Psychosoziale Auffälligkeiten bei Kindern von Hämodialysepatienten

TY - JOUR

T1 - Psychosoziale Auffälligkeiten bei Kindern von Hämodialysepatienten

AU - Thomalla, Götz

AU - Barkmann, Claus

AU - Romer, Georg

PY - 2005

Y1 - 2005

N2 - Serious somatic illness in a parent represents a risk factor for psychosocial abnormalities in children. In a cross sectional study 24 families with a parent undergoing hemodialysis and at least one child living at home were examined. Patients, their spouses, children up from age 11 as well as the nephrologists in charge of the dialysis treatment were interrogated. In the parental perspective of a symptom checklist (CBCL), the children on average did not have higher scores for psychosocial abnormalities than a normative sample. In the self-reporting perspective (YSR), however, the adolescents averaged clinically abnormal scores. The discrepancy between the parental and the children's self-reporting scores were significant, which indicates an underestimation of children's psychological stress by both parents. Case analysis revealed a concentration of abnormalities within a quarter of the sample. This smaller subgroup showed clinically relevant scores in psychosocial abnormalities in the parental perspective, too. Younger children and children with additional life stressors had higher scores in psychosocial abnormalities. Futhermore, children's problems were correlated with depressive symptoms in one or both parents, which indicates an increased risk for children's psychological maladaptation in cases of depressive maladjustment to the illness in the ill parent or his spouse. It is concluded that children at special risk should be identified as early as possible. When problems are detected, counselling support should be offered to affected families.

AB - Serious somatic illness in a parent represents a risk factor for psychosocial abnormalities in children. In a cross sectional study 24 families with a parent undergoing hemodialysis and at least one child living at home were examined. Patients, their spouses, children up from age 11 as well as the nephrologists in charge of the dialysis treatment were interrogated. In the parental perspective of a symptom checklist (CBCL), the children on average did not have higher scores for psychosocial abnormalities than a normative sample. In the self-reporting perspective (YSR), however, the adolescents averaged clinically abnormal scores. The discrepancy between the parental and the children's self-reporting scores were significant, which indicates an underestimation of children's psychological stress by both parents. Case analysis revealed a concentration of abnormalities within a quarter of the sample. This smaller subgroup showed clinically relevant scores in psychosocial abnormalities in the parental perspective, too. Younger children and children with additional life stressors had higher scores in psychosocial abnormalities. Futhermore, children's problems were correlated with depressive symptoms in one or both parents, which indicates an increased risk for children's psychological maladaptation in cases of depressive maladjustment to the illness in the ill parent or his spouse. It is concluded that children at special risk should be identified as early as possible. When problems are detected, counselling support should be offered to affected families.

KW - Adaptation, Psychological

KW - Adolescent

KW - Adult

KW - Age Factors

KW - Child

KW - Child Reactive Disorders

KW - Child of Impaired Parents

KW - Child, Preschool

KW - Comprehension

KW - Concept Formation

KW - Depression

KW - Female

KW - Germany

KW - Humans

KW - Kidney Failure, Chronic

KW - Life Change Events

KW - Male

KW - Parents

KW - Personality Inventory

KW - Psychometrics

KW - Renal Dialysis

KW - Risk Factors

KW - Social Adjustment

M3 - SCORING: Zeitschriftenaufsatz

C2 - 16032949

VL - 54

SP - 399

EP - 416

JO - PRAX KINDERPSYCHOL K

JF - PRAX KINDERPSYCHOL K

SN - 0032-7034

IS - 5

ER -