Die psychische Gesundheit von Kindern in frühpädagogischen Einrichtungen unterstützen. Zentrale Diskurse, empirische Erkenntnisse und Handlungskonsequenzen. Eine Expertise der Weiterbildungsinitiative Frühpädagogische Fachkräfte (WiFF)

Mit dem Ausbau der Frühen Bildung geriet auch die psychische Gesundheit der betreuten Kinder in den Blick und das Thema fand Eingang in die Bildungspläne der Länder. In der Expertise arbeiten die Autorinnen und Autoren anhand etablierter Qualitätskonzepte für die Kindertagesbetreuung heraus, wie in der Praxis die psychische Gesundheit systematisch und umfassend gefördert werden kann. Zudem benennen sie strategische Ansatzpunkte, die eine Veränderung im Umgang mit den Kindern bewirken oder strukturelle Rahmenbedingungen positiv beeinflussen können. Unterfüttert mit konkreten Beispielen und Praxisempfehlungen, leistet die Expertise einen Beitrag zur Qualitätsentwicklung von Kindertageseinrichtungen. (Verlag

SARS-CoV-2 pandemic as a catalyst? Development of emotional problems of preschool children of mothers with childhood maltreatment experiences in the course of the pandemic–a longitudinal analysis

BackgroundSARS-CoV-2 pandemic have posed great challenges for all families and children. Health risks and fears associated with SARS-CoV-2 negatively affect the parental mental health and perceived stress, which in turn influence parental coping and thereby impairs the mental health and well-being of their children. Additional risk factors within the parents, such as maternal childhood maltreatment (CM) experiences, may increase the risk of children to develop emotional problems during the pandemic.ObjectiveThe purpose of this longitudinal study is to determine whether preschool children of mothers with CM are at higher risk of developing emotional problems during the pandemic than preschool children of mothers without CM.Method74 mothers from a birth cohort examining pathways to resilience or vulnerability in the transgenerational transmission of CM, provided information on emotional problems of their children (aged 3–7 years) at two measurement time points (t1: May 2020, t2: March 2021) as part of an online “SARS-CoV-2 pandemic” survey. In addition, parents were asked for a retrospective assessment of their children's emotional problems before the pandemic at time t1. Children's emotional problems were assessed using the “emotional problems” scale of the German version of the Strengths and Difficulties Questionnaire (SDQ) and linked to previously collected data on mothers' childhood maltreatment experiences, which were collected using the German short version of the Trauma in Childhood Questionnaire (CTQ).ResultsOur analyses showed that children's emotional problems increased significantly over the SARS-CoV-2 pandemic [F(1.86, 116.88) = 3.72, p = 0.030 η2 = 0.06] and were rated significantly higher in the group of children of mothers with CM, than in the group of mothers without CM [F(1, 63) = 126.06, p < 0.001 η2 = 0.67]. Furthermore children's emotional problems of mothers with CM increased significantly more and reached a clinically significant value during the pandemic than for children of mothers without CM [F(1.86, 116.88) = 8.89, p < 0.001, η2 = 0.12].ConclusionsChildren of mothers with CM appear to be at increased risk of developing emotional problems during the pandemic. CM therefore needs to be considered as an additional risk factor in the impact of the pandemic on children

Atypical maternal interaction is associated with elevated levels of hair cortisol in children

The quality of maternal caregiving is an important factor in the healthy development of a child. One consequence of prolonged insensitive and atypical maternal interaction behavior (e.g., withdrawing from interactions with the child and role-reversal, i.e., the takeover of the parental role or parts of it by the child) in mother-child-dyads can cause alteration of the child's stress response system. Higher salivary cortisol concentrations were reported in infants and toddlers directly after negative interactions with their parents. However, no study to date has examined the association between atypical maternal interaction behavior and hair cortisol concentrations (HCC) in infants. Here, we studied the association of maternal interaction behavior with HCC of the child. Mother-child dyads (N = 112) participated in the longitudinal study My Childhood—Your Childhood. The AMBIANCE scale and its subscales were used to assess atypical maternal interaction behavior during the Strange Situation Procedure. Chronic stress levels in the child were assessed by HCC of 3 cm hair strands at the age of 12 months. Maternal educational level (operationalized in highest education level) served as a control variable. Robust multiple linear regression analyses revealed that role/boundary confusion was associated with HCC, i.e., the higher atypical interaction behavior of the mother the higher the HCC in the children. By measuring hair cortisol in this study, it is possible to determine the average long-term activity of the child's stress response system.Thus, atypical maternal interaction behavior could be a risk factor for persistent stress in children, contributing to a higher risk for negative health outcomes in later life. The results of this study highlight the importance of early intervention programs that focus on the relationship between mother and child

The DNA methylation landscape of the human oxytocin receptor gene (OXTR): data-driven clusters and their relation to gene expression and childhood adversity.

