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Traumatic experiences and post-traumatic stress disorder among elderly Germans: results of a representative population-based survey

Published online by Cambridge University Press:  31 March 2010

Heide Glaesmer ,
Thomas Gunzelmann ,
Elmar Braehler ,
Simon Forstmeier  and
Andreas Maercker
Heide Glaesmer*
Affiliation:
Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany
Thomas Gunzelmann
Affiliation:
Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany
Elmar Braehler
Affiliation:
Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany
Simon Forstmeier
Affiliation:
Department of Psychopathology and Clinical Intervention, University of Zurich, Zurich, Switzerland
Andreas Maercker
Affiliation:
Department of Psychopathology and Clinical Intervention, University of Zurich, Zurich, Switzerland
*
Correspondence should be addressed to: Dr. Heide Glaesmer, University of Leipzig, Department of Medical Psychology and Medical Sociology, Philipp-Rosenthal-Str. 55, 04103 Leipzig, Germany. Phone: +49 341 9718814; Fax: +49 341 9718809. Email: [email protected].
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Abstract

Background: Only a few population-based studies on the epidemiology of post-traumatic stress disorders (PTSDs) are available to date. Most of the existing studies are from the U.S.A. Against the background of World War II, the extent and long-term effects of war-related traumatic experiences in the German elderly population are of special interest. Nevertheless, population-based data on this topic are lacking to date.

Methods: This study examines the occurrence of traumatic experiences and the prevalence rates of PTSD according to DSM-IV and of partial PTSD in a randomly selected sample of the German general population aged 60 years and over (N = 814) using self-rating instruments.

Results: PTSD is apparent in 3.4%; when partial post-traumatic stress syndromes are included, a total of 7.2% of the aged population are involved. The most common individual symptoms resulting from war-induced trauma are avoidance of thoughts and feelings, sleep disturbances, distressing dreams and intrusive thoughts. The most frequently mentioned traumatic experiences of the generation examined in this study were war-related trauma experienced as children or in early adulthood during World War II. As a person's age increases, so does the prevalence of war-related traumatic experiences. There are some gender differences in traumatic experiences, but not in post-traumatic symptoms.

Conclusion: The results emphasize the importance of war-related traumatic experiences from World War II in the German elderly population and their impact on the prevalence of PTSD more than 60 years later.

Keywords

post-traumatic stress disorder; prevalence; elderlyWorld War IIwar traumaGermanysymptoms
Type
Research Article
Information
International Psychogeriatrics , Volume 22 , Issue 4 , June 2010 , pp. 661 - 670
Copyright
Copyright © International Psychogeriatric Association 2010

