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Published in: Journal of Immigrant and Minority Health 3/2017

01-06-2017 | Review Paper

Intergenerational Trauma in Refugee Families: A Systematic Review

Authors: Cindy C. Sangalang, Cindy Vang

Published in: Journal of Immigrant and Minority Health | Issue 3/2017

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Abstract

Although a robust literature describes the intergenerational effects of traumatic experiences in various populations, evidence specific to refugee families is scattered and contains wide variations in approaches for examining intergenerational trauma. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria, the purpose of this systematic review was to describe the methodologies and findings of peer-reviewed literature regarding intergenerational trauma in refugee families. In doing so we aimed to critically examine how existing literature characterizes refugee trauma, its long-term effects on descendants, and psychosocial processes of transmission in order to provide recommendations for future research. The results highlight populations upon which current evidence is based, conceptualizations of refugee trauma, effects of parental trauma transmission on descendants’ health and well-being, and mechanisms of transmission and underlying meanings attributed to parental trauma in refugee families. Greater methodological rigor and consistency in future evidence-based research is needed to inform supportive systems that promote the health and well-being of refugees and their descendants.
Literature
2.
go back to reference Fazel M, Reed RV, Panter-Brick C, Stein A. Mental health of displaced and refugee children resettled in high-income countries: risk and protective factors. Lancet. 2012;379(9812):266–82.CrossRefPubMed Fazel M, Reed RV, Panter-Brick C, Stein A. Mental health of displaced and refugee children resettled in high-income countries: risk and protective factors. Lancet. 2012;379(9812):266–82.CrossRefPubMed
3.
go back to reference Kirmayer LJ, Narasiah L, Munoz M, Rashid M, Ryder AG, Guzder J, Hassan G, Rousseau C, Pottie K. Common mental health problems in immigrants and refugees: general approach in primary care. Can Med Assoc J. 2011;183(12):E959–E967.CrossRef Kirmayer LJ, Narasiah L, Munoz M, Rashid M, Ryder AG, Guzder J, Hassan G, Rousseau C, Pottie K. Common mental health problems in immigrants and refugees: general approach in primary care. Can Med Assoc J. 2011;183(12):E959–E967.CrossRef
4.
go back to reference Marshall GN, Schell TL, Elliott MN, Berthold SM, Chun CA. Mental health of Cambodian refugees 2 decades after resettlement in the United States. JAMA. 2005;294(5):571–9.CrossRefPubMed Marshall GN, Schell TL, Elliott MN, Berthold SM, Chun CA. Mental health of Cambodian refugees 2 decades after resettlement in the United States. JAMA. 2005;294(5):571–9.CrossRefPubMed
5.
go back to reference Weine S, Muzurovic N, Kulauzovic Y, Besic S, Lezic A, Mujagic A, Muzurovic J, Spahovic D, Feetham S, Ware N, Knafl K, Pavkovic I. Family consequences of refugee trauma. Fam Process. 2004;43(2):147–60.CrossRefPubMed Weine S, Muzurovic N, Kulauzovic Y, Besic S, Lezic A, Mujagic A, Muzurovic J, Spahovic D, Feetham S, Ware N, Knafl K, Pavkovic I. Family consequences of refugee trauma. Fam Process. 2004;43(2):147–60.CrossRefPubMed
6.
go back to reference Dekel R, Goldblatt H. Is there intergenerational transmission of trauma? The case of combat veterans’ children. Am J Orthopsychiatry. 2008;78(3):281.CrossRefPubMed Dekel R, Goldblatt H. Is there intergenerational transmission of trauma? The case of combat veterans’ children. Am J Orthopsychiatry. 2008;78(3):281.CrossRefPubMed
7.
go back to reference Bezo B, Maggi S. Living in “survival mode:” Intergenerational transmission of trauma from the Holodomor genocide of 1932–1933 in Ukraine. Soc Sci Med. 2015;134:87–94.CrossRefPubMed Bezo B, Maggi S. Living in “survival mode:” Intergenerational transmission of trauma from the Holodomor genocide of 1932–1933 in Ukraine. Soc Sci Med. 2015;134:87–94.CrossRefPubMed
8.
go back to reference Han M. Relationship among perceived parental trauma, parental attachment, and sense of coherence in Southeast Asian American college students. J Fam Soc Work. 2005;9(2):25–45.CrossRef Han M. Relationship among perceived parental trauma, parental attachment, and sense of coherence in Southeast Asian American college students. J Fam Soc Work. 2005;9(2):25–45.CrossRef