The oxytocin receptor gene (OXTR) is of interest when investigating the effects of early adversity on DNA methylation. However, there is heterogeneity regarding the selection of the most promising CpG sites to target for analyses. The goal of this study was to determine functionally relevant clusters of CpG sites within the OXTR CpG island in 113 mother-infant dyads, with 58 of the mothers reporting childhood maltreatment (CM). OXTR DNA methylation was analyzed in peripheral/umbilical blood mononuclear cells. Different complexity reduction approaches were used to reduce the 188 CpG sites into clusters of co-methylated sites. Furthermore, associations between OXTR DNA methylation (cluster- and site-specific level) and OXTR gene expression and CM were investigated in mothers. Results showed that, first, CpG sections differed strongly regarding their statistical utility for research of individual differences in DNA methylation. Second, cluster analyses and Partial Least Squares (PLS) suggested two clusters consisting of intron1/exon2 and the protein-coding region of exon3, respectively, as most strongly associated with outcome measures. Third, cross-validated PLS regression explained 7% of variance in CM, with low cross-validated variance explained for the prediction of gene expression. Fourth, substantial mother-child correspondence was observed in correlation patterns within the identified clusters, but only modest correspondence outside these clusters. This study makes an important contribution to the mapping of the DNA methylation landscape of the OXTR CpG island by highlighting clusters of CpG sites that show desirable statistical properties and predictive value. We provide a Companion Web Application to facilitate the choice of CpG sites

Mothers’ daily perceived stress influences their children’s mental health during SARS-CoV-2-pandemic—an online survey

Abstract Background The current situation caused by the SARS-CoV-2-pandemic is associated with serious losses for everyone and has been affecting social life, politics, the economy and the media worldwide. Preventive isolation and social distancing strategies have confronted families with a large number of different challenges. The current epidemic and quarantine restrictions have a verifiable influence on the emotional and social development of children and adolescents. During this ongoing situation children of parents, who already were mentally stressed, seem particularly at risk. Objective We aimed to assess the role of maternal daily perceived stress on children’s mental health during the SARS-CoV-2-pandemic. Methods An online “SARS-CoV-2-pandemic survey” was developed to assess children’s mental health since the beginning of the SARS-CoV-2 pandemic. To describe maternal perceived everyday stress, data from a longitudinal survey was utilized. Our survey includes elements and versions of the Childhood Trauma Questionnaire, the Strengths and Difficulties Questionnaire and the Perceived Stress Scale. We furthermore collected socio-demographic data. Due to our limited dependent variables we applied Tobit models for estimation. Results We found a positive and significant effect of the maternal perceived everyday stress on children’s emotional problems during the pandemic. Furthermore, results provide empirical evidence for an increase of the children's hyperactivity level dependent on the mother’s perceived stress before the SARS-COV-2 crisis. We could not find significant effects for the relationship between mother’s perceived everyday stress and the children's behavioral problems. Conclusions Analyses illustrate the effects on children's mental distress during everyday life in the SARS-CoV-2 pandemic. Future research needs to identify influencing factors with regard to political, economic and social restrictions, in order to prevent children’s mental health problems

The negative association of the SARS-CoV-2 pandemic with the health of mother and child considering maternal childhood maltreatment

