacher, Thomas
A1  - Bergelt, Corinna
A1  - Beierlein, Volker
A1  - Herzog, Wolfgang
A1  - V Klitzing, Kai
A1  - Weschenfelder-Stachwitz, Heike
A1  - Romer, Georg
A1  - Möller, Birgit
T1  - There is still so much ahead of us - Family functioning in families of palliative cancer patients
JF  - Families, systems & health : the journal of collaborative family healthcare
N2  - Adopting a systems approach, parental cancer has its impact on patients, spouses, and dependent children. The purpose of the current study was to examine family functioning dependent on parental disease stage and on family member perspective in families of cancer patients with adolescent children. The cross-sectional study was conducted within a German multisite research project of families before their first child-centered counseling encounter. The sample comprised individuals nested within N = 169 families. Analyses performed included analysis of covariance (ANCOVA) and intraclass correlation. Open answers were analyzed following quantitative content analysis procedures. Between 15% and 36% of family members reported dysfunctional general functioning scores. Parents indicated more dysfunctional scores on the Family Assessment Device scale Roles, and adolescents more dysfunctional Communication scores. Regarding assessment of family functioning, there was higher agreement in families with parents in a palliative situation. For adolescents with parents in palliation, incidents because of the disease tend to become more dominant, and spending time with the family tends to become even more important. As our study pointed out, parental cancer, and especially parental palliative disease, is associated with both perceived critical and positive aspects in family functioning. Supporting families in these concerns as well as encouraging perceptions of positive aspects are important components of psycho-oncological interventions for families with dependent children.
KW  - Adolescent
KW  - Adult
KW  - Aged
KW  - Analysis of Variance
KW  - Child
KW  - Child of Impaired Parents/psychology
KW  - Cross-Sectional Studies
KW  - Family Relations
KW  - Female
KW  - Germany
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Neoplasms
KW  - Palliative Care
KW  - Self Report
Y1  - 2013
U6  - http://dx.doi.org/10.1037/a0032274
VL  - 31
SP  - 181
EP  - 193
ER  - 
TY  - JOUR
A1  - Kühne, Franziska
A1  - Krattenmacher, Thomas
A1  - Bergelt, Corinna
A1  - Bierbaum, Anna-Lena
A1  - Christine Ernst, Johanna
A1  - Flechtner, Hans-Henning
A1  - Keller, Monika
A1  - Klitzing, Kai V.
A1  - Romer, Georg
A1  - Möller, Birgit
T1  - Elternschaft und Krebserkrankung: Dyadische Analyse von psychosozialer Belastung und gesundheitsbezogener Lebensqualität von krebskranken Eltern minderjähriger Kinder
JF  - Psychotherapie, Psychosomatik, medizinische Psychologie
N2  - The purpose of this study was the analysis of psychological distress and health-related quality of life (HRQoL) of parents with minor children during curative resp. palliative treatment.Cross-sectional design with a sample of N=89 parent dyads. Dyadic analysis of demographic, illness and family variables via mixed linear models.Patients and healthy partners indicated psychological distress on different subscales. Intradyadic correlations were small-moderate. Most important predictors of psychological distress and HRQoL were treatment stadium, gender, family functioning, and employment status.Dependent on demographic variables, psychooncological support was evident mainly for parents in palliative care and for families with dysfunctional functioning.
KW  - Adult
KW  - Child
KW  - Preschool
KW  - Cross-Sectional Studies
KW  - Employment
KW  - Family
KW  - Female
KW  - Humans
KW  - Infant
KW  - Linear Models
KW  - Male
KW  - Middle Aged
KW  - Neoplasms/complications/psychology
KW  - Neuropsychological Tests
KW  - Palliative Care
KW  - Parents/psychology
KW  - Psychiatric Status Rating Scales
KW  - Quality of Life
KW  - Stress
KW  - Psychological/etiology/psychology
Y1  - 2013
U6  - http://dx.doi.org/10.1055/s-0033-1341454
VL  - 63
SP  - 473
EP  - 481
ER  - 
TY  - JOUR
A1  - Kühne, Franziska
A1  - Krattenmacher, Thomas
A1  - Bergelt, Corinna
A1  - Ernst, Johanna C.
