Skip to main content
Log in

The Sydney Holocaust Study: Posttraumatic Stress Disorder and Other Psychosocial Morbidity in an Aged Community Sample

  • Published:
Journal of Traumatic Stress

Abstract

We investigated the psychological status and social functioning of Holocaust survivors. From 814 responses to a community survey of Jewish elders (aged 60 years or older), survivors (n = 100), refugees who had not experienced the Holocaust (n = 50), and Australian/English-born persons (n = 50), were randomly selected for semistructured interview, which included Posttraumatic Stress Disorder (PTSD) assessment, ratings on the General Health Questionnaire, Brief Psychiatric Rating Scale, Impact of Event Scale, Mini-Mental Status Examination, and Instrumental Activities of Daily Living and Social Functioning. On all psychological measures, survivors were functioning worse than refugees and Australian/English-born persons. The 3 groups were similar in social and instrumental functioning. The more severe the trauma the greater the level of psychological morbidity. Despite normal social and daily functioning, psychological morbidity following massive trauma endures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Aarts, P. G., Op den Velde, W., Falger, P. R., Hovens, J., DeGroen, J. H., & Van Duijn, H. (1996). Late onset of posttraumatic stress disorder in aging resistance veterans in the Netherlands. In P. E. Ruskin & J. A. Talbot (Eds.), Aging and posttraumatic stress disorder (pp. 53–76). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Blake, D. D., Keane, T. M., Wine, P. R., & Mora, C. (1990). Prevalence of PTSD symptoms in combat veterans seeking medical treatment. Journal of Traumatic Stress, 3, 15–27.

    Google Scholar 

  • Burvill, P. W., Mowry, B., & Hall, W. D. (1990). Quantification of physical illness in psychiatric research in the elderly. International Journal of Geriatric Psychiatry, 5, 161–170.

    Google Scholar 

  • Chodoff, P. (1963). Late effects of the concentration camp syndrome. Archives of General Psychiatry, 8, 323–333.

    Google Scholar 

  • Dasberg, H. (1995). AMCHA: The national Israeli center for psychosocial support of holocaust survivors and the 2nd generation: Raison d'etre. In J. Lemberger (Ed.), A global perspective on working with holocaust survivors and the 2nd generation (pp. 1–9). Israel: JDC Brookdale Institute of Gerontology and Human Development.

    Google Scholar 

  • Eaton, W. W., Sigal, J. J., & Weinfeld, M. (1982). Impairment in holocaust survivors after 33 years: Data from an unbiased community sample. American Journal of Psychiatry, 139, 773–777.

    Google Scholar 

  • Eitinger, L. (1961). Pathology of the concentration camp syndrome. Archives of General Psychiatry, 5, 371–379.

    Google Scholar 

  • Eitinger, L. (1962). Concentration camp survivors in the postwar world. American Journal of Orthopsychiatry, 32, 367–375.

    Google Scholar 

  • Eitinger, L. (1969). Psychosomatic problems in concentration camp survivors. Journal of Psychosomatic Research, 13, 183–189.

    Google Scholar 

  • Eitinger, L. (1980). The concentration camp syndrome and its late sequelae. Survivors, victims, and perpetrators. New York: Dimsdale, Hemisphere.

    Google Scholar 

  • Engel, W. H. (1962). Reflections on the psychiatric consequences of persecution. American Journal of Psychiatry, 16, 191–203.

    Google Scholar 

  • Favaro, A., Rodella, F. C., Colombo, G., & Santonastaso, P. (1999). Post-traumatic stress disorder and major depression among Italian Nazi concentration camp survivors: A controlled study 50 years later. Psychological Medicine, 29, 87–95.

    Google Scholar 

  • Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental State.” A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatry Research, 12, 189–198.

    Google Scholar 

  • Goldberg, D. P., & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139–145.

    Google Scholar 

  • Grauer, H. (1999). The chronic aspect of post traumatic stress disorder. In P. David & J. Goldhar (Eds.), A time to heal: Caring for the aging holocaust survivor. A multidisiplinary conference (pp. 61–65). Toronto, ON: Baycrest Center for Geriatric Care.

    Google Scholar 

  • Hantman, S., Solomon, Z., & Prager, E. (1994). How the Gulf War affected aged holocaust survivors. Clinical Gerontologist, 14, 27–37.

    Google Scholar 

  • Harel, Z. (1995). Serving holocaust survivors and survivor families. Marriage Family Review, 21, 29–49.

    Google Scholar 

  • Hocking, F. (1965). Human reactions to extreme environmental stress. Medical Journal of Australia, 2, 477–483.

    Google Scholar 

  • Hoppe, K. D. (1971). The aftermath of Nazi persecution reflected in recent psychiatric literature. International Psychiatry Clinics, 8, 169–204.

    Google Scholar 

  • Horowitz, M., Wilner, B. A., & Alvarez, W. (1979). Impact of Event Scale. A measure of subjective stress. Psychosomatic Medicine, 41, 209–218.

    Google Scholar 

  • Kahana, B., Harel, Z., & Kahana, E. (1988). Predictors of psychological well-being among survivors of the holocaust. In J. P. Wilson, Z. Harel, & B. Kahana (Eds.), Human adaptation to extreme stress. From the Holocaust to Vietnam (pp. 171–192). New York: Plenum.

