University of Melbourne, Melbourne, VIC, Australia.
Med J Aust. 2011 Feb 21;194(4):194-7. doi: 10.5694/j.1326-5377.2011.tb03771.x.
In recent years, a phenomenon of "late effects of the Holocaust" has emerged, with impacts on the psychological and physical health of ageing Holocaust survivors. As Holocaust survivors age, they may experience heightened anxiety around normal processes of ageing, worsened post-traumatic stress disorder with cognitive decline, and fear of the medical system. Holocaust survivors are at increased risk of osteoporosis, cardiometabolic disease due to hypothalamic-pituitary-adrenal axis dysfunction, cancer, and sequelae of Nazi medical experiments. From existing medical literature on this topic, practical principles of management are derived to create a framework for sensitive medical management of Holocaust survivors in Australia. The issues discussed are also relevant to the wider geriatric refugee or prisoner-of-war experience.
近年来，出现了一种“大屠杀的后期影响”现象，对老龄化的大屠杀幸存者的身心健康产生了影响。随着大屠杀幸存者年龄的增长，他们可能会对正常的衰老过程感到更加焦虑，创伤后应激障碍伴认知能力下降，并且对医疗系统感到恐惧。大屠杀幸存者患骨质疏松症、由于下丘脑-垂体-肾上腺轴功能障碍引起的心血管代谢疾病、癌症以及纳粹医学实验的后遗症的风险增加。从现有关于这个主题的医学文献中，得出了管理的实用原则，为澳大利亚大屠杀幸存者的敏感医疗管理创建了一个框架。所讨论的问题也与更广泛的老年难民或战俘经历有关。
