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Early Childhood Care in the Former East Germany and Mental Stress in Adulthood.
Braunheim, Lisa; Heller, Ayline; Helmert, Claudia; Kasinger, Christoph; Beutel, Manfred E; Brähler, Elmar.
Afiliação
  • Braunheim L; Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz; GESIS Leibniz Institute for the Social Sciences, Survey Design and Methodology; Department of Psychiatry and Psychotherapy, Universitätsmedizin Leipzig und Medizinische Fakultät der Universität Leipzig.
Dtsch Arztebl Int ; 121(6): 182-187, 2024 Mar 22.
Article em En | MEDLINE | ID: mdl-38231727
ABSTRACT

BACKGROUND:

It is still debated in Germany whether early childhood care outside the family might cause mental stress in adulthood. In the German Democratic Republic (GDR-the former East Germany before unification), children were often cared for outside the family from a very early age.

METHODS:

To determine the relation between early childhood care outside the family and mental stress in adulthood, we carried out a survey among 1575 persons who were born and socialized in the GDR. They were classified into four care groups according to the age at which they were first cared for outside the family. Associations with depressiveness, somatization disorders, and anxiety disorders in adulthood were tested with logistic regression analysis. Care group-specific prevalences of experiences of abuse and neglect in childhood were estimated with analysis of variance.

RESULTS:

Comparisons of persons cared for outside the family before the age of three, or from the age of three onward, with persons cared for within the family in their preschool years did not reveal any difference with respect to depressiveness (odds ratio [OR] = 0.95; 95% confidence interval [0.58; 1.55]; OR = 1.05 [0.63; 1.74]), somatization disorders (OR = 1.11 [0.74; 1.67]; OR = 1.09 [0.71; 1.66]), or anxiety disorders (OR = 0.87 [0.46; 1.64]; OR = 1.12 [0.59; 2.10]). Nor were there any intergroup differences with respect to experiences of abuse and neglect. Certain features of the very small group of children who had long-term care outside the family are discussed in the article.

CONCLUSION:

No relation was found between earlychildhood care in day-care centers in the GDR and mental stress in adulthood. The data were too sparse for any conclusions about specific aspects of care outside the home (e.g., quality or child-rearing norms).
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estresse Psicológico Tipo de estudo: Observational_studies Limite: Adult / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: Dtsch Arztebl Int Assunto da revista: MEDICINA / SAUDE PUBLICA Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estresse Psicológico Tipo de estudo: Observational_studies Limite: Adult / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: Dtsch Arztebl Int Assunto da revista: MEDICINA / SAUDE PUBLICA Ano de publicação: 2024 Tipo de documento: Article