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大屠杀幸存者第二代后代心理困扰的独特影响因素:创伤后应激与连贯感。

Distinctive factors contributing to psychological distress in second-generation offspring of Holocaust survivors: Posttraumatic stress and sense of coherence.

作者信息

Nohr Laura, Nesterko Yuriy, Specht Freya, Stammel Nadine, Sotelo Ingrid, Böttche Maria

机构信息

Department of Education and Psychology, Division of Clinical Psychological Intervention, Freie Universität Berlin, Berlin, Germany.

Center ÜBERLEBEN, Berlin, Germany.

出版信息

J Trauma Stress. 2025 Aug;38(4):618-628. doi: 10.1002/jts.23173. Epub 2025 Jun 12.

DOI:10.1002/jts.23173
PMID:40509683
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12375941/
Abstract

The psychological impact of historical trauma can be passed on to future generations. The simultaneous presence of historical and individual trauma may increase psychological distress, especially in older adults. Older age potentially represents a phase of life with increased challenges, distress, life review, and reminiscence. Though both historical and individual trauma appear to contribute to psychological distress, a strong sense of coherence (SOC) may reduce psychological distress and posttraumatic stress in older age and in the context of historical trauma. We conducted a cross-sectional online survey among offspring of Holocaust survivors (OHS) from Germany, Israel, and the United States, focusing on the second generation and individuals aged 60-80 years who reported having survived individual trauma. Descriptive statistics, zero-order correlation analyses, and multiple regression were used to investigate factors influencing psychological distress, including gender, age, posttraumatic stress disorder (PTSD) symptoms, past victimization, family Holocaust knowledge, and SOC (balance, manageability, and reflection). The sample comprised 116 participants (70.1% female- identified, M = 67.85 years, SD = 4.45, range: 60-79 years). Multiple regression indicated that PTSD symptoms, B = 2.78, β = .58 (SE = .37), p < .001, and manageability, B = -0.54, β = -.20 (SE = .25), p = .034, were significantly associated with psychological distress. The final model accounted for 50.5% of the total variance in current psychological distress among older second-generation OHS. These findings highlight the importance of individual risk and protective factors in understanding distress among older people in the context of historical trauma.

摘要

历史创伤的心理影响可能会传递给后代。历史创伤和个体创伤同时存在可能会增加心理困扰,尤其是在老年人中。老年期可能代表着一个挑战、困扰、生活回顾和回忆增加的生命阶段。尽管历史创伤和个体创伤似乎都会导致心理困扰,但强烈的连贯感(SOC)可能会减轻老年人在历史创伤背景下的心理困扰和创伤后应激反应。我们对来自德国、以色列和美国的大屠杀幸存者后代(OHS)进行了一项横断面在线调查,重点关注第二代以及报告曾经历个体创伤的60 - 80岁人群。采用描述性统计、零阶相关分析和多元回归来研究影响心理困扰的因素,包括性别、年龄、创伤后应激障碍(PTSD)症状、过去的受害经历、家庭对大屠杀的了解以及SOC(平衡、可管理性和反思)。样本包括116名参与者(70.1%为女性,M = 67.85岁,SD = 4.45,范围:60 - 79岁)。多元回归表明,PTSD症状,B = 2.78,β = 0.58(SE = 0.37),p < 0.001,以及可管理性,B = -0.54,β = -0.20(SE = 0.25),p = 0.034,与心理困扰显著相关。最终模型解释了第二代老年OHS当前心理困扰总方差的50.5%。这些发现凸显了个体风险和保护因素在理解历史创伤背景下老年人困扰方面的重要性。

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