Depression, Somatization, and Posttraumatic Stress Disorder in Children Born of Occupation After World War II in Comparison With a General Population
Depression, Somatization, and Posttraumatic Stress Disorder in Children Born of Occupation After World War II in Comparison With a General Population
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DOI：
10.1097/nmd.0000000000000361
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发表时间：
2015-10-01
影响因子：
1.9
通讯作者：
Glaesmer, Heide
中科院分区：
文献类型：
--
作者：
Kaiser, Marie;Kuwert, Philipp;Glaesmer, Heide
在第二次世界大战结束时和战后的第一个十年里，大约有20万名儿童是德国妇女和外国士兵之间亲密接触的父亲。到目前为止，这些德国占领区儿童的经历仅在个案报告中从历史角度进行了描述。到目前为止，关于作为GOC成长的心理社会后果的研究一直缺失。本研究采用创伤后诊断量表和患者健康问卷，对146例GOC患者的创伤经历、创伤后应激障碍、躯体化和抑郁进行了研究。然后将结果与来自德国普通人群（N = 977）的代表性出生队列匹配样本进行比较。德国职业儿童表现出显着较高的患病率，大多数创伤的经验，较高的点患病率的全部和部分创伤后应激障碍，抑郁症和躯体化比对照组。总之，GOC经常在困难的条件下成长（例如，贫困、单身母亲和污名化）。即使在几十年后，他们也表现出更高的不同精神障碍和合并症的发生率。这些发现强调了他们沉重的社会、经济和家庭状况的复杂和长期影响。这些结果强调了将占领区儿童视为冲突后环境中的弱势群体的重要性。
At the end of World War II and during the first decade after the war, roughly 200,000 children were fathered in intimate contacts between German women and foreign soldiers. The experiences of these German occupation children (GOC) have been so far described in case reports and from historical perspective only. Research on psychosocial consequences of growing up as a GOC has been missing so far. This study examined traumatic experiences, posttraumatic stress disorder, somatization, and depression in GOC (N = 146) using self-report instruments: Posttraumatic Diagnostic Scale and Patient Health Questionnaire. Findings have then been compared with a representative birth cohort-matched sample from the German general population (N = 977). German occupation children showed significantly higher prevalence rates of most traumatic experiences, higher point prevalence rates of full and partial posttraumatic stress disorder, depression, and somatization than the control group. In summary, GOC often grew up under difficult conditions (e.g., poverty, single mothers, and stigmatization). Even decades later, they showed higher rates of different mental disorders and higher comorbidity. These findings underline the complex and long-term impact of their burdened social, financial, and familial conditions. The results underpin the importance of conceptualizing occupation children as a vulnerable group in postconflict settings.