{"id":34495,"date":"2022-03-21T08:00:00","date_gmt":"2022-03-21T07:00:00","guid":{"rendered":"https:\/\/swissmig.wordpress.com\/?p=34495"},"modified":"2022-03-21T08:00:00","modified_gmt":"2022-03-21T07:00:00","slug":"aacho-ein-niederschwelliges-gruppentherapeutisches-angebot-fur-gefluchtete-mutter-mit-kleinkindern-ergebnisse-einer-evaluativen-pilotstudie","status":"publish","type":"post","link":"https:\/\/swissmig.unine.ch\/?p=34495","title":{"rendered":"\u201eAacho\u201c \u2013 ein niederschwelliges gruppentherapeutisches Angebot f\u00fcr gefl\u00fcchtete M\u00fctter mit Kleinkindern: Ergebnisse einer evaluativen Pilotstudie"},"content":{"rendered":"<h3>Author(s) : Laura Wade-Bohleber, Anina Hofer, Martina Ottiger, Agnes von Wyl, Antonia Stulz, Sandra Rumpel<\/h3>\n<h3>Source : <a href=\"https:\/\/doi.org\/10.13109\/prkk.2022.71.2.119\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.13109\/prkk.2022.71.2.119<\/a><\/h3>\n<p><!--more--><\/p>\n<blockquote>\n<p>&#8220;<span dir=\"ltr\">Gefl\u00fcchtete M\u00fctter sind durch die Fluchterfahrungen und -geschichten und die Mutterschaft in <\/span><span dir=\"ltr\">einem fremden Land mehrfachen Belastungen gleichzeitig ausgesetzt. \u201eAacho\u201c (\u201eAnkommen\u201c) <\/span><span dir=\"ltr\">ist ein psychoanalytisch orientiertes Gruppenangebot f\u00fcr gefl\u00fcchtete M\u00fctter mit Babys und <\/span><span dir=\"ltr\">Kleinkindern in der Schweiz. Die vorliegende Pilotstudie hat \u201eAacho\u201c begleitend evaluiert und <\/span><span dir=\"ltr\">Ver\u00e4nderungen in der Symptombelastung der M\u00fctter, im Entwicklungsstand ihrer Kinder und <\/span><span dir=\"ltr\">in der Qualit\u00e4t der Mutter-Kind-Interaktion erfasst. F\u00fcnf Mutter-Kind-Dyaden nahmen an ei-<\/span><span dir=\"ltr\">ner L\u00e4ngsschnittuntersuchung mit zwei bis drei Untersuchungszeitpunkten teil. Frageb\u00f6gen <\/span><span dir=\"ltr\">dienten der Selbsteinsch\u00e4tzung der m\u00fctterlichen Symptomatik (HSCL, HTQ, SSS 8) sowie der <\/span><span dir=\"ltr\">Fremdeinsch\u00e4tzung des Funktionsniveaus der Familie (HBS-L) und des m\u00fctterlichen Krank-<\/span><span dir=\"ltr\">heitsgrades (CGI) durch die Psychotherapeutinnen. Zudem wurden der Entwicklungsstand des <\/span><span dir=\"ltr\">Kindes (Bayley-III) und die Qualit\u00e4t der Mutter-Kind-Interaktion (CARE-Index) erfasst. Es <\/span><span dir=\"ltr\">zeigte sich eine schwere Symptombelastung der M\u00fctter \u00fcber den gesamten Untersuchungszeit-<\/span><span dir=\"ltr\">raum mit unterschiedlicher Symptomentwicklung (Ab-\/Zunahme), eine von den Psychothera-<\/span><span dir=\"ltr\">peutinnen als ausgepr\u00e4gt eingesch\u00e4tzte psychische und soziale Belastung der M\u00fctter und Fami-<\/span><span dir=\"ltr\">lien sowie eine Tendenz einer Verz\u00f6gerung in der sprachlichen Entwicklung der Kinder. Die <\/span><span dir=\"ltr\">Qualit\u00e4t der Mutter-Kind-Interaktion nahm \u00fcber den Untersuchungszeitraum tendenziell zu. <\/span><span dir=\"ltr\">Gefl\u00fcchtete M\u00fctter mit Kleinkindern sind psychisch oft schwer belastet und ben\u00f6tigen spezi-<\/span><span dir=\"ltr\">fisch auf sie zugeschnittene psychotherapeutische Unterst\u00fctzungsangebote. Bei der Evaluation <\/span><span dir=\"ltr\">solcher Angebote stellen sich besondere methodische Herausforderungen.