9.
go back to reference George M. A theoretical understanding of refugee trauma. Clin Soc Work J. 2010;38(4):379–87.CrossRef George M. A theoretical understanding of refugee trauma. Clin Soc Work J. 2010;38(4):379–87.CrossRef
10.
go back to reference Hein J. Refugees, immigrants, and the state. Annu Rev Sociol. 1993;43–59. Hein J. Refugees, immigrants, and the state. Annu Rev Sociol. 1993;43–59.
11.
go back to reference Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(4):264–9.CrossRefPubMed Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(4):264–9.CrossRefPubMed
12.
go back to reference Braga LL, Mello MF, Fiks JP. Transgenerational transmission of trauma and resilience: a qualitative study with Brazilian offspring of Holocaust survivors. BMC Psychiatry. 2012;12(1):134–44.CrossRefPubMedPubMedCentral Braga LL, Mello MF, Fiks JP. Transgenerational transmission of trauma and resilience: a qualitative study with Brazilian offspring of Holocaust survivors. BMC Psychiatry. 2012;12(1):134–44.CrossRefPubMedPubMedCentral
13.
go back to reference Lev-Wiesel R. Intergenerational transmission of trauma across three generations: a preliminary study. Qual Soc Work. 2007;6(1):75–94.CrossRef Lev-Wiesel R. Intergenerational transmission of trauma across three generations: a preliminary study. Qual Soc Work. 2007;6(1):75–94.CrossRef
14.
go back to reference Fridman A, Bakermans-Kranenburg MJ, Sagi-Schwartz A, Van IJzendoorn MH. Coping in old age with extreme childhood trauma: aging Holocaust survivors and their offspring facing new challenges. Aging & Ment. Health (London). 2011;15(2):232–42. Fridman A, Bakermans-Kranenburg MJ, Sagi-Schwartz A, Van IJzendoorn MH. Coping in old age with extreme childhood trauma: aging Holocaust survivors and their offspring facing new challenges. Aging & Ment. Health (London). 2011;15(2):232–42.
15.
go back to reference Kellermann NPF. Perceived parental rearing behavior in children of Holocaust survivors. Isr J Psychiatry Relat Sci. 2015;38(1):58–68. Kellermann NPF. Perceived parental rearing behavior in children of Holocaust survivors. Isr J Psychiatry Relat Sci. 2015;38(1):58–68.
16.
go back to reference Letzter-Pouw S, Shrira A, Ben-Ezra M, Palgi Y. Trauma transmission through perceived parental burden among Holocaust survivors’ offspring and grandchildren. Psychol Trauma. 2013;6(4):420–9.CrossRef Letzter-Pouw S, Shrira A, Ben-Ezra M, Palgi Y. Trauma transmission through perceived parental burden among Holocaust survivors’ offspring and grandchildren. Psychol Trauma. 2013;6(4):420–9.CrossRef
17.
go back to reference Sagi-Schwartz A, Van Ijzendoorn MH, Grossmann KE, Joels T, Grossmann K, Scharf M, Koren-Karie N, Alkalay S. Attachment and traumatic stress in female Holocaust child survivors and their daughters. Am J Psychiatry. 2003;160(6):1086–92.CrossRefPubMed Sagi-Schwartz A, Van Ijzendoorn MH, Grossmann KE, Joels T, Grossmann K, Scharf M, Koren-Karie N, Alkalay S. Attachment and traumatic stress in female Holocaust child survivors and their daughters. Am J Psychiatry. 2003;160(6):1086–92.CrossRefPubMed
18.
go back to reference Shrira A, Palgi Y, Ben-Ezra M, Shmotkin D. Transgenerational effects of trauma in midlife: evidence for resilience and vulnerability in offspring of Holocaust survivors. Psychol Trauma. 2012;3(4):394–402.CrossRef Shrira A, Palgi Y, Ben-Ezra M, Shmotkin D. Transgenerational effects of trauma in midlife: evidence for resilience and vulnerability in offspring of Holocaust survivors. Psychol Trauma. 2012;3(4):394–402.CrossRef
19.
go back to reference Shrira A. Transmitting the sum of all fears: Iranian nuclear threat salience among offspring of Holocaust survivors. Psychol Trauma. 2015;7(4):364–71.CrossRefPubMed Shrira A. Transmitting the sum of all fears: Iranian nuclear threat salience among offspring of Holocaust survivors. Psychol Trauma. 2015;7(4):364–71.CrossRefPubMed
20.
go back to reference Wiseman H, Metzl E, Barber JP. Anger, guilt, and intergenerational communication of trauma in the interpersonal narratives of second generation Holocaust survivors. Am J Orthopsychiatry. 2006;76(2):176–84.CrossRefPubMed Wiseman H, Metzl E, Barber JP. Anger, guilt, and intergenerational communication of trauma in the interpersonal narratives of second generation Holocaust survivors. Am J Orthopsychiatry. 2006;76(2):176–84.CrossRefPubMed
