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Parents with mental health problems and their children in a German population based sample: Results of the BELLA study

Author

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  • Angela Plass-Christl
  • Anne-Catherine Haller
  • Christiane Otto
  • Claus Barkmann
  • Silke Wiegand-Grefe
  • Heike Hölling
  • Michael Schulte-Markwort
  • Ulrike Ravens-Sieberer
  • Fionna Klasen

Abstract

Background: Mental health problems (MHP) of parents are associated with an increased risk of psychological and developmental difficulties in their children. This study aims at analyzing population-based data of parents with MHP and their children and the effects of associated risk factors in order to further targeted preventive and therapeutic interventions. Methods: The BELLA study is the mental health module of the German National Health Interview and Examination Survey among Children and Adolescents. MHP in parents and in their children as well as associated risk factors were examined in a sample of N = 1158 parents with children aged 11 to 17 years. Results: Parental MHP were identified in 18.6% of the sample. Risk factors associated with parental MHP were low SES, parental unemployment, stressful life events, parental daily strain, parental chronic disease, and child MHP. A rate of 19.1% of the children of parents with MHP reported MHP themselves, the corresponding rate among children of parents without MHP was 7.7%. In multiple regression analyses the risk for children of parents with MHP to report MHP themselves was almost two times higher than the risk of children of parents without MHP. Other significant associations with child MHP included gender, the parents’ age, and stressful life events. Conclusions: Parental MHP constitute a significant risk for the mental health of their children. Targeted screening methods and preventive interventions are needed.

Suggested Citation

  • Angela Plass-Christl & Anne-Catherine Haller & Christiane Otto & Claus Barkmann & Silke Wiegand-Grefe & Heike Hölling & Michael Schulte-Markwort & Ulrike Ravens-Sieberer & Fionna Klasen, 2017. "Parents with mental health problems and their children in a German population based sample: Results of the BELLA study," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-14, July.
    • Handle: RePEc:plo:pone00:0180410
    DOI: 10.1371/journal.pone.0180410
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    1. Lund, Crick & Breen, Alison & Flisher, Alan J. & Kakuma, Ritsuko & Corrigall, Joanne & Joska, John A. & Swartz, Leslie & Patel, Vikram, 2010. "Poverty and common mental disorders in low and middle income countries: A systematic review," Social Science & Medicine, Elsevier, vol. 71(3), pages 517-528, August.
    2. Viola Angelini & Bart Klijs & Nynke Smidt & Jochen O Mierau, 2016. "Associations between Childhood Parental Mental Health Difficulties and Depressive Symptoms in Late Adulthood: The Influence of Life-Course Socioeconomic, Health and Lifestyle Factors," PLOS ONE, Public Library of Science, vol. 11(12), pages 1-13, December.
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    Cited by:

    1. Alina Radicke & Claus Barkmann & Bonnie Adema & Anne Daubmann & Karl Wegscheider & Silke Wiegand-Grefe, 2021. "Children of Parents with a Mental Illness: Predictors of Health-Related Quality of Life and Determinants of Child–Parent Agreement," IJERPH, MDPI, vol. 18(2), pages 1-16, January.
    2. Fernando Fajardo-Bullón & Irina Rasskin-Gutman & Benito León-del Barco & Eduardo João Ribeiro dos Santos & Damián Iglesias Gallego, 2019. "International and Spanish Findings in Scientific Literature about Minors’ Mental Health: Predictive Factors Using the Strengths and Difficulties Questionnaire," IJERPH, MDPI, vol. 16(9), pages 1-9, May.
    3. Jasmine Ma & Pashupati Mahat & Per Håkan Brøndbo & Bjørn H Handegård & Siv Kvernmo & Anne Cecilie Javo, 2022. "Family correlates of emotional and behavioral problems in Nepali school children," PLOS ONE, Public Library of Science, vol. 17(1), pages 1-17, January.
    4. Christiane Otto & Anne-Catherine Haller & Fionna Klasen & Heike Hölling & Monika Bullinger & Ulrike Ravens-Sieberer & on behalf of the BELLA study group, 2017. "Risk and protective factors of health-related quality of life in children and adolescents: Results of the longitudinal BELLA study," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-17, December.
    5. Aino Salonsalmi & Olli Pietiläinen & Eero Lahelma & Ossi Rahkonen, 2019. "Childhood adversities, parental education and disability retirement among Finnish municipal employees," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-13, July.
    6. Benito León-del-Barco & Fernando Fajardo-Bullón & Santiago Mendo-Lázaro & Irina Rasskin-Gutman & Damián Iglesias-Gallego, 2018. "Impact of the Familiar Environment in 11–14-Year-Old Minors’ Mental Health," IJERPH, MDPI, vol. 15(7), pages 1-13, June.
    7. Meyrose, Ann-Katrin & Klasen, Fionna & Otto, Christiane & Gniewosz, Gabriela & Lampert, Thomas & Ravens-Sieberer, Ulrike, 2018. "Benefits of maternal education for mental health trajectories across childhood and adolescence," Social Science & Medicine, Elsevier, vol. 202(C), pages 170-178.
    8. Mariam M. Elgendi & Sherry H. Stewart & Danika I. DesRoches & Penny Corkum & Raquel Nogueira-Arjona & S. Hélène Deacon, 2022. "Division of Labour and Parental Mental Health and Relationship Well-Being during COVID-19 Pandemic-Mandated Homeschooling," IJERPH, MDPI, vol. 19(24), pages 1-34, December.

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