ORIGINAL PAPER
Do relationships with parents determine citizens’ reactions to war trauma?
1
University of Lower Silesia, Wroclaw, Poland
2
Pontifical University of John Paul II, Krakow, Poland
3
John Paul II Catholic University of Lublin
4
University of the National Education Commission, Krakow, Poland
Submission date: 2023-11-14
Final revision date: 2024-01-16
Acceptance date: 2024-01-22
Online publication date: 2024-02-29
Publication date: 2024-10-30
Health Psychology Report 2024;12(4):308-321
KEYWORDS
TOPICS
psychosocial factors in the etiology of illnessescouple and family relationships in healthquality of life and well being
ABSTRACT
Background:
The article concerns the psychology of trauma: the intensity of the experienced threats and reactions to the trauma in the form of post-traumatic stress disorder (PTSD), defenses and post-traumatic growth (PTG) in Ukrainian immigrants in Poland. The issues of trauma psychology were studied in connection with the relationships with parents.
Participants and procedure:
The methods used mainly concerned the specifics of experiencing strong threats (trauma) and responding to them (PCL-5 questionnaire, Psycho-Social and Psychic Defenses Questionnaire, Post-Traumatic Growth Inventory), determination of closeness to parents (Scale of Closeness to Biological Parents) and secure and non-secure attachment style (Attachment Style Questionnaire). The subjects were 178 people (including 147 women and 31 men), citizens of Ukraine, who arrived in Poland after the outbreak of war on February 24, 2022, and at the time of the study were living in and around Krakow, Wroclaw, Lublin, or Warsaw. The mean age of the subjects was 38 years (SD = 12.57).
Results:
The results of the study indicate that non-secure attachment styles (anxious-avoidant and anxious-ambivalent), along with frustration of the need for competence and intensity of threats, are predictors of PTSD and non-constructive defenses. In contrast, a secure attachment style, along with frustration of the need for competence and intensity of threats, is a predictor of constructive defenses, while a secure attachment style is a predictor of PTG. Statistical analyses show that closeness to the mother is not significantly associated with any of the explained variables.
Conclusions:
The accumulation of risks associated with war trauma and the necessity to cope with them are strongly associated with the ongoing war. Attachment styles support or hinder the process of adaptation. The absence of closeness to the mother among the predictors in the models tested represents the most intriguing result, to be confirmed in further research.
The article concerns the psychology of trauma: the intensity of the experienced threats and reactions to the trauma in the form of post-traumatic stress disorder (PTSD), defenses and post-traumatic growth (PTG) in Ukrainian immigrants in Poland. The issues of trauma psychology were studied in connection with the relationships with parents.
Participants and procedure:
The methods used mainly concerned the specifics of experiencing strong threats (trauma) and responding to them (PCL-5 questionnaire, Psycho-Social and Psychic Defenses Questionnaire, Post-Traumatic Growth Inventory), determination of closeness to parents (Scale of Closeness to Biological Parents) and secure and non-secure attachment style (Attachment Style Questionnaire). The subjects were 178 people (including 147 women and 31 men), citizens of Ukraine, who arrived in Poland after the outbreak of war on February 24, 2022, and at the time of the study were living in and around Krakow, Wroclaw, Lublin, or Warsaw. The mean age of the subjects was 38 years (SD = 12.57).
Results:
The results of the study indicate that non-secure attachment styles (anxious-avoidant and anxious-ambivalent), along with frustration of the need for competence and intensity of threats, are predictors of PTSD and non-constructive defenses. In contrast, a secure attachment style, along with frustration of the need for competence and intensity of threats, is a predictor of constructive defenses, while a secure attachment style is a predictor of PTG. Statistical analyses show that closeness to the mother is not significantly associated with any of the explained variables.
Conclusions:
The accumulation of risks associated with war trauma and the necessity to cope with them are strongly associated with the ongoing war. Attachment styles support or hinder the process of adaptation. The absence of closeness to the mother among the predictors in the models tested represents the most intriguing result, to be confirmed in further research.
REFERENCES (70)
1.
Ainsworth, M. D. (1973). The development of infant mother attachment. In B. M. Caldwell & H. N. Ricciuti (Eds.), Review of child development research (Vol. 3, pp. 1–94). University of Chicago Press.
2.
Alderfer, M. A., Navsaria, N., & Kazak, A. E. (2009). Family functioning and posttraumatic stress disorder in adolescent survivors of childhood cancer. Journal of Family Psychology, 23, 717–725. https://doi.org/10.1037/a00159....