A1  - Flechtner, Hans-Henning
A1  - Führer, Daniel
A1  - Herzog, Wolfgang
A1  - Klitzing, Kai V.
A1  - Romer, Georg
A1  - Möller, Birgit
T1  - Parental palliative cancer: psychosocial adjustment and health-related quality of life in adolescents participating in a German family counselling service
JF  - BMC palliative care
N2  - 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.
Y1  - 2012
U6  - http://dx.doi.org/10.1186/1472-684X-11-21
VL  - 11
SP  - 21
ER  - 
TY  - JOUR
A1  - Möller, B.
A1  - Stegemann, T.
A1  - Romer, Georg
T1  - Psychosoziale Belastungen bei Kindern körperlich kranker Eltern: Perspektiven der seelischen Gesundheitsvorsorge
JF  - Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
N2  - Irrespective of their well-known increased risk for mental health problems, children of somatically ill parents are a clinically underserved as well as under-researched group. In this article, the authors introduce the epidemiologic and clinical relevance of this topic and present a theoretical framework for understanding the sequelae of a serious parental illness on minor-age children, based on family dynamics and developmental concepts. This is followed by a comprehensive review of current empirical studies in this field, with a special emphasis on results from a transnational European collaborative study (COSIP = Children of Somatically Ill Parents), which was coordinated by the last author. The most important recommendations from intervention concepts published to date are summarized. Some outlooks for clinical practice as well as future research are presented.
KW  - Adaptation
KW  - Psychological
KW  - Adolescent
KW  - Anxiety Disorders/epidemiology/prevention {\&} control/psychology
KW  - Child
KW  - Child of Impaired Parents/psychology
KW  - Child Reactive Disorders/epidemiology/prevention {\&} control/psychology
KW  - Preschool
KW  - Cross-Cultural Comparison
KW  - Cross-Sectional Studies
KW  - Depressive Disorder/epidemiology/prevention {\&} control/psychology
KW  - Developmental Disabilities/epidemiology/prevention {\&} control/psychology
KW  - Family Relations
KW  - Family Therapy
KW  - Female
KW  - Germany
KW  - Health Education
KW  - Health Surveys
KW  - Humans
KW  - Infant
KW  - Newborn
KW  - Pregnancy
KW  - Risk Factors
KW  - Somatoform Disorders/epidemiology/prevention {\&} control/psychology
KW  - Stress
KW  - Psychological/complications
Y1  - 2008
U6  - http://dx.doi.org/10.1007/s00103-008-0542-5
SN  - 1436-9990
VL  - 51
SP  - 657
EP  - 663
ER  - 
TY  - JOUR
A1  - Möller, Birgit
A1  - Barkmann, Claus
A1  - Krattenmacher, Thomas
A1  - Kühne, Franziska
A1  - Bergelt, Corinna
A1  - Beierlein, Volker
A1  - Ernst, Johanna
A1  - Brähler, Elmar
A1  - Flechtner, Hans-Henning
A1  - Herzog, Wolfgang
A1  - Klitzing, Kai
A1  - Führer, Daniel
A1  - Resch, Franz
A1  - Romer, Georg
T1  - Children of cancer patients: prevalence and predictors of emotional and behavioral problems
JF  - Cancer
N2  - BACKGROUND Children of patients with cancer are at increased risk for developing emotional and behavioral problems. This study explored the prevalence and predictors of emotional and behavioral problems in Children of cancer patients in a multisite research project. METHODS A cross-sectional sample of N = 235 families was recruited simultaneously in 5 university medical centers. The participants, including parents (N = 402) and children (N = 324; ages 11-21 years) completed standardized questionnaires. Emotional and behavioral problems in children were measured by the Strengths and Difficulties Questionnaire (SDQ). On the basis of previous research and using a mixed-model approach, child-, parent-, family- and cancer-related variables were examined in addition to socioeconomic status as potential predictors. Descriptive statistics and a multiple random coefficient model were used in the analyses. RESULTS Compared to norms, Children of cancer patients show increased mean levels of emotional and behavioral symptoms. The best predictor of emotional and behavioral problems from the perspectives of the child, the healthy parent, and the ill parent was general family dysfunction. Although family dysfunction was identified as the main predictor, the analysis revealed that the main part of variance was related to the individual child's level. CONCLUSIONS The results indicate that screening for child mental health problems and family dysfunction in oncological and psychosocial treatment units can identify the families most in need of psychosocial support. Psychological services need to be both family-oriented and child-centered and focus on family dysfunction to prevent mental health problems in children.
