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Trauma & PTSD

Does a parent's trauma shape how their children age?

Shrira A, Ayalon L, Bensimon M, et al. · Frontiers in psychology · 2017

Open access · cc by · source: Europe PMC

Adult children of Holocaust survivors whose parents had probable PTSD were in poorer physical shape as they aged, and their own trauma-related distress about the parent's experience statistically accounted for much of that link.

Study at a glance

Design
Cross-sectional — Two cross-sectional group comparisons (offspring of survivors with vs without parental probable PTSD vs comparison offspring) with bootstrapped mediation analyses
N
N=101 · Study 1: 101 adult offspring (69 offspring of Holocaust survivors, 32 comparisons) rating their parents' PTSD; Study 2: 154 parent-offspring dyads (90 Holocaust dyads, 64 comparison dyads), parents self-reporting PTSD
Population
Jewish Israeli middle-aged and older adult offspring of Holocaust survivors and of parents without a Holocaust background (and, in Study 2, the parents themselves)
Outcome
Offspring objective successful aging (medical conditions, disability, somatic symptoms) and subjective aging perceptions, with secondary traumatization as mediator

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Key findings

In Study 1, offspring whose parents had probable PTSD had worse objective aging (more medical conditions, disability and somatic symptoms) and higher secondary traumatization than both other groups, and saw old age more as a time of loss than offspring of survivors without parental PTSD. In both studies, secondary traumatization significantly mediated the group effect on objective aging, with effect sizes in the medium range. In Study 2, both groups of survivors' offspring aged less well than comparisons, and the link held after controlling for offspring anxiety and parental age.

Methodology

In Study 1, 101 adult offspring (middle-aged and older) completed online questionnaires rating each parent's PTSD symptoms, their own secondary traumatization (distress about the parent's trauma), and measures of health and attitudes to ageing. Study 2 recruited 154 parent-offspring pairs; this time the elderly parents reported their own PTSD symptoms and the offspring reported secondary traumatization, health and anxiety. Offspring were grouped as children of survivors with a probably-PTSD parent, children of survivors without, or comparison offspring, and mediation models tested whether secondary traumatization explained group differences.

Limitations

Both studies are cross-sectional convenience samples, so the mediation analyses cannot show that parental PTSD causes secondary traumatization which then causes poorer health; the ordering is assumed. All health and PTSD measures are self-reports, and in Study 1 the offspring rated their own parents' symptoms, so a single informant supplied predictor, mediator and outcome. The parental-PTSD subgroups were small (only 15 dyads in Study 2), too small to separate mothers' from fathers' effects, and the samples were likely skewed toward well-educated internet users. The epigenetic and stress-hormone explanations in the discussion were not measured.

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