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Kestler-Peleg M, Greenblatt-Kimron L, Even-Zohar A, Lavenda O. Parental Self-Efficacy Among Israeli Older Adults. Can J Aging 2023; 42:631-641. [PMID: 37272522 DOI: 10.1017/s0714980823000144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023] Open
Abstract
Parental self-efficacy (PSE) is a central aspect of parenting research. Although parenting continues in older ages, few studies have focused on PSE among older adults. In line with the parenting determinant model, the study examined the associations between psychological distress, social support, loneliness, and PSE in older age.The study used a quantitative cross-sectional survey, including 362 Israeli parents age 65 years and above. Participants were asked to complete questionnaires of psychological distress, social support, loneliness, PSE, and background information.Results revealed that higher PSE was associated with lower psychological distress, higher social support, and a lower sense of loneliness in older adults. The research model explained 36.9 per cent of the variance in PSE among older adults.Mental state and social conditions are important for PSE of older adults; therefore, professionals should ensure the availability of diverse solutions to enable, maintain, and promote well-being through social and familial engagement in this population.
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Affiliation(s)
| | | | | | - Osnat Lavenda
- School of Social Work, Ariel University, Ariel, Israel
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2
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Preiss M, Šamánková D, Štipl J, Fňašková M, Nečasová M, Bob P, Heissler R, Prokopová A, Heřmánková T, Juričková V, Sanders E, Wagenknechtová E, Rektor I. Posttraumatic Stress and Posttraumatic Growth in Three Generations of Czech and Slovak Holocaust Survivors. J Trauma Stress 2022; 35:159-167. [PMID: 34352929 DOI: 10.1002/jts.22711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Revised: 03/03/2021] [Accepted: 03/05/2021] [Indexed: 11/06/2022]
Abstract
The psychological consequences of trauma related to the Holocaust have been primarily studied in samples derived from Israel, North America, and Western Europe. Few studies have examined postcommunist countries in Central and Eastern Europe. The present study focused on three generations living in the Czech Republic and Slovakia after World War II (WWII): Holocaust survivors (71-95 years of age), their children (30-73 years of age), and their grandchildren (15-48 years of age). We compared scores on measures of posttraumatic stress symptoms (PTSS; the Posttraumatic Stress Disorder Checklist-Civilian Version) and posttraumatic growth (PTG; the Posttraumatic Growth Inventory) derived from three focal samples with scores from age-matched comparison participants. Higher PTSS scores emerged for Holocaust survivors in all generations, η2 P=.087 but only participants in the first generation reported higher PTG scores relative to the comparison group, with small effect sizes for the overall group differences, η2 P=.029 . These results are discussed in the historical and political context of postwar Czechoslovakia.
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Affiliation(s)
- Marek Preiss
- National Institute of Mental Health (NUDZ), Klecany, Czech Republic.,University of New York in Prague (UNYP), Praha, Czech Republic
| | - Dita Šamánková
- National Institute of Mental Health (NUDZ), Klecany, Czech Republic
| | - Jiří Štipl
- National Institute of Mental Health (NUDZ), Klecany, Czech Republic
| | - Monika Fňašková
- Central European Institute of Technology (CEITEC), Brain and Mind Research Program, Masaryk University, Brno, Czech Republic
| | - Markéta Nečasová
- Central European Institute of Technology (CEITEC), Brain and Mind Research Program, Masaryk University, Brno, Czech Republic
| | - Petr Bob
- Central European Institute of Technology (CEITEC), Brain and Mind Research Program, Masaryk University, Brno, Czech Republic
| | - Radek Heissler
- National Institute of Mental Health (NUDZ), Klecany, Czech Republic
| | - Alice Prokopová
- Central European Institute of Technology (CEITEC), Brain and Mind Research Program, Masaryk University, Brno, Czech Republic
| | | | | | - Edel Sanders
- University of New York in Prague (UNYP), Praha, Czech Republic
| | | | - Ivan Rektor
- Central European Institute of Technology (CEITEC), Brain and Mind Research Program, Masaryk University, Brno, Czech Republic
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3
