# Early care in childhood and psychological burden among East and West German adults

## TL;DR

This study examines how early childcare in East and West Germany relates to psychological burden in adulthood, finding differences between regions.

## Contribution

The study reveals regional differences in how early childcare affects psychological burden, suggesting external care may not inherently be harmful.

## Key findings

- West Germans who had full-time childcare before age three showed higher psychological burden compared to those in familial care.
- East Germans did not show a link between early childcare and psychological burden.
- The relationship between childcare and psychological burden differed significantly between East and West Germans.

## Abstract

The consequences of external childcare for children are controversially discussed. Many claim that early extrafamilial care is harmful to the child. This article aimed to study the relationship between external childcare at preschool age and psychological burden in adulthood. Given that extrafamilial care followed different norms and regulations depending on the location in East or West Germany during their division, the question was also pursued whether the association between early childcare and psychological burden differed between those regions.

The analyses are based on a representative sample collected in 2020. A total of 1,796 Germans (1,448 West, 348 East) were divided into three childcare groups: those who first entered external care before the age of three, those who started with or after the age of three, and those who stayed in familial care until school entry. Psychological burden was indicated by the Brief Symptom Inventory-18. Differences in psychological burden according to childcare group and region were tested by ANOVAs, ANCOVAs, and OLS-regressions.

Compared to West Germans in familial care before school entry, West Germans who received full-time external childcare before the age of three tended to report stronger symptoms of depression (std. β = 0.20, p = .050), anxiety (std. β = 0.20, p = .056), and the global score of psychological burden (std. β = 0.19, p = .066). In contrast, extrafamilial childcare was not related to the psychological burden of East Germans. Moreover, East Germans and West Germans differed significantly in terms of their relationship between psychological burden and extrafamilial full-time care before the age of three.

Though in the West, full-time care before the age of three was related to greater psychological burden this was not found in the East, indicating external childcare itself might not be harmful. Future research should observe whether selection effects, differing quality in childcare institutions, or differing norms were responsible for this disparity between regions.