3.
APA (2013). Diagnostic and statistical manual of mental disorders (5th ed.). APA Publishing.
4.
Barazzone, N., Santos, I., McGowan, J., & Donaghay-Spire, E. (2019). The links between adult attachment and post-traumatic stress: a systematic review. Psychology and Psychotherapy, 92, 131–147. https://doi.org/10.1111/papt.1....
5.
Bartholomew, K., & Horowitz, L. M. (1991). Attachment styles among young adults: a test of a four-category model. Journal of Personality and Social Psychology, 61, 226–244. https://doi.org/10.1037/0022-3....
6.
Bechara, A. O., Chen, J. Z., Cowden, R. G., & Worthington Jr., E. L. (2021). Adapting positively to trauma: Associations of posttraumatic growth, wisdom, and virtues in survivors of civil war, Journal of Aggression, Maltreatment & Trauma, 30, 1292–1306. https://doi.org/10.1080/109267....
7.
Belsky, J., Steinberg, L., & Draper, P. (1991). Childhood experience, interpersonal development, and reproductive strategy: an evolutionary theory of socialization. Child Development, 62, 647–670. https://doi.org/10.1111/j.1467....
8.
Ben-Ezra, M., Goodwin, R., Leshem, E., & Hamama-Raz, Y. (2023). PTSD symptoms among civilians being displaced inside and outside the Ukraine during the 2022 Russian invasion. Psychiatry Research, 320, 115011. https://doi.org/10.1016/j.psyc....
9.
Besser, A., & Neria, Y. (2010). The effects of insecure attachment orientations and perceived social support on posttraumatic stress and depressive symptoms among civilians exposed to the 2009 Israel-Gaza war: a follow-up cross-lagged panel design study. Journal of Research in Personality, 44, 335–341. https://doi.org/10.1016/j.jrp.....
10.
Betancourt, T. S., & Williams, T. (2008). Building an evidence base on mental health interventions for children affected by armed conflict. Intervention, 6, 39–56. https://doi.org/10.1097/WTF.0b....
11.
Birmes, P. J., Bui, E., Klein, R., Billard, J., Schmitt, L., Allenou, C., Job, N., & Arbus C. (2009). Psychotraumatology in antiquity. Stress & Health, 26, 21–31. https://doi.org/10.1002/smi.12....
12.
Bonanno, G. A. (2021). The resilience paradox. European Journal of Psychotraumatology, 12, 1942642. https://doi.org/10.1080/200081....
13.
Booth, A., Scott, M. E., & King, V. (2010). Father residence and adolescent problem behavior: Are youth always better off in two-parent families? Journal of Family Issues, 31, 585–605. https://doi.org/10.1177/019251....
14.
Bowlby, J. (1980). Attachment and loss. Vol. 3: Loss, sadness and depression. Basic Books.
15.
Catani, C., Wittmann, J., Schmidt, T. L., Wilker, S., Neldner, S., & Neuner, F. (2023). School-based mental health screenings with Ukrainian adolescent refugees in Germany: Results from a pilot study. Frontiers in Psychology, 14, 1146282. https://doi.org/10.3389/fpsyg.....
16.
Chrzan-Dętkoś, M., Rodríguez-Muñoz, M. F., Krupelnytska, L., Morozova-Larina, O., Vavilova, A., García López, H., Murawaska, N., & Nakić Radoš, S. (2022). Good practices in perinatal mental health for women during wars and migrations: a narrative synthesis from the COST Action Riseup-PPD in the context of the war in Ukraine. Clinica y Salud, 33, 127–135. https://doi.org/10.5093/clysa2....
17.
De Zulueta, F. (2006). The treatment of psychological trauma from the perspective of attachment research. Journal of Family Theraphy, 28, 334–351. https://doi.org/10.1111/j.1467....
18.
Dieperink, M., Leskela, J., Thuras, P., & Engdahl, B. (2001). Attachment style classification and posttraumatic stress disorder in former prisoners of war. American Journal of Orthopsychiatry, 71, 374–378. https://doi.org/10.1037/0002-9....
19.
Długosz, P., Kryvachuk, L., & Izdebska-Długosz, D. (2022). Uchodźcy wojenni z Ukrainy – życie w Polsce i plany na przyszłość [War refugees from Ukraine – life in Poland and plans for the future]. Wydawnictwo Academicon. https://doi.org/10.52097/acapr....
20.
