Range and specificity of war-related trauma to posttraumatic stress; depression and general health perception: displaced former World War II children in late life.
BACKGROUND
Dose-response relation of war experiences and posttraumatic stress, depression and poor health functioning in late life is well documented in war-affected populations. The influence of differing trauma types experienced by war-affected population in the study of dose-response relation of war trauma and psychological maladaptation in late life has not been investigated. We examined a subgroup of displaced elders and investigated whether specific trauma types were associated with differential health outcomes.


METHODS
From representative practitioner lists, matched groups of former displaced and non-displaced World War II children were assigned, yielding a total sample of 417 participants (response rate 50%). Measurement encompassed a self-report survey including the Impact of Event Scale-Revised, the Patient Health Questionnaire and the Harvard Trauma Questionnaire.


RESULTS
Consistent dose-relation between war-related experiences and posttraumatic stress or depressive symptoms in late life was found for both, displaced and non-displaced elders, whereas a gradient for poor health perception was only found in displaced people. Trauma types derived from principal component analysis showed differential associations with health outcomes. Human Right Violations emerged as risk factor for posttraumatic stress symptoms and Deprivation & Threat to Life as risk factor for depressive symptoms. Poor self-rated health was associated with multiple trauma types.


CONCLUSIONS
Non-random recruitment, retrospective design and use of self-report.


CONCLUSIONS
Posttraumatic stress and depression are associated with war-related experiences more than 60 years after World War II. Results suggest that different trauma types lead to unique variants of syndrome configurations, which may result from different etiological factors.
Strauss
Kristin
K
Department of Health and Prevention, Ernst-Moritz-Arndt University Greifswald, Robert-Blum-Str. 13, 17487 Greifswald, Germany. stine_str@yahoo.de
Dapp
Ulrike
U
Anders
Jennifer
J
von Renteln-Kruse
Wolfgang
W
Schmidt
Silke
S
D000368:Aged; D000369:Aged, 80 and over; D003866:Depressive Disorder / Q000453:epidemiology* / Q000209:etiology / Q000523:psychology; D005260:Female; D005858:Germany / Q000453:epidemiology; D006304:Health Status; D006801:Humans; D008016:Life Change Events; D016015:Logistic Models; D008297:Male; D008603:Mental Health; D015999:Multivariate Analysis; D011569:Psychiatric Status Rating Scales; D012036:Refugees / Q000523:psychology*; D012959:Socioeconomic Factors; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology* / Q000209:etiology / Q000523:psychology; D017741:Survivors / Q000523:psychology*; D047789:World War II