21.
go back to reference Wiseman H. On failed intersubjectivity: recollections of loneliness experiences in offspring of Holocaust survivors. Am J Orthopsychiatr. 2008;78(3):350–8.CrossRef Wiseman H. On failed intersubjectivity: recollections of loneliness experiences in offspring of Holocaust survivors. Am J Orthopsychiatr. 2008;78(3):350–8.CrossRef
22.
go back to reference Giladi L, Bell TS. Protective factors for intergenerational transmission of trauma among second and third generation Holocaust survivors. Psychol Trauma. 2012;5(4):384–91.CrossRef Giladi L, Bell TS. Protective factors for intergenerational transmission of trauma among second and third generation Holocaust survivors. Psychol Trauma. 2012;5(4):384–91.CrossRef
23.
go back to reference Yehuda R, Halligan SL, Grossman R. Childhood trauma and risk for PTSD: relationship to intergenerational effects of trauma, parental PTSD, and cortisol excretion. Dev Psychopathol. 2001;13(3):733–53.CrossRefPubMed Yehuda R, Halligan SL, Grossman R. Childhood trauma and risk for PTSD: relationship to intergenerational effects of trauma, parental PTSD, and cortisol excretion. Dev Psychopathol. 2001;13(3):733–53.CrossRefPubMed
24.
go back to reference Yehuda R, Bell A, Bierer LM, Schmeidler J. Maternal, not paternal, PTSD is related to increased risk for PTSD in offspring of Holocaust survivors. J Psychiatr Res. 2008;42(13):1104–11.CrossRefPubMedPubMedCentral Yehuda R, Bell A, Bierer LM, Schmeidler J. Maternal, not paternal, PTSD is related to increased risk for PTSD in offspring of Holocaust survivors. J Psychiatr Res. 2008;42(13):1104–11.CrossRefPubMedPubMedCentral
25.
go back to reference Weinberg MK, Cummins RA. Intergenerational effects of the Holocaust: subjective well-being in the offspring of survivors. J Intergener Relatsh. 2013;11(2):148–61. Weinberg MK, Cummins RA. Intergenerational effects of the Holocaust: subjective well-being in the offspring of survivors. J Intergener Relatsh. 2013;11(2):148–61.
26.
go back to reference Vaage AB, Thomsen PH, Rousseau C, Wentzel-Larsen T, Ta TV, Hauff E. Paternal predictors of the mental health of children of Vietnamese refugees. Child Adolesc Psychiatr Ment Health. 2011;5(2):1–11. Vaage AB, Thomsen PH, Rousseau C, Wentzel-Larsen T, Ta TV, Hauff E. Paternal predictors of the mental health of children of Vietnamese refugees. Child Adolesc Psychiatr Ment Health. 2011;5(2):1–11.
27.
go back to reference Spencer JH, Le TN. Parent refugee status, immigration stressors, and Southeast Asian youth violence. J Immigr Minor Health. 2006;8(4):359–68.CrossRefPubMed Spencer JH, Le TN. Parent refugee status, immigration stressors, and Southeast Asian youth violence. J Immigr Minor Health. 2006;8(4):359–68.CrossRefPubMed
28.
go back to reference Lin NJ, Suyemoto KL, Kiang PNC. Education as catalyst for intergenerational refugee family communication about war and trauma. Commun Disord Q. 2009;30(4):195–207.CrossRef Lin NJ, Suyemoto KL, Kiang PNC. Education as catalyst for intergenerational refugee family communication about war and trauma. Commun Disord Q. 2009;30(4):195–207.CrossRef
29.
go back to reference Daud A, Skoglund E, Rydelius PA. Children in families of torture victims: transgenerational transmission of parents’ traumatic experiences to their children. Int J Soc Welf. 2005;14(1):23–32.CrossRef Daud A, Skoglund E, Rydelius PA. Children in families of torture victims: transgenerational transmission of parents’ traumatic experiences to their children. Int J Soc Welf. 2005;14(1):23–32.CrossRef
30.
go back to reference Daud A, Klinetberg B, Rydelius PA. Resilience and vulnerability among refugee children of traumatized and non-traumatized parents. Child Adolesc Psychiatr Mental Health. 2008;2(7). Daud A, Klinetberg B, Rydelius PA. Resilience and vulnerability among refugee children of traumatized and non-traumatized parents. Child Adolesc Psychiatr Mental Health. 2008;2(7).
31.
