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  - Becker, Inga
A1  - Auer, Matthias
A1  - Barkmann, Claus
A1  - Fuss, Johannes
A1  - Möller, Birgit
A1  - Nieder, Timo O.
A1  - Fahrenkrug, Saskia
A1  - Hildebrandt, Thomas
A1  - Richter-Appelt, Hertha
T1  - A Cross-Sectional Multicenter Study of Multidimensional Body Image in Adolescents and Adults with Gender Dysphoria Before and After Transition-Related Medical Interventions
JF  - Archives of sexual behavior
N2  - Persistent feelings of gender dysphoria (GD) are accompanied by distress and body dissatisfaction in most clinically referred adolescents and adults. Transition-related medical interventions (e.g., puberty suppression, hormones, or surgery) may alleviate body dissatisfaction. The aim of the present cross-sectional study was to compare multidimensional body image across clinically referred adolescents and adults undergoing different transition-related medical interventions. Two clinical samples of adolescents (n = 82) and adults (n = 120) referred to specialized departments of four different transgender health services in Germany participated in the study. In total, 202 individuals from the female-to-male (FtM individuals) and male-to-female (MtF individuals) spectrum aged 14-74 years were included at different stages of their transition. Four scales assessing multidimensional aspects of body image (measured by the Body Image Assessment Questionnaire, FBeK) were compared across three groups: sample, gender, and medical interventions (while controlling for age and treatment duration). The results indicated less favorable body image scores compared with the norm in both adolescents and adults with GD. Individuals who had undergone transition-related medical interventions presented a significantly better body image on two of the four scales. Differences according to gender and age were also present. These findings suggest that medical interventions, especially gender-affirming hormones and surgery, are generally beneficial to the body image in individuals with GD. However, not all of the less favorable outcomes in multidimensional body image were positively influenced by the treatment conditions and may thus benefit from additional integrative counseling before and during transition.
KW  - Adolescent
KW  - Adult
KW  - Aged
KW  - Body Image/psychology
KW  - Cross-Sectional Studies
KW  - Female
KW  - Gender Dysphoria/psychology/therapy
KW  - Gender Identity
KW  - Germany
KW  - Hormones
KW  - Humans
KW  - Male
KW  - Middle Aged
KW  - Psychology
KW  - Sexual Maturation
KW  - Surveys and Questionnaires
KW  - Transgender Persons/psychology
KW  - Transsexualism/psychology/therapy
KW  - Young Adult
Y1  - 2018
U6  - http://dx.doi.org/10.1007/s10508-018-1278-4
VL  - 47
SP  - 2335
EP  - 2347
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  - 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  - Storck, Michael
A1  - Christians, Gundula
A1  - Möller, Birgit
A1  - Dugas, Martin
A1  - Soto-Rey, Iñaki
T1  - Conducting a Multilingual Study Researching Traumatised Refugees Utilizing a Patient-Reported Outcome System
JF  - Studies in health technology and informatics
N2  - Approximately 300,000 asylum-seeking children arrived in Europe in 2015. The chance of experiencing a traumatic event is very high for fleeing children. Since the origin of the refugees is widespread, the languages spoken are diverse. Multilingual electronic patient-reported outcome systems (ePROs) can be used to gather medical data in a foreign language and display the results in the health professionals' language, which helps overcoming the language barrier. Utilizing such a system, a two-phase study aiming to screen refugee minors for potential mental health issues has started. Potential eligible participants are examined using questionnaires with good psychometric properties and cross-cultural applicability. To date, 75 minors and 21 of their relatives participated in the study, being German and Arabic the most desired languages for the electronic survey. Developing a system that provides multilingual questionnaires entails several drawbacks like a cumbersome translation process and dealing with writing directions. The proposed translation process and the ePRO can be re-used in similar studies.
KW  - Child
KW  - Electronic Health Records
KW  - Europe
KW  - Humans
KW  - Language
KW  - Multilingualism
KW  - Patient Reported Outcome Measures
KW  - Refugees/psychology
Y1  - 2018
SN  - 0926-9630
VL  - 253
SP  - 109
EP  - 113
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  - Silke, Wiegand-Grefe
A1  - Möller, Birgit
T1  - Die transgenerationale Weitergabe von Kriegserfahrungen aus dem Zweiten Weltkrieg über drei Generationen - eine Betrachtung aus psychoanalytischer Perspektive
JF  - Praxis der Kinderpsychologie und Kinderpsychiatrie
N2  - The paper presents some reflections on the transgenerational transmission of traumatic experiences of war and in particular bombing during Second World War. These theoretical considerations are based on a case study (family interview) deriving from the research project Kriegskindheit im Hamburger Feuersturm additionally illustrated and complemented with impressions based on interviews with three generations in context of the project.
KW  - Adolescent
KW  - Adult
KW  - Aged
KW  - 80 and over
KW  - Aggression/psychology
KW  - Child
KW  - Cooperative Behavior
KW  - Family Conflict/psychology
KW  - Family Therapy
KW  - Female
KW  - Germany
KW  - Humans
KW  - Identification
KW  - Interdisciplinary Communication
KW  - Intergenerational Relations
KW  - Interview
KW  - Male
KW  - Parent-Child Relations
KW  - Psychoanalytic Theory
KW  - Psychoanalytic Therapy
KW  - Resilience
KW  - Psychological
KW  - Self Disclosure
KW  - Stress Disorders
KW  - Post-Traumatic/diagnosis/psychology/therapy
KW  - World War II
Y1  - 2012
U6  - http://dx.doi.org/10.13109/prkk.2012.61.8.610
SN  - 0032-7034
VL  - 61
SP  - 610
EP  - 622
ER  - 
TY  - JOUR
A1  - Rutzen, Katharina M.
A1  - Nieder, Timo Ole
A1  - Schreier, Herbert
A1  - Möller, Birgit
T1  - Die Versorgung von Kindern und Jugendlichen mit Geschlechtsdysphorie aus der Sicht internationaler Expertise
JF  - Praxis der Kinderpsychologie und Kinderpsychiatrie
N2  - The clinical treatment of children and adolescents with gender dysphoria is still a controversial issue. The aim of this study was to get an overview of the knowledge and experience of international experts and to highlight shared views as well as differences in theoretical convictions and treatment approaches. Half-structured, guide-line based interviews were carried out with international experts in the field. The interviews were analyzed using qualitative content analysis (Mayring, 2010).
KW  - Adolescent
KW  - Child
KW  - Preschool
KW  - Cooperative Behavior
KW  - Cross-Cultural Comparison
KW  - Education
KW  - Nonprofessional
KW  - Female
KW  - Gender Identity
KW  - Gonadal Steroid Hormones/therapeutic use
KW  - Humans
KW  - Interdisciplinary Communication
KW  - Interview
KW  - Psychological
KW  - Male
KW  - Practice Guidelines as Topic
KW  - Psychosexual Development
KW  - Psychotherapy
KW  - Puberty/drug effects/psychology
KW  - Sex Counseling
KW  - Surveys and Questionnaires
KW  - Transsexualism/diagnosis/psychology/therapy
Y1  - 2014
SN  - 0032-7034
VL  - 63
SP  - 449
EP  - 464
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  - 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  -