KW  - Adolescent
KW  - Adult
KW  - Child
KW  - Child Behavior Disorders/etiology
KW  - Child of Impaired Parents/psychology
KW  - Female
KW  - Humans
KW  - Male
KW  - Mental Disorders/etiology
KW  - Neoplasms/psychology
KW  - Parents/psychology
KW  - Prevalence
KW  - Risk Factors
KW  - Surveys and Questionnaires
KW  - Young Adult
Y1  - 2014
U6  - http://dx.doi.org/10.1002/cncr.28644
VL  - 120
SP  - 2361
EP  - 2370
ER  - 
TY  - JOUR
A1  - Möller, Birgit
A1  - Güldenring, Annette
A1  - Wiesemann, Claudia
A1  - Romer, Georg
T1  - Geschlechtsdysphorie im Kindes- und Jugendalter
JF  - Kinderanalyse
Y1  - 2018
U6  - http://dx.doi.org/10.21706/ka-26-3-228
SN  - 0942-6051
VL  - 26
SP  - 228
EP  - 263
ER  - 
TY  - JOUR
A1  - Möller, Birgit
A1  - Nieder, Timo Ole
A1  - Preuss, Wilhelm F.
A1  - Becker, Inga
A1  - Fahrenkrug, Saskia
A1  - Wüsthof, Achim
A1  - Briken, Peer
A1  - Romer, Georg
A1  - Richter-Appelt, Hertha
T1  - Versorgung von Kindern und Jugendlichen mit Geschlechtsdysphorie im Rahmen einer interdisziplinären Spezialsprechstunde
JF  - Praxis der Kinderpsychologie und Kinderpsychiatrie
N2  - In Germany, the situation of health care services for children and adolescents with gender dysphoria is insufficient. In 2006 a specialized multiprofessional outpatient clinic was founded at the University Medical Center Hamburg-Eppendorf. Goals were improvement of health services for gender dysphoric children, development of treatment concepts, and gain of knowledge through research. After finishing a thorough interdisciplinary assessment an individualized, case-by-case treatment starts. Besides psychotherapy an interdisciplinary treatment (e. g. puberty suppression and cross-sex hormones) is provided if indicated. During childhood a watchful waiting and carefully observing attitude is necessary. If a marked increase of gender dysphoria occurs during the first phases of puberty development, puberty suppression and later cross sex-hormones might be indicated.
