Psychotherapie, Psychosomatik, medizinische Psychologie · 2026
[Sent-Away Children and Consequences of the Sent-Away Experience for Mental Health with Special Regard to Disordered Eating].
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Lindner Kaja Luisa, Strauß Bernhard, Berger Uwe
Аннотация
BACKGROUND: Investigation of the long-term effects of West and East German children's health resorts ("Verschickungen") mainly between 1945 and 1990 on mental health, in particular the development of eating disorders among those affected.
METHOD: A mixed-methods approach was used. Quantitative data from a representative population sample (N=2504; n=88 with experience of being sent away) was collected using, among other things, a short form of the Eating Attitudes Test (EAT-8). Qualitative analysis was performed on 17 guided, semi-standardized interviews with former displaced children.
RESULTS: In the representative sample, 79.5% of respondents rated the effects of displacement on their health as positive and 14.8% as negative. The 88 individuals who had been sent away showed a significantly higher prevalence of abnormal eating behavior (51.1% vs. 29.8%; p<0.001) and a 2.5-fold increased likelihood (adjusted OR=2.527) of developing such behavior. At least one eating disorder was diagnosed in 17.0% of these individuals. In the interviews, 70.6% of respondents explicitly attributed subsequent problems with eating behavior to being sent away.
CONCLUSION: The results demonstrate a significant association between experiences of being sent away and long-term eating disorders. Currently, more than half a million people living in Germany view their placement in a children's home as having had a negative impact on their later life. This highlights the need for care facilities, among others, to take action when dealing with affected individuals and show consideration for their oftentimes negative experiences.
METHOD: A mixed-methods approach was used. Quantitative data from a representative population sample (N=2504; n=88 with experience of being sent away) was collected using, among other things, a short form of the Eating Attitudes Test (EAT-8). Qualitative analysis was performed on 17 guided, semi-standardized interviews with former displaced children.
RESULTS: In the representative sample, 79.5% of respondents rated the effects of displacement on their health as positive and 14.8% as negative. The 88 individuals who had been sent away showed a significantly higher prevalence of abnormal eating behavior (51.1% vs. 29.8%; p<0.001) and a 2.5-fold increased likelihood (adjusted OR=2.527) of developing such behavior. At least one eating disorder was diagnosed in 17.0% of these individuals. In the interviews, 70.6% of respondents explicitly attributed subsequent problems with eating behavior to being sent away.
CONCLUSION: The results demonstrate a significant association between experiences of being sent away and long-term eating disorders. Currently, more than half a million people living in Germany view their placement in a children's home as having had a negative impact on their later life. This highlights the need for care facilities, among others, to take action when dealing with affected individuals and show consideration for their oftentimes negative experiences.