PubMed Health⌕ Search

Biomedical subjects

J M Fegert

Publications and source records attributed to J M Fegert.

31 records · Page 2Linked to original sources
PubMed1997

[Mental disturbances in children and adolescents in Germany. Results of a representative study:age,gender and rater effects].

METHOD: A study on behavioral and emotional problems and competence in children and adolescents in Germany (PAK-KID study) is described. It is the first nationwide representative survey of this kind of children and adolescents aged 4 to 18 years in Germany. For children aged 4 to 10 years the parents completed the German version of Achenbach's Child Behavior Checklist (CBCL 4-18) developed by the Arbeitsgruppe Deutsche Child Behavior Checklist. Children and adolescents aged 11 years and older filled out the German version of the Youth Self-Report that is part of Achenbach's CBCL in addition to the parents completing the German version of the CBCL. A total of 2856 parent questionnaires and 1798 self-report questionnaires completed by children and adolescents were analyzed. RESULTS: The sample was representative with respect to the main sociodemographic variables. On all problem scales children and adolescents aged 11 to 18 years reported significantly more problems than their parents did. The frequency of internalizing problems (social withdrawal, somatic complaints, anxiety/depression) and delinquent behavior of children and adolescents reported by parents increased with the children's age, whereas aggressive behavior and attention problems decreased with age. Girls reported significantly more problems than boys on all internalizing scales of the Youth Self-Report. The effect was not totally replicated in the parent reports. In the parent reports, boys had more attention problems and more aggressive and delinquent behavior than girls.

Adolescent↗
PubMed1996

[Institutional handling of criminal measures in sexual abuse. Results of a survey of experts].

A broad spectrum of very different institutions is confronted with the problem of sexual child abuse. So far, only a few systematic descriptions of institutional interventions and their impact on sexually abused children exist. In this article, first results are presented of a study investigating "individual and institutional reactions on sexual child abuse'. In dealing with this problem legal provisions are of special importance. The results presented are based on data obtained from questionnaires and qualitative interviews with experts (median of vocation experience: 8 years) in two german cities (berlin/cologne). Questionnaires were filled in by 195 experts from the entire institutional spectrum (counselors, clinical centres, youth welfare departments, public prosecutors, courts of justice, police), of whom 40 additionally took part in a detailed interview. This article focuses on the question, how different institutions handle legal provisions. The use of criminal law exemplarily shows the different impact of legal provisions on the interventions of counselors. The close connection between the assessment of legal interventions and counseling concepts could be shown at the example of the allegedly homogeneous group of specific counselors.

Adolescent↗
PubMed1995

[Child psychiatric assessment and the debate regarding the abuse of abuse].

The current discussion on false allegations in sexual abuse cases has led to a polarization in the views expressed about the credibility of children. Some authors even speak of a "child sexual accuse syndrome" or of a "sexual abuse allegation in divorce" (SAID) syndrome. A phenomenological analysis of the multiple reasons for misinterpretations is presented. Instead of stressing the importance only of false positives in child sexual abuse questions, an attempt is made to describe reasons for false negatives. Based on a retrospective analysis of 50 consecutive child psychiatric experts in connection with court cases, there does not appear to be an increase in false accusations. Rather, only about one third of the cases even involved suspected sexual abuse. Sexual abuse allegations were much more frequent in girls than in boys. Of 20 abuse allegations we judge four to be false allegations. In only one of these cases, that of an adolescent girl who had been abused in childhood, was the false allegation intended.

Adolescent↗
PubMed1995

[Theory and practice in rehabilitation of emotionally handicapped young patients].

Since January 1995 the new German Social Aid and Child Care and Protection Legislation (KJHG, Kinder-und Jugendhilfegesetz) is applied in all parts of Germany (Federal Legislation), for children and adolescents with psychiatric disturbances and special support system is created. These children have the right to get different sorts of help for their integration in school, in the peer-group, and in the society. The fact, that a child and adolescent psychiatric diagnosis is necessary to get these different kinds of help, has been criticized. Especially social-workers fear the negative effects of a so-called psychiatric "labeling". More information and cooperation between child psychiatrists and social-workers is necessary with regard to the new legislation. We analysed different measures (N = 1329) supported by this new legislation in our recourse population in 1992 and 1993. Effects of age, sex and socioeconomic status on the indication of psychotherapy within the health care-system or within the new (KJHG) legislation system are described. The follow-up part of the study reports results of these new forms of help for children in 140 of pour patients. We found more symptom reductions in the former diagnosed psychiatric disturbances than an improvement in the psychosocial and family life conditions of the children.

