Associations between parental posttraumatic stress disorder and both offspring internalizing problems and parental aggression within the National Comorbidity Survey-Replication

Leen‐Feldner, Ellen W.; Feldner, Matthew T.; Bunaciu, Liviu; Blumenthal, Heidemarie

doi:10.1016/j.janxdis.2010.08.017

Cited by 83 publications

(70 citation statements)

References 69 publications

(84 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Indeed, offspring of mothers with PTSD face increased and persistent stress during adolescence for several reasons (Brand et al, 2011). For instance, previously identified stressors associated with maternal PTSD include dysregulated mood (Leen-Feldner et al, 2013), problematic parenting behaviors (Leen-Feldner et al, 2011; Lehrner et al, 2014), and insecure attachment style (Yehuda et al, 2014), all of which may create conditions of chronic stress for offspring and contribute to alterations in glucocorticoid programing at early age (Kappeler & Meaney, 2010; Lehrner et al, 2014). Regardless of its source, persistently high cortisol secretions may eventually lead to an imbalance in the numbers of mineralocorticoid receptor (MR) and GR, which further contribute to greater inhibitory activity of the HPA axis that may then be expressed as lower basal cortisol in adulthood (Kellner et al, 2009; Perroud et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

Elevated cortisol in healthy female adolescent offspring of mothers with posttraumatic stress disorder

Liu

Ruggero

Goldstein

et al. 2016

Journal of Anxiety Disorders

View full text Add to dashboard Cite

Offspring with maternal PTSD are at increased risk of developing PTSD themselves. Alterations in the hypothalamus-pituitary-adrenal (HPA) axis may play a role and have been noted in offspring, although evidence is mostly from adult offspring with PTSD symptoms themselves. The present study of adolescent girls (N=472) and their mothers (n = 18 with lifetime PTSD versus n = 454 with no PTSD) sought to determine whether healthy, non-affected offspring of mothers with PTSD would exhibit altered HPA axis function. Saliva samples were collected from the adolescent girls at waking, 30 minutes after waking, and 8 pm on 3 consecutive days. Offspring whose mothers were diagnosed with PTSD demonstrated higher cortisol awakening response (CAR; Cohen's d = .58) and greater total cortisol output (Cohen's d = .62). In this preliminary study, higher cortisol levels during adolescence among offspring of mothers with PTSD may index a vulnerability in these at-risk youth.

show abstract

Section: Discussionmentioning

confidence: 99%

Elevated cortisol in healthy female adolescent offspring of mothers with posttraumatic stress disorder

Liu

Ruggero

Goldstein

et al. 2016

Journal of Anxiety Disorders

View full text Add to dashboard Cite

show abstract

“…Other recent studies have noted an association between PTSD and parenting difficulties [9][10]29]. Gewirtz et al found that among male Vietnam Veterans PTSD symptoms were associated with decreased parenting satisfaction, impaired attachment with children, child behavior problems, and family violence [30].…”

Section: Parentingmentioning

confidence: 99%

Assessment of posttraumatic stress disorder-related functional impairment: A review

Rodriguez

Holowka²,

Marx³

2012

JRRD

161

110

View full text Add to dashboard Cite

Abstract-In 2010, the Department of Veterans Affairs (VA) and Department of Defense (DOD) jointly published the revised VA/DOD Clinical Practice Guideline for Management of Posttraumatic Stress. The Clinical Practice Guideline (CPG) provides evidence-based recommendations for diagnosing and treating a spectrum of stress-related disorders. Included in the CPG were recommendations for assessing posttraumatic stress disorder (PTSD) and other stress disorder-related functional impairment. This article complements those CPG recommendations by providing information that may further guide clinicians in the assessment of functional impairment related to PTSD and other stress-related disorders. We briefly review some of the empirical literature on the association between PTSD and functional impairment and some of the more frequently used methods and measures for assessing functional impairment and introduce a new measure currently being developed by our group. We suggest that information obtained via patient self-report and/or clinician rating be supplemented whenever possible with collateral data from friends, family members, coworkers, or supervisors to provide a complete picture of current and premorbid functional status. Finally, we explore several important issues that we encourage clinicians to keep in mind when assessing functional impairment among Veterans and Active Duty servicemembers.Clinical Trial Registration: ClinicalTrials.gov; PT074941, "Development and validation of a PTSD-related functional impairment scale;" http://www.clinicaltrials.gov.

show abstract

“…However, among mothers with PTSD, reexperiencing the trauma was significantly associated with lower reflective functioning Attachment: Studies that focus on relations between PTSD and parent-child attachment elicit mixed results Physiological transmission: A biological basis has been shown to be a salient risk factor in the development of PTSD in offspring. Young children, even babies, show deregulation and distress in response to mild stressors Assessed trauma experiences only (n = 14) Assessed symptoms of depression only (n = 2) Assessed symptoms of dissociation only(n = 5) No correct measurement of PTSD (n = 1) Children (likely) experienced trauma (n = 23) Children were not minors (n = 4) Mean age children > 18 (n = 5) Case-study n = 1 Third generation n = 1 van Ee et al Hinton, Rasmussen, Nou, Pollack, & Good, 2009;Lauterbach et al, 2007;Leen-Feldner, Feldner, Bunaciu, & Blumenthal, 2011;Stover, Hall, McMahon, & Easton, 2012). A greater risk of physical and sexual child abuse was found among parents with PTSD (Jakupcevic & Ajdukovic, 2011;Leifer, Kilbane, Jacobsen, & Grossman, 2004).…”

Section: Impact On the Parent-child Relationshipmentioning

confidence: 99%

Relational Patterns Between Caregivers With PTSD and Their Nonexposed Children

Kleber

Jongmans

2015

Trauma, Violence, & Abuse

124

View full text Add to dashboard Cite

The question as to whether or not children can be affected by the traumatization of their parents has been the topic of a long-standing debate. This article provides a critical review of 72 research studies on traumatized parents with symptoms of posttraumatic stress disorder (PTSD), the parent-child interaction, and the impact on their nonexposed child (0-18 years). The evidence suggests that traumatization can cause parenting limitations, and these limitations can disrupt the development of the young child. From the studies reviewed several patterns emerged: Relational patterns of traumatized parents who are observed to be emotionally less available and who perceive their children more negatively than parents without symptoms of PTSD; relational patterns of children who at a young age are easily deregulated or distressed and at an older age are reported to face more difficulties in their psychosocial development than children of parents without symptoms of PTSD; and relational patterns that show remarkable similarities to relational patterns between depressed or anxious parents and their children. Mechanisms such as mentalization, attachment, physiological factors, and the cycle of abuse offer a valuable perspective to further our understanding of the relational patterns. This article builds on previous work by discussing the emerged patterns between traumatized parents and their nonexposed children from a relational and transactional perspective.

show abstract

Associations between parental posttraumatic stress disorder and both offspring internalizing problems and parental aggression within the National Comorbidity Survey-Replication

Cited by 83 publications

References 69 publications

Elevated cortisol in healthy female adolescent offspring of mothers with posttraumatic stress disorder

Elevated cortisol in healthy female adolescent offspring of mothers with posttraumatic stress disorder

Assessment of posttraumatic stress disorder-related functional impairment: A review

Relational Patterns Between Caregivers With PTSD and Their Nonexposed Children

Contact Info

Product

Resources

About