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Journal of Traumatic Stress

, Volume 10, Issue 3, pp 453–463 | Cite as

Individual Differences in Posttraumatic Stress Disorder Symptom Profiles in Holocaust Survivors in Concentration Camps or in Hiding

  • Rachel Yehuda
  • James Schmeidler
  • Larry J. Siever
  • Karen Binder-Brynes
  • Abbie Elkin
Article
  • 108 Downloads

Abstract

Symptom patterns were compared between Holocaust survivors in concentration camp (n = 70) and those who were in “hiding” (n = 30) during the war. The impact of age at the time of the trauma, gender, and cumulative lifetime stress, and the effect of each of these variables controlling for the others, on posttraumatic stress disorder (PTSD) symptoms were also evaluated. A significant negative relationship between age at the time of the trauma and symptoms of psychogenic amnesia, hypervigilence and emotional detachment, and a positive correlation between age and intrusive thoughts, were observed. Cumulative lifetime stress was positively associated with symptoms of avoidance. The study provides the first empirical data regarding the factors that potentially explain individual differences in PTSD symptom patterns in Holocaust survivors.

Holocaust survivors PTSD phenomenology age difference gender differences lifetime trauma 

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References

  1. Andreasen, N.C. (1980). Posttraumatic stress disorder. In H. I. Kaplan, A. M. Freedman, & B. J. Sadock (Eds), Comprehensive textbook of psychiatry (Vol 2, 3rd ed.). New York: Williams & Wilkins.Google Scholar
  2. Antonovsky, A. (1979). Health, stress and coping. San Francisco: Joffery-Bass.Google Scholar
  3. Antonovsky, A., Maoz, B., Downty, N., & Wijsenbeek, H. (1971). Twenty-five years later: A limited study of the sequelae of the concentration camp experience. Social Psychiatry, 4, 186–193.Google Scholar
  4. Blake, D., Weathers, F., Nagy, L., Kaloupek, D., Lauminzer, G., Charney, D., & Keane, T. (1990). Clinician-administered PTSD Scale (CAPS-1). National Center for Posttraumatic Stress Disorder. Boston: Mass. Behavioral Science Division.Google Scholar
  5. Blazer, D. (1978). Durham Survey: Description and application, in Multi-dimentional Functional Assessment OARS Methodology: A manual, 2nd ed. Durham, NC, Duke University Center for the Study of Aging and Human Development.Google Scholar
  6. Carmil, D., & Carel, R.S. (1986). Emotional distress and satisfaction in life among Holocaust survivors—a community study of survivors and controls. Psychological Medicine, 16, 141–149.Google Scholar
  7. Chodoff, P. (1963). Late effects of concentration camp syndrome. Archives of General Psychiatry, 8, 323–333.Google Scholar
  8. Danieli, Y. (1985). The treatment and prevention of longterm effects and intergenerational transmission of victimization: A lesson from Holocaust survivors and their children. In C. R. Figley (Ed.), Trauma and its wake. Vol I: The study and treatment of posttraumatic stress disorder (pp. 295–313). New York: Brunner/Mazel.Google Scholar
  9. Eaton, W., Sigal, J., & Weinfeld, M. (1982). Impairment in Holocaust survivors after 33 years: Data from an unbiased community sample. American Journal of Psychiatry, 139, 773–777.Google Scholar
  10. Eitinger, L. (1961). Pathology of a concentration camp syndrome: Preliminary report. Archives of General Psychiatry, 5, 371–379.Google Scholar
  11. Eitinger, L. (1965). Concentration camp survivors in Norway and Israel. Israel Journal of Medical Sciences 1, 883–895.Google Scholar
  12. Eitinger, L., & Strom, A. (1973). Morality and morbidity after excessive stress. Oslo: Universitesforlaget.Google Scholar
  13. Green, B., Korol, M., Grace, M., Vary, M., Leonard, A., Goldine, G., & Smitson-Cohen, S. (1991). Children of disaster: Age, gender, and parental effects on PTSD symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 945–951.Google Scholar
