TY - JOUR A1 - Zohsel, Katrin A1 - Hohm, Erika A1 - Schmidt, Martin H. A1 - Brandeis, Daniel A1 - Banaschewski, Tobias A1 - Laucht, Manfred T1 - Long-Term Consequences of Early Psychosocial Risks T1 - Langfristige Folgen früher psychosozialer Risiken BT - Mediating Role of the Child Behavior Checklist-Dysregulation Profile BT - Child Behavior Checklist-Dysregulationsprofil als vermittelnder Faktor JF - Kindheit und Entwicklung N2 - In einer prospektiven Längsschnittstudie wurden Auswirkungen früher psychosozialer Risiken bis ins junge Erwachsenenalter untersucht und dabei die Rolle von affektiver und behavioraler Dysregulation im Kindesalter als vermittelndem Faktor überprüft. Drei Monate nach der Geburt wurde das Vorliegen von 11 psychosozialen Belastungsfaktoren erfasst. Im Alter von 8 – 15 Jahren wurde dreimal das Child Behavior Checklist-Dysregulationsprofil (CBCL-DP) erhoben. Mit 25 Jahren wurde ein Strukturiertes Klinisches Interview durchgeführt und 309 der Teilnehmer füllten den Young Adult Self-Report aus. Frühe psychosoziale Risiken gingen mit einem erhöhten Risiko für das Vorliegen eines Substanzmissbrauchs im jungen Erwachsenenalter sowie mit erhöhtem externalisierendem und internalisierendem Problemverhalten einher. Der Zusammenhang zwischen frühen psychosozialen Risiken und späterem externalisierendem bzw. internalisierendem Problemverhalten wurde durch das CBCL-DP vermittelt. N2 - Numerous studies suggested an association between childhood adversities and later increased risk for mental illness. However, most studies have used adults’ retrospective self-reports for assessing adverse childhood experiences. Mechanisms underlying the association between childhood adversities and later psychopathology are not yet well understood. In the Mannheim Study of Children at Risk, we prospectively examined the impact of early psychosocial risks on psychopathology in early adulthood. In addition, we tested the mediating role of childhood affective and behavioral dysregulation. In a total of 384 infants from the Rhine-Neckar region of Germany born between 1986 and 1988, the presence of 11 adverse family factors was assessed by use of a standardized parent interview conducted when the child was 3 months old. At the child’s age of 8, 11, and 15 years, parents completed the Child Behavior Checklist (CBCL). The CBCL-Dysregulation Profile (CBCL-DP) was formed by summing up the scores of the syndrome scales of aggressive, inattentive, and anxious/depressed behavior. At the age of 25 years, the Structured Clinical Interview for DSM-IV (SCID) was conducted with n = 307 participants to obtain psychiatric diagnoses for the period of young adulthood. In addition, 309 participants filled out the Young Adult Self-Report (YASR) to assess current externalizing and internalizing problem behavior. With respect to psychiatric diagnoses during young adulthood, early psychosocial risks were associated with a significantly increased probability for suffering from substance abuse/dependence. By contrast, risk was not significantly increased for anxiety, depressive, and personality disorders. In addition, early psychosocial risks significantly predicted externalizing and internalizing behavior problems as measured by the YASR. The CBCL-DP was found to mediate this association. To conclude, our results confirm an association between childhood adversities and psychopathology in adulthood. Hence, findings from retrospective studies can also be replicated by the use of prospective study designs. Affective and behavioral dysregulation as measured by the CBCL-DP seems to be a mediating bridge between early psychosocial risks and long-term adverse consequences. The CBCL-DP may be used to identify children at an enhanced risk for developing chronic mental problems. KW - early adversity KW - longitudinal study KW - Mannheim Study of Children at Risk KW - Child Behavior Checklist-Dysregulation Profile Y1 - 2017 U6 - https://doi.org/10.1026/0942-5403/a000233 SN - 0942-5403 SN - 2190-6246 VL - 26 IS - 4 SP - 203 EP - 209 PB - Hogrefe CY - Göttingen ER - TY - GEN A1 - Hohm, Erika A1 - Zohsel, Katrin A1 - Schmidt, Martin H. A1 - Esser, Günter A1 - Brandeis, Daniel A1 - Banaschewski, Tobias A1 - Laucht, Manfred T1 - Beeinträchtigter Start ins Leben BT - Langfristige Auswirkungen der postpartalen Depression und der Einfluss des mütterlichen Interaktionsverhaltens T2 - Postprints der Universität Potsdam : Humanwissenschaftliche Reihe N2 - Postpartale Depressionen sind häufige und schwerwiegende psychische Erkrankungen mit ungünstigem Einfluss auf die kindliche Entwicklung. Als Haupttransmissionsweg gilt die frühe Mutter-Kind-Interaktion. Über die langfristigen Auswirkungen auf die Kinder im Erwachsenenalter und die Rolle der Interaktion liegen kaum Ergebnisse vor. Im Rahmen der Mannheimer Risikokinderstudie wurden postpartale Depressionen bis zwei Jahre nach der Geburt erfasst. Die kindliche Entwicklung wurde fortlaufend und die Mutter-Kind-Interaktion im Alter von 3 Monaten standardisiert erhoben. 28 Kinder postpartal depressiver und 107 Kinder gesunder Mütter konnten mit 25 Jahren untersucht werden. Beeinträchtigungen der kognitiven und psychischen Entwicklung bei Kindern postpartal depressiver Mütter waren bis ins Erwachsenenalter nachweisbar. Responsives bzw. sensitives mütterliches Verhalten wirkte der negativen Entwicklung entgegen. Dies betont die Bedeutung einer hohen Qualität der Mutter-Kind-Interaktion für die Entwicklung von Risikokindern. N2 - Postpartum depression (PPD) is a common and serious mental health problem with prevalence rates ranging from 13 % to 19 %, and is associated with an increased risk of adverse child development. PPD is characterized by symptoms common of depression, particularly by impairments of maternity, parenting, and mother–infant interactions. Several reviews suggest an impact on attachment, cognitive, behavioral, and health-related outcome in the offspring. However, the long-term effects of PPD regarding cognitive and mental development into adulthood and the underlying mechanisms, especially the role of maternal interactional behavior, are not yet well understood. In the Mannheim Study of Children at Risk, maternal depression was assessed when the child was 3 months and 2 years old. Development from infancy to young adulthood (25 years) was assessed at regular intervals in 28 children of postnatally depressed mothers and 107 children born to mentally healthy mothers. Cognitive outcome up to age 11 was measured using standardized instruments; in adulthood, school outcome was used approximately. Psychiatric diagnosis as well as symptom scores served as psychological outcome. At age 3 months, mothers and infants were videotaped during a nursing and a playing situation. Videotapes of the 10-min session were recorded and evaluated by trained raters (κ > .83) using the Category System for Microanalysis of Early Mother Child Interaction (Esser, Scheven, et al., 1989). The cognitive as well as social–emotional outcome of children of mothers suffering from PPD was significantly poorer than in the children of mentally healthy mothers. The adverse effects were more pronounced during childhood. The offspring of postnatally depressed mothers who interacted in a responsive manner with their infant exhibited a better prognosis in contrast to those with mothers interacting less sensitively. This effect was observed with regard to cognitive development and symptoms of externalizing behavior at age 19 years. Regarding internalizing behavior, no impact of maternal behavior was detected. These findings emphasize the importance of high-quality early mother–child interaction in the development of children at risk. Furthermore, convincing arguments are given for very early specialized treatment of impaired mother–child interactions in mothers suffering from PPD. The PPD treatment should always comprise treatment of depression as well as treatment of the disturbed mother–child interaction. T3 - Zweitveröffentlichungen der Universität Potsdam : Humanwissenschaftliche Reihe - 692 KW - Postpartale Depression KW - Entwicklung KW - Längsschnittstudie KW - Mannheimer Risikokinderstudie KW - Mutter-Kind-Interaktion KW - postpartum depression KW - development KW - longitudinal study KW - Mannheim Study of Children at Risk KW - mother–child interaction Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus4-433406 SN - 1866-8364 IS - 692 ER -