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Cited by 63Child and Adolescent Psychosocial and Emotional DevelopmentPosttraumatic Stress Disorder ResearchChild Abuse and Trauma

Self-reported emotional and behavioral symptoms, parent-adolescent bonding and family functioning in clinically referred adolescent offspring of Croatian PTSD war veterans

Boričević Maršanić, Vlatka, Aukst Margetić, Branka, Jukić, Vlado, Matko, Vlasta, Grgić, Vesna·2014·European Child & Adolescent Psychiatry
DOI 10.1007/s00787-013-0462-2
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Abstract

The presence of posttraumatic stress disorder (PTSD) in male war veterans has been linked with family dysfunction and psychopathology in their children [1, 2]. This study aimed to evaluate self-reported emotional and behavioral symptoms, parent-adolescent bonding and family functioning in clinically referred adolescent offspring of Croatian PTSD war veterans and determine the degree that parent-child bonding and family functioning contributed to adolescent behavior problems. Internalizing and externalizing behavior problems, parent-child bonding and family functioning were assessed in a sample of clinically referred Croatian PTSD veterans adolescent offspring (N = 122) and non-PTSD veteran adolescent offspring (N = 122) matched for age, sex, educational