go back to reference Ellis BH, MacDonald HZ, Lincoln AK, Cabral HJ. Mental health of Somali adolescent refugees: the role of trauma, stress, and perceived discrimination. J Consult Clin Psychol. 2008;76(2):184–93.CrossRefPubMed Ellis BH, MacDonald HZ, Lincoln AK, Cabral HJ. Mental health of Somali adolescent refugees: the role of trauma, stress, and perceived discrimination. J Consult Clin Psychol. 2008;76(2):184–93.CrossRefPubMed
32.
go back to reference Miller KE, Rasmussen A. War exposure, daily stressors, and mental health in conflict and post-conflict settings: bridging the divide between trauma-focused and psychosocial frameworks. Soc Sci Med. 2010;70(1):7–16.CrossRefPubMed Miller KE, Rasmussen A. War exposure, daily stressors, and mental health in conflict and post-conflict settings: bridging the divide between trauma-focused and psychosocial frameworks. Soc Sci Med. 2010;70(1):7–16.CrossRefPubMed
33.
go back to reference Fazel M, Wheeler J, Danesh J. Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review. Lancet. 2005;365(9467):1309–14.CrossRefPubMed Fazel M, Wheeler J, Danesh J. Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review. Lancet. 2005;365(9467):1309–14.CrossRefPubMed
34.
go back to reference Van Ijzendoorn MH, Bakermans-Kranenburg MJ, Sagi-Schwartz A. Are children of Holocaust survivors less well-adapted? A meta-analytic investigation of secondary traumatization. J Trauma Stress. 2003;16(5):459–69.CrossRefPubMed Van Ijzendoorn MH, Bakermans-Kranenburg MJ, Sagi-Schwartz A. Are children of Holocaust survivors less well-adapted? A meta-analytic investigation of secondary traumatization. J Trauma Stress. 2003;16(5):459–69.CrossRefPubMed
35.
go back to reference Hollifield M, Eckert V, Warner TD, Jenkins J, Krakow B, Ruiz J, Westermeyer J. Development of an inventory for measuring war-related events in refugees. Compr Psychiatry. 2005;46(1):67–80.CrossRefPubMed Hollifield M, Eckert V, Warner TD, Jenkins J, Krakow B, Ruiz J, Westermeyer J. Development of an inventory for measuring war-related events in refugees. Compr Psychiatry. 2005;46(1):67–80.CrossRefPubMed
36.
go back to reference Eisenbruch M. From post-traumatic stress disorder to cultural bereavement: diagnosis of Southeast Asian refugees. Soc Sci Med. 1991;33(6):673–80.CrossRefPubMed Eisenbruch M. From post-traumatic stress disorder to cultural bereavement: diagnosis of Southeast Asian refugees. Soc Sci Med. 1991;33(6):673–80.CrossRefPubMed
37.
go back to reference Pedersen D. Political violence, ethnic conflict, and contemporary wars: broad implications for health and social well-being. Soc Sci Med. 2002;55(2):175–90.CrossRefPubMed Pedersen D. Political violence, ethnic conflict, and contemporary wars: broad implications for health and social well-being. Soc Sci Med. 2002;55(2):175–90.CrossRefPubMed
38.
go back to reference Hollifield M, Warner TD, Lian N, Krakow B, Jenkins JH, Kesler J, Stevenson J, Westermeyer J. Measuring trauma and health status in refugees: a critical review. JAMA. 2002;288(5):611–21.CrossRefPubMed Hollifield M, Warner TD, Lian N, Krakow B, Jenkins JH, Kesler J, Stevenson J, Westermeyer J. Measuring trauma and health status in refugees: a critical review. JAMA. 2002;288(5):611–21.CrossRefPubMed
39.
go back to reference Taku K, Cann A, Calhoun LG, Tedeschi RG. The factor structure of the posttraumatic growth inventory: a comparison of five models using confirmatory factory analysis. J Trauma Stress. 2008;21(2):158–64.CrossRefPubMed Taku K, Cann A, Calhoun LG, Tedeschi RG. The factor structure of the posttraumatic growth inventory: a comparison of five models using confirmatory factory analysis. J Trauma Stress. 2008;21(2):158–64.CrossRefPubMed
40.
go back to reference Weingarten K. Witnessing the effects of political violence in families: mechanisms of intergenerational transmission and clinical interventions. J Marital Fam Ther. 2004;30(1):45–59.CrossRefPubMed Weingarten K. Witnessing the effects of political violence in families: mechanisms of intergenerational transmission and clinical interventions. J Marital Fam Ther. 2004;30(1):45–59.CrossRefPubMed
Metadata
Title
Intergenerational Trauma in Refugee Families: A Systematic Review
Authors
Cindy C. Sangalang
Cindy Vang
Publication date
01-06-2017
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 3/2017
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-016-0499-7

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