  14. Green, B. L., Wilson, J. P., & Lindy, J. D. (1985). Conceptualizing posttraumatic stress disorder: A psychosocial framework. In C. R. Figley (Ed.), Trauma and its wake (pp. 53–69). New York: Brunner/Mazel.Google Scholar
  15. Herman, J. (1992). Trauma and recovery. New York: Basic Books.Google Scholar
  16. Kestenberg, J. (1988). Memories from early childhood. Psychoanalytic Review, 75, 561–571.Google Scholar
  17. Kestenberg, J., & Brenner, I. (1986). Children who survived the Holocaust: The role of rules and routines in the development of the superego. International Journal of Psychoanalysis, 67, 309–316.Google Scholar
  18. Klein, H., Zellermayer, J., Shanan, J., & Beersheba, I. (1963). Former concentration camp inmates on a psychiatric ward. Archives of General Psychiatry, 8, 334–342.Google Scholar
  19. Krell, R. (1986). Therapeutic value of documenting child survivors. Annual Progress in Child Psychiatry and Child Development. 281–288.Google Scholar
  20. Krystal, H., & Neiderland, W. C. (1968). Clinical observation on the survivor syndrome. In H. Krystal (Ed.) Massive psychic trauma. New York: International Universities Press.Google Scholar
  21. Kuch, K., & Cox, B. (1992). Symptoms of PTSD in 124 survivors of the Holocaust. American Journal of Psychiatry, 149, 337–340.Google Scholar
  22. Langner, T. S. (1962). A twenty-two item screening score of psychiatric symptoms indicating impairment. Journal of Health and Human Behavior, 3, 269–276.Google Scholar
  23. Marks, J. (1993). The hidden children: The secret survivors of the Holocaust. New York: Fawcett Columbine.Google Scholar
  24. Moskovitz, S. & Krell, R. (1990). Child survivors of the holocaust: Psychological adaptations to survival. Israel Journal of Psychiatry and Related Sciences, 27, 81–91.Google Scholar
  25. Terr, L. (1991). Childhood traumas: An outline and overview. American Journal of Psychiatry, 148, 10–20.Google Scholar
  26. Seiler, L. H. (1973). The 22-item scale used in field studies of mental illness: A question of method, a question of substance, and a question of theory. Journal of Health and Social Behavior, 14, 252–264.Google Scholar
  27. Southwick, S. M., Yehuda, R., Giller, E. L., & Charney, D. S. (1994). The use of tricyclics and monoamine oxidase inhibitors in the treatment of posttraumatic stress disorder: A quantitative review. In M. M. Murburgh (Ed.), Catecholamine function in PTSD: Emerging concepts (pp. 293–305). Washington, DC: American Psychiatric Press.Google Scholar
  28. Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. B. (1990). Structured Clinical Interview for DSM-III-R (SCID, Version 1.0). Washington, DC: American Psychiatric Press.Google Scholar
  29. Tec, N. (1993). A historical perspective tracing the history of the hidden-child experience. In J. Marks (Ed.) The Hidden children: The secret survivors of the Holocaust (pp. 273–291). New York: Fawcett Columbine.Google Scholar
  30. Yehuda R., Giller E. L., Kahana B., & Southwick S. M. (1994). Depressive features in Holocaust survivors with and without posttraumatic stress disorder. Journal of Traumatic Stress, 7, 699–704.Google Scholar
  31. Yehuda, R., Kahana, B., Binder-Brynes, K., Southwick, S., Mason, J. W., & Giller, E. (1995). Low urinary cortisol excretion in Holocaust survivors with posttraumatic stress disorder. American Journal of Psychiatry 152, 982–986.Google Scholar
  32. Yehuda, R., Kahana, B., Schmeidler, J., Southwick, S., Wilson, S., & Giller, E. (1995). The impact of cumulative lifetime trauma and recent stress on current posttraumatic stress disorder symptoms in Holocaust survivors. American Journal of Psychiatry 152, 1815–1818.Google Scholar

Copyright information

© International Society for Traumatic Stress Studies 1997

Authors and Affiliations

  • Rachel Yehuda
    • 1
  • James Schmeidler
    • 1
  • Larry J. Siever
    • 1
  • Karen Binder-Brynes
    • 1
  • Abbie Elkin
    • 1
  1. 1.The Traumatic Stress Studies ProgramMount Sinai School of Medicine and Bronx Veterans AffairsNew York

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