KW  - Adolescent
KW  - Biomedical Research
KW  - Child
KW  - Combined Modality Therapy
KW  - Cooperative Behavior
KW  - Education
KW  - Nonprofessional
KW  - Female
KW  - Gender Identity
KW  - Gonadal Steroid Hormones/therapeutic use
KW  - Humans
KW  - Interdisciplinary Communication
KW  - Male
KW  - Outpatient Clinics
KW  - Hospital
KW  - Psychotherapy
KW  - Puberty/drug effects/psychology
KW  - Referral and Consultation
KW  - Transsexualism/diagnosis/psychology/therapy
KW  - Watchful Waiting
Y1  - 2014
SN  - 0032-7034
VL  - 63
SP  - 465
EP  - 485
ER  - 
TY  - JOUR
A1  - Möller, Birgit
A1  - Schreier, Herbert
A1  - Li, Alice
A1  - Romer, Georg
T1  - Gender identity disorder in children and adolescents
JF  - Current problems in pediatric and adolescent health care
KW  - Adolescent
KW  - Child
KW  - Preschool
KW  - Female
KW  - Gender Identity
KW  - Homosexuality
KW  - Humans
KW  - Male
KW  - Parent-Child Relations
KW  - Psychosexual Development
KW  - Transsexualism
Y1  - 2009
U6  - http://dx.doi.org/10.1016/j.cppeds.2009.02.001
VL  - 39
SP  - 117
EP  - 143
ER  - 
TY  - JOUR
A1  - Möller, Birgit
A1  - Schreier, Herbert
A1  - Romer, Georg
T1  - Geschlechtsidentitätsstörungen im Kindes- und Jugendalter
JF  - Zeitschrift für Sexualforschung
Y1  - 2009
U6  - http://dx.doi.org/10.1055/s-0029-1224554
SN  - 0932-8114
VL  - 22
SP  - 227
EP  - 254
ER  - 
TY  - JOUR
A1  - Romer, Georg
A1  - Kühne, Franziska
A1  - Bergelt, Corinna
A1  - Möller, Birgit
T1  - Seelische Gesundheitsvorsorge für Kinder krebskranker Eltern
JF  - Psychotherapeut
Y1  - 2011
U6  - http://dx.doi.org/10.1007/s00278-011-0849-9
SN  - 0935-6185
VL  - 56
SP  - 400
EP  - 408
ER  - 
TY  - JOUR
A1  - Höltermann, Annelen
A1  - Scharf, Florian
A1  - Romer, Georg
A1  - Möller-Kallista, Birgit
T1  - Psychische Belastung bei unbegleiteten und begleiteten Flüchtlingen im Kindes- und Jugendalter in Deutschland
JF  - Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie
Y1  - 2022
SN  - 1422-4917
VL  - 50
IS  - 5
ER  - 
TY  - JOUR
A1  - Laura, Inhestern
A1  - Johanna Christine, Bultmann
A1  - Lene Marie, Johannsen
A1  - Volker, Beierlein
A1  - Birgit, Möller
A1  - Georg, Romer
A1  - Uwe, Koch
A1  - Corinna, Bergelt
T1  - Estimates of Prevalence Rates of Cancer Patients With Children and Well-Being in Affected Children: A Systematic Review on Population-Based Findings
JF  - Front Psychiatry
N2  - This review assessed population-based estimate rates of cancer patients with minor and young adult children (≤ 25 years), children and young adults having a parent with cancer as well as the psychosocial situation and well-being of children and young adults affected by parental cancer. Eighteen publications on population-based studies were included. Studies varied in the age ranges of both cancer patients and children. The prevalence rates of cancer patients having children ranged from 14 to 24.7% depending on the sample structure (e.g., age, gender). Studies reported that between 1.6 and 8.4% of children resp. young adult children have a parent with a history of cancer. Seven publications reported on the psychosocial situation or well-being in children and young adults affected by parental cancer. Estimate rates of psychosocial problems, psychiatric diagnoses or distress ranged between 2.5 and 34% of children depending on the method of measurement and outcome. The differences in the sample structure between the studies impeded the comparison of prevalence rates. However, the findings help to determine the need for specific support services and health care planning. The results emphazise the importance to routinely include issues on the parental role of patients and questions on the well-being and coping of children into psychooncological care. If necessary, support should be provided to families living with a cancer diagnosis.
Y1  - 2021
U6  - http://dx.doi.org/10.3389/fpsyt.2021.765314
VL  - 2021
ER  -