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European Child & Adolescent Psychiatry

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01.05.2014 | Original Contribution

Self-reported emotional and behavioral symptoms, parent-adolescent bonding and family functioning in clinically referred adolescent offspring of Croatian PTSD war veterans

verfasst von: Vlatka Boričević Maršanić, Branka Aukst Margetić, Vlado Jukić, Vlasta Matko, Vesna Grgić

Erschienen in: European Child & Adolescent Psychiatry | Ausgabe 5/2014

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Abstract

The presence of posttraumatic stress disorder (PTSD) in male war veterans has been linked with family dysfunction and psychopathology in their children [1, 2]. This study aimed to evaluate self-reported emotional and behavioral symptoms, parent–adolescent bonding and family functioning in clinically referred adolescent offspring of Croatian PTSD war veterans and determine the degree that parent–child bonding and family functioning contributed to adolescent behavior problems. Internalizing and externalizing behavior problems, parent–child bonding and family functioning were assessed in a sample of clinically referred Croatian PTSD veterans adolescent offspring (N = 122) and non-PTSD veteran adolescent offspring (N = 122) matched for age, sex, educational level, family income, parental employment status, ethnicity, and residential area. Youth Self-Report, Parental Bonding Instrument, Family Assessment Device were used. Adolescent offspring of PTSD veterans reported having significantly more internalizing and externalizing problems than non-PTSD veteran offspring, and also more difficulties in their family functioning, lower levels of maternal and paternal care, and more impaired mother–child and father–child bonding than control subjects. Internalizing symptoms were associated with family dysfunction, while externalizing symptoms were associated with paternal overcontrol/overprotection, and low maternal and paternal care. In conclusion, the increase in internalizing and externalizing symptoms as well as family and parental dysfunction among clinically referred adolescent offspring of PTSD veterans compared to their non-PTSD veteran counterparts indicates a need for early detection and interventions targeting both adolescent psychopathology and family relationships.

Jordan BK, Marmar CB, Fairbank JA, Schlenger WE, Kulka RA, Hough RL et al (1992) Problems in families of male Vietnam veterans with posttraumatic stress disorder. J Consult Clin Psychol 60:916–926PubMedCrossRef

Galovski T, Lyons JA (2004) Psychological sequelae of combat violence: a review of the impact of PTSD on the veteran’s family and possible interventions. Aggress Viol Behav 9:477–501CrossRef

Figley CR (1989) Treating stress in families. Brunner/Mazel, New York

Riggs DS, Byrne CA, Weathers FW, Litz BT (1998) The quality of the intimate relationships of male Vietnam veterans: problems associated with posttraumatic stress disorder. J Traum Stress 11:87–101CrossRef

Waysman M, Mikulincer M, Solomon Z, Weisenberg M (1993) Secondary traumatization among wives of PTSD combat veterans: a family typology. J Fam Psychol 7:104–118CrossRef

Franciskovic T, Stevanovic A, Jelusic I, Roganovic B, Klaric M, Grkovic J (2007) Secondary traumatization of wives of war veterans with posttraumatic stress disorder. Croat Med J 48:177–184PubMedCentralPubMed

Solomon Z, Waysman M, Levy G, Fried B, Mikulincer M, Benbenishty R, Florian V, Bleich A (1992) From front line to home front: a study of secondary traumatization. Fam Process 31:289–302PubMedCrossRef

Rosenheck R, Thomson J (1986) Detoxification of Vietnam war trauma: a combined family–individual approach. Fam Process 25:559–570PubMedCrossRef

Miller TW, Veltkamp LJ (1993) Family violence: clinical indicators among military and post-military personnel. Mil Med 158:766–771PubMed

10.

Davidson AC, Mellor DJ (2001) The adjustment of children of Australian Vietnam veterans: is there evidence for the transgenerational transmission of war-related trauma? Aust N Z J Psychiatry 35:345–351PubMedCrossRef

11.

Caselli LT, Motta RW (1995) The effect of PTSD and combat level on Vietnam veterans’ perceptions of child behavior and marital adjustment. J Clin Psychol 51:4–12PubMedCrossRef

12.

Rosenheck R, Nathan P (1985) Secondary traumatization in children of Vietnam veterans. Hosp Community Psychiatry 36:538–539PubMed

13.

Ray SL, Vanstone M (2009) The impact of PTSD on veterans’ family relationships: an interpretative phenomenological inquiry. Int J Nurs Stud 46:838–847PubMedCrossRef

14.

