Understanding and breaking the intergenerational cycle of abuse in families enrolled in routine mental health services: study protocol for a randomized controlled trial and two non-interventional trials investigating mechanisms of change within the UBICA II consortium

  1. Neukel, Corinne ORCID logo
  2. Bermpohl, F.
  3. Kaess, M.
  4. Taubner, S.
  5. Boedeker, K.
  6. Williams, K.
  7. Dempfle, A.
  8. Herpertz, S. C.
  9. Herpertz, Sabine C.
  10. Neukel, Corinne
  11. Bermpohl, Felix
  12. Kaess, Michael
  13. Brunner, Romulad
  14. Taubner, Svenja
  15. Volkert, Jana
  16. Georg, Anna
  17. Fleck, Leonie
  18. Fuchs, Anna
  19. von der Lühe, Tabea
  20. Mielke, Emilia
  21. Parzer, Peter
  22. Resch, Franz
  23. Roth, Corinna
  24. Seeger, Fabian
  25. Wenigmann, Marc
  26. Williams, Katharina
  27. Banzhaf, Christian
  28. Boedeker, Katja
  29. Brandl, Eva
  30. Dittrich, Katja
  31. Hindi-Attar, Catherine
  32. Kluczniok, Dorothea
  33. Plank, Irene Sophia
  34. Reuter, Catherina
  35. Ratayczak, Judith
  36. Schoofs, Nikola
  37. Winter, Sybille
  38. Bertsch, Katja

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1000 Titel
  • Understanding and breaking the intergenerational cycle of abuse in families enrolled in routine mental health services: study protocol for a randomized controlled trial and two non-interventional trials investigating mechanisms of change within the UBICA II consortium
1000 Autor/in
  1. Neukel, Corinne |
  2. Bermpohl, F. |
  3. Kaess, M. |
  4. Taubner, S. |
  5. Boedeker, K. |
  6. Williams, K. |
  7. Dempfle, A. |
  8. Herpertz, S. C. |
  9. Herpertz, Sabine C. |
  10. Neukel, Corinne |
  11. Bermpohl, Felix |
  12. Kaess, Michael |
  13. Brunner, Romulad |
  14. Taubner, Svenja |
  15. Volkert, Jana |
  16. Georg, Anna |
  17. Fleck, Leonie |
  18. Fuchs, Anna |
  19. von der Lühe, Tabea |
  20. Mielke, Emilia |
  21. Parzer, Peter |
  22. Resch, Franz |
  23. Roth, Corinna |
  24. Seeger, Fabian |
  25. Wenigmann, Marc |
  26. Williams, Katharina |
  27. Banzhaf, Christian |
  28. Boedeker, Katja |
  29. Brandl, Eva |
  30. Dittrich, Katja |
  31. Hindi-Attar, Catherine |
  32. Kluczniok, Dorothea |
  33. Plank, Irene Sophia |
  34. Reuter, Catherina |
  35. Ratayczak, Judith |
  36. Schoofs, Nikola |
  37. Winter, Sybille |
  38. Bertsch, Katja |
1000 Erscheinungsjahr 2021
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-10-28
1000 Erschienen in
1000 Quellenangabe
  • 22(1):749
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1186/s13063-021-05653-3 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8555002/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Background!#!Parents' mental illness (MI) and parental history of early life maltreatment (ELM) are known to be significant risk factors for poor parenting while poor parenting is a crucial mediator of the intergenerational continuity of child maltreatment. Hence, maltreatment prevention programs for families with an MI parent, which pay particular attention to experiences of ELM in the parent, are urgently needed. Parental mentalizing was previously found to mediate successful parenting. Interventions aimed at improving the parental mentalizing capacity reduced maltreatment risk in parents. The aim of the present study is to investigate the effectiveness of a mentalization-based parenting-counseling in acutely mentally ill parents currently treated at a psychiatric hospital.!##!Methods!#!Mentalization-based parenting-counseling (MB-PC) vs. enhanced standard clinical care (SCC+) will be administered in a cluster-randomized-controlled trial (RCT). Patients treated at psychiatric hospitals with children between 1.5 and 15 years will be included in the trial. MB-PC will be administered as a 12-h combined individual and group program enriched by social counseling (over a course of 5 weeks) as add-on to standard clinical care, while the control condition will be standard clinical care plus a 90-min psychoeducation workshop on positive parenting. Primary efficacy endpoint is self-reported parenting practices at follow-up. Embedded within the RCT will be two sub-studies investigating social cognition and dyadic synchrony as biobehavioral mechanisms of change.!##!Discussion!#!The main goal of the present study is to investigate ways to break the intergenerational continuity of maltreatment by assessing the benefits of a prevention program which aims at improving parenting in vulnerable mothers and fathers. MB-PC is a short, low-cost intervention which can be delivered by nurses and social workers and is applicable to MI patients with children with a broad range of diagnoses. If it is shown to be effective, it can be directly implemented into standard psychiatric hospital care thereby providing help to prevent child maltreatment.!##!Trial registration!#!German Clinical Trials Register DRKS00017398 . Registered on 5 July 2019.
1000 Sacherschließung
lokal Parent-child
lokal Study Protocol
lokal Humans [MeSH]
lokal Prevention
lokal Cluster randomized controlled trial
lokal Early life maltreatment
lokal Parent-Child Relations [MeSH]
lokal Mental Health Services [MeSH]
lokal Randomized Controlled Trials as Topic [MeSH]
lokal Mentalization-based therapy
lokal Social cognition
lokal Dyadic synchrony
lokal Parents [MeSH]
lokal Parenting
lokal Parenting [MeSH]
lokal Child [MeSH]
lokal Child Abuse/prevention
1000 Liste der Beteiligten
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