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References

Averill, P. M. and Beck, J. G. (2000). Posttraumatic stress disorder in older adults: a conceptual review. Journal of Anxiety Disorders, 14, 133–156.CrossRefGoogle ScholarPubMed
Bohnert, K. M. and Breslau, N. (in press). Assessing the performance of the short screening scale for posttraumatic stress disorder in a large nationally-representative survey. International Journal of Methods in Psychiatric Research.Google Scholar
Bramsen, I., Van Der Ploeg, H. M. and Boers, M. (2006). Posttraumatic stress in aging World War II survivors after a fireworks disaster: a controlled prospective study. Journal of Traumatic Stress, 19, 291–300.CrossRefGoogle ScholarPubMed
Breslau, N. and Alvarado, G. F. (2007). The clinical significance criterion in DSM-IV post-traumatic stress disorder. Psychological Medicine, 37, 1437–1444.CrossRefGoogle ScholarPubMed
Breslau, N., Peterson, E. L., Kessler, R. C. and Schultz, L. R. (1999). Short screening scale for DSM-IV posttraumatic stress disorder. American Journal of Psychiatry, 156, 908–911.CrossRefGoogle ScholarPubMed
Cook, J. M. and O'Donnell, C. (2005). Assessment and psychological treatment of posttraumatic stress disorder in older adults. Journal of Geriatric Psychiatry and Neurology, 18, 61–71.CrossRefGoogle ScholarPubMed
Creamer, M., Burgess, P. and McFarlane, A. C. (2001). Post-traumatic stress disorder: findings from the Australian National Survey of Mental Health and Well-being. Psychological Medicine, 7, 1237–1247.CrossRefGoogle Scholar
Favaro, A., Tenconi, E., Colombo, G. and Santonastaso, P. (2006). Full and partial post-traumatic stress disorder among World War II prisoners of war. Psychopathology, 39, 187–191.CrossRefGoogle ScholarPubMed
Fischer, C. J., Struwe, J. and Lemke, M. R. (2006). Long-term effects of traumatic experiences on somatic and psychic complaints of German World War Two refugees. Nervenarzt, 77, 58–63.CrossRefGoogle ScholarPubMed
Foa, E. B., Riggs, D. S., Dancu, C. V. and Rothbaum, B. O. (1993). Reliability and validity of a brief instrument for assessing posttraumatic stress disorder. Journal of Traumatic Stress, 6, 459–473.Google Scholar
Forstmeier, S., Kuwert, P., Spitzer, C., Freyberger, H. J. and Maercker, A. (2009). Posttraumatic growth, social acknowledgement as survivors, and sense of coherence in former child soldiers of World War II. American Journal of Geriatric Psychiatry, 2, 1030–1039.CrossRefGoogle Scholar
Heuft, G. (2004). Traumatisierung im Lebenslauf und Traumareaktivierung im Alter. Psychotherapie im Alter, 1, 23–24.Google Scholar
Heuft, G. (2006). Trauma-Reaktivierung, Retraumatisierung und neurotische Entwicklung. In Radebold, H., Heuft, G. and Fooken, I. (eds.), Kindheiten im zweiten Weltkrieg und deren Folgen aus psychohistorischer Perspektive (pp. 105–117). Weinheim, München: Juventa Verlag.Google Scholar
Hunt, N. and Robbins, I. (2001). The long-term consequences of war: the experience of World War II. Aging and Mental Health, 5, 183–190.CrossRefGoogle ScholarPubMed
Kuwert, P., Spitzer, C., Rosenthal, J. and Freyberger, H. J. (2008). Trauma and post-traumatic stress symptoms in former German child soldiers of World War II. International Psychogeriatrics, 20, 1014–1018.CrossRefGoogle ScholarPubMed
Kuwert, P., Braehler, E., Glaesmer, H., Freyberger, H. J. and Decker, O. (2009). Impact of forced displacement during World War II on the present-day mental health of the elderly: a population-based study. International Psychogeriatrics, 21, 748–753.CrossRefGoogle ScholarPubMed
Legeai, C., Gilber, F. and Kovess-Masfety, V. (2009). Posttraumatic stress disorder and functional disability in the elderly. Book of Abstracts of the XIIth International Congress of the IFPE, 16–19 April 2009 (p. 22), Vienna: International Federation of. Psychiatric Epidemiology.Google Scholar
Macleod, A. D. (1994). The reactivation of post-traumatic stress disorder in later life. Australian and New Zealand Journal of Psychiatry, 28, 625–634.CrossRefGoogle ScholarPubMed
Maercker, A. (2002). Alterspsychotherapie und klinische Gerontopsychologie. Berlin: Springer.CrossRefGoogle Scholar
