4 results on '"Fegert, J."'
Search Results
2. Predictors of parental coping during the Covid-19 pandemic: a survey in Germany
- Author
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Clemens, Vera, K��hler-Dauner, Franziska, Ziegenhain, Ute, and Fegert, J��rg M.
- Subjects
pandemic ,Pandemie ,parental coping ,COVID-19 ,Kind ,BF1-990 ,Psychology ,ddc:300 ,Adverse childhood experiences ,adverse childhood experiences ,ddc:610 ,Parental coping ,DDC 300 / Social sciences ,DDC 610 / Medicine & health ,child maltreatment ,Pandemics ,General Psychology ,Child maltreatment ,Original Research ,Child abuse - Abstract
The Covid-19 pandemic has been profoundly affecting nearly everybody, but families with minors have been hit particularly. Closure of schools and kindergartens, home schooling, and working from home have led to a profound upheaval in family life. Parental adverse childhood experiences (ACEs) are an important determinant for parenting behavior. Importantly, ACEs can increase the vulnerability to stress and impair coping strategies. The current pandemic leads to increased parental stress, a risk factor for harsh parenting behavior, Therefore, we aimed to assess the role of ACEs and sociodemographic factors associated to parental coping during the current pandemic. In a cross-sectional online survey, 687 parents of minors in Germany were included. Demographic and psychosocial factors associated to parental coping during the first lockdown due to the Covid-19 pandemic were assessed. Results show that younger age of the respective child, income loss, dissatisfaction with the sharing of childcare duties, and ACEs were significantly associated with an increase of potential harmful parenting behavior during the Covid-19 pandemic. An increase of dissatisfaction with the sharing of childcare duties during the pandemic was predicted by working from home and taking care of the children mainly by oneself, while sharing childcare duties with the partner equally resulted even in an increase of satisfaction with sharing of childcare duties during the pandemic. These findings demonstrate that a history of childhood adversity in a parent is a risk factor for harmful parenting during the pandemic. Parental satisfaction with sharing of caregiving is an important factor for parental coping during the pandemic. Sharing of caregiving between partners should be encouraged., publishedVersion
- Published
- 2021
3. Violence against children and adolescents by nursing staff: prevalence rates and implications for practice
- Author
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Hoffmann, Ulrike, Clemens, Vera, K��nig, Elisa, Br��hler, Elmar, and Fegert, J��rg M.
- Subjects
Medical institutions ,Adolescent psychiatry ,Krankenpflege ,lcsh:RC435-571 ,lcsh:RJ1-570 ,lcsh:Pediatrics ,Nursing ,FOS: Health sciences ,Jugendpsychiatrie ,Child protection ,lcsh:Psychiatry ,Child psychiatry ,Kindesmisshandlung ,Kinderpsychiatrie ,ddc:610 ,Child and adolescent psychiatry ,DDC 610 / Medicine & health ,Child maltreatment ,Research Article ,Child abuse - Abstract
Background: International studies show that child maltreatment is a widespread but often underestimated problem that causes high individual, social and economic costs. Child maltreatment is an important topic for the medical sector as well. On the one hand, affected persons often seek support and help from healthcare professionals, but on the other hand, assaults can also occur in medical institutions by healthcare professionals. Surprisingly, there is hardly any data on the frequency of child maltreatment by healthcare professionals in general and particularly by nursing staff. Methods: Therefore, in a large representative survey of the German population of 2,516 subjects aged between 14 and 91, the experience of child maltreatment in medical institutions by nursing staff was assessed retrospectively. Results: Of the 46 subjects who had an inpatient stay in a child and adolescent psychiatry before the age of 18, 33.3% reported to have experienced maltreatment by nursing staff, while 17.3% of the 474 persons who had an inpatient stay in general or pediatric hospitals experienced maltreatment by nursing staff. All forms of maltreatment were significantly more frequent in psychiatric compared to general and pediatric hospitals. Conclusions: The results of our representative retrospective survey demonstrate that maltreatment by nursing staff are not rare individual cases, but that medical facilities bear systemic risks for assault. Therefore, it is necessary that all medical institutions, in particular psychiatric hospitals, address this issue. In order to reduce the risk for assaults, it is important not only to implement structural measures but also to develop an attitude that emphasizes zero tolerance for violence against children and adolescents., publishedVersion
- Published
- 2020
4. A prevalence-based approach to societal costs occurring in consequence of child abuse and neglect.
- Author
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Habetha, Susanne, Bleich, Sabrina, Weidenhammer, J”rg, and Fegert, J”rg M.
- Subjects
ABUSED children ,DOMESTIC violence ,CHILD abuse ,SEX crimes ,SEXUAL psychology - Abstract
Background: Traumatization in childhood can result in lifelong health impairment and may have a negative impact on other areas of life such as education, social contacts and employment as well. Despite the frequent occurrence of traumatization, which is reflected in a 14.5 percent prevalence rate of severe child abuse and neglect, the economic burden of the consequences is hardly known. The objective of this prevalence-based cost-of-illness study is to show how impairment of the individual is reflected in economic trauma follow-up costs borne by society as a whole in Germany and to compare the results with other countries' costs. Methods: From a societal perspective trauma follow-up costs were estimated using a bottom-up approach. The literature-based prevalence rate includes emotional, physical and sexual abuse as well as physical and emotional neglect in Germany. Costs are derived from individual case scenarios of child endangerment presented in a German cost-benefit-analysis. A comparison with trauma follow-up costs in Australia, Canada and the USA is based on purchasing power parity. Results: The annual trauma follow-up costs total to a margin of EUR 11.1 billion for the lower bound and to EUR 29.8 billion for the upper bound. This equals EUR 134.84 and EUR 363.58, respectively, per capita for the German population. These results conform to the ones obtained from cost studies conducted in Australia (lower bound) and Canada (upper bound), whereas the result for the United States is much lower. Conclusion: Child abuse and neglect result in trauma follow-up costs of economically relevant magnitude for the German society. Although the result is well in line with other countries' costs, the general lack of data should be fought in order to enable more detailed future studies. Creating a reliable cost data basis in the first place can pave the way for long-term cost savings. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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