Research Article
The Roles of Fathers' Posttraumatic Stress Symptoms and Adult Offspring's Differentiation of the Self in the Intergenerational Transmission of Captivity Trauma
Shelly Nicolai, Gadi Zerach,
Zahava Solomon,
Corresponding Author
Gadi Zerach
Ariel University
Please address correspondence to: Gadi Zerach, Department of Behavioral Sciences, Ariel University, Ariel 40700, Israel. E-mail: [email protected]Search for more papers by this authorShelly Nicolai, Gadi Zerach,
Zahava Solomon,
Corresponding Author
Gadi Zerach
Ariel University
Please address correspondence to: Gadi Zerach, Department of Behavioral Sciences, Ariel University, Ariel 40700, Israel. E-mail: [email protected]Search for more papers by this authorAbstract
Objectives
This prospective study aims to assess the role of fathers' posttraumatic stress disorder (PTSD) symptoms (PTSS), the course of these symptoms over the years, and the relationship between these symptoms and their adult offspring's own PTSS and level of differentiation of self.
Method
A sample of 123 Israeli father–child dyads (79 ex-prisoners of war [ex-POWs] dyads and a comparison group of 44 veterans' dyads) completed self-report measures. The fathers participated in 2 waves of measurements (1991 and 2008), while the offspring took part in 2013–2014.
Results
Increase in the fathers' PTSS over the years was related to high levels of his offspring's PTSS. Among ex-POWs' offspring, self-differentiation mediated the association between the father's PTSS and offspring's PTSS. Thus, a greater increase in the ex-POWs' PTSS over time was correlated to lower levels of the offspring's self-differentiation, which in turn was correlated to higher rates of PTSS.
Conclusion
Veterans' PTSS as well as offspring's self-differentiation are mechanisms of the intergenerational transmission of captivity trauma.
References
- Ahmadzadeh, G. H., & Malekian, A. (2004). Aggression, anxiety, and social development in adolescent children of war veterans with PTSD versus those of non-veterans. Journal of Research in Medical Sciences, 9(5), 231–234.
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: American Psychiatric Association.
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.
10.1176/appi.books.9780890425596 Google Scholar
- Ben-Arzi, N., Solomon, Z., & Dekel, R. (2000). Secondary traumatization among wives of PTSD and post-concussion casualties: Distress, caregiver burden and psychological separation. Brain injury, 14(8), 725–736. doi:10.1080/026990500413759
- Bosquet Enlow, M., Egeland, B., Carlson, E., Blood, E., & Wright, R. J. (2014). Mother-infant attachment and the intergenerational transmission of posttraumatic stress disorder. Development and Psychopathology, 26, 41–65.
- Bowen, M. (1976). Theory in the practice of psychotherapy. Family therapy: Theory and Practice, 4, 2–90.
- Bowen, M. (1978). Family therapy in clinical practice. New York: Jason Aronson.
- Dekel, R. (2010). Couple forgiveness, self-differentiation and secondary traumatization among wives of former POWs. Journal of Social and Personal Relationships, 27(7), 924–937. doi:10.1177/0265407510377216
- Dekel, R., & Goldblatt, H. (2008). Is there intergenerational transmission of trauma? The case of combat veterans' children. American Journal of Orthopsychiatry, 78(3), 281. doi:10.1037/a0013955
- Dekel, R., & Monson, C. M. (2010). Military-related post-traumatic stress disorder and family relations: Current knowledge and future directions. Aggression and Violent Behavior, 15, 303–309. doi:10.1016/j.avb.2010.03.001
- Figley, C. R. (1995). Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. London: Routledge.
- Giladi, L., & Bell, T. S. (2013). Protective factors for intergenerational transmission of trauma among second and third generation Holocaust survivors. Psychological Trauma: Theory, Research, Practice, and Policy, 5(4), 384. doi:10.1037/a0028455
- Gray, M. J., Litz, B. T., Hsu, J. L., & Lombardo, T. W. (2004). Psychometric properties of the life events checklist. Assessment, 11(4), 330–341.
- Grotevant, H. D., & Cooper, C. R. (1986). Individuation in family relationships. Human Development, 29, 82–100. doi:10.1159/000273025
- Hainlen, R. L., Jankowski, P. J., Paine, D. R., & Sandage, S. J. (2016). Adult attachment and well-being: Dimensions of differentiation of self as mediators. Contemporary Family Therapy, 38, 172–183.
- Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.
- Herman, J. L. (1992). Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. Journal of Traumatic Stress, 5(3), 377–391. doi:10.1002/jts.249005030
- Hunter, E. J. (1978). The Vietnam POW veteran: Immediate and long-term effects of captivity. In C. Figley (Ed.), Stress disorders among Vietnam veterans: Theory research and treatment ( 188–206). New York: Brunner-Masel.