Davidson J, Smith R, Kudler H (1989) Familial psychiatric illness in chronic posttraumatic stress disorder. Compr Psychiatry 30:339–345PubMedCrossRef

15.

Parsons J, Kehle TJ, Owen SV (1990) Incidence of behavior problems among children of Vietnam veterans. School Psychol Int 11:253–259CrossRef

16.

Harkness LL (1991) The effect of combat-related PTSD on children. Natl Cent PTSD Clin Newsl 2:12–13

17.

Rosenheck R, Fontana A (1998) Warrior fathers and warrior sons: intergenerational aspects of trauma. In: Danieli Y (ed) International handbook of multigenerational legacies of trauma. Plenum Press, New York, pp 225–242CrossRef

18.

Jacobsen LK, Sweeney CG, Racusin GR (1993) Group psychotherapy for children of fathers with PTSD: evidence of psychopathology emerging in the group process. J Child Adolesc Group Ther 3:103–120CrossRef

19.

Zalihic A, Zalihic D, Pivic G (2008) Influence of posttraumatic stress disorder of the fathers on other family members. Bosn J Basic Med Sci 8:20–26PubMed

20.

Ahmadzadeh GH, Malekian A (2004) Aggression, anxiety, and social development in adolescent children of war veterans with PTSD versus those of non-veterans. J Research Med Sci 9:33–36

21.

Beckham JC, Braxton LE, Kudler HS, Feldman ME, Lytle BL, Palmer S (1997) Minnesota Multiphasic Personality Inventory profiles of Vietnam combat veterans with posttraumatic stress disorder and their children. J Clin Psychol 53:847–852PubMedCrossRef

22.

Westerink J, Giarratano L (1999) The impact of posttraumatic stress disorder on partners and children of Australian Vietnam veterans. Aust N Z J Psychiatry 33(6):841–847PubMedCrossRef

23.

Rosenheck R, Fontana A (1998) Transgernerational effects of abusive violence on the children of Vietnam combat veterans. J Traum Stress 11:731–741CrossRef

24.

Harkness LL (1993) Transgenerational transmission of war-related trauma. In: Wilson JP, Raphael B (eds) International handbook of traumatic stress syndromes. Plenum Press, New York, pp 635–643CrossRef

25.

Ruscio AM, Weathers FW, King LA, King DW (2002) Male war-zone veterans’ perceived relationships with their children: the importance of emotional numbing. J Traum Stress 15:351–357CrossRef

26.

Cummings EM, Davies P, Simpson K (1994) Marital conflict, gender, and children’s appraisals and coping efficacy as mediators of child adjustment. J Fam Psychol 8:141–149CrossRef

27.

Demo DH, Small SA, Savin-Williams RC (1987) Family relations and the self-esteem of adolescents and their parents. J Marriage Fam 49:705–715CrossRef

28.

Kagan J (1984) The nature of the child. Basic Books, Inc., New York

29.

McHale JP, Khazan I, Erera P, Rotman T, DeCourcey W, McConnell M (2002) Coparenting in diverse family systems. In: Bornstein M (ed) Handbook of parenting: volume 3. Being and becoming a parent. Erlbaum, Mahwah

30.

World Health Organization (1986) Young people’s health—a challenge for society. Report of a Study Group on Young People and Health for All by the Year 2000. Technical Report Series, No 731. World Health Organization, Geneva. http://whqlibdoc.who.int/trs/WHO_TRS_731.pdf. Accessed 11 Nov 2007

31.

Kozaric-Kovacic D, Bajs M, Vidosic S, Matic A, Alegic KA, Peraica T (2004) Change of diagnosis of posttraumatic stress disorder related to compensation-seeking. CMJ 45:427–433PubMed

32.

Achenbach TM (1991) Manual for the Youth Self Report and 1991 Profile. University of Vermont, Department of Psychiatry, Burlington

33.

Rudan V, Begovac I, Szirovicza L, Filipovic O, Skocic M (2005) The Child Behavior Checklist, Teacher Report Form and Youth Self Report problem scales in a normative sample of croatian children and adolescents aged 7–18. Coll Antropol 29:17–26PubMed

34.

Epstein NB, Baldwin LM, Bishop DS (1983) The McMaster Family Assessment Device. J Marital Fam Ther 9:171–180CrossRef

35.

