Psychopathology of children of genocide survivors: a systematic review on the impact of genocide on their children's psychopathology from five countries
Abstract
Background: : The health consequences of genocides on children of survivors are increasingly discussed but conclusions have been conflicting. Methods: We systematically reviewed studies from five electronic databases (EMBASE, PILOTS, PUBMED, PsycINFO, Web of Science), which used a quantitative study design and included: (i) exposure to the genocides of Armenians in Nazi Germany, Cambodia, Rwanda and Bosnia; (ii) mental health outcomes; (iii) validated instruments; (iv) statistical tests of associations. Study quality was appraised using a quality assessment tool for genocide studies. PRISMA reporting guidelines were followed. Results: From 3352 retrieved records, 20 studies with a total of 4793 participants involving 2431 children of survivors and 2362 controls met the eligibility criteria. Studies were conducted in seven countries: Australia, Canada, Italy, Israel, Norway, Rwanda and the USAs over the past seven decades, using the Genocide Studies Quality Assessment Tool. Data from the high quality studies provide no consistent evidence that children of genocide survivors are more likely to have mental health problems than comparators who were not children of genocide survivors. Conclusions: Methodological characteristics were associated with findings: studies investigating random samples of genocide survivors did not find an impact of genocides on health of children of survivors. Potential confounders (e.g. recent life events, poverty) need further investigation. Future studies of the impact of genocides on mental health should report using a standardized structure, such as the quality tool used here.
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PTSD among genocide survivors and the transmission of trauma to their descendants and other neighbors has been reported.
“Concerning the mental health problems in Rwandans, PTSD among the genocide survivors and the transmission of trauma to their descendants and other neighbors was reported [30, 42].”
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- Authors
- Lindert, J., Knobler, H. Y., Kawachi, I., Bain, P. A., Abramowitz, M. Z., McKee, C., Reinharz, S., & McKee, M.
- Affiliations
- Brandeis University (US)
- Jerusalem Mental Health Center (IL)
- Harvard University (US)
- University of Exeter (GB)
- London School of Hygiene & Tropical Medicine (GB)
- Corresponding author
- Lindert, Jutta
- Venue
- International Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-10-25
- Volume
- 46
- Issue
- 1
- Pages
- dyw161
- ISSN
- 0300-5771 (ISSN-L)
- 1464-3685
- OpenAlex
- W2540285932
- Cited by
- 15
- References
- 93
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2022: 3 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 2
- FWCI
- 0.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Social Psychology › Memory, violence, and history
- Keywords
- genocide survivors, child psychopathology, mental health outcomes, Armenian genocide, Cambodian genocide, Rwandan genocide, Bosnian genocide, Holocaust, study quality assessment, poverty
- MeSH terms
- Child, Humans, Mental Health, Psychopathology, Survivors, Internationality, Genocide, Neurodevelopmental Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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