Elliot, A. J., & Reis, H. T. (2003). Attachment and exploration in adulthood. Journal of Personality and Social Psychology, 85, 317–331. https://doi.org/10.1037/0022-3....
21.
Feeney, J. A., Noller, P., & Hanrahan, M. (1994). Attachment Style Questionnaire (ASQ) [Database record]. APA PsycTests. https://doi.org/10.1037/t29439....
22.
Fraley, R. C., Fazzari, D. A., Bonanno, G. A., & Dekel, S. (2006). Attachment and psychological adaptation in high exposure survivors of the September 11th attack on the World Trade Center. Personality and Social Psychology Bulletin, 32, 538–551. https://doi.org/10.1177/014616....
23.
Gałecki, P. (Ed.). (2022). Badanie stanu psychicznego. Rozpoznanie według ICD-11 [Mental status examination. Diagnosis according to ICD-11]. Edra Udran & Partner.
24.
Gleeson, A., Curran, D., Reeves, R., Dorahy, M. J., & Hanna, D. (2021). A meta‐analytic review of the relationship between attachment styles and posttraumatic growth. Journal of Clinical Psychology, 77, 1521–1566. https://doi.org/10.1002/jclp.2....
25.
Goodwin, R., Hamama-Raz, Y., Leshem, E., & Ben-Ezra, M. (2023). National resilience in Ukraine following the 2022 Russian invasion. International Journal of Disaster Risk Reduction, 85, 103487. https://doi.org/10.1016/j.ijdr....
26.
Gurba, E., & Czyżowska, D. (2016). Bliskość w relacjach z rodzicami a przywiązanie i poziom intymności u młodych dorosłych [Closeness in relationships with parents vs. attachement and level of intimacy in young adults]. Psychologia Rozwojowa, 21, 91–107. https://doi.org/10.4467/208438....
27.
Haravuori, H., Kiviruusu, O., Suomalainen, L., & Marttunen, M. (2016). An evaluation of ICD-11 posttraumatic stress disorder criteria in two samples of adolescents and young adults exposed to mass shootings: Factor analysis and comparisons to ICD-10 and DSM-IV. BMC Psychiatry, 16, 140. https://doi.org/10.1186/s12888....
28.
Hobfoll, S. E., Hall, B., Canetti-Nisim, D., Johnson, R., & Palmieri, P. (2007). Refining our understanding of traumatic growth in the face of terrorism: Moving from meaning cognitions to doing what is meaningful. Applied Psychology, 56, 345–366. https://doi.org/10.1111/j.1464....
29.
Huțul, T. D., Karner-Huțuleac, A., & Huțul, A. (2023). “The war is here!” Anxiety, trauma centrality, and the mediating role of daily stressors in Romanian and Ukrainian civilians. Psychological Trauma. https://doi.org/10.1037/tra000....
30.
Ioffe, Y., Abubakar, R., Issa, P., Spiegel, B., & Kumar, B. N. (2022). Meeting the health challenges of displaced populations from Ukraine. The Lancet, 399, 1206–1208. https://doi.org/10.1016/S0140-....
31.
Jayawickreme, E., & Blackie, L. E. (2014). Post-traumatic growth as positive personality change: Evidence, controversies and future directions. European Journal of Personality, 28, 312–331. https://doi.org/10.1002/per.19....
32.
Joseph, S., Linley, P. A., & Harris, G. J. (2004). Understanding positive change following trauma and adversity: Structural clarification. Journal of Loss and Trauma, 10, 83–96. https://doi.org/10.1080/153250....
33.
Kang, T. S., Goodwin, R., Hamama-Raz, Y., Leshem, E., & Ben-Ezra, M. (2023). Disability and post-traumatic stress symptoms in the Ukrainian general population during the 2022 Russian Invasion. Epidemiology and Psychiatric Sciences, 32, 1–5. https://doi.org/10.1017/S20457....
34.
Kaniasty, K., Baran, M., Urbańska, M., Boczkowska, M., & Hamer, K. (2023). Sense of danger, sense of country’s mastery, and sense of personal mastery as concomitants of psychological distress and subjective well-being in a sample of Poles following Russia’s invasion of Ukraine: Prospective analyses. Applied Psychology: Health and Well-Being. https://doi.org/10.1111/aphw.1....
35.
