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Childhood maltreatment in children born of occupation after WWII in Germany and its association with mental disorders

Published online by Cambridge University Press:  04 April 2017

Heide Glaesmer ,
Philipp Kuwert ,
Elmar Braehler  and
Marie Kaiser
Heide Glaesmer*
Affiliation:
Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany
Philipp Kuwert
Affiliation:
Department of Psychosomatic Medicine and Psychotherapy, HELIOS Hanseklinikum Stralsund, Stralsund, Germany
Elmar Braehler
Affiliation:
Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany Clinic for Psychosomatic Medicine and Psychotherapy, University Medical Center, Johannes Gutenberg University of Mainz, Mainz, Germany
Marie Kaiser
Affiliation:
Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany
*
Correspondence should be addressed to: Dr. Heide Glaesmer, Department of Medical Psychology and Medical Sociology, University of Leipzig, Philipp-Rosenthal-Str. 55, 04103, Leipzig, Germany. Phone: +49 341 9718811; Fax: +49 341 9718809. Email: [email protected].
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Abstract

Background:

Children born of war are a common phenomenon of conflict. In the aftermath of World War II, more than 200,000 German occupation children (GOC) were fathered by occupation soldiers and born to local women. GOC often grew up under difficult conditions and showed high prevalence rates of mental disorders even decades later.

Methods:

Experiences of childhood maltreatment and their association with Posttraumatic Stress Disorder (PTSD), depression, and somatization in GOC (N = 146) are investigated and compared with a representative birth-cohort-matched sample (BCMS) from the German general population (N = 920).

Results:

Outcomes show significantly higher prevalence rates of emotional abuse/neglect, physical, and sexual abuse in GOC compared to BCMS. All five subtypes of childhood maltreatment increase the risk of PTSD and somatoform syndrome; depressive syndromes are associated with emotional abuse/neglect and physical abuse. GOC were at high risk of childhood maltreatment.

Conclusions:

Findings underline the complex, long-term impact of developmental conditions and childhood maltreatment on mental disorders even decades later.

Keywords

children born of waroccupation childrenchildhood abuse and neglectdepressionsomatizationpost-traumatic stress disorder
Type
Research Article
Information
International Psychogeriatrics , Volume 29 , Issue 7 , July 2017 , pp. 1147 - 1156
Copyright
Copyright © International Psychogeriatric Association 2017 