- Jaffee, S. R., Caspi, A., Moffitt, T. E., & Taylor, A. (2004). Physical maltreatment victim to antisocial child: Evidence of an environmentally mediated process. Journal of Abnormal Psychology, 113(1), 44–53. doi:10.1037/0021-843X.113.1.44
- Kerr, M. E., & Bowen, M. (1988). Family evaluation. New York: Norton.
- Kluznik, J. C., Speed, N., Van Valkenburg, C., & Magraw, R. (1986). Forty-year follow-up of United States prisoners of war. American Journal of Psychiatry, 143(11), 1443–1446.
- Krycak, R. C., Murdock, N. L., & Marszalek, J. M. (2012). Differentiation of self, stress, and emotional support as predictors of psychological distress. Contemporary Family Therapy, 34(4), 495–515. doi:10.1007/s10591-012-9207-5
10.1007/s10591-012-9207-5 Google Scholar
- Laible, D. J., Carlo, G., & Raffaelli, M. (2000). The differential relations of parent and peer attachment to adolescent adjustment. Journal of Youth and Adolescence, 29, 45–59.doi:10.1023/A:1005169004882
- Lambert, J. E., Engh, R., Hasbun, A., & Holzer, J. (2012). Impact of posttraumatic stress disorder on the relationship quality and psychological distress of intimate partners: A meta-analytic review. Journal of Family Psychology, 26(5), 729. doi:10.1037/a0029341
- Lambert, J. E., Holzer, J., & Hasbun, A. (2014). Association between parents’ PTSD severity and children's psychological distress: A meta-analysis. Journal of Traumatic Stress, 27(1), 9–17.doi:10.1002/jts.21891
- Leen-Feldner, E. W., Feldner, M. T., Knapp, A., Bunaciu, L., Blumenthal, H., & Amstadter, A. B. (2013). Offspring psychological and biological correlates of parental posttraumatic stress: Review of the literature and research agenda. Clinical Psychology Review, 33(8), 1106–1133.
- Meziab, O., Kirby, K. A., Williams, B., Yaffe, K., Byers, A. L., & Barnes, D. E. (2014). Prisoner of war status, posttraumatic stress disorder, and dementia in older veterans. Alzheimer's & Dementia, 10(3), S236-S241. doi:10.1016/j.jalz.2014.04.004
- Murray, T. L., Daniels, M. H., & Murray, C. E. (2006). Differentiation of self, perceived stress, and symptom severity among patients with fibromyalgia syndrome. Families, Systems, & Health, 24(2), 147. doi:10.1037/1091-7527.24.2.147
10.1037/1091-7527.24.2.147 Google Scholar
- Palosaari, E., Punamäki, R. L., Qouta, S., & Diab, M. (2013). Intergenerational effects of war trauma among Palestinian families mediated via psychological maltreatment. Child Abuse & Neglect, 37, 955–968.
- Peleg, O. (2008). The relation between differentiation of self and marital satisfaction: What can be learned from married people over the course of life? The American Journal of Family Therapy, 36, 388-401. doi:10.1080/01926180701804634
- Port, C. L., Engdahl, B., & Frazier, P. (2001). A longitudinal and retrospective study of PTSD among older prisoners of war. American Journal of Psychiatry, 158(9), 1474–1479.
- Razavi, S. H., Razavi-Ratki, S. K., Nojomi, M. M., & Namiranian, N. (2012). Depression and general anxiety in the prisoner of war's children: A cross sectional study. Medical Journal of Islamic Republic of Iran, 26, 179–184.
- Renshaw, K. D., Allen, E. S., Rhoades, G. K., Blais, R. K., Markman, H. J., & Stanley, S. M. (2011). Distress in spouses of service members with symptoms of combat-related PTSD: Secondary traumatic stress or general psychological distress? Journal of Family Psychology, 25(4), 461.
- Rintamaki, L. S., Weaver, F. M., Elbaum, P. L., Klama, E. N., & Miskevics, S. A. (2009). Persistence of traumatic memories in World War II prisoners of war. Journal of the American Geriatric Society, 57(12), 2257–2262. doi:10.1111/j.1532-5415.2009.02608.x
- Rosenheck, R., & Fontana, A. (1998). Transgenerational effects of abusive violence on the children of Vietnam combat veterans. Journal of Traumatic Stress, 11, 731–741. doi:10.1023/A:1024445416821
- Rosenheck, R., & Nathan, P. (1985). Secondary traumatization in children of Vietnam veterans. Hospital & Community Psychiatry, 36(5), 538–539.
