TY - JOUR A1 - Wiech, Matthias A1 - Kutlar, Cemre A1 - Günthard, Manuela A1 - Schenker, Tanja A1 - Pauli, Dagmar A1 - Möller, Birgit T1 - Psychische Auffälligkeiten und gesundheitsbezogene Lebensqualität bei Jugendlichen mit Geschlechtsdysphorie JF - Praxis der Kinderpsychologie und Kinderpsychiatrie N2 - Mental Stress and Health-Related Quality of Life in Adolescents with Gender Dysphoria Although the level of mental stress in adolescents with gender dysphoria is found to be generally high in many studies, differences have been shown between samples of gender dysphoria clinics for adolescents in different countries. However, a comparison within the German speaking area is lacking. In this article we compared samples of gender dysphoria clinics from Munster (Germany) and Zurich (Switzerland) and tested potential correlates of mental stress using quantitative methods. Subsequently, we interviewed clients from both clinics regarding mental stressors and protective factors. There were no quantitative differences in the level of mental stress of clients between Munster and Zurich, whereas health-related quality of life was significantly higher in Munster. Problems in physical well-being and school environment were the strongest correlates of mental stress. This reflects in the interviews, too, in addition to further related factors reported. We conclude that physical well-being and inclusion at school should be addressed with special emphasis in counseling or treatment of adolescents with gender dysphoria to counter the in average high levels of mental stress. Zusammenfassung Das Ausmaß psychischer Auffälligkeiten bei Jugendlichen mit Geschlechtsdysphorie wird in vielen Studien als hoch beschrieben, unterscheidet sich jedoch in den Inanspruchnahmepopulationen verschiedener Spezialambulanzen für Jugendliche mit Geschlechtsdysphorie. Bislang hat kein Vergleich innerhalb des deutschsprachigen Raums stattgefunden. In diesem Beitrag werden die Inanspruchnahmestichproben der Spezialzentren in Münster und Zürich mit quantitativen Methoden verglichen sowie Korrelate von psychischen Auffälligkeiten geprüft. Anschließend führten wir Interviews mit Klient/innen1 der Spezialambulanzen hinsichtlich psychischer Belastungen und Schutzfaktoren durch. Es zeigten sich im quantitativen Vergleich der Zentren keine Unterschiede in den psychischen Auffälligkeiten zwischen Münster und Zürich, während sich die gesundheitsbezogene Lebensqualität in Münster als signifikant höher erwies als in Zürich. Als stärkste Korrelate psychischer Belastung konnten Probleme im körperlichen Wohlbefinden sowie im schulischen Umfeld identifiziert werden. Dies spiegelte sich auch in den qualitativen Interviews wider, in denen weitere assoziierte Faktoren benannt wurden. Wir schlussfolgern, dass das körperliche Wohlbefinden und die schulische Integration in der Beratung bzw. Behandlung von Jugendlichen mit Geschlechtsdysphorie besonders berücksichtigt werden sollten, um der im Schnitt hohen psychischen Auffälligkeiten entgegenzuwirken. KW - Adolescent KW - Gender Dysphoria/psychology KW - Germany KW - Humans KW - Quality of Life KW - Stress KW - Psychological KW - Switzerland Y1 - 2020 U6 - http://dx.doi.org/10.13109/prkk.2020.69.6.554 SN - 0032-7034 VL - 69 SP - 554 EP - 569 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 - 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 - 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 - 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 - Lamparter, Ulrich A1 - Wiegand-Grefe, Silke T1 - Und plötzlich war ich ganz allein: Traumatisierende Erfahrungen einer Jugendlichen während des Hamburger Feuersturms und ihre transgenerationale Weitergabe uber drei Generationen JF - Praxis der Kinderpsychologie und Kinderpsychiatrie N2 - Air strikes on Hamburg in 1943 (Operation Gomorrha) were a historical turning point and had a deep impact on both cityscape and history of Hamburg. Little is known about intraindividual and transgenerational consequences as well as its interaction with societal and historical processes. Aiming at closing this gap interviews with witnesses, their children and grandchildren, as well as the whole family, were conducted in the context of an interdisciplinary research project. Based on the example of an interview with a at the time of the Operation Gomorrha eleven years old witness, her daughter, and grandson the biographical localisation of war experiences and transgenerational transmission will be explained and discussed. KW - Adolescent KW - Adult KW - Child KW - Child of Impaired Parents/psychology KW - Orphaned/psychology KW - Preschool KW - Female KW - Humans KW - Intergenerational Relations KW - Interview KW - Psychological KW - Male KW - Maternal Deprivation KW - Middle Aged KW - Object Attachment KW - Refugees/psychology KW - Stress Disorders KW - Post-Traumatic/diagnosis/psychology KW - Survivors/psychology KW - World War II KW - Young Adult Y1 - 2012 U6 - http://dx.doi.org/10.13109/prkk.2012.61.8.623 SN - 0032-7034 VL - 61 SP - 623 EP - 640 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, 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 - 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 -