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

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dc.contributor.authorNeukel, C., Bermpohl, F., Kaess, M., Taubner, S., Boedeker, K., Williams, K., ... & Herpertz, S. C.
dc.date.accessioned2021-11-04T15:02:37Z
dc.date.available2021-11-04T15:02:37Z
dc.date.issued2021
dc.description.abstractParents’ 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.en_US
dc.identifier.citationNeukel, C., Bermpohl, F., Kaess, M., Taubner, S., Boedeker, K., Williams, K., ... & Herpertz, S. C. (2021). 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. Trials, 22(1), 1-15.en_US
dc.identifier.urihttps://trialsjournal.biomedcentral.com/articles/10.1186/s13063-021-05653-3
dc.identifier.urihttp://hdl.handle.net/11212/5260
dc.language.isoenen_US
dc.publisherTrialsen_US
dc.subjectchild maltreatmenten_US
dc.subjectparentsen_US
dc.subjectresearchen_US
dc.subjectInternational Resourcesen_US
dc.subjectGermanyen_US
dc.subjectlong term effectsen_US
dc.subjectinterventionen_US
dc.titleUnderstanding 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 consortiumen_US
dc.typeArticleen_US

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