Suess Hannah, Wiegand-Grefe Silke, Adema Bonnie, Daubmann Anne, Kilian Reinhold, Zapf Antonia, Winter Sibylle M, Lambert Martin, Wegscheider Karl, Busmann Mareike
Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.
Department of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.
Children (Basel). 2022 Nov 5;9(11):1697. doi: 10.3390/children9111697.
Children of mentally ill parents represent a particularly vulnerable risk group for the development of mental illness. This study examines whether there is a predictive association between children's psychiatric symptomatology and (1) the clinical diagnosis according to the International Statistical Classification of Diseases and Related Health Problems (ICD-10) of their mentally ill parent as well as (2) to families both parents showing psychiatric symptoms. The study is part of the multicenter controlled trial project "Children of Mentally Ill Parents" (CHIMPS). For this purpose, the psychiatric symptomatology of the mentally ill parent (N = 196) and his or her partner (N = 134) as well as the psychiatric symptomatology of their children aged 4 to 18 years (N = 290) was measured using clinical rated ICD-10-diagnosis, self-rated Brief Symptom Inventory (BSI), and Child Behavior Checklist (CBCL). Using multilevel analyses, the severity of the parental psychiatric symptomatology (BSI) was identified as a significant predictor of children's psychiatric symptomatology (CBCL). Children of parents with a personality disorder (ICD-10) were not more affected than children of parents with another ICD-10-diagnosis. However, children with two parents showing psychiatric symptoms (CBCL) were significantly more affected than children with one mentally ill parent. The results of this study support the well-known view that parental mental illness is a risk factor for children's psychiatric symptoms. Therefore, increased support, especially in high-risk families, both parents having psychiatric symptoms, is highly necessary and should be implemented in the future psychotherapeutic family care.
患有精神疾病的父母的子女是精神疾病发展的一个特别脆弱的风险群体。本研究探讨儿童的精神症状与以下两方面之间是否存在预测关联：（1）根据《国际疾病和相关健康问题统计分类》（ICD - 10）对其患有精神疾病的父母进行的临床诊断；以及（2）父母双方均表现出精神症状的家庭情况。该研究是多中心对照试验项目“患有精神疾病的父母的子女”（CHIMPS）的一部分。为此，使用临床评定的ICD - 10诊断、自评简明症状量表（BSI）和儿童行为检查表（CBCL），对患有精神疾病的父母（N = 196）及其伴侣（N = 134）的精神症状以及他们4至18岁子女（N = 290）的精神症状进行了测量。通过多层次分析，确定父母精神症状的严重程度（BSI）是儿童精神症状（CBCL）的一个重要预测因素。患有个性障碍（ICD - 10）的父母的子女并不比患有其他ICD - 10诊断的父母的子女受到更多影响。然而，父母双方均表现出精神症状（CBCL）的儿童比有一方患有精神疾病的父母的子女受到的影响明显更大。本研究结果支持了一个众所周知的观点，即父母的精神疾病是儿童精神症状的一个风险因素。因此，增加支持，特别是在父母双方均患有精神疾病的高风险家庭中，是非常必要的，并且应该在未来的心理治疗家庭护理中实施。