- Rubin, D. B. (2009). Multiple imputation for nonresponse in surveys (Vol. 307). New Jersey: John Wiley & Sons, Inc.
- Silverman, W. K., Kurtines, W. M., Jaccard, J., & Pina, A. A. (2009). Directionality of change in youth anxiety treatment involving parents: An initial examination. Journal of Consulting and Clinical Psychology, 77(3), 474. doi:10.1037/a0015761
- Skowron, E. A., & Friedlander, M. L. (1998). The differentiation of self inventory: Development and initial validation. Journal of Counseling Psychology, 45, 235–246. doi:10.1037/0022-0167.45.3.235
- Skowron, E. A., Stanley, K. L., & Shapiro, M. D. (2009). A longitudinal perspective on differentiation of self, interpersonal and psychological well-being in young adulthood. Contemporary Family Therapy, 31(1), 3–18. doi:10.1007/s10591-008-9075-1
10.1007/s10591-008-9075-1 Google Scholar
- Skowron, E. A., Wester, S. R., & Azen, R. (2004). Differentiation of self mediates college stress and adjustment. Journal of Counseling & Development, 82, 69–78. doi:10.1002/j.1556-6678.2004.tb00287.x
- Solomon, Z., Benbenishty, R., Neria, Y., Abramowitz, M., Ginzburg, K., & Ohry, A. (1993). Assessment of PTSD: Validation of the revised PTSD Inventory. The Israel Journal of Psychiatry and Related Sciences, 30, 110–115.
- Solomon, Z., Dekel, R., Zerach, G., & Horesh, D. (2009). Differentiation of the self and posttraumatic symptomatology among ex-POWS and their wives. Journal of Marital and Family Therapy, 35, 60–73. doi:10.1111/j.1752-0606.2008.00102.x
- Solomon, Z., Horesh, D., Ein-Dor, T., & Ohry, A. (2012). Predictors of PTSD trajectories following captivity: A 35-year longitudinal study. Psychiatry Research, 199(3), 188–194. doi:10.1016/j.psychres.2012.03.035
- Timm, T., & Keiley, M. K. (2011). The effects of differentiation of self, adult attachment, and sexual communication on sexual and marital satisfaction: A path analysis. Journal of Sex and Marital Therapy, 37, 206–223. doi:10.1080/0092623X.2011.564513.
- Yehuda, R., Bell, A., Bierer, L. M., & Schmeidler, J. (2008). Maternal, not paternal, PTSD is related to increased risk for PTSD in offspring of Holocaust survivors. Journal of Psychiatric Research, 42(13), 1104–1111. doi:10.1016/j.jpsychires.2008.01.002
- Zeiss, R. A., & Dickman, H. R. (1989). PTSD 40 years later: Incidence and person-situation correlates in former POWs. Journal of Clinical Psychology, 45(1), 80–87. doi:10.1002/1097-4679(198901)
10.1002/1097-4679(198901)45:1<80::AID-JCLP2270450112>3.0.CO;2-V CAS PubMed Web of Science® Google Scholar
- Zerach, G. (2014). Secondary traumatization among ex-POWs’ adult children: the mediating role of differentiation of the self. Psychological Trauma: Theory, Research, Practice, and Policy, 7(2), 187–194. doi:10.1037/a0037006
- Zerach, G., & Aloni, R. (2015). Secondary traumatization among former prisoners of wars' adult children: The mediating role of parental bonding. Anxiety, Stress, & Coping, 28(2), 162–178. doi:10.1080/10615806.2014.923097
- Zerach, G., Greene, T., Ein-Dor, T., & Solomon, Z. (2012). The relationship between posttraumatic stress disorder symptoms and paternal parenting of adult children among ex-prisoners of war: A longitudinal study. Journal of Family Psychology, 26(2), 274.https://doi.org/10.1037/a0027159
- Zerach, G., Greene, T., & Solomon, Z. (2015). Secondary traumatization and self-rated health among wives of former prisoners of war: The moderating role of marital adjustment. Journal of Health Psychology, 20(2), 222–235. doi:10.1177/1359105313502563
- Zerach, G., Kanat-Maymon, Y., Aloni, R., & Solomon, Z. (2015). The role of fathers' psychopathology in the intergenerational transmission of captivity trauma: A twenty three-year longitudinal study. Journal of Affective Disorders, 190, 84–92. doi:10.1016/j.jad.2015.09.072
- Zerach, G., & Solomon, Z. (2014). The relations between posttraumatic symptoms and disorder of extreme stress (not otherwise specified) symptoms following war captivity. Israel Journal of Psychiatry and Related Sciences, 50(3), 148–156.
