Transgenerational Transmission of Trauma: Psychiatric Evaluation of Offspring of Former “Comfort Women,” Survivors of the Japanese Military Sexual Slavery during World War II
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“Comfort women” are survivors of sexual slavery by the Imperial Japanese Army during World War II, who endured extensive trauma including massive rape and physical torture. While previous studies have been focused on the trauma of the survivors themselves, the effects of the trauma on the offspring has never been evaluated before. In this article, we reviewed the first study on the offspring of former “comfort women” and aimed to detect the evidence of transgenerational transmission of trauma. In-depth psychiatric interviews and the Structured Clinical Interview for DSM-5 Axis I Disorders were conducted with six offspring of former “comfort women.” Among the six participants, five suffered from at least one psychiatric disorder including major depressive disorder, panic disorder, posttraumatic stress disorder, adjustment disorder, insomnia disorder, somatic symptom disorder, and alcohol use disorder. Participants showed similar shame and hyperarousal symptoms as their mothers regarding stimuli related to the “comfort woman” issue. Increased irritability, problems with aggression control, negative worldview, and low self-esteem were evident in the children of mothers with posttraumatic stress disorder. Finding evidence of transgenerational transmission of trauma in offspring of “comfort women” is important. Future studies should include more samples and adopt a more objective method.
Abstract
“Comfort women” are survivors of sexual slavery by the Imperial Japanese Army during World War II, who endured extensive trauma including massive rape and physical torture. While previous studies have been focused on the trauma of the survivors themselves, the effects of the trauma on the offspring has never been evaluated before. In this article, we reviewed the first study on the offspring of former “comfort women” and aimed to detect the evidence of transgenerational transmission of trauma. In-depth psychiatric interviews and the Structured Clinical Interview for DSM-5 Axis I Disorders were conducted with six offspring of former “comfort women.” Among the six participants, five suffered from at least one psychiatric disorder including major depressive disorder, panic disorder, posttraumatic stress disorder, adjustment disorder, insomnia disorder, somatic symptom disorder, and alcohol use disorder. Participants showed similar shame and hyperarousal symptoms as their mothers regarding stimuli related to the “comfort woman” issue. Increased irritability, problems with aggression control, negative worldview, and low self-esteem were evident in the children of mothers with posttraumatic stress disorder. Finding evidence of transgenerational transmission of trauma in offspring of “comfort women” is important. Future studies should include more samples and adopt a more objective method.
참고문헌 (21)
- Jeewon Lee, "Psychiatric Sequelae of Former “Comfort Women,” Survivors of the Japanese Military Sexual Slavery during World War II", PSYCHIATRY INVESTIGATION, 15(4), pp.336~343 (2018), 대한신경정신의학회
- Kellerman NP, "Psychopathology in children of Holocaust survivors : a review of the research literature", Isr J Psychiatry Relat Sci, 38, pp.36~46 (2001)
- Rowland-Klein D, "The transmission of trauma across generations : identification with parental trauma in children of Holocaust survivors", Aust N Z J Psychiatry, 32, pp.358~369 (1998)
- Levav I, "The psychiatric after-effects of the Holocaust on the second generation", Psychol Med, 28, pp.755~760 (1998)
- Brom D, "A controlled double-blind study on children of Holocaust survivors", Isr J Psychiatry Relat Sci, 38, pp.47~57 (2001)
- Freyberg JT, "Difficulties in separation‐individuation as experienced by offspring of Nazi holocaust survivors", Am J Orthopsychiatry, 50, pp.87~95 (1980)
- Yehuda R, "Vulnerability to posttraumatic stress disorder in adult offspring of Holocaust survivors", Am J Psychiatry, 155, pp.1163~1171 (1998)
- Dekel R, "Is there intergenerational transmission of trauma? The case of combat veterans’ children", Am J Orthopsychiatry, 78, pp.281~289 (2008)
- Daud A, "Children in families of torture victims : transgenerational transmission of parents’ traumatic experiences to their children", Int J Soc Welfare, 14, pp.23~32 (2005)
- Dalgaard NT, "The transmission of trauma in refugee families : associations between intra-family trauma communication style, children’s attachment security and psychosocial adjustment", Attach Hum Dev, 18, pp.69~89 (2016)
- Galovski T, "Psychological sequelae of combat violence : a review of the impact of PTSD on the veteran's family and possible interventions", Aggr Viol Behav, 9, pp.477~501 (2004)
- Sangalang CC, "Effects of maternal traumatic distress on family functioning and child mental health : an examination of Southeast Asian refugee families in the US", Soc Sci Med, 184, pp.178~186 (2017)
- First MB, "Structured Clinical Interview for the DSM (SCID)", Online Library, ~ (2015)
- Juni S, "Second-generation Holocaust survivors : psychological, theological, and moral challenges", J Trauma Dissociation, 17, pp.97~111 (2016)
- Field NP, "Parental styles in the intergenerational transmission of trauma stemming from the Khmer Rouge Regime in Cambodia", Am J Orthopsychiatry, 83, pp.483~494 (2013)
- Ammerman RT, "PTSD in depressed mothers in home visitation", Psychol Trauma, 4 (2012)
- Davidson AC, "The adjustment of children of Australian Vietnam veterans: is there evidence for the transgenerational transmission of the effects of war-related trauma?", Aust N Z J Psychiatry, 35, pp.345~351 (2001)
- Ruscio AM, "Male war‐zone veterans’ perceived relationships with their children : the importance of emotional numbing", J Trauma Stress, 15, pp.351~357 (2002)
- Yehuda R, "Transgenerational transmission of cortisol and PTSD risk", Prog Brain Res, 167, pp.121~135 (2007)
- Kellermann NP, "Epigenetic transmission of holocaust trauma : can nightmares be inherited", Isr J Psychiatry Relat Sci, 50, pp.33~39 (2013)
- Meaney MJ, "Environmental programming of stress responses through DNA methylation : life at the interface between a dynamic environment and a fixed genome", Dialogues Clin Neurosci, 7, pp.103~123 (2005)