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References

American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders – DSM-IV-TR, 4th edn, text revision. Washington, DC: American Psychiatric Association. doi:10.1176/appi.books.9780890423349.Google Scholar
Aßmann, A. L., Kaiser, M., Schomerus, G., Kuwert, P. and Glaesmer, H. (2015). Stigmatisierungserfahrungen deutschen Besatzungskinder (German occupation children: experiences of stigmatisation after World War II). Trauma und Gewalt, 9, 294–303.Google Scholar
Bernstein, D. P. et al. (2003). Development and validation of a brief screening version of the childhood trauma questionnaire. Child Abuse and Neglect, 27, 169–190. doi: 10.1016/S0145-2134(02)00541-0.Google Scholar
Foa, E. B., Cashman, L., Jaycox, L. and Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: the posttraumatic diagnostic scale. Psychological Assessment, 9, 445–451. doi: 10.1037/1040-3590.9.4.445.Google Scholar
Gilbert, R. et al. (2009). Recognising and responding to child maltreatment. Lancet, 373, 167–180. doi: 10.1016/S0140-6736(08)61707-9.Google Scholar
Glaesmer, H. (2016). Assessing childhood maltreatment on the population level in Germany: findings and methodological challenges. Child and Adolescent Psychiatry and Mental Health, 10, 15. doi: 10.1186/s13034-016-0104-9.Google Scholar
Glaesmer, H., Kaiser, M., Freyberger, H., Braehler, E. and Kuwert, P. (2012). Die kinder des krieges in deutschland - ein rahmenmodell für die psychosoziale Forschung. (children born of War in Germany – a conceptual frame for psychosocial research). Trauma und Gewalt, 6, 318–328.Google Scholar
Grassi-Oliveira, R. et al. (2014). Childhood trauma questionnaire (CTQ) in Brazilian samples of different age groups: findings from confirmatory factor analysis. Plos One, 9, e87118. doi: 10.1371/journal.pone.0087118.Google Scholar
Griesel, D., Wessa, M. and Flor, H. (2006). Psychometric qualities of the German version of the posttraumatic diagnostic scale (PTDS). Psychological Assessment, 18, 262–268. doi: 10.1037/1040-3590.18.3.262.CrossRefGoogle ScholarPubMed
Hauffa, R., Rief, W., Brähler, E., Martin, A., Mewes, R. and Glaesmer, H. (2011). Lifetime traumatic experiences and posttraumtic stress disorder in the German population - results of a representative population sample. Journal of Nervous and Mental Disease, 199, 934–939. doi: 10.1097/NMD.0b013e3182392c0d.Google Scholar
Häuser, W., Schmutzer, G., Brähler, E. and Glaesmer, H. (2011). Maltreatment in childhood and adolescence – results from a survey of a representative sample of the German population. Deutsches Ärzteblatt International, 108, 287–294. doi: 10.3238/arztebl.2011.0287.Google ScholarPubMed
Iffland, B., Brähler, E., Neuner, F., Haeuser, W. and Glaesmer, H. (2013). Frequency of child maltreatment in a representative sample of the German population. BMC Public Health, 13, 980. doi: 10.1186/1471-2458- 13-980.Google Scholar
Kaiser, M., Kuwert, P. and Glaesmer, H. (2015a). Aufwachsen als “Besatzungskind” des zweiten weltkrieges in deutschland - hintergründe und vorgehen einer befragung deutscher "Besatzungskinder" (growing up as occupation child of World War II in Germany: rationale and methods of a study in German occupation children). Zeitschrift für Psychosomatische Medizin und Psychotherapie, 61, 191–205. doi: 10.13109/zptm.2015.61.2.191.Google Scholar
Kaiser, M., Kuwert, P., Brähler, E. and Glaesmer, H. (2015b). Depression, somatization, and posttraumatic stress disorder in children born of occupation after World War II in comparison with a general population. Journal of Nervous and Mental Disease 203, 742–748. doi: 10.1097/NMD.0000000000000361.Google Scholar
Kaiser, M., Kuwert, P., Braehler, E. and Glaesmer, H. (2016). Long-term effects on adult attachment in German occupation children born after World War II in comparison with a birth-cohort-matched representative sample of the German general population. Aging & Mental Health: Epublished ahead of print. doi: 10.1080/13607863.2016.1247430.Google Scholar
Kessler, R. C., Davis, C. G. and Kendler, K. S. (1997). Childhood adversity and adult psychiatric disorder in the US national comorbidity survey. Psychological Medicine, 27, 1101–1119. doi: 10.1017/S0033291797005588.CrossRefGoogle ScholarPubMed
Klinitzke, G., Romppel, M., Häuser, W., Brähler, E. and Glaesmer, H. (2012) The German version of the childhood trauma questionnaire (CTQ) – psychometric characteristics in a representative sample of the general population. Psychotherapie Psychosomatik Medizinische Psychologie, 62, 47–51. doi: 10.1055/s-0031-1295495.Google Scholar
Kroenke, K., Spitzer, R. L. and Williams, J. B. W. (2001). The PHQ-9 – validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613. doi: 10.1046/j.1525-1497.2001.016009606.x.Google Scholar
Kroenke, K., Spitzer, R. L. and Williams, J. B. W. (2002). The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine, 64, 258–266.Google Scholar
Mochmann, I. C., Lee, S. and Stelzl-Marx, B. (2009). The children of the occupations born during the second World War and beyond – an overview. Historical Social Research-Historische Sozialforschung, 34, 263–282.Google Scholar
Perkonigg, A., Kessler, R.C., Storz, S. and Wittchen, H.U. (2000). Traumatic events and post-traumatic stress disorder in the community: prevalence, risk factors and comorbidity. Acta Psychiatrica Scandinavica, 101, 46–59. doi: 10.1034/j.1600-0447.2000.101001046.x.CrossRefGoogle ScholarPubMed
Sander, H. and Johr, B. (1992). BeFreier und Befreite. Krieg, Vergewaltigungen, Kinder (Liberators/suitors and exempts. War, Rape, Children). München: Kunstmann.Google Scholar
Shonkoff, J. P., Boyce, W. and McEwen, B. S. (2009). Neuroscience, molecular biology, and the childhood roots of health disparities building a new framework for health promotion and disease prevention. Journal of the American Medical Association, 301, 2252–2259. doi: 10.1001/jama.2009.754.Google Scholar
Stelzl-Marx, B. (2009a). Die unsichtbare generation: kinder sowjetischer besatzungssoldaten in Österreich und deutschland (the invisible generation: children of Soviet occupation soldiers in Austria and Germany). Historical Social Research-Historische Sozialforschung, 34, 352–372.Google Scholar
Stelzl-Marx, B. and Satjukow, S. (2015). Besatzungskinder – Nachkommen alliierter Soldaten in Österreich und Deutschland (Occupation Children – Offspring of Allied Soldiers in Austria and Germany). Wien, Köln, Weimar: Böhlau Verlag.Google Scholar
van Ee, E. (2011). Traumatized parents and their relationship with their children in a historical and cultural perspective. Psychologie & Gezondheid, 39, 163–168.Google Scholar
Villano, C. L. et al. (2004). Psychometric utility of the childhood trauma questionnaire with female street-based sex workers. Journal of Trauma and Dissociation, 5, 33–41. doi: 10.1300/J229v05n03_03.Google Scholar
Walker, E. A. et al. (1999). Adult health status of women with histories of childhood abuse and neglect. American Journal of Medicine, 107, 332–339.Google Scholar
Wittchen, H. U. and Pfister, H. (1997). DIA-X-Interviews: Manual für Screeningverfahren und Interviews, Interviewheft. Frankfurt: Swets and Zeitlinger.Google Scholar
Wittkampf, K. A., Naeije, L., Schene, A. H., Huyser, J. and van Weert, H. C. (2007). Diagnostic accuracy of the mood module of the patient health questionnaire: a systematic review. General Hospital Psychiatry, 29, 388–395. doi: 10.1016/j.genhosppsych.2007.06.004.Google Scholar