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  - 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  - 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  -