Evaluation of parent-infant-toddler psychotherapy using prevalence and intervention studies (SKKIPPI)

Funded by the Federal Joint Committee Innovation Fund for Health Services Research in the amount of 2,467,460.00 euros

Principal Investigators IPU

Prof. Christiane Ludwig-Körner
Prof. Lars Kuchinke
consortium leadership; IPU Berlin

 

External Investigator

Prof. Thomas Keil (Charité Berlin)

 

Project Descriptions

From many years of experience and international studies, it is known that psychological complaints after childbirth and early childhood regulatory difficulties are common stressors and that parent-infant-toddler psychotherapy (ESKP) offers very good support and relief for affected parents and their children. The SKKIPPI study assesses the need for care and scientifically evaluates the treatment approach, which has already been researched in other countries, in Germany. The aim is to contribute to improving the care situation by evaluating the integrated psychological-psychiatric care of mother/father and child in the first years of life.

 

The multicenter SKKIPPI study is being conducted in five regions (Berlin, Leipzig, Flensburg, Hamburg and Potsdam) and is divided into an epidemiological research part, as well as two randomized controlled trials (RCTs) to investigate the effectiveness of the ESKP in inpatient treatment (clinic or day clinic) as well as outpatient and home treatment compared to existing treatment options (Treatment-As-Usual). The aim of the epidemiological cohort study is to determine the frequency of postpartum psychopathological disorders in mothers and fathers and regulatory disorders in children in the first year after birth, their protective factors and risk factors, as well as a (health economic) analysis of the care situation (including utilization, needs analysis and costs).

The RCTs should identify those factors and characteristics of the treatment that are most effective in helping to improve the future care situation in the area of psychological stress in the first years after birth.

 

Original language: German

 

Participating Researchers

PD. Dr. Anne Berghöfer, Dr. Stephanie Roll, PD Dr. Thomas Reinhold, Dr. Julia Fricke (Charité Berlin)
Prof. Dr. Kai von Klitzing
Petra Vienhues (Diako Flensburg)
Vivantes Klinikum im Friedrichshain, Alexianer St-Joseph Krankenhaus Berlin-Weißensee (Berlin)
Helios Park-Klinikum (Leipzig)

 

Duration

Project Start: 05/2018

Project End: 12/2025

 

Publications

  • Kass, B., Roll, S., Bolster, M., Heinrich-Rohr, M., Kuchinke, L., Ludwig-Körner, C., Schlensog-Schuster, F., Fricke, J., Berghöfer, A., Keil, T., Reinhold, T. (2024). Utilization and costs of health care and early support services in Germany and the influence of mental health burden during the postnatal period. Children and Youth Services Review, 157, 107373. doi.org/10.1016/j.childyouth.2023.107373
  • Neumann, A., Bolster, M., Lisewski, N., Icke, K., Reinhold, T., Schlensog-Schuster, F., Ludwig-Körner, C., Kuchinke, L, Keil, T., Roll, S., Berghöfer, A., Fricke, J. (2024). Mother-Father Differences in Risk Factors for Postnatal Psychological Distress: Results from the German SKKIPPI Cohort Study. J Child Fam Stud 33, 1136–114). doi.org/10.1007/s10826-023-02748-0
  • Sprengeler, M.K., Mattheß, J., Galeris, M.-G., Eckert, M., Koch, G., Reinhold, T., Berghöfer, A., Fricke, J., Roll, S., Keil, T., Ludwig-Körner, C., Kuchinke, L., Schlensog-Schuster, F., von Klitzing, K., Whilte, L.O. (2023). Being an Infant in a Pandemic: Influences of the COVID-19 Pandemic on Infants, Toddlers and Their Mothers in a Clinical Population. Children, 10(12):1885. doi.org/10.3390/children10121885
  • Mattheß, J., Koch, G., Keil, T., Roll, S., Berghöfer, A., Fricke, J., Ludwig-Körner, C., Schlensog-Schuster, F., Sprengeler, M.K., von Klitzing, K., Kuchinke, L. (2023). Past attachment experiences, the potential link of mentalization and the transmission of behavior to the child by mothers with mental health problems: cross‑sectional analysis of a clinical sample. European Child & Adolescent Psychiatry. doi.org/10.1007/s00787-023-02291-9
  • Sprengeler, M.K., Mattheß, J., Eckert, M., Richter, K., Koch, G., Reinhold, T., Vienhues, P., Berghöfer, A., Fricke, J., Roll, S., Keil, T., Ludwig-Körner, C., Kuchinke, L., von Klitzing, K., Schlensog-Schuster, F. (2021). Efficacy of Parent-Infant Psychotherapy compared to care as usual in children with regulatory disorders in clinical and outpatient settings: study rotocol of a randomised controlled trial as part of the SKKIPPI project. BMC Psychiatry, 21, 188.
  • Fricke J, Bolster M, Ludwig-Körner C, Kuchinke L, Schlensog-Schuster F, Vienhues P, Reinhold T,  Berghöfer A, Roll S, Keil T. Occurrence and determinants of parental psychosocial stress and mental health disorders in parents and their children in early childhood: rationale, objectives, and design of the population-based SKKIPPI cohort study. Soc Psychiatry Psychiatr Epidemiol (2020).
  • Mattheß J, Eckert M, Richter K, Koch G, Reinhold T, Vienhues P, Berghöfer A, Roll S, Keil T, Schlensog-Schuster F, von Klitzing K, Ludwig-Körner C, Kuchinke L. Efficacy of Parent-Infant-Psychotherapy with mothers with postpartum mental disorder: study protocol of the randomized controlled trial as part of the SKKIPPI project. Trials 2020; 21, 490-501.
  • Eckert M, Richter KM, Mattheß J, Koch G, Reinhold T, Vienhues P, Berghöfer A, Roll S, Keil T, Schlensog-Schuster F, von Klitzing K, Ludwig-Körner C, Kuchinke L. Postpartale psychische Erkrankungen: Versorgungslage und Wirksamkeit der Eltern-Säugling-Kleinkind-Psychotherapie. Vorstellung des Innovationsfondprojektes SKKIPPI. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2020, 63(12):1538-1547.
  • Eckert M & Becker O. Wie kann psychoanalytisch orientierte Eltern-Säugling/Kleinkind-Psychotherapie in stationäre Mutter-/Vater-Kind-Einrichtungen integriert werden?. Journal für Psychoanalyse 2020, (61), 99–112.