Psychiatrisch-psychotherapeutische Behandlung von Müttern mit Kindern im Vorschulalter: Zusammenhänge zwischen Funktions- und Beziehungsaspekten
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Philipps-Universität Marburg
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Abstract
The study conducted here aimed to establish correlations between relationship
parameters and functional aspects of the patient and the child in mentally ill
female patients with a child aged 2 to 6 years and to investigate the effectiveness
of mother-child therapy by looking at functional levels. For this purpose, various
questionnaires of 91 mother-child dyades were examined between 2015 and 2020
at the Psychiatric Center North Baden in Wiesloch and a telephone follow-up sur-
vey was conducted with 20 patients. A further focus was placed on the connection
of the factors resilience, self-management and satisfaction with living conditions.
In the main studies, linear regression was used to show that a high level of
functioning in the mother-child relationship at admission and low infant
symptomatology at admission were predictors of high treatment success. A strong
treatment outcome, a high psychological, social, and occupational functioning
level of the patient at admission, and a strong improvement in this functioning
level predicted a high functioning level of the patient at discharge. With the help
of correlations, a relationship was established between a high level of functioning
in the mother-child relationship and low child problem behavior, functional
parenting parameters, and strong maternal care.
The ancillary studies were able to support the effectiveness of mother-child
therapy. Using regression analyses, it was possible to show that high resilience is
a predictor of both good patient self-management and high satisfaction with living
conditions. Furthermore, correlations of resilience with both self-management and
satisfaction with living conditions could be found. Also, an increase in the
patients' psychological, social and occupational level of functioning could be
shown in the course of therapy. Based on the evaluation of satisfaction scales in
the catamnesis, first indications for a long-term effectiveness of the therapy could
be recorded. A high functional level of the patients at discharge was also shown to
be a predictor for a high satisfaction score at catamnesis.
The recorded results of the main and secondary investigations can be well
classified in the research results of comparable studies. Nevertheless, these studies
mostly concern the patient group of mothers with children in infancy, whereas the
90
patient group of mothers with children aged 2 to 6 years investigated here is
largely unexplored. Thus, for this patient group, correlations between relationship
parameters and aspects of functioning could be established and the efficacy of
mother-child therapy could be demonstrated, providing a good basis for further
research on mothers with preschool-aged children.
In general, it is clear that there is both a need for mother-child therapy for patients
with children 2 to 6 years of age and a need for research on this patient group.
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Created: 2024Issued: 2024-08-20Updated: 2024-08-20
Faculty
Medizin
Publisher
Philipps-Universität Marburg
Language
ger
Data types
DoctoralThesis
DDC-Numbers
610
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Berkemeier, Philipp Jakob: Psychiatrisch-psychotherapeutische Behandlung von Müttern mit Kindern im Vorschulalter: Zusammenhänge zwischen Funktions- und Beziehungsaspekten. : Philipps-Universität Marburg 2024-08-20. DOI: https://doi.org/10.17192/z2024.0291.