Maercker, A., Herrle, J. and Grimm, I. (1999). Dresdner Bombennachtsopfer 50 Jahre danach: eine Untersuchung patho- und salutogenetischer Variablen. Zeitschrift für Gerontopsychologie und -psychiatrie, 12, 157–167.CrossRefGoogle Scholar
Maercker, A. et al. (2008a). Adjustment disorders, posttraumatic stress disorder, and depressive disorders in old age: findings from a community survey. Comprehensive Psychiatry, 49, 113–120.CrossRefGoogle ScholarPubMed
Maercker, A., Forstmeier, S., Wagner, B., Glaesmer, H. and Brahler, E. (2008b). Post-traumatic stress disorder in Germany: results of a nationwide epidemiological study. Nervenarzt, 79, 577–586.CrossRefGoogle ScholarPubMed
Perkonigg, A., Kessler, R. C., Storz, S. and Wittchen, H. U. (2000). Traumatic events and post-traumatic stress disorder in the community: prevalence, risk factors and comorbidity. Acta Psychiatrica Scandinavica, 101, 46–59.CrossRefGoogle ScholarPubMed
Phifer, J. F. and Norris, F. H. (1989). Psychological symptoms in older adults following natural disaster: nature, timing, duration, and course. Journals of Gerontology, 44, S207–S217.CrossRefGoogle ScholarPubMed
Radebold, H. (2003). Kindheiten im zweiten Weltkrieg und ihre Folgen. Psychosozial, 1, 1–101.Google Scholar
Radebold, H. (2005). Zeitgeschichtliche Erfahrungen und ihre Folgen – notwendige weitere Perspektive in der Psychotherapie Älterer. Psychotherapie im Alter, 4, 75–87.Google Scholar
Radebold, H. (2006). Während des Alterns anzutreffende Folgen: aktueller Kentnissstand. In Radebold, H., Heuft, G. and Fooken, I. (eds.), Kriegserfahrungen und deren Folgen aus psychohistorischer Perspektive (pp. 139–148). Weinheim, München: Juventa Verlag.Google Scholar
Rosner, R. and Powell, S. (2007). Überschätzt die ICD-10 die PTBS-Prävalenz? Trauma und Gewalt, 1, 46–61.Google Scholar
Schneider, G., Driesch, G., Kruse, A., Nehen, H. G. and Heuft, G. (2006). Old and ill and still feeling well? Determinants of subjective well-being in ≥60 year olds: the role of the sense of coherence. American Journal of Geriatric Psychiatry, 14, 850–859.CrossRefGoogle ScholarPubMed
Schuetzwohl, M. and Maercker, A. (1999). Effects of varying diagnostic criteria for posttraumatic stress disorder are endorsing the concept of partial PTSD. Journal of Traumatic Stress, 12, 155–165.CrossRefGoogle Scholar
Siegrist, P. and Maercker, A. (in press). Deutsche Fassung der Kurzen Screening-Skala für PTSD nach Breslau. Aktueller Stand der Validierung. Trauma und Gewalt.Google Scholar
Solomon, Z. and Ginzburg, K. (1999). Aging in the shadow of war. In Maercker, A., Schutzwohl, M. and Solomon, Z. (eds.), Posttraumatic Stress Disorder: A Lifespan Developmental Perspective (pp. 137–154). Göttingen: Hogrefe.Google Scholar
Spiro, A., Schnurr, P. P. and Aldwin, C. M. (1994). Combat-related posttraumatic stress disorder symptoms in older men. Psychology and Aging, 9, 17–26.CrossRefGoogle ScholarPubMed
Stieglitz, R. D., Frommberger, U., Foa, E. B. and Berger, M. (2001). Evaluation of the German version of the PTSD Symptom Scale (PSS). Psychopathology, 34, 128–133.CrossRefGoogle ScholarPubMed
Tagay, S., Gunzelmann, A. and Braehler, E. (2009). Posttraumatische Belastungsstörungen alter Menschen. Psychotherapie, 14, S334–S342.Google Scholar
Teegen, F. and Handwerk, U. (2006). Deutsche Frontkrankenschwestern im II.Weltkrieg: Traumatische Erfahrungen, patho- und salutogenetische Entwicklungen. Zeitschrift für Gerontopsychologie und -psychiatrie, 19, 127–138.CrossRefGoogle Scholar
Teegen, F. and Meister, V. (2000). Traumatische Erfahrungen deutscher Flüchtlingen am Ende des zweiten Weltkrieges und heute Belastungsstörungen. Zeitschrift für Gerontopsychologie und -psychiatrie, 13, 112–124.CrossRefGoogle Scholar
van Zelst, W. H., de Beurs, E., Beekman, A. T. F., Deeg, D. J. H. and van Dyck, R. (2003). Prevalence and risk factors of posttraumatic stress disorder in older adults. Psychotherapy and Psychosomatics, 6, 333–342.CrossRefGoogle Scholar
Wittchen, H. U. and Pfister, H. (1997). DIA-X-Interviews: Manual für Screeningverfahren und Interviews, Interviewheft. Frankfurt: Swets & Zeitlinger.Google Scholar