    Google Scholar 

  • Krupinski, J., Stoller, A., & Wallace, L. (1973). Psychiatric disorders in East European refugees now in Australia. Social Science and Medicine, 7, 31–49.

    Google Scholar 

  • Krystal, H., & Niederland, W. (1968). Clinical observations on the survivor syndrome. In H. Krystal (Ed.), Massive psychic trauma (pp. 327–384). New York: International Universities Press.

    Google Scholar 

  • Kuch, K., & Cox, B. J. (1992). Symptoms of PTSD in 124 survivors of the holocaust. American Journal of Psychiatry, 149, 337–340.

    Google Scholar 

  • Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., et al. (1990). Trauma and the Vietnam war generation: Report of findings from the National Vietnam Veterans Readjustment Study. New York: Brunner/Mazel.

    Google Scholar 

  • Lawton, M. P., & Brody, E. M. (1969). Assessment of older people. Self-maintaining and instrumental activities of daily living. The Gerontologist, 9, 179–186.

    Google Scholar 

  • Leon, G. R., Butcher, J. N., & Kleinman, M. (1981). Survivors of the holocaust and their children: Current status and adjustment. Journal of Personality and Social Psychology, 41, 503–506.

    Google Scholar 

  • Matussek, P. (1975). Internment in concentration camps and its consequences. New York: Springer.

    Google Scholar 

  • Nadler, A., & Ben-Shushan, D. (1989). Forty years later: Long-term consequences of massive traumatisation as manifested by holocaust survivors from the city and the kibbutz. Journal of Consulting and Clinical Psychology, 57, 287–293.

    Google Scholar 

  • Nathan, T. S., Eitinger, L., & Winnik, H. Z. (1964). A psychiatric study of survivors of the Nazi Holocaust. A study in hospitalised patients. Israel Annals of Psychiatry and Related Disciplines, 2, 47–76.

    Google Scholar 

  • Overall, J. E., & Beller, S. A. (1984). The Brief Psychiatric Rating Scale (BPRS) in geropsychiatric research: 1. Factor structure on an inpatient unit. Journal of Gerontology, 2, 187–193.

    Google Scholar 

  • Overall, J. E., & Gorham, D. R. (1962) The Brief Psychiatric Rating Scale. Psychological Reports, 10, 799–812.

    Google Scholar 

  • Robinson, S., Rapaport, J., Durst, R., Rapaport, M., Rosca, P., Metzer, S., et al. (1990). The late effects of Nazi persecution among elderly holocaust survivors. Acta Psychiatrica Scandinavica, 82, 311–315.

    Google Scholar 

  • Rosen, J., Fields, R. B., Hand, A. M., Falsettie, G., & Van Kammen, D. P. (1989). Concurrent posttraumatic stress disorder in psychogeriatric patients. Journal of Geriatric Psychiatry and Neurology, 2, 65–69.

    Google Scholar 

  • Rosenbloom, M. (1988). Lessons of the Holocaust for mental health practice. In R. L. Braham (Ed.), The psychological perspectives of the Holocaust and its aftermath (pp. 145–159). New York: Columbia University Press.

    Google Scholar 

  • Rubinstein, W. D. (1987). The Jews of Australia. An introduction. Melbourne, VIC: Australian Institute of Jewish Affairs.

    Google Scholar 

  • Rutland, S. D. (1988). Edge of the Diaspora. Two centuries of Jewish settlement in Australia. Sydney, Australia: Collins.

    Google Scholar 

  • Sadavoy, J. (1997). Survivors. A review of the late-life effects of prior psychological trauma. American Journal of Geriatric Psychiatry, 5, 287–310.

    Google Scholar 

  • Shanan, J., & Shahar, O. (1983). Cognitive and personality functioning of Jewish holocaust survivors during midlife transition in Israel (46–65). Archives of Psychology, 135, 275–294.

    Google Scholar 

  • Silow, C. J. (1993) Holocaust survivors: A study of the long-term effects of post-traumatic stress and its relationship to parenting attitudes and behaviours. Ann Arbor, MI: UMI Dissertation Services.

    Google Scholar 

  • Steinitz, L. Y. (1982). Psycho-social effects of the holocaust on aging survivors and their families. Journal of Gerontological Social Work, 4, 331–336.

    Google Scholar 

  • The Australian Longitudinal Study of Aging. (1992). South Australia: Flinders University.

  • Tuteur, W. (1966). One hundred concentration camp survivors. Twenty years later. Israel Annals of Psychiatry and Related Disciplines, 4, 78–90.

    Google Scholar 

  • Whiteman, D. B. (1993). The uprooted: A Hitler legacy. Voices of those who escaped before the “Final Solution.” New York: Plenum.

    Google Scholar 

  • Yehuda, R., Kahana, B., Southwick, S. M., & Giller, E. L. (1994). Depressive features in holocaust survivors with post-traumatic stress disorder. Journal of Traumatic Stress, 7, 699–704.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Henry Brodaty.

About this article

Cite this article

Joffe, C., Brodaty, H., Luscombe, G. et al. The Sydney Holocaust Study: Posttraumatic Stress Disorder and Other Psychosocial Morbidity in an Aged Community Sample. J Trauma Stress 16, 39–47 (2003). https://doi.org/10.1023/A:1022059311147

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1022059311147

Navigation