Miller IW, Ryan CE, Keitner GI, Bishop DS, Epstein NB (2000) The McMaster approach to families: theory, assessment, treatment and research. J Fam Ther 22:168–189CrossRef

36.

Parker G, Tupling H, Brown LB (1979) A Parental Bonding Instrument. Br J Med Psychol 52:1–10CrossRef

37.

Parker G (1990) The Parental Bonding Instrument: a decade of research. Soc Psychiatry Psychiatr Epidemiol 25:281–282PubMedCrossRef

38.

Akister J, Stevenson-Hinde J (1991) Identifying families at risk: exploring the potential of the McMaster Family Assessment Device. J Fam Ther 13:411–421CrossRef

39.

Duke MR, Moore RS, Ames GM (2011) PTSD treatment-seeking among rural latino combat veterans: a review of the literature. J Rural Soc Sci 26:157–180PubMedCentralPubMed

40.

Jakupcak M, Luterek J, Hunt S, Conybeare D, McFall M (2008) Posttraumatic stress and its relationship to physical health functioning in a sample of Iraq and Afghanistan war veterans seeking postdeployment VA health care. J Nerv Ment Dis 196:425–428PubMedCrossRef

41.

Stecker T, Fortney JC, Hamilton F, Ajzen I (2007) An assessment of beliefs about mental health care among veterans who served in Iraq. Psychiatr Serv 58:1358–1361PubMedCrossRef

42.

Hoge CW, Castro CA, Messer SC, McGurk D, Cotting DI, Koffman RL (2004) Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. NEJM 351:13–22PubMedCrossRef

43.

Dohrenwend BP, Turner JB, Turse NA, Lewis-Fernandez R, Yager TJ (2008) War-related posttraumatic stress disorder in black, hispanic, and majority White Vietnam veterans: the roles of exposure and vulnerability. J Traum Stress 21:133–141CrossRef

44.

Hynes DM, Koelling K, Stroupe K, Arnold N, Mallin K, Sohn MW, Weaver FM, Manheim L, Kok L (2007) Veterans’ access to and use of medicare and veterans affairs health care. Med Care 45:214–223PubMedCrossRef

45.

Wallace AE, MacKenzie TA, Wright SM, Weeks WB (2010) A cross-sectional, multi-year examination of rural and urban veterans administration users: 2002–2006. Mil Med 175:252–258PubMedCrossRef

46.

Zahn-Waxler C, Klimes-Dougan B, Slattery MJ (2000) Internalizing problems of childhood and adolescence: Prospects, pitfalls, and progress in understanding the development of anxiety and depression. Dev Psychopathol 12:443–466PubMedCrossRef

47.

Ancharoff MR, Munroe JF, Fisher LM (1998) The legacy of combat trauma: clinical implications of intergenerational transmission. In: Danieli Y (ed) International handbook of multigenerational legacies of trauma. Plenum, New York, pp 257–276CrossRef

48.

Biederman J, Monuteaux MC, Doyle AE, Seidman LJ, Wilens TE, Ferrero F, Morgan CL, Faraone SV (2004) Impact of executive function deficits and attention-deficit/hyperactivity disorder (ADHD) on academic outcomes in children. J Consult Clin Psychol 72:757–766PubMedCrossRef

49.

Scott J, Martin G, Bor W, Sawyer M, Clark J, McGrath J (2009) The prevalence and correlates of hallucinations in Australian adolescents: results from a national survey. Schizophr Res 107:179–185PubMedCrossRef

50.

McGorry PD, McFarlane C, Patton GC, Bell R, Hibbert ME, Jackson HJ, Bowes G (1995) The prevalence of prodromal features of schizophrenia in adolescence: a preliminary survey. Acta Psychiatr Scand 92:241–249PubMedCrossRef

51.

Tangney JP, Wagner P, Gramzow R (1992) Proneness to shame, proneness to guilt, and psychopathology. J Abnorm Psychol 101:469–478PubMedCrossRef

52.

Ferguson TJ, Stegge H, Miller ER, Olsen ME (1999) Guilt, shame, and symptoms in children. Dev Psychol 35:347–357PubMedCrossRef

53.

