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Objectives: Prevalence rates and sex differences in depression, anxiety, and eating disorders and associations with recalled childrearing practices. Methods: Cross-sectional study based on self-report scales: Questionnaire of Recalled Parental Rearing Behavior (German version of EMBU), Beck Anxiety Inventory (BAI), Fragebogen zur Depressionsdiagnostik nach DSM-IV (German version of the Inventory to Diagnose Depression), and Eating Attitudes Test (EAT). 707 university entrants with an average age of 20 years were tested. Results: Point prevalence rates of 6.2 % for depression, 5.2 % for anxiety disorders, and 6.9 % for eating disorders. Higher rates in females for all of the three disorders. Significant associations of sociodemographic and biographical factors with the recalled parental rearing behavior and mental disorders was found. After controlling the impact of factors such as sex, parental divorce, or the occurrence of chronic physical disease the recalled parental rearing behavior proved to be a significant variable especially for depression (lack of warmth by the father, rejection/punishment and control/overprotection by the mother), but also for anxiety (control/overprotection by the father and rejection/punishment by the mother) and eating disorders (control/overprotection by the mother)
This paper describes the current findings concerning efficacy from randomized controlled trials of family-based interventions for children and adolescents with anxiety and depressive disorders. To date, parents have only been included in controlled trials of cognitive-behavioral interventions. Efficacy trials for anxiety disorders have only been carried out in 6- to 14-year olds, but have shown that younger children (7 to 10 years old) benefited when the family was involved. By contrast, the existing efficacy trials for depressive disorders have been limited to adolescents (13 to 18 years old), and have shown that family-based interventions are not superior to pure adolescent therapy
Depression
(2012)
Familiäre Determinanten seelischer Gesundheit und Krankheit im Generations- und Ost-West-Vergleich.
(1997)
Fragestellung: Prospektive Bedeutung von Risikofaktoren des Kindes- und Jugendalters für externalisierende und internalisierende Störungen. Methode: Prospektive Längsschnittstudie vom Grundschul- zum frühen Erwachsenenalter. 321 Personen nahmen an allen Untersuchungen im Alter von 8, 13, 18 und 25 Jahren teil. Ergebnisse: Es zeigte sich, daß psychische Störungen in hohem Maße geschlechtsabhängig sind. Besonders groß waren die Unterschiede im frühen Erwachsenenalter, wobei internalisierende Störungen bei Frauen und externalisierende Störungen bei Männern deutlich überwogen. Externalisierende Störungen des Erwachsenenalters ließen sich besser vorhersagen als internalisierende Störungen. Dies ließ sich vor allem durch die größere prädiktive Bedeutung früher Risikofaktoren bis zum Alter von 8 Jahren erklären. Für die Vorhersage internalisierender Störungen war hingegen der Einfluß der Risikofaktoren des späten Jugendalters und des Übergangs zum Erwachsenenalter größer. 10% der untersuchten Stichprobe wies persistente Störungen auf und stellt damit eine Hochrisikogruppe dar. Dieser Verlaufstyp zeichnet sich durch stabil hohe Risikokonstellationen zu allen Untersuchungszeitpunkten aus. Schlüsselwörter: Risikofaktoren, Prävalenz, Geschlechtsunterschiede, Verlaufstypen, externalisierende Störungen, internalisierende Störungen, psychische Störungen, Kindes- und Jugendalter, Erwachsenenalter Childhood and adolescent predictors of mental disorders from childhood to early adulthood. Abstract. Objectives: Prospective impact of child and adolescent risk factors on externalizing and internalizing disorders. Methods: Prospective longitudinal study from childhood to early adulthood. 321 persons participated at age 8, 13, 18 and 25 years. Results: Sex differences in the prevalence rates of mental disorders were found. The highest differences were found in early adulthood. Females showed higher rates of internalizing disorders, whereas males showed higher rates of externalizing disorders. Externalizing disorders in adulthood could be predicted better than internalizing disorders. This result could be explained by the greater predictive power of childhood risk factors for externalizing disorders. Risk factors of adolescence and the transmission period to adulthood played a more prominent role in the prediction of internalizing disorders. 10% of the studied sample showed persistent disorders and was identified as a high-risk sample. This developmental pattern of mental disorders shows stable risk constellations from childhood to adulthood. Key words: risk factors, prevalence, sex differences, developmental patterns, externalizing disorders, internalizing disorders, mental disorders, childhood and adolescence, adulthood