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Sexual violence by occupational forces during and after World War II: influence of experiencing and witnessing of sexual violence on current mental health in a sample of elderly Austrians

  • Brigitte Lueger-Schuster (a1), Tobias M. Glück (a1), Ulrich S. Tran (a1) and Elisabeth L. Zeilinger (a1)

Background: Wartime rape is an atrocity with long-lasting impacts not only on victims but whole societies. In this brief report, we present data on experience and witness of sexual violence during World War II (WWII) and subsequent time of occupation and on indicators of mental health in a sample of elderly Austrians.

Methods: Interviews of 298 elderly Austrians from a larger epidemiological study on WWII traumatization were analyzed for the impact of experience and witness of sexual violence during the wartime committed by occupational forces. Interviews comprised a biographical/historical section and psychological measures (BSI, TLEQ, PCL–C). Participants were recruited in all nine provinces of Austria with respect to former zones of occupation (Western Allied/Soviet).

Results: Twelve persons reported direct experience of sexual violence, 33 persons witnessed such atrocities. One third of the victims and 18.2% of the witnesses reported post-traumatic stress disorder (PTSD full/subthreshold). Sexual violence occurred more often in the former Soviet zone. Victims and witnesses displayed higher odds of post-traumatic symptoms and symptoms of depression and phobic fear than non-victims. Furthermore, witnesses displayed higher levels of aggression compared to victims and non-witnesses.

Conclusions: Our results corroborate previous findings that wartime rape has long-lasting effects over decades on current mental health and post-traumatic distress in victims and witnesses. We recommend integration of psychotraumatological knowledge on consequences of sexual violence on mental health into geriatric care and the education of dedicated personnel.

Corresponding author
Correspondence should be addressed to: Dr. Brigitte Lueger-Schuster, Faculty of Psychology, University of Vienna, Liebiggasse 5, A-1010 Vienna, Austria. Phone: +43 1427747221; Fax: +43 142779472. Email:
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American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR. Washington, DC: American Psychiatric Association.
Blanchard E. B., Jones-Alexander J., Buckley T. C. and Forneris C. A. (1996). Psychometric properties of the PTSD Checklist (PCL). Behaviour Research and Therapy, 34, 669673.
Brewin C. R., Andrews B. and Valentine J. D. (2000). Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. Journal of Consulting and Clinical Psychology, 68, 748766.
Clum G. A., Calhoun K. S. and Kimerling R. (2000). Associations among symptoms of depression and posttraumatic stress disorder and self-reported health in sexually assaulted women. Journal of Nervous and Mental Disease, 188, 671678.
Faravelli C., Giugni A., Salvatori S. and Ricca V. (2004). Psychopathology after rape. American Journal of Psychiatry, 161, 14831485.
Franke G. H. (2000). BSI. Brief Symptom Inventory - Deutsche Version. Manual. Göttingen: Beltz Test GmbH.
Glück T. M., Lueger-Schuster B., Ruggenthaler P. and Stelzl-Marx B. (2011). Children of war – epidemiology of psychic symptomatologies and posttraumatic stress disorders in elderly Austrians. Trauma & Gewalt, 5, 213.
Golding J. M. (1994). Sexual assault history and physical health in randomly selected Los Angeles women. Health Psychology, 13, 130138.
Hapke U., Schumann A., Rumpf H. J., John U. and Meyer C. (2006). Post-traumatic stress disorder: the role of trauma, pre-existing psychiatric disorders, and gender. European Archives of Psychiatry and Clinical Neuroscience, 256, 299306.
Hargreaves S. (2001). Rape as a war crime: putting policy into practice. Lancet, 357, 737.
Henry N. (2010). The impossibility of bearing witness: wartime rape and the promise of justice. Violence Against Women, 16, 10981119.
Heuft G. (1999). [Significance of trauma reactivation in old age]. Zeitschrift für Gerontologie und Geriatrie, 32, 225230.
Hiskey S., Luckie M., Davies S. and Brewin C. R. (2008). The phenomenology of reactivated trauma memories in older adults: a preliminary study. Aging and Mental Health, 12, 494498.
Kuwert P. and Freyberger H. J. (2007). The unspoken secret: sexual violence in World War II. International Psychogeriatrics, 19, 782784.
Kuwert P., Spitzer C., Trader A., Freyberger H. J. and Ermann M. (2007). Sixty years later: post-traumatic stress symptoms and current psychopathology in former German children of World War II. International Psychogeriatrics, 19, 955961.
Kuwert P. et al. (2010). Trauma and current posttraumatic stress symptoms in elderly German women who experienced wartime rapes in 1945. Journal of Nervous and Mental Disease, 198, 450451.
Lehmann P. (2000). Posttraumatic stress disorder (PTSD) and child witnesses to mother-assault: a summary and review. Children and Youth Services Review, 22, 275306.
Loncar M., Medved V., Jovanovic N. and Hotujac L. (2006). Psychological consequences of rape on women in 1991–1995 war in Croatia and Bosnia and Herzegovina. Croatian Medical Journal, 47, 6775.
Messerschmidt J. W. (2006). Review symposium: the forgotten victims of World War II: masculinities and rape in Berlin, 1945. Violence Against Women, 12, 706712.
Nyberg L., Backman L., Erngrund K., Olofsson U. and Nilsson L. G. (1996). Age differences in episodic memory, semantic memory, and priming: relationships to demographic, intellectual, and biological factors. Journals Of Gerontology. Series B, Psychological Sciences and Social Sciences, 51, 234240.
Rees S. et al. (2011). Lifetime prevalence of gender-based violence in women and the relationship with mental disorders and psychosocial function. JAMA, 306, 513521.
Sable M. R., Danis F., Mauzy D. L. and Gallagher S. K. (2006). Barriers to reporting sexual assault for women and men: perspectives of college students. Journal of American College Health, 55, 157162.
Shanks L., Ford N., Schull M. and de Jong K. (2001). Responding to rape. Lancet, 357, 304.
Sjoberg L. and Peet J. (2011). A(nother) dark side of the protection racket. International Feminist Journal of Politics, 13, 163182.
Stein M. B., Walker J. R., Hazen A. L. and Forde D. R. (1997). Full and partial posttraumatic stress disorder: findings from a community survey. American Journal of Psychiatry, 154, 11141119.
Teegen F. (2003). Posttraumatische Belastungsstörungen bei gefährdeten Berufsgruppen. Prävalenz − Prävention − Behandlung. Bern: Huber.
Teegen F. and Meister V. (2000). Traumatische erfahrungen deutscher flüchtlinge am ende des II. Weltkrieges und heutige belastungsstörungen. Zeitschrift für Gerontopsychologie & -Psychiatrie, 13, 112124.
Tjaden P. and Thoennes N. (2006). Extent, Nature, and Consequences of Rape Victimization: Findings from the National Violence Against Women Survey (NCJ 210346). Rockville, MD: National Institute of Justice.
Zawati H. M. (2007). Impunity or immunity: wartime male rape and sexual torture as a crime against humanity. Torture, 17, 2747.
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International Psychogeriatrics
  • ISSN: 1041-6102
  • EISSN: 1741-203X
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