Department of Medical Psychology and Medical Sociology,University of Leipzig,Leipzig,Germany.
Department of Psychosomatic Medicine and Psychotherapy,HELIOS Hanseklinikum Stralsund,Stralsund,Germany.
Int Psychogeriatr. 2017 Jul;29(7):1147-1156. doi: 10.1017/S1041610217000369. Epub 2017 Apr 4.
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.
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).
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.
Findings underline the complex, long-term impact of developmental conditions and childhood maltreatment on mental disorders even decades later.
战争中的儿童是冲突的一种常见现象。第二次世界大战后，超过 20 万名德国占领军子女（GOC）由占领军士兵与当地妇女所生。GOC 往往在困难的条件下长大，即使几十年后，他们也表现出较高的精神障碍患病率。
本研究调查了 GOC（N=146）的儿童期虐待经历及其与创伤后应激障碍（PTSD）、抑郁和躯体化的关系，并将其与德国普通人群中具有代表性的出生队列匹配样本（BCMS）（N=920）进行比较。
结果显示，GOC 经历情感忽视/虐待、身体和性虐待的比例显著高于 BCMS。五种儿童虐待亚型均增加 PTSD 和躯体化综合征的风险；抑郁综合征与情感忽视/虐待和身体虐待有关。GOC 有遭受儿童虐待的高风险。
研究结果强调了即使几十年后，发育状况和儿童虐待对精神障碍的复杂、长期影响。