Koenen, K. C., Ratanatharathorn, A., Ng, L., McLaughlin, K. A., Bromet, E. J., Stein, D. J., Karam, E. G., Meron Ruscio, A., Benjet, C., Scott, K., Atwoli, L., Petukhova, M., Lim, C. C. W., Aguilar-Gaxiola, S., Al-Hamzawi, A., Alonso, J., Bunting, B., Ciutan, M., de Girolamo, G., Degenhardt, L., … Kessler, R. C. (2017). Posttraumatic stress disorder in the World Mental Health Surveys. Psychological Medicine, 47, 2260–2274. https://doi.org/10.1017/S00332....
36.
Laufer, A., & Solomon, Z. (2006). Posttraumatic symptoms and posttraumatic growth among Israeli youth exposed to terror incidents. Journal of Social and Clinical Psychology, 25, 429–447. https://doi.org/10.1521/jscp.2....
38.
Levin, Y., Bachem, R., Goodwin, R., Hamama-Raz, Y., Leshem, E., & Ben-Ezra, M. (2023). The Ukraine-Russia war: a symptoms network of complex posttraumatic stress disorder during continuous traumatic stress. Psychological Trauma. https://doi.org/10.1037/tra000....
39.
Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: a critical evaluation and guidelines for future work. Child Development, 71, 543–562. https://doi.org/10.1111/1467-8....
40.
Luthar, S. S., Crossman, E. J., & Small, P. J. (2015). Resilience and adversity. In R. M. Lerner & M. E. Lamb (Eds.), Handbook of child psychology and developmental science (Vol. 3, pp. 247–286). Wiley.
41.
Main, M., & Solomon, J. (1990). Procedures for identifying infants as disorganized/disoriented during the Ainsworth Strange Situation. In M. T. Greenberg, D. Cicchetti, & E. M. Cummings (Eds.), Attachment in the preschool years: Theory research, and intervention (pp. 121–160). University of Chicago Press.
42.
Marchwicki, P. (2004). Style przywiązania a postawy rodzicielskie. Doniesienie z badań [Attachment styles and parental attitudes. An empirical research]. Roczniki Psychologiczne, 7, 81–103.
43.
Masten, A. S. (2014). Ordinary magic: Resilience in developmental. Guilford Press.
44.
Mikulincer, M., Florian, V., & Weller, A. (1993). Attachment styles, coping strategies, and posttraumatic psychological distress: The impact of the Gulf War in Israel. Journal of Personality and Social Psychology, 64, 817–826. https://doi.org/10.1037/0022-3....
45.
Mikulincer, M., & Shaver, P. R. (2016). Attachment in adulthood: Structure, dynamics, and change (2nd ed.). Guilford Press.
46.
Mikulincer, M., Shaver, P. R., & Horesh, N. (2006). Attachment bases of emotion regulation and posttraumatic adjustment. In D. K. Snyder, J. Simpson, & J. N. Hughes (Eds.), Emotion regulation in couples and families: Pathways to dysfunction and health (pp. 77–99). APA Publishing. https://doi.org/10.1037/11468-....
47.
Norris, F. H., Friedman, M. J., Watson, P. J., Byrne, C. M., Diaz, E., & Kaniasty, K. (2002). 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981-2001. Psychiatry, 65, 207–239. https://doi.org/10.1521/psyc.6....
48.
Norris, F. H., & Kaniasty, K. (1996). Received and perceived social support in times of stress: a test of the social support deterioration deterrence model. Journal of Personality and Social Psychology, 71, 498–511. https://doi.org/10.1037/0022-3....
49.
Obuchowski, K. (2003). Orientacja i emocje [Orientation and emotion]. Wydawnictwo Wyższej Szkoły Humanistyczno-Ekonomicznej.
50.
Ogińska-Bulik, N., & Juczyński, Z. (2010). Rozwój potraumatyczny – charakterystyka i pomiar [Posttraumatic growth – characteristic and measurement]. Psychiatria, 7, 129–142.
51.
Ogińska-Bulik, N., Juczyński, Z., Lis-Turlejska, M., & Merecz-Kot, D. (2018). Polska adaptacja PTSD Checklist for DSM-5 - PCL-5. Doniesienie wstępne [Polish adaptation of the PTSD Checklist for DSM-5 – PCL-5. Preliminary report]. Przegląd Psychologiczny, 61, 281–285.
52.
Parkes, K. R. (1986). Coping in stressful episodes: The role of individual differences, environmental factors, and situational characteristics. Journal of Personality and Social Psychology, 51, 1277–1292. https://doi.org/10.1037//0022-....
53.
