Evidence map›Paper›PMID 31497262›Full record

ReviewEuropean journal of psychotraumatology2019

Intergenerational consequences of the Holocaust on offspring mental health: a systematic review of associated factors and mechanisms.

Patricia Dashorst, Trudy M Mooren, Rolf J Kleber, Peter J de Jong, Rafaele J C Huntjens

Abstract readReview
In one paragraph

Review in European journal of psychotraumatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Article
  7. Review
  8. Geopsychiatry and the complex mental health challenges of conflict: a review examining local and distal psychiatric outcomes in a fractured world.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Mothers' psychopathology and their adult offspring's cortisol level in a Rwandan sample.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025
    Article
  18. Review
  19. Article
  20. War trauma impacts in Ukrainian combat and civilian populations: Moral injury and associated mental health symptoms.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Patricia DashorstStichting Centrum'45/partner in Arq, Oegstgeest, The Netherlands.
Trudy M MoorenStichting Centrum'45/partner in Arq, Diemen, The Netherlands.
Rolf J KleberStichting Centrum'45/partner in Arq, Diemen, The Netherlands.
Peter J de JongDepartment of Clinical Psychology & Experimental Psychopathology, University of Groningen, Groningen, The Netherlands.
Rafaele J C HuntjensDepartment of Clinical Psychology & Experimental Psychopathology, University of Groningen, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exposure to war and violence has major consequences for society at large, detrimental impact on people's individual lives, and may also have intergenerational consequences. To gain more insight into these intergenerational consequences, research addressing the impact of the Holocaust on offspring is an important source of information. The aim of the current study was to systematically review the mechanisms of intergenerational consequences by summarizing characteristics in Holocaust survivors and their offspring suggested to impact the offspring's mental health. We focused on: 1) parental mental health problems, 2) (perceived) parenting and attachment quality, 3) family structure, especially parental Holocaust history, 4) additional stress and life events, and 5) psychophysiological processes of transmission. We identified 23 eligible studies published between 2000 and 2018. Only Holocaust survivor studies met the inclusion criteria. Various parent and child characteristics and their interaction were found to contribute to the development of psychological symptoms and biological and epigenetic variations. Parental mental health problems, perceived parenting, attachment quality, and parental gender appeared to be influential for the mental well-being of their offspring. In addition, having two survivor parents resulted in higher mental health problems compared to having one survivor parent. Also, there was evidence suggesting that Holocaust survivor offspring show a heightened vulnerability for stress, although this was only evident in the face of actual danger. Finally, the results also indicate intergenerational effects on offspring cortisol levels. Clinical and treatment implications are discussed.

Indexed as

Holocaustintergenerationaloffspring• The aim was to review the mechanisms of intergenerational consequences of the holocaust.• Survivor mothers were more influential for the well-being of their offspring than fathers.• Having two survivor parents resulted in higher mental health problems compared to one.• Heightened vulnerability for stress in offspring was found in the presence of actual danger• The results indicated intergenerational effects with regard to cortisol levels.trauma

Identifiers

PMID31497262
PMCPMC6720013

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.