Adolescent↗
PubMed1994

[Child psychiatric management since the fall of the Berlin wall and introduction of child and adolescent welfare regulation].

An analysis of a survey on public child and adolescent psychiatric services in Berlin shows that three years after the collapse of the Berlin Wall a psychosocial gap between the two cities still exists. After the reunification the new Child Help and Child Protection Law in Germany (Kinderund Jugendhilfegesetz) presented a common regulation for therapeutic and psychosocial interventions for children and adolescents. For the moment the advantages of this new legislation have no consequences in the daily practice of child psychiatrists in East Berlin. The consequences of these differences for child psychiatrists in the Public Health System are discussed in this article.

Adolescent↗
PubMed1992

[Some impressions of child and adolescent psychiatric management in Berlin after the fall of the wall].

The fall of the Berlin wall caused a sudden increase in migration from East-Germany to West-Berlin. In our sample we compared 155 Berlin elementary school children to 17 children from East-Germany now living in Berlin and 25 immigrant children most oft them coming from Turkey and Poland. Although many authors expected short-term disorders of adaptation, we found a constancy of psychiatric diagnosis in the migration group. We noticed important differences particularly in the new psychosocial situation of the former East German mothers, with many single-mother-families, where the mothers now were often unemployed.

Acculturation↗
PubMed1990

Child psychiatric disorders and family dysfunction in migrant workers' and military families.

Migrant adaptation was studied in children and families of French soldiers and of Greek and Turkish migrant workers in West Berlin. In addition, a German control group was investigated. All four samples were matched with regard to sex and age of the children. Psychiatric morbidity differed significantly between the migrant groups. Disturbed parental behaviour and impaired maternal health clearly correlated with psychiatric disturbance in the children in samples. Cultural rather than socioeconomic factors seemed to be most influential with regard to psychosocial adaptation.

Child↗
PubMed1989

Bias factors in the translation of questionnaires and classification systems in international comparative child and adolescent psychiatric research.

Transcultural research also gains increasing significance in our specialized area of child and adolescent psychiatry. The contribution describes several methodical problems in connection with the translation of everyday and specialized concepts in child psychiatric studies and illustrates them with an example from an epidemiological examination. A single check of the retest reliability does not meet with the methodical requirements. Just in psychiatry it is necessary to take emotional, social, historically varying originated connotations of concepts into consideration.

Adolescent↗
PubMed1986

[The early history of child and adolescent psychiatry. A review of research on historical aspects of the concepts of child psychiatric thought and processes].

This sociohistorical essay attempts to trace back to the enlightenment the roots of contemporary child psychiatry. Five examples are used for illustrative purposes: the emergence of the concepts of human development, classification, compensation for deficits and psychohygiene (now mental hygiene), and the problems arising from the differentiation of schooling. Historical considerations provide numerous reasons for regarding child psychiatry as a medical specialty. These arguments would seem to outweight any need, deriving from economic pressure, to defend this field as an entity separate from its "parent disciplines" (pediatrics, psychiatry and psychosomatic medicine).

Adolescent Psychiatry↗
PubMedDate not supplied

[Behavioral dimensions and behavior problems in 2 1/2-year-old children].

The present article gives a literature review on rating scales and psychometric instruments used for behavior rating in infants and toddlers. The results of gender specific factor analysis in a German normative sample of 2 1/2 year old children (N = 751) are compared to Achenbach's syndrome scales of the CBCL 2-3. In contrast to psychiatric diagnostic manuals (DSM-IV, ICD-10), which currently do not provide correct descriptions of the developmental psychopathology in this age group an empirically derived classification of age specific behavior is presented. Our own factor analysis replicated identically Achenbach's sleep-problem-scale for this age group and came very next to Achenbach's syndrome scales. A comparison of the published international normative samples for the CBCL 2-3 shows, that the results in the Netherlands, in the United States and Canada are not statistically different from our German group. In the context of developmental psychopathology we prognose gender specific factor solutions derived from a normative sample and not from a clinical population. Psychometric data of these different versions are presented and discussed from a child psychiatrists view on developmental psychopathology.

Child Behavior Disorders↗