title: [Long-term consequences of flight and expulsion in former refugee children].
abstract: Little is known about long-term consequences of flight and expulsion during childhood. The aim of this study was to interview aging former refugee children about their recollection of traumatic experiences and to screen for full and partial posttraumatic stress disorder (PTSD) and their differential impact on today's quality of life and mental health. In 502 participants from the former German eastern territories who were displaced as children at the end of World War II (at the age of 5-12 years) we examined traumatic experiences, posttraumatic stress symptoms (PDS), comorbid symptoms (SCL-90-R), depressive symptoms (BDI) and quality of life (SF-36). 31.5% participants reported posttraumatic stress symptoms indicating current full PTSD, and 33.7% fulfilled the criteria of a current partial PTSD. Participants with full and partial PTSD reported a significantly reduced quality of life, often depressive and comorbid symptoms and were compromised in their well-being compared to participants without PTSD. The study demonstrates the long-term consequences of flight and expulsion during childhood in aging former refugee children more than 60 years later. Posttraumatic stress symptoms play a prominent role for quality of life and well-being in this population.
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany. cmuhtz@uke.uni-hamburg.de
authors.forename: Christoph
authors.initials: C
authors.lastname: Muhtz
authors.forename: Christine
authors.initials: C
authors.lastname: von Alm
authors.forename: Kathrin
authors.initials: K
authors.lastname: Godemann
authors.forename: Charlotte
authors.initials: C
authors.lastname: Wittekind
authors.forename: Lena
authors.initials: L
authors.lastname: Jelinek
authors.forename: Alexander
authors.initials: A
authors.lastname: Yassouridis
authors.forename: Michael
authors.initials: M
authors.lastname: Kellner
mesh_terms: D000369:Aged, 80 and over; D000375:Aging / Q000523:psychology; D002648:Child; D002675:Child, Preschool; D003863:Depression / Q000523:psychology; D005858:Germany / Q000453:epidemiology; D005859:Germany, East; D005860:Germany, West; D006801:Humans; D007406:Interview, Psychological; D008603:Mental Health; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D012036:Refugees / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000523:psychology*; D047789:World War II