Secondary Growth Among Former Prisoners of War's Adult Children: The Result of Exposure to Stress, Secondary Traumatization, or Personality Traits?

Authors
Zerach, G.
Publication year
2015
Citation Title
Secondary growth among former prisoners of war’s adult children: The result of exposure to stress, secondary traumatization, or personality traits?
Journal Name
Psychological Trauma: Theory, Research, Practice, and Policy
Journal Volume
7
Issue Number
4
Page Numbers
313-323
DOI
10.1037/tra0000009
Summary
A comparison of secondary posttraumatic growth among adult children of former prisoners of war (POWs') with adult children of comparable Veterans (controls'children) were examined. In addition, the role of fivefactor personality traits and the associations between exposure to stress stemming from fathers' behaviors, secondary traumatization symptoms, and secondary posttraumatic growth were analyzed.


Key Findings
Former POWs’ children reported higher levels of secondary posttraumatic growth compared with the controls’ children.
Secondary traumatization symptoms were found to mediate the association between research group and secondary posttraumatic growth.
Among former POWs’ children, extroversion and openness to the experience personality traits, as well as exposure to stress, were found to predict secondary posttraumatic growth.
Implications for Program Leaders
Incorporate into program curriculum, resources that build on the positive aspects of the trauma experience
Connect former POWs and their families with others having similar experiences
Develop training for professionals who work with military families to support children around the topic of secondary posttraumatic growth
Implications for Policy Makers
Support collaboration between military branches and community organizations that are building awareness and developing programming around military children and spouses who suffer from secondary trauma
Extend and support policies that focus on the needs of military members, their children, and spouses after traumatic events
Support professional development for education professionals who work with military families (e.g., teachers, counselors, social workers) about the positive developmental outcomes for children and spouses exposed to secondary trauma
Methods
Adult children of former POWs and adult children of a matched group of Veterans were recruited through their fathers who had participated in a previous related study.
Each participant filled out a posttraumatic stress disorder inventory, posttraumatic growth inventory, big five inventory, exposure to stress questionnaire, and the life events checklist.
A series of analyses were conducted to ascertain any differences between groups, and any associations between exposure to stress, secondary traumatization symptoms, secondary posttraumatic growth dimensions and personality traits.
Participants
Participants consisted of 98 Israeli children of POWs, and 90 children of a matched group of Veterans of the 1973 Yom Kippur War.
Children of POWs comprised of 48 men and 50 women, whose ages ranged from 20 to 58 years, and children of a matched group of Veterans comprised of 40 men and 50 women, in an age range of 24 to 46 years.
Twenty-five children of POWs were born before the war and captivity, the rest after the war; whereas, 12 children of Veterans were born before the war, and the rest after war.
Limitations
There was no pre-captivity assessment of children’s characteristics which limited the studies ability to explain what was associated with their secondary traumatization symptoms.
Generalizability was limited due to the inclusion of only one set of prisoners of war from the 1973 Yom Kippur War and their children.
The exposure to stress and life events checklist was based upon the participant’s recollection of events during his or her life; which for some of the events was over 30 years ago.
Avenues for Future Research
Conduct a longitudinal study from the time the POWs returned through their children’s developmental stages
Engage different groups of POWs to see if different experiences or levels of trauma influenced their children’s secondary posttraumatic growth in different ways
Focus on POWs spouses’ secondary traumatization symptoms and marital relationship
Design Rating
2 Stars - There are some flaws in the study design or research sample, but those flaws do not significantly threaten the ability to make conclusions based on the data.
Methods Rating
2 Stars - There are no significant biases or deficits in the way the variables in the study are defined or measures and conclusions are appropriately drawn from the analyses performed.
Limitations Rating
2 Stars - There are a few factors that limit the ability to extend the results to an entire population, but the results can be extended to most of the population.
Focus
International Military
Target Population
Population Focus
Military Component
Abstract
The long-term toll of war captivity on secondary traumatization (ST) on adult children has recently been exemplified. Several studies have also revealed that indirect exposure to trauma might be accompanied by positive psychological changes. This study examined secondary posttraumatic growth (SG) among adult children of former prisoners of war (ex-POWs’ children) who were compared with adult children of comparable veterans (controls’ children). Furthermore, we examined the role of five-factor personality traits in the associations between exposure to stress stemming from fathers’ behaviors, ST symptoms, and SG. Participants were Israeli ex-POWs’ children (N 98) and controls’ children (N 90), whose fathers fought in the 1973 Yom Kippur War. Results show that ex-POWs’ children reported higher levels of SG compared with controls’ children. ST symptoms were found to mediate the association between research group and SG, and the direct effect was found to be conditioned at the levels of participants’ extroversion. Furthermore, among ex-POWs’ children, extroversion and openness to the experience personality traits, as well as exposure to stress, were found to predict SG. Forty years after the war ended, the experience of living with ex-POWs is associated with ex-POWs’ children SG that might be more related to their exposure to stress and personality traits than their ST symptoms. Clinical interventions aiming to increase the levels of SG among indirect victims of captivity should consider the influence of pretrauma resources, trauma characteristics, and posttrauma factors.
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