Christiansen Hanna, Paul Jean
Philipps-Universität Marburg Fachbereich Psychologie Gutenbergstr. 18 35032 Marburg Deutschland Psychologie - Philipps-Universität Marburg.
Medizinische Universität Innsbruck Österreich Medizinische Universität Innsbruck.
Prax Kinderpsychol Kinderpsychiatr. 2020 Sep;69(5):443-462. doi: 10.13109/prkk.2020.69.5.443.
Children of parents with a mental illness (COPMI) are at an increased risk to develop (severe) mental disorders (SMI) themselves. Estimates for Germany result in about 25 % of COPMI. This is thus a large and high risk group. On the other hand, prevention programs for COPMI are still scarce, especially in Germany, and central features of the transgenerational transmission of mental disorders have not been studied in conjunction to shed light on potential transmission mechanisms. The current article presents two current research projects on COPMI focusing on preventive approaches. The BMBF funded project "Children of Parents with a Mental Illness At Risk Evaluation" (COMPARE) targets parents of children aged 1.5 to 16 years of age. Parents need to fulfil a current DSM-5 based diagnosis of a mental disorder and then receive either 25-45 sessions gold standard cognitive behavioural therapy (CBT) or CBT plus 10 sessions Positive Parenting Program (PPP) to test the effects of parental therapy on the children and whether an additional parent training results in incremental effects above and beyond CBT alone. The project "The Village" is a model project in the region Tyrol, Austria, targeting the improved identification and collaborative care of COPMI.
患有精神疾病的父母的子女（COPMI）自身患（严重）精神障碍（SMI）的风险增加。据德国的估计，约25%的COPMI属于此类情况。因此，这是一个庞大的高风险群体。另一方面，针对COPMI的预防项目仍然稀缺，尤其是在德国，而且尚未结合研究精神障碍的代际传播的核心特征，以阐明潜在的传播机制。本文介绍了两个关于COPMI的当前研究项目，重点关注预防方法。由德国联邦教育与研究部（BMBF）资助的项目“患有精神疾病的父母的高危子女评估”（COMPARE）针对1.5至16岁儿童的父母。父母需要符合基于当前《精神疾病诊断与统计手册》第5版（DSM - 5）的精神障碍诊断，然后接受25 - 45节次的金标准认知行为疗法（CBT），或CBT加10节次的积极育儿计划（PPP），以测试父母治疗对孩子的效果，以及额外的父母培训是否能产生超出单纯CBT的增量效果。“村庄”项目是奥地利蒂罗尔地区的一个示范项目，旨在改善对COPMI的识别和协作护理。
