Occurrence and determinants of parental psychosocial stress and mental health disorders in parents and their children in early childhood: rationale, objectives, and design of the population-based SKKIPPI cohort study

Abstract Purpose The postnatal period is a vulnerable time for parents and children but epidemiological and health care utilisation data for Germany on parental mental health during early childhood is scarce. This protocol describes the rationale, aim and study design of a population-based cohort study to assess the occurrence and determinants of psychosocial stress and mental health disorders, as well as the use and cost of health care and social services in early childhood. Methods As part of the collaborative SKKIPPI project, we will contact a random sample of 30,000 infants listed in the residents’ registration offices of three German towns and we expect to include 6,000 mother–child pairs. Both parents are invited to fill out an online screening questionnaire. Mothers with indications of psychosocial stress will be interviewed to assess mental health disorders, regulatory problems of their children, as well as health care and social services utilisation, with a follow-up assessment after 6 months. Results After description of sociodemographic and health data, we will analyse occurrences, patterns, and potential determinants (maternal age, social status, household factors, migration status etc.) of psychosocial stress and mental health disorders in the mothers and their children in early childhood. Conclusions Our study will identify potential risk and protective factors for postnatal mental health and health care utilization of psychosocially burdened families. This will help to improve prevention and treatment strategies to strengthen the parent–child relationship, to reduce persisting vulnerability of children, and to improve health care and social services. Trial registration The study has been registered in the German Clinical Trial Registry on February 8th 2019 (DRKS-ID: DRKS00016653).

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Development of Mental Health Disorders in Endometrial Cancer Survivors and the Impact on Overall Survival – A Population-Based Cohort Study

International Journal of Radiation Oncology*Biology*Physics ◽

10.1016/j.ijrobp.2018.07.1755 ◽

2018 ◽

Vol 102 (3) ◽

pp. e645

Author(s):

L.M. Burt ◽

Y. Chen ◽

V. Deshmukh ◽

M. Newmann ◽

K.G. Rowe ◽

...

Keyword(s):

Mental Health ◽

Overall Survival ◽

Endometrial Cancer ◽

Cohort Study ◽

Cancer Survivors ◽

Mental Health Disorders ◽

Population Based ◽

Health Disorders ◽

The Impact

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Analysis of severity and variability of psychopathology disturbances in structure mental health disorders in long-distance sailors depending on their levels of psychosocial stress

Медицина сьогодні і завтра ◽

10.35339/msz.2019.85.04.10 ◽

2019 ◽

Vol 85 (4) ◽

pp. 69-78

Author(s):

K.A. Kosenko

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Psychosocial Stress ◽

Mental Health Disorders ◽

Long Distance ◽

Psychopathological Symptoms ◽

Symptoms Of Depression ◽

Health Disorders ◽

Stress Burden

Using clinical-psychopathological and psychodiagnostic methods, we studied the severity and variability of psychopathological symptoms in the structure of mental health disorders in seafarers, depending on the level of psychosocial stress they experienced, to determine the targets of personalized mental health care measures for this contingent. During 2016–2019, 110 officers of the command staff of the Maritime Merchant Navy (CMN), 90 sailors of the Maritime Merchant Navy (SMN), 70 representatives of the command staff of the Maritime Passenger Fleet (CPF) and 30 privates of the Maritime Passenger Fleet (SPF) were surveyed. All were examined by men, citizens of Ukraine. The study included the use of clinical-psychopathological and psychodiagnostic methods. In the inter-voyage period, the vast majority of long-distance sailors are either mentally healthy (30.9 % CMN, 41.1 % SMN, 42.9 % CPF, 33.3 % SPF), or have some signs of mental maladaptation (52.7 % CMN, 37.7 % SMN, 44.3 % CPF, 40.0 % SPF). Clinically delineated disorders of the neurotic register of the F43 cluster (adaptation disorders) are characterized by 26.7 % SPF, 21.1 % SMN, 16.4 % CMN and 12.8 % CPF. The severity and variability of psychopathological manifestations, in general in the sample, correspond to the neurotic level of response, however, have differences among the examined different groups. The greatest severity of symptoms of depression on the background of high levels of anxiety, hostility and psychosis is inherent in SPF, and the greatest severity of anxiety, phobic anxiety, hostility and somatization is inherent in CMN. The lowest severity of psychopathological symptoms is characteristic of CPF. The severity and variability of psychopathological manifestations is directly associated with the level of stress experienced by the subjects: with increasing stress burden, the severity of the psychopathological response increases. The identified patterns should be taken into account in the development of specific measures of psychotherapy and psychoprophylaxis for this contingent, which is the prospect of this study.

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