Yehuda R, Schmeidler J, Giller E L, Siever L J, Binder-Brynes K
Psychiatry Department, Mount Sinai School of Medicine, New York.
Am J Psychiatry. 1998 Jun;155(6):841-3. doi: 10.1176/ajp.155.6.841.
There is controversy regarding the long-lasting effects of the Holocaust on the adult children of Holocaust survivors. In the present study the authors examined the relationship between posttraumatic stress disorder (PTSD) characteristics of Holocaust survivors and their adult children to determine whether differences in symptom severity or diagnostic status of parents would be associated with similar characteristics in their adult children.
Holocaust survivors (N = 22) and their offspring (N = 22) were interviewed with several instruments to assess lifetime trauma history, effect of trauma on one's life, level of intrusive and avoidance symptoms in response to reminders of the Holocaust, current and lifetime PTSD, and current and lifetime axis I psychiatric disorder other than PTSD.
There were significant relationships between parents and children regarding the effect of trauma on one's life and level of intrusive, but not avoidance, symptoms in response to reminders of the Holocaust. Offspring with traumatic events were more likely to develop PTSD if their parents had PTSD.
Symptoms in offspring may be related to presence and severity of symptoms in the parent. Furthermore, PTSD in the parent may be a risk factor for PTSD in offspring.
大屠杀对大屠杀幸存者成年子女的长期影响存在争议。在本研究中,作者考察了大屠杀幸存者及其成年子女的创伤后应激障碍(PTSD)特征之间的关系,以确定父母症状严重程度或诊断状况的差异是否会与成年子女的类似特征相关。
使用多种工具对22名大屠杀幸存者及其22名后代进行访谈,以评估终生创伤史、创伤对生活的影响、对大屠杀相关提示的侵入性和回避症状水平、当前和终生PTSD,以及除PTSD外当前和终生的轴I精神障碍。
父母与子女在创伤对生活的影响以及对大屠杀相关提示的侵入性(而非回避性)症状水平方面存在显著关系。如果父母患有PTSD,经历过创伤事件的后代更有可能患上PTSD。
后代的症状可能与父母症状的存在和严重程度有关。此外,父母的PTSD可能是后代患PTSD的一个风险因素。