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Greenblatt-Kimron L, Shrira A, Rubinstein T, Palgi Y. Event centrality and secondary traumatization among Holocaust survivors' offspring and grandchildren: A three-generation study. J Anxiety Disord 2021; 81:102401. [PMID: 33932631 DOI: 10.1016/j.janxdis.2021.102401] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2020] [Revised: 03/24/2021] [Accepted: 04/13/2021] [Indexed: 10/21/2022]
Abstract
The present study examined the intergenerational transmission of the Holocaust trauma in relation to levels of secondary traumatization and event centrality across three generations in a cross-sectional survey. Participants included 92 Holocaust survivor-offspring-grandchild triads (Holocaust G1-G2-G3) and 67 comparison triads (Comparison G1-G2-G3). Holocaust G1 reported higher levels of post-traumatic stress disorder (PTSD) symptoms relative to Comparison G1. Holocaust G2 and G3 reported significantly higher secondary traumatization relative to Comparison G2 and G3, respectively. Holocaust G3 also reported significantly higher scores in event centrality relative to Comparison G3. In survivor families, the indirect effect of PTSD symptoms in Holocaust G1 predicted Holocaust G2's secondary traumatization, which subsequently predicted Holocaust G3's secondary traumatization. Moreover, PTSD symptoms in Holocaust G1 predicted Holocaust G3's event centrality through secondary traumatization in both Holocaust G2 and G3 and event centrality in Holocaust G2. In the comparison groups, trauma transmission was not observed in three generations. Findings elucidate unique intergenerational transmission of the Holocaust trauma in survivor families, which comprise both personal and societal constituents. Moreover, the findings show that event centrality is a distinctive mechanism in intergenerational transmission in survivor families.
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Affiliation(s)
| | - Amit Shrira
- Interdisciplinary Department of Social Sciences, Bar-Ilan University, Ramat Gan, Israel.
| | - Tom Rubinstein
- Interdisciplinary Department of Social Sciences, Bar-Ilan University, Ramat Gan, Israel.
| | - Yuval Palgi
- Department of Gerontology, University of Haifa, Haifa, Israel.
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4
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Greenfeld D, Reupert A, Harris N, Jacobs N. Between Fear and Hope: The Lived Experiences of Grandchildren of Holocaust Survivors: A Qualitative Systematic Literature Review. JOURNAL OF LOSS & TRAUMA 2021. [DOI: 10.1080/15325024.2021.1905320] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
| | - Andrea Reupert
- Education Department, Monash University, Melbourne, Australia
| | - Nicholas Harris
- Discipline of Psychological Sciences, Australian College of Applied Psychology, Sydney, New South Wells, Australia
| | - Nicky Jacobs
- Education Department, Monash University, Melbourne, Australia
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5
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Linde-Krieger LB, Yates TM. A structural equation model of the etiology and developmental consequences of parent-child role confusion. JOURNAL OF APPLIED DEVELOPMENTAL PSYCHOLOGY 2021. [DOI: 10.1016/j.appdev.2020.101216] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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6
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Oren G, Shavit T. The Effect of the Subjective Holocaust Influence Level on Holocaust Survivors’ Offspring. JOURNAL OF LOSS & TRAUMA 2020. [DOI: 10.1080/15325024.2020.1847921] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Gila Oren
- The School of Business Administration, The College of Management Academic Studies, Rishon-LeZion, Israel
| | - Tal Shavit
- The Department of Economics and Business Administration, Ariel University, Ariel, Israel
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7
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Cohn IG, Morrison NM. Echoes of transgenerational trauma in the lived experiences of Jewish Australian grandchildren of Holocaust survivors. AUSTRALIAN JOURNAL OF PSYCHOLOGY 2020. [DOI: 10.1111/ajpy.12194] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Ilana G. Cohn
- Discipline of Psychological Sciences, Australian College of Applied Psychology, Sydney, New South Wales, Australia,
| | - Natalie M.v. Morrison
- Discipline of Psychological Sciences, Australian College of Applied Psychology, Sydney, New South Wales, Australia,
- School of Medicine, Western Sydney University, Penrith, New South Wales, Australia,
