[Long-term analysis of disability pensions in survivors of the Holocaust: somatic and psychiatric diagnoses].
OBJECTIVE
Survivors of the Holocaust are known to suffer more often from mental as well as somatic consequential illness. The assessment of the degree of disability and invalidity due to the persecution complies with the interaction of directly Holocaust-related mental and somatic primary injuries as well as physical, psychical and psychosocial disadvantages and illnesses acquired later on.


METHODS
The presented descriptive as well as multivariate analyses included complete reports (expertise, medical records, physicians' assessments, witnessed hand-written notes of the patients) of 56 survivors of the Holocaust (36 women and 20 men).


RESULTS
The disability pension reports of 56 Holocaust survivors (36 women and 20 men) were analysed referring to the diagnostic groups and socio-demographic aspects. In 92.3 % a psychiatric illness could be diagnosed within the first year after liberation. In a separate analysis of somatic diagnoses, gastrointestinal diseases were statistically significant more often in Holocaust survivors with a degree of disability of more than 30 % (chi-square χ (2) = 4.0; df = 1; p = 0.046).


CONCLUSIONS
The question of an aggravation of psychiatrically relevant and persecution-associated symptomatology is mainly the objective of the expert opinion taking into account endogenous and exogenous factors such as so-called life events. Above all, newly acquired somatic diseases seem to be responsible for an aggravation of persecution-associated psychiatric symptoms, at least in the presented sample of Holocaust survivors.
Psychiatrische und Psychotherapeutische Klinik, Universitätsklinikum Erlangen, Schwabachanlage 6, Erlangen. teresa.biermann@uk-erlangen.de
T
T
Biermann
W
W
Sperling
H
H
Müller
P
P
Schütz
J
J
Kornhuber
U
U
Reulbach
D000368:Aged; D003866:Depressive Disorder / Q000209:etiology / Q000523:psychology; D004185:Disability Evaluation; D005260:Female; D017767:Holocaust / Q000523:psychology*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000209:etiology* / Q000523:psychology*; D015999:Multivariate Analysis; D010415:Pensions / Q000706:statistics & numerical data*; D011569:Psychiatric Status Rating Scales; D011602:Psychophysiologic Disorders / Q000209:etiology* / Q000523:psychology*; D017741:Survivors