Adleman NE, Menon V, Blasey C, White CD, Warsofsky IS, Glover GH, Reiss AL (2002) A developmental fMRI study of the Stroop Color-Word Task. NeuroImage 16:61–75PubMedCrossRef

54.

van Rossum I, Dominguez M, Lieb R, Wittchen HU, van Os J (2011) Affective dysregulation and reality distortion: a 10-year prospective study of their association and clinical relevance. Schizophr Bull 37:561–571PubMedCentralPubMedCrossRef

55.

Cournard A, Mercelis M, Myin-Germeys I, De Graaf R, Vollebergh W, Krabbendam L, Lieb R, Wittchen HU, Henquet C, Spauwen J, Van Os J (2007) Does normal developmental expression of psychosis combine with environmental risk to cause persistence of psychosis? A psychosis proneness-persistence model. Psychol Med 37:513–527CrossRef

56.

Dominguez M, Wichers M, Lieb R, Wittchen H, van Os J (2011) Evidence that onset of clinical psychosis is an outcome of progressively more persistent subclinical psychotic experiences: an 8-year cohort study. Schizophr Bull 37:84–93PubMedCentralPubMedCrossRef

57.

Stein D, Williamson DE, Birmaher B et al (2000) Parent–child bonding and family functioning in depressed children and children at high risk and low risk for future depression. J Am Acad Child Adolesc Psychiatry 39:1387–1395PubMedCrossRef

58.

Tamplin A, Goodyear IM, Herbert J (1998) Family functioning and parent general health in families of adolescents with major depressive disorder. J Affect Disord 48:1–13PubMedCrossRef

59.

Gowers S, North C (1999) Difficulties in family functioning and adolescent anorexia nervosa. Br J Psychiatry 174:63–66PubMedCrossRef

60.

Dekel R, Goldblatt H, Keidar M, Solomon Z, Polliack M (2005) Being a spouse of a PTSD veteran. Fam Relations 54:24–36CrossRef

61.

Hill JP, Holmbeck GN (1986) Attachment and autonomy during adolescence. Ann Child Dev 3:145–189

62.

Thomasgard M, Metz WP (1993) Parental overprotection revisited. Child Psychiatry Hum Dev 24:67–80PubMedCrossRef

63.

Barber BK (1996) Parental psychological control: revisiting a neglected construct. Child Dev 67:3296–3319PubMedCrossRef

64.

Stice E, Barrera M, Chassin L (1993) Relation of parental support and control to adolescents’ externalizing symptomatology and substance use: a longitudinal examination of curvilinear effects. J Abnorm Child Psychol 21:609–629PubMedCrossRef

65.

Hoffman ML (2000) Empathy and moral development: Implications for caring and justice. Cambridge University Press, CambridgeCrossRef

66.

Blair C (2002) School readiness: integrating cognition and emotion in a neurobiological conception of children’s functioning at school entry. Am Psychologist 57:111–127CrossRef

67.

Keitner GI, Ryan CE, Miller IW, Kohn R, Bishop DS, Epstein NB (1995) Role of the family in recovery and major depression. Am J Psychiatry 152:1002–1008PubMed

68.

Lewinsohn P, Rosenbaum M (1987) Recall of parental behaviour by acute depressives, remitted depressives, and non-depressives. J Pers Soc Psychol 52:611–619PubMedCrossRef

69.

Gotlib IH, Mount JH, Cordy NI, Whiffen VE (1988) Depression and perceptions of early parenting: a longitudinal investigation. Br J Psychiatry 152:24–27PubMedCrossRef

70.

Parker G (1981) Parental reports of depressives. An investigation of several explanations. J Affect Disord 3:131–140PubMedCrossRef

71.

Duggan C, Sham P, Minne C, Lee A, Murray R (1998) Quality of parenting and vulnerability to depression: results from a family study. Psychol Med 28:185–191PubMedCrossRef

Titel: Self-reported emotional and behavioral symptoms, parent-adolescent bonding and family functioning in clinically referred adolescent offspring of Croatian PTSD war veterans
verfasst von: Vlatka Boričević Maršanić
Branka Aukst Margetić
Vlado Jukić
Vlasta Matko
Vesna Grgić
Publikationsdatum: 01.05.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: European Child & Adolescent Psychiatry / Ausgabe 5/2014
Print ISSN: 1018-8827
Elektronische ISSN: 1435-165X
DOI: https://doi.org/10.1007/s00787-013-0462-2

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Self-reported emotional and behavioral symptoms, parent-adolescent bonding and family functioning in clinically referred adolescent offspring of Croatian PTSD war veterans

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