Abstract Background Social distancing strategies during the SARS-CoV-2 pandemic have left families facing a variety of different constraints. Especially in this stressful time, children need a stable parental home to prevent developmental consequences. Additional risk factors such as maternal childhood maltreatment (CM) may affect mother’s psychosomatic health and children’s physical well-being in this period. Objective It was aimed to analyze the associations between maternal CM, mother’s mental health, and children’s physical complaints during the SARS-CoV-2-pandemic. Method Mothers of a well-documented birth cohort from a longitudinal study were included in this study. Psychosomatic health was assessed with the PHQ-D and children’s physical health with the GBB-KJ during the pandemic. N = 159 mothers completed the online survey. To describe the maternal CM, data from a longitudinal survey were used. Results The calculation of three mediation analyses demonstrate that maternal depression symptoms (c-path: β = 0.10, p = .02; c’-path: β = 0.07, p = .13), somatic symptoms (c-path: β = 0.10, p = .02; c’-path: β = 0.07, p = .13) and psychosomatic symptoms (c-path: β = 0.10, p = .02; c’-path: β = 0.06, p = .19) fully mediate the relationship between CM and children’s physical health complaints. Conclusions Maternal CM experiences seem to be one relevant risk factor during the pandemic and seem to influence the way in which parents deal with stressful situations and increase the risk for depressive symptoms. The present results highlight the importance to provide individually adjusted assistance to help the families to get through the pandemic

Prävention sexueller Gewalt in Institutionen im Rahmen von Fortbildungen. Wie sehen Mitarbeiter/-innen in Heimen und Internaten den Bedarf und die Herausforderungen im Umgang mit dem Thema "sexueller Missbrauch"?

Im Fokus des Aufsatzes stehen die Deskription und Analyse struktureller und einstellungsbezogener Bedingungen sexueller Gewalt in Internaten und stationären Einrichtungen der Kinder- und Jugendhilfe aus Sicht der dortigen Mitarbeiter/ innen. Im Rahmen eines qualitativ methodischen Vorgehens wurden u.a. Inhalte und Angebotsmerkmale von Fortbildungsmodulen zur Prävention innerinstitutionellen Kindermissbrauchs entwickelt. Diese Module wurden anschließend durchgeführt und evaluiert. Von großer Bedeutung bei der Prävention erwies sich der Führungsstil der jeweiligen Leitungen der pädagogischen Institutionen. Die ausgewählten Ergebnisse des Verbundprojekts werden im Rahmen wichtiger bildungs- und sozialpolitischer Bedingungen dargestellt. (DIPF/Orig.)The purpose of this report is to describe and analyse the structural and attitudinal factors of sexual abuse happening in boarding schools and residential care homes especially from the perspective of professionals who work in these educational settings. Following a qualitative approach, content and didactical aspects of modules for continuing education have been developed in order to prevent child sexual abuse in these institutions. These modules were tested and evaluated. Styles of leadership in these institutions play an important role within the strategies of prevention. Selected results from the project are discussed within the context of a framework of educational and social policy. (DIPF/Orig.

The DNA methylation landscape of the human oxytocin receptor gene (OXTR): data-driven clusters and their relation to gene expression and childhood adversity

Abstract The oxytocin receptor gene (OXTR) is of interest when investigating the effects of early adversity on DNA methylation. However, there is heterogeneity regarding the selection of the most promising CpG sites to target for analyses. The goal of this study was to determine functionally relevant clusters of CpG sites within the OXTR CpG island in 113 mother-infant dyads, with 58 of the mothers reporting childhood maltreatment (CM). OXTR DNA methylation was analyzed in peripheral/umbilical blood mononuclear cells. Different complexity reduction approaches were used to reduce the 188 CpG sites into clusters of co-methylated sites. Furthermore, associations between OXTR DNA methylation (cluster- and site-specific level) and OXTR gene expression and CM were investigated in mothers. Results showed that, first, CpG sections differed strongly regarding their statistical utility for research of individual differences in DNA methylation. Second, cluster analyses and Partial Least Squares (PLS) suggested two clusters consisting of intron1/exon2 and the protein-coding region of exon3, respectively, as most strongly associated with outcome measures. Third, cross-validated PLS regression explained 7% of variance in CM, with low cross-validated variance explained for the prediction of gene expression. Fourth, substantial mother-child correspondence was observed in correlation patterns within the identified clusters, but only modest correspondence outside these clusters. This study makes an important contribution to the mapping of the DNA methylation landscape of the OXTR CpG island by highlighting clusters of CpG sites that show desirable statistical properties and predictive value. We provide a Companion Web Application to facilitate the choice of CpG sites