Intergenerational Transmission of Trauma in WTC Responders with PTSD

患有创伤后应激障碍 (PTSD) 的世贸中心急救人员中创伤的代际传递

• 批准号: 10064865
• 负责人: KEELY R CHESLACK-POSTAVA
• 金额: $ 50万
• 依托单位: NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-07-01 至 2021-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10064865
• 关键词: Intergenerational; Transmission; Trauma; WTC; Responders

A parent’s experience of trauma has been shown to impact the psychological well-being of their children even when the children themselves were not directly exposed to the traumatic event. Research on the Intergenerational Transmission of Trauma (ITT) has demonstrated behavioral, cognitive, and emotional difficulties in offspring of traumatized parents, including hypervigilance, nightmares, difficulties in interpersonal functioning, and deficits in academic performance, along with mood and other psychiatric disorders. Studies examining the effects of trauma transmission from parents with post-traumatic stress disorder (PTSD), reported high rates of PTSD in their offspring. However, there is still debate regarding the proposed pathways of ITT explaining the increased risk for impaired psychological well-being in children of parents exposed to trauma. The burden of ITT has not received appropriate research consideration in children of World Trade Center Responders (WTC-R) given earlier reports of behavioral, psychological and health problems among these children, and evidence suggests that these difficulties and disorders will persist beyond the childhood years. This proposal aims to address this gap by establishing a new cohort of persons who were younger than 18 years of age at the time of the 9/11 terror attack, and whose parents developed PTSD after being exposed through their occupation to the terror attack and its aftermath. We will: a) assess the psychological well-being and risk factors of this cohort using an online battery of cognitive and emotional tasks and psychological instruments; and b) integrate data from the parent cohort with that collected on this new cohort to examine the possible mediators of ITT. Understanding ITT is a necessary prerequisite for formulating effective public health interventions after mass disasters.

父母的创伤经历已被证明会影响孩子的心理健康，甚至 当孩子们自己没有直接暴露于创伤事件时。研究 创伤的代际传播 (ITT) 已证明行为、认知和情感 受创伤父母的后代会遇到困难，包括过度警觉、噩梦、人际交往困难 功能和学习成绩缺陷，以及情绪和其他精神疾病。研究 检查患有创伤后应激障碍（PTSD）的父母的创伤传播的影响， 据报道，他们的后代患有创伤后应激障碍（PTSD）的比例很高。然而，对于拟议的途径仍然存在争议 ITT 解释了父母接触过的儿童心理健康受损的风险增加 创伤。 ITT 的负担尚未在世界贸易儿童中得到适当的研究考虑 中心响应者 (WTC-R) 提供了有关行为、心理和健康问题的早期报告 这些儿童，有证据表明这些困难和障碍将持续到童年期之后 年。该提案旨在通过建立一群年龄小于 9/11 恐怖袭击发生时年满 18 岁，其父母在暴露后患上了创伤后应激障碍 (PTSD) 从他们的占领到恐怖袭击及其后果。我们将： a) 评估心理健康状况 使用认知和情感任务以及心理任务的在线电池组来确定该人群的风险因素 仪器； b) 将父队列的数据与新队列中收集的数据进行整合，以检查 ITT 的可能中介。了解 ITT 是制定有效公共卫生的必要先决条件 大规模灾难后的干预措施。