Relationship between posttraumatic stress disorder characteristics of Holocaust survivors and their adult offspring.

Relationship between posttraumatic stress disorder characteristics of Holocaust survivors and their adult offspring.
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大屠杀幸存者及其成年后代的创伤后应激障碍特征之间的关系。

DOI:
10.1176/ajp.155.6.841
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发表时间:
1998
期刊:
The American journal of psychiatry.
影响因子:
--
通讯作者:
Binder-Brynes,K
Binder-Brynes,K
中科院分区:
--
文献类型:
--
作者:
Yehuda,R;Schmeidler,J;GillerJr,EL;Siever,LJ;Binder-Brynes,K

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目的关于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,作者检查了大屠杀幸存者及其成年子女创伤后应激障碍(PTSD)特征之间的关系,以确定父母的症状严重程度或诊断状态的差异是否与成年子女的相似特征相关。方法使用多种工具对大屠杀幸存者(N=22)及其后代(N=22)进行访谈,以评估其终生创伤史、创伤对其生活的影响、对大屠杀记忆的侵入性和回避性症状水平、当前和终生的创伤后应激障碍、当前和终生的创伤后应激障碍以外的I轴精神障碍。结果就创伤对生活的影响和对大屠杀记忆的侵入性(而非回避性)症状的反应程度而言,父母和子女之间存在显著的关系。如果父母患有创伤后应激障碍,有创伤性事件的后代更有可能患上创伤后应激障碍。结论子代的症状可能与亲本症状的存在及严重程度有关。此外,父母的创伤后应激障碍可能是后代患创伤后应激障碍的危险因素。
OBJECTIVEThere 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.METHODHolocaust 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.RESULTSThere 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.CONCLUSIONSSymptoms 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.