Complex posttraumatic stress disorder in intergenerational trauma transmission among Eritrean asylum-seeking mother-child dyads

ABSTRACTBackground: Traumatic stress among forcibly displaced people has a variety of adverse consequences beyond individual mental health, including implications for poor socioemotional developmental outcomes for their children post-displacement.Objective: This study explored the intergenerational...

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Main Authors: Rahel Bachem, Yafit Levin, Kim Yuval, Nora Korin Langer, Zahava Solomon, Amit Bernstein
Format: Article
Language:English
Published: Taylor & Francis Group 2024-01-01
Series:European Journal of Psychotraumatology
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/20008066.2023.2300588
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author Rahel Bachem
Yafit Levin
Kim Yuval
Nora Korin Langer
Zahava Solomon
Amit Bernstein
author_facet Rahel Bachem
Yafit Levin
Kim Yuval
Nora Korin Langer
Zahava Solomon
Amit Bernstein
author_sort Rahel Bachem
collection DOAJ
description ABSTRACTBackground: Traumatic stress among forcibly displaced people has a variety of adverse consequences beyond individual mental health, including implications for poor socioemotional developmental outcomes for their children post-displacement.Objective: This study explored the intergenerational transmission of maternal ICD-11 Complex Posttraumatic Stress Disorder (CPTSD) and depression among asylum-seeking mothers for their children’s internalizing and externalizing difficulties.Method: Participants were 127 trauma-affected Eritrean mothers of preschool-aged children in Israel. The severity of child difficulties was compared between mothers with probable ICD-11 CPTSD (94.5% comorbid depression), ICD-11 PTSD (48.5% comorbid depression), unimorbid depression, and healthy mothers, using multivariate analyses of variance, while controlling for children’s direct exposure to adverse life experiences.Results: Probable ICD-11 CPTSD and PTSD were present in 23.6% and 26.0% of mothers, respectively. Relative to maternal PTSD, CPTSD was significantly and strongly associated with elevated child internalizing symptoms (d = 2.44) and marginally significantly, although strongly, associated with child externalizing symptoms (d = 1.30). Post-hoc exploratory analyses documented that, relative to maternal PTSD and depression, CPTSD and depression comorbidity was marginally significantly but strongly associated with child internalizing (SMD = .67), but not externalizing symptoms (SMD = .35).Conclusions: Findings implicate maternal CPTSD and comorbid depression in child socio-emotional development and inform clinical assessment, prevention, and intervention to attenuate poor development among children in unstable post-displacement settings.
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spelling doaj.art-8f43e8b54ad54f19bddcad67f8cfcda92024-01-08T16:53:29ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662024-01-0115110.1080/20008066.2023.2300588Complex posttraumatic stress disorder in intergenerational trauma transmission among Eritrean asylum-seeking mother-child dyadsRahel Bachem0Yafit Levin1Kim Yuval2Nora Korin Langer3Zahava Solomon4Amit Bernstein5Psychopathology and Clinical Intervention, Department of Psychology, University of Zurich, Zurich, SwitzerlandSchool of Social Work, Ariel University, Ariel, IsraelObserving Minds Lab, Department of Psychology, School of Psychological Sciences, University of Haifa, Haifa, IsraelBob Shapell School of Social Work, Tel-Aviv University, Tel-Aviv, IsraelBob Shapell School of Social Work, Tel-Aviv University, Tel-Aviv, IsraelObserving Minds Lab, Department of Psychology, School of Psychological Sciences, University of Haifa, Haifa, IsraelABSTRACTBackground: Traumatic stress among forcibly displaced people has a variety of adverse consequences beyond individual mental health, including implications for poor socioemotional developmental outcomes for their children post-displacement.Objective: This study explored the intergenerational transmission of maternal ICD-11 Complex Posttraumatic Stress Disorder (CPTSD) and depression among asylum-seeking mothers for their children’s internalizing and externalizing difficulties.Method: Participants were 127 trauma-affected Eritrean mothers of preschool-aged children in Israel. The severity of child difficulties was compared between mothers with probable ICD-11 CPTSD (94.5% comorbid depression), ICD-11 PTSD (48.5% comorbid depression), unimorbid depression, and healthy mothers, using multivariate analyses of variance, while controlling for children’s direct exposure to adverse life experiences.Results: Probable ICD-11 CPTSD and PTSD were present in 23.6% and 26.0% of mothers, respectively. Relative to maternal PTSD, CPTSD was significantly and strongly associated with elevated child internalizing symptoms (d = 2.44) and marginally significantly, although strongly, associated with child externalizing symptoms (d = 1.30). Post-hoc exploratory analyses documented that, relative to maternal PTSD and depression, CPTSD and depression comorbidity was marginally significantly but strongly associated with child internalizing (SMD = .67), but not externalizing symptoms (SMD = .35).Conclusions: Findings implicate maternal CPTSD and comorbid depression in child socio-emotional development and inform clinical assessment, prevention, and intervention to attenuate poor development among children in unstable post-displacement settings.https://www.tandfonline.com/doi/10.1080/20008066.2023.2300588Asylum-seekerschild socio-emotional developmentcomplex posttraumatic stress disorderdepressionintergenerational trauma transmissionSolicitante de asilo
spellingShingle Rahel Bachem
Yafit Levin
Kim Yuval
Nora Korin Langer
Zahava Solomon
Amit Bernstein
Complex posttraumatic stress disorder in intergenerational trauma transmission among Eritrean asylum-seeking mother-child dyads
European Journal of Psychotraumatology
Asylum-seekers
child socio-emotional development
complex posttraumatic stress disorder
depression
intergenerational trauma transmission
Solicitante de asilo
title Complex posttraumatic stress disorder in intergenerational trauma transmission among Eritrean asylum-seeking mother-child dyads
title_full Complex posttraumatic stress disorder in intergenerational trauma transmission among Eritrean asylum-seeking mother-child dyads
title_fullStr Complex posttraumatic stress disorder in intergenerational trauma transmission among Eritrean asylum-seeking mother-child dyads
title_full_unstemmed Complex posttraumatic stress disorder in intergenerational trauma transmission among Eritrean asylum-seeking mother-child dyads
title_short Complex posttraumatic stress disorder in intergenerational trauma transmission among Eritrean asylum-seeking mother-child dyads
title_sort complex posttraumatic stress disorder in intergenerational trauma transmission among eritrean asylum seeking mother child dyads
topic Asylum-seekers
child socio-emotional development
complex posttraumatic stress disorder
depression
intergenerational trauma transmission
Solicitante de asilo
url https://www.tandfonline.com/doi/10.1080/20008066.2023.2300588
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