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Published on: December 2, 2015
Clinical Trial Data: Both Parents Having Psychiatric Symptoms as Risk Factor for Children's Mental Illness
Hannah Suess1, Silke Wiegand-Grefe1, Bonnie Adema1
1Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.
Insights
Parental mental illness increases children's risk for psychiatric symptoms. Children with two affected parents face greater risks, highlighting the need for enhanced family support and psychotherapeutic care.
Area of Science:
- Child and adolescent psychiatry
- Developmental psychology
- Clinical psychology
Background:
- Children of mentally ill parents are a vulnerable group for developing psychiatric disorders.
- Parental mental health significantly impacts child development and well-being.
- Understanding risk factors is crucial for early intervention and support.
Purpose of the Study:
- To investigate the predictive association between parental psychiatric diagnoses (ICD-10) and children's psychiatric symptomatology.
- To examine the impact of having one versus two parents with psychiatric symptoms on children's mental health.
- To analyze the role of parental psychiatric symptom severity in predicting child psychopathology.
Main Methods:
- Utilized data from the multicenter controlled trial project 'Children of Mentally Ill Parents' (CHIMPS).
- Assessed psychiatric symptomatology in parents (N=196) and their children (N=290) aged 4-18 years.
- Employed clinical ICD-10 diagnoses, Brief Symptom Inventory (BSI), and Child Behavior Checklist (CBCL) for symptom measurement.
Main Results:
- Higher parental psychiatric symptom severity (BSI) significantly predicted increased children's psychiatric symptomatology (CBCL).
- Children with two parents exhibiting psychiatric symptoms were significantly more affected than those with one mentally ill parent.
- No significant difference in impact was found for children of parents with personality disorders versus other ICD-10 diagnoses.
Conclusions:
- Parental mental illness is a confirmed risk factor for psychiatric symptoms in children.
- Families with two parents experiencing psychiatric symptoms require increased support and targeted psychotherapeutic interventions.
- Early and comprehensive family care is essential for mitigating risks in high-risk families.
Abstract:
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.
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