Cited by 15Migration, Health and TraumaPosttraumatic Stress Disorder ResearchMemory, violence, and history

Psychopathology of children of genocide survivors: a systematic review on the impact of genocide on their children's psychopathology from five countries

Lindert, Jutta, Knobler, Haim Y., Kawachi, Ichiro, Bain, Paul A., Abramowitz, Moshe Z., McKee, Charlotte, Reinharz, Shula, McKee, Martin·2016·International Journal of Epidemiology

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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Crossref · 10.1093/ije/dyw161

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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
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

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