<\/span>&#8220;<\/p>\n<p><span dir=\"ltr\"><strong>Schl\u00fcsselw\u00f6rter<\/strong>: <\/span><span dir=\"ltr\">Mutter-Kind-Gruppentherapie \u2013 Fl\u00fcchtlingsfamilien \u2013 Trauma \u2013 Mutter-Kind-Interaktion \u2013 <\/span><span dir=\"ltr\">Evaluation<\/span><\/p>\n<p>&#8220;<span dir=\"ltr\">Refugee mothers are exposed to multiple sources of psychological distress given their migra<\/span><span dir=\"ltr\">tion histories and the experience of motherhood in a foreign country and often in social iso<\/span><span dir=\"ltr\">lation. \u201cAacho\u201d (\u201cArriving\u201d) is a psychoanalytic-oriented group therapy for refugee mothers <\/span><span dir=\"ltr\">with babies and toddlers in Switzerland. The present pilot study evaluated \u201cAacho\u201d concomi-<\/span><span dir=\"ltr\">tantly and explored changes in the mothers\u2019 symptom burden, in the developmental status of <\/span><span dir=\"ltr\">their children, and in the quality of mother-child interaction. Five mother-child dyads parti-<\/span><span dir=\"ltr\">cipated in a longitudinal study with two to three time points. Mothers self-reported on sym-<\/span><span dir=\"ltr\">ptomatology (HSCL, HTQ, SSS 8) and the groups\u2019 psychotherapists evaluated family functio<\/span><span dir=\"ltr\">ning levels (HBS-L) and maternal levels of illness (CGI). In addition, the child\u2019s developmen<\/span><span dir=\"ltr\">tal level (Bayley-III) and the quality of mother-child interaction (CARE index) were assessed. <\/span><span dir=\"ltr\">The symptom burden of the mothers was severe over the entire study period with varying <\/span><span dir=\"ltr\">symptom development (decrease\/increase). The children\u2019s language development tended to <\/span><span dir=\"ltr\">be delayed. The quality of mother-child interaction tended to increase over the study period. <\/span><span dir=\"ltr\">Refugee mothers with young children often experience severe psychological distress and re<\/span><span dir=\"ltr\">quire psychotherapeutic support that is specifically tailored to them. The evaluation of ser<\/span><span dir=\"ltr\">vices offering such support poses specific methodological challenges.<\/span>&#8220;<\/p>\n<p><strong>Keywords<\/strong>: <span dir=\"ltr\">mother-child group therapy \u2013 refugee families \u2013 trauma \u2013 mother-child interaction \u2013 evaluation<\/span><\/p>\n<\/blockquote>\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Author(s) : Laura Wade-Bohleber, Anina Hofer, Martina Ottiger, Agnes von&#8230;<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[59],"tags":[722,7,318,120,564,21,73,468,435,338,237,187,103,91,470],"class_list":["post-34495","post","type-post","status-publish","format-standard","hentry","category-health","tag-722","tag-article","tag-children","tag-data-analysis","tag-development","tag-family","tag-german-language","tag-illness","tag-motherhood","tag-posttraumatic-stress-disoorder","tag-psychanalysis","tag-psychosomatic-disorders","tag-refugees","tag-social-integration","tag-trauma"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=\/wp\/v2\/posts\/34495","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=34495"}],"version-history":[{"count":0,"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=\/wp\/v2\/posts\/34495\/revisions"}],"wp:attachment":[{"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=34495"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=34495"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/swissmig.unine.ch\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=34495"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}