Punamäki, R. L., Qouta, S. R., & Peltonen, K. (2017). Family systems approach to attachment relations, war trauma, and mental health among Palestinian children and parents. European Journal of Psychotraumatology, 8, 1439649. https://doi.org/10.1080/200081....
54.
Regnerus, M. (2012). Parental same-sex relationships, family instability, and subsequent life outcomes for adult children: Answering critics of the New Family Structures Study with additional analyses. Social Science Research, 41, 1367–1377. https://doi.org/10.1016/j.ssre....
55.
Rizkalla, N., & Segal, S. P. (2018). Well-being and posttraumatic growth among Syrian refugees in Jordan Journal of Traumatic Stress, 31, 213–222. https://doi.org/10.1002/jts.22....
56.
Romeo, A., Di Tella, M., Ghiggia, A., Tesio, V., Gasparetto, E., Stanizzo, M. R., Torta, R., & Castelli, L. (2019). The traumatic experience of breast cancer: Which factors can relate to the post‐traumatic outcomes? Frontiers in Psychology, 10, 891. https://doi.org/10.3389/fpsyg.....
57.
Rousseau, C., Drapeau, A., & Platt, R. (2004). Family environment and emotional and behavioural symptoms in adolescent Cambodian refugees: Influence of time, gender, and acculturation. Medicine, Conflict and Survival, 20, 151–165. https://doi.org/10.1080/136236....
58.
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 68–78. https://doi.org/10.1037/0003-0....
59.
Salo, J. A., Quota, S., & Punamaki, R.‐L. (2005). Adult attachment, posttraumatic growth and negative emotions among former political prisoners. Anxiety, Stress, & Coping, 18, 361–378. https://doi.org/10.1080/106158....
60.
Senejko, A. (2019). Czy radzimy sobie z traumą etapowo? Perspektywa modelu funkcjonalno-czynnościowego obrony psychicznej [Do we deal with trauma in stages? A perspective of the function-action model of psychological defense]. In A. Senejko & M. Żurko (Eds.), Profilaktyka traumy: praktyka i badania [Prevention of trauma: Practice and research] (pp. 24–46). Oficyna Wydawnicza Impuls.
61.
Sędek, G., & Kofta, M. (1991). When cognitive exertion does not yield cognitive gain: Towards an informational explanation of learned helplessness. Journal of Personality and Social Psychology, 58, 729–743. https://doi.org/10.1037/0022-3....
62.
Shalev, A. Y., Tuval, R., Frenkiel-Fishman, S., Hadar, H., & Eth, S. (2006). Psychological responses to continuous terror: a study of two communities in Israel. American Journal of Psychiatry, 163, 667–673. https://doi.org/10.1176/ajp.20....
63.
Solomon, Z., & Dekel, R. (2007). Posttraumatic stress disorder and posttraumatic growth among Israeli ex-POWs. Journal of Traumatic Stress, 20, 303–312. https://doi.org/10.1002/jts.20....
64.
Spence, R., Kagan, L., & Bifulco, A. (2019). A contextual approach to trauma experience: Lessons from life events research. Psychological Medicine, 49, 1409–1413. https://doi.org/10.1017/S00332....
65.
Strelau, J. (Ed.) (2004). Osobowość a ekstremalny stres [Personality and extreme stress]. Gdańskie Wydawnictwo Psychologiczne.
66.
Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455–472. https://doi.org/10.1002/jts.24....
67.
Taheri, M., Harding, N., Fitzpatrick, S., & McCormack, L. (2023). Trauma and posttraumatic growth in women refugees: a bibliometric analysis of research output over time. Traumatology. https://doi.org/10.1037/trm000....
68.
Turrini, G., Purgato, M., Acarturk, C., Anttila, M., Au, T., Ballette, F., Bird, M., Carswell, K., Churchill, R., Cuijpers, P., Hall, J., Hansen, L. J., Kösters, M., Lantta, T., Nosè, M., Ostuzzi, G., Sijbrandij, M., Tedeschi, F., Valimaki, M., … Barbui, C. (2019). Efficacy and acceptability of psychosocial interventions in asylum seekers and refugees: Systematic review and meta-analysis. Epidemiology and Psychiatric Sciences, 28, 376–388. https://doi.org/10.1017/S20457....
69.
Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Retrieved from https://www.ptsd.va.gov.
70.
Woodhouse, S., Ayers, S., & Field, A. P. (2015). The relationship between adult attachment style and post-traumatic stress symptoms: a meta-analysis. Journal of Anxiety Disorders, 35, 103–117. https://doi.org/10.1016/j.janx....
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