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Dashorst P, Huntjens RJC, Mooren TM, Kleber RJ, Zu Eulenburg C, de Jong PJ. Intrusions related to indirectly experienced events in clinical offspring of World War Two survivors. J Anxiety Disord 2020; 71:102209. [PMID: 32193000 DOI: 10.1016/j.janxdis.2020.102209] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2019] [Revised: 01/23/2020] [Accepted: 03/02/2020] [Indexed: 11/17/2022]
Abstract
Negative events may not only linger on in the form of intrusive memories in the minds of those directly exposed but also in those who are only indirectly confronted with these events. The aim of the present study was to investigate if intrusions referring to indirectly experienced traumatic events do indeed occur, and to compare their frequency and characteristics to intrusions about directly experienced negative events. Participants (N = 98) were adult postwar offspring of World War Two survivors currently in treatment in one of two clinics specialized in the treatment of war victims. We examined the frequency and characteristics of intrusions about indirectly experienced (i.e., parent war-related) events and two types of directly (self-) experienced events: Self-experienced traumatic events and negative events related to participants' upbringing. Intrusions referring to indirectly experienced traumatic events did indeed occur. The frequency as well as other characteristics of these intrusions did not differ from those of both types of intrusions about directly experienced events. The similarities between intrusions related to different types of events emphasize the (re)constructive nature of memory. Our findings indicate that traumatic events not only affect those directly involved but may also continue to plague the next generation.
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Affiliation(s)
| | - Rafaele J C Huntjens
- Department of Clinical Psychology & Experimental Psychopathology, University of Groningen, Groningen, the Netherlands
| | - Trudy M Mooren
- ARQ Centrum'45, Diemen/Oegstgeest, the Netherlands; Department of Clinical Psychology, Utrecht University, Utrecht, the Netherlands
| | - Rolf J Kleber
- ARQ Centrum'45, Diemen/Oegstgeest, the Netherlands; Department of Clinical Psychology, Utrecht University, Utrecht, the Netherlands
| | - Christine Zu Eulenburg
- Department for Epidemiology, University Medical Center Groningen, University of Groningen, the Netherlands
| | - Peter J de Jong
- Department of Clinical Psychology & Experimental Psychopathology, University of Groningen, Groningen, the Netherlands
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Craftman ÅG, Swall A, Båkman K, Grundberg Å, Hagelin CL. Caring for older people with dementia reliving past trauma. Nurs Ethics 2019; 27:621-633. [PMID: 31462155 DOI: 10.1177/0969733019864152] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND The occurrence of behavioural changes and problems, and degree of paranoid thoughts, are significantly higher among people who have experienced extreme trauma such as during the Holocaust. People with dementia and traumatic past experiences may have flashbacks reminding them of these experiences, which is of relevance in caring situations. In nursing homes for people with dementia, nursing assistants are often the group of staff who provide help with personal needs. They have firsthand experience of care and managing the devastating outcomes of inadequate understanding of a person's past experiences. AIM The aim was to describe nursing assistants' experiences of caring for older people with dementia who have experienced Holocaust trauma. RESEARCH DESIGN A qualitative descriptive and inductive approach was used, including qualitative interviews and content analysis. PARTICIPANTS AND RESEARCH CONTEXT Nine nursing assistants from a Jewish nursing home were interviewed. ETHICAL CONSIDERATIONS The study was approved by the Regional Ethical Review Board, Stockholm. FINDINGS The theme 'Adapting and following the survivors' expression of their situation' was built on two categories: Knowing the life story enables adjustments in the care and Need for flexibility in managing emotional expressions. DISCUSSION AND CONCLUSION The world still witnesses genocidal violence and such traumatic experiences will therefore be reflected in different ways when caring for survivors with dementia in the future. Person-centred care and an awareness of the meaning of being a survivor of severe trauma make it possible to avoid negative triggers, and confirm emotions and comfort people during negative flashbacks in caring situations and environments. Nursing assistants' patience and empathy were supported by a wider understanding of the behaviour of people with dementia who have survived trauma.
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Affiliation(s)
| | | | | | - Åke Grundberg
- Department of Nursing Science, Sophiahemmet University, Sweden
| | - Carina Lundh Hagelin
- Department of Caring, Science and Karolinska Institutet; Department of Neurobiology, Caring Sciences and Society, Ersta Sköndal Bräcke University College, Sweden
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Dalgaard NT, Diab SY, Montgomery E, Qouta SR, Punamäki RL. Is silence about trauma harmful for children? Transgenerational communication in Palestinian families. Transcult Psychiatry 2019; 56:398-427. [PMID: 30702385 DOI: 10.1177/1363461518824430] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Style of family communication is considered important in the transgenerational transmission of trauma. This study had three aims: first, to identify the contents of family communication about past national trauma; second, to examine how parents' current war trauma is associated with transgenerational communication; and third, to analyze the associations between transgenerational communication and children's mental health, measured as posttraumatic stress disorder (PTSD), depression and psychological distress. The study sample consisted of 170 Palestinian families in Gaza Strip, in which both mothers (n = 170) and fathers (n = 170) participated, each with their 11-13-year-old child. Mothers and fathers responded separately to three questions: 1) what did their own parents tell them about the War of 1948, Nakba?; 2) what did they tell their own children about the Nakba?; and 3) What did they tell their own children about the 1967 Arab-Israeli War and military occupation? Current war trauma, as reported separately by mothers, fathers and their children, refers to the Gaza War 2008/09. Children reported their symptoms of PTSD, depression, and psychological distress. Results revealed seven communication content categories and one category indicating maintaining silence about the traumas. Fathers' high exposure to current war trauma was associated with a higher level of communicating facts, reasons, and meanings regarding the1948 and 1967 wars, and mothers' high exposure to current war trauma was associated with a lower level of maintaining silence. Family communication about facts, reasons, and meanings was significantly associated with children not showing PTSD and marginally with not showing psychological distress, while maintaining silence was not associated with children's mental health.
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11
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Dashorst P, Mooren TM, Kleber RJ, de Jong PJ, Huntjens RJC. Intergenerational consequences of the Holocaust on offspring mental health: a systematic review of associated factors and mechanisms. Eur J Psychotraumatol 2019; 10:1654065. [PMID: 31497262 PMCID: PMC6720013 DOI: 10.1080/20008198.2019.1654065] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2018] [Revised: 07/14/2019] [Accepted: 07/28/2019] [Indexed: 11/24/2022] Open
Abstract
Exposure to war and violence has major consequences for society at large, detrimental impact on people's individual lives, and may also have intergenerational consequences. To gain more insight into these intergenerational consequences, research addressing the impact of the Holocaust on offspring is an important source of information. The aim of the current study was to systematically review the mechanisms of intergenerational consequences by summarizing characteristics in Holocaust survivors and their offspring suggested to impact the offspring's mental health. We focused on: 1) parental mental health problems, 2) (perceived) parenting and attachment quality, 3) family structure, especially parental Holocaust history, 4) additional stress and life events, and 5) psychophysiological processes of transmission. We identified 23 eligible studies published between 2000 and 2018. Only Holocaust survivor studies met the inclusion criteria. Various parent and child characteristics and their interaction were found to contribute to the development of psychological symptoms and biological and epigenetic variations. Parental mental health problems, perceived parenting, attachment quality, and parental gender appeared to be influential for the mental well-being of their offspring. In addition, having two survivor parents resulted in higher mental health problems compared to having one survivor parent. Also, there was evidence suggesting that Holocaust survivor offspring show a heightened vulnerability for stress, although this was only evident in the face of actual danger. Finally, the results also indicate intergenerational effects on offspring cortisol levels. Clinical and treatment implications are discussed.
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Affiliation(s)
| | - Trudy M Mooren
- Stichting Centrum'45/partner in Arq, Diemen, The Netherlands.,Department of Clinical & Health Psychology, Utrecht University, Utrecht, The Netherlands
| | - Rolf J Kleber
- Stichting Centrum'45/partner in Arq, Diemen, The Netherlands.,Department of Clinical & Health Psychology, Utrecht University, Utrecht, The Netherlands
| | - Peter J de Jong
- Department of Clinical Psychology & Experimental Psychopathology, University of Groningen, Groningen, The Netherlands
| | - Rafaele J C Huntjens
- Department of Clinical Psychology & Experimental Psychopathology, University of Groningen, Groningen, The Netherlands
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12
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Shrira A. Parental PTSD, health behaviors and successful aging among offspring of Holocaust survivors. Psychiatry Res 2019; 271:265-271. [PMID: 30508670 DOI: 10.1016/j.psychres.2018.11.060] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Revised: 11/23/2018] [Accepted: 11/24/2018] [Indexed: 11/15/2022]
Abstract
Unhealthy behaviors and physical morbidity are more common among trauma survivors, especially those who suffer from posttraumatic stress disorder (PTSD). This study looked at the underexplored relationships between parental PTSD, unhealthy behaviors and aging of trauma survivors' offspring. Dyads of parents (mean age = 82.42) and offspring (mean age = 55.48) reported PTSD symptoms, health behaviors and completed indices of successful aging. Dyads were divided into three groups: Holocaust survivors (HS) with probable PTSD (n = 28 dyads), HS without PTSD (n = 86 dyads) and comparison parents without PTSD (n = 73 dyads). Relative to the other groups, HS parents with probable PTSD and their offspring reported more unhealthy behaviors. Serial mediation models showed that the effect of parental PTSD on offspring successful aging was mediated by both parental and offspring unhealthy behaviors. Findings remained significant after controlling for background characteristics and offspring PTSD. This study provides preliminary evidence that PTSD is related to unhealthy behaviors across generations in HS families. Possible mechanisms for such intergenerational effect and its clinical implication are discussed.
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Affiliation(s)
- Amit Shrira
- The Interdisciplinary Department of Social Sciences, Faculty of Social Sciences, Bar-Ilan University, Ramat-Gan 5290002, Israel.
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13
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Transgenerational Transmission of Holocaust Trauma and Its Expressions in Literature. GENEALOGY 2018. [DOI: 10.3390/genealogy2040049] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Trauma is a central concept in the historiography of the Holocaust. In both the historiographical and the psychoanalytical research on the subject, the Holocaust is perceived not as a finite event that took place in the past, but as one that continues to exist and to affect the families of survivors and the Jewish people. In the 1950s–1960s, evidence began emerging that Holocaust trauma was not limited to the survivors themselves, but was passed on to the next generation born after the Holocaust and raised in its shadow. It is possible to see the effects of growing up in the shadow of the Holocaust and transgenerational transmission of trauma in many aspects of the second-generation children’s lives. In this article, I examine the representations of these symptoms in David Grossman’s novel See Under: Love, which deals with the subject of the Holocaust through the perspective of Momik, a child of Holocaust survivors. Grossman teaches us that writing itself has the potential to heal. He also shows us that every one of us contains both victim and aggressor, and that, under certain circumstances, the “Nazi beast” may awaken within each of us.
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14
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Walker VR, Boyles AL, Pelch KE, Holmgren SD, Shapiro AJ, Blystone CR, Devito MJ, Newbold RR, Blain R, Hartman P, Thayer KA, Rooney AA. Human and animal evidence of potential transgenerational inheritance of health effects: An evidence map and state-of-the-science evaluation. ENVIRONMENT INTERNATIONAL 2018; 115:48-69. [PMID: 29549716 DOI: 10.1016/j.envint.2017.12.032] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/08/2017] [Revised: 12/18/2017] [Accepted: 12/20/2017] [Indexed: 05/21/2023]
Abstract
BACKGROUND An increasing number of reports suggest early life exposures result in adverse effects in offspring who were never directly exposed; this phenomenon is termed "transgenerational inheritance." Given concern for public health implications for potential effects of exposures transmitted to subsequent generations, it is critical to determine how widespread and robust this phenomenon is and to identify the range of exposures and possible outcomes. OBJECTIVES This scoping report examines the evidence for transgenerational inheritance associated with exposure to a wide range of stressors in humans and animals to identify areas of consistency, uncertainty, data gaps, and to evaluate general risk of bias issues for the transgenerational study design. METHODS A protocol was developed to collect and categorize the literature into a systematic evidence map for transgenerational inheritance by health effects, exposures, and evidence streams following the Office of Health Assessment and Translation (OHAT) approach for conducting literature-based health assessments. RESULTS A PubMed search yielded 63,758 unique records from which 257 relevant studies were identified and categorized into a systematic evidence map by evidence streams (46 human and 211 animal), broad health effect categories, and exposures. Data extracted from the individual studies are available in the Health Assessment Workspace Collaborative (HAWC) program. There are relatively few bodies of evidence where multiple studies evaluated the same exposure and the same or similar outcomes. Studies evaluated for risk of bias generally had multiple issues in design or conduct. CONCLUSIONS The evidence mapping illustrated that risk of bias, few studies, and heterogeneity in exposures and endpoints examined present serious limitations to available bodies of evidence for assessing transgenerational effects. Targeted research is suggested to addressed inconsistencies and risk of bias issues identified, and thereby establish more robust bodies of evidence to critically assess transgenerational effects - particularly by adding data on exposure-outcome pairs where there is some evidence (i.e., reproductive, metabolic, and neurological effects).
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Affiliation(s)
- Vickie R Walker
- Office of Health Assessment and Translation (OHAT), Division of National Toxicology Program (NTP), National Institute of Environmental Sciences (NIEHS), National Institutes of Health (NIH), Department of Health and Human Services (DHHS), Research Triangle Park, NC, USA.
| | - Abee L Boyles
- Office of Health Assessment and Translation (OHAT), Division of National Toxicology Program (NTP), National Institute of Environmental Sciences (NIEHS), National Institutes of Health (NIH), Department of Health and Human Services (DHHS), Research Triangle Park, NC, USA
| | - Katherine E Pelch
- Office of Health Assessment and Translation (OHAT), Division of National Toxicology Program (NTP), National Institute of Environmental Sciences (NIEHS), National Institutes of Health (NIH), Department of Health and Human Services (DHHS), Research Triangle Park, NC, USA
| | | | - Andrew J Shapiro
- Program Operations Branch, DNTP, NIEHS, NIH, DHHS, Research Triangle Park, NC, USA
| | - Chad R Blystone
- Toxicology Branch, DNTP, NIEHS, NIH, DHHS, Research Triangle Park, NC, USA
| | - Michael J Devito
- NTP Laboratory, DNTP, NIEHS, NIH, DHHS, Research Triangle Park, NC, USA
| | - Retha R Newbold
- Researcher Emeritus, DNTP, NIEHS, NIH, DHHS, Research Triangle Park, NC, USA
| | | | | | - Kristina A Thayer
- Office of Health Assessment and Translation (OHAT), Division of National Toxicology Program (NTP), National Institute of Environmental Sciences (NIEHS), National Institutes of Health (NIH), Department of Health and Human Services (DHHS), Research Triangle Park, NC, USA
| | - Andrew A Rooney
- Office of Health Assessment and Translation (OHAT), Division of National Toxicology Program (NTP), National Institute of Environmental Sciences (NIEHS), National Institutes of Health (NIH), Department of Health and Human Services (DHHS), Research Triangle Park, NC, USA
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15
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Felsen I. Adult-Onset Trauma and Intergenerational Transmission: Integrating Empirical Data and Psychoanalytic Theory. PSYCHOANALYSIS SELF AND CONTEXT 2017. [DOI: 10.1080/15551024.2017.1251185] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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16
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Zerach G, Solomon Z. Low levels of posttraumatic stress symptoms and psychiatric symptomatology among third-generation Holocaust survivors whose fathers were war veterans. J Psychiatr Res 2016; 73:25-33. [PMID: 26679762 DOI: 10.1016/j.jpsychires.2015.11.014] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2015] [Revised: 11/11/2015] [Accepted: 11/20/2015] [Indexed: 11/29/2022]
Abstract
There is an ongoing debate regarding the intergenerational transmission of Holocaust trauma to the third generation (TGH). However, due to the rareness of this population, there are no studies that have examined TGH individuals whose fathers were also victims of war-related trauma and captivity. This prospective study aimed to assess the role of parents' Holocaust background, fathers' posttraumatic stress symptoms (PTSS), and adult offspring's anxiety sensitivity (AS) in adult offspring's PTSS and psychiatric symptomatology. A sample of 123 Israeli father-child dyads (42 TGH and 71 non-TGH), that included 80 former prisoners of war (ex-POWs) dyads and a comparison group of 44 veteran dyads, completed AS, PTSS and psychiatric symptomatology self-report measures. Fathers were assessed 17 years following the Yom Kippur War (T1: 2008) while offspring took part in T2 (2013-2014). Surprisingly, results show that TGH participants reported lower levels of PTSS and psychiatric symptomatology than non-TGH participants, regardless of their fathers' captivity status. Interestingly, a moderated mediation analysis indicated that offspring's AS mediated the association between Holocaust background and participants' PTSS and psychiatric symptomatology, only among ex-POWs' offspring. This study provides evidence for relatively lower levels of PTSS and psychiatric symptomatology among TGH individuals whose fathers were war veterans. Ex-POWs' adult offspring who are grandchildren of Holocaust survivors reported lower levels of AS that was related to lower levels of PTSS and psychiatric symptomatology.
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Affiliation(s)
- Gadi Zerach
- Department of Behavioral Sciences, Ariel University, Ariel, Israel.
| | - Zahava Solomon
- Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv, Israel
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17
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Palgi Y, Shrira A, Ben-Ezra M. Family Involvement and Holocaust Salience among Offspring and Grandchildren of Holocaust Survivors. JOURNAL OF INTERGENERATIONAL RELATIONSHIPS 2015. [DOI: 10.1080/15350770.2015.992902] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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18
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Devakumar D, Birch M, Osrin D, Sondorp E, Wells JCK. The intergenerational effects of war on the health of children. BMC Med 2014; 12:57. [PMID: 24694212 PMCID: PMC3997818 DOI: 10.1186/1741-7015-12-57] [Citation(s) in RCA: 60] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2013] [Accepted: 02/26/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The short- and medium-term effects of conflict on population health are reasonably well documented. Less considered are its consequences across generations and potential harms to the health of children yet to be born. DISCUSSION Looking first at the nature and effects of exposures during conflict, and then at the potential routes through which harm may propagate within families, we consider the intergenerational effects of four features of conflict: violence, challenges to mental health, infection and malnutrition. Conflict-driven harms are transmitted through a complex permissive environment that includes biological, cultural and economic factors, and feedback loops between sources of harm and weaknesses in individual and societal resilience to them. We discuss the multiplicative effects of ongoing conflict when hostilities are prolonged. SUMMARY We summarize many instances in which the effects of war can propagate across generations. We hope that the evidence laid out in the article will stimulate research and--more importantly--contribute to the discussion of the costs of war; particularly in the longer-term in post-conflict situations in which interventions need to be sustained and adapted over many years.
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Affiliation(s)
- Delan Devakumar
- Institute for Global Health, University College London, London, UK
| | | | - David Osrin
- Institute for Global Health, University College London, London, UK
| | | | - Jonathan CK Wells
- Childhood Nutrition Research Centre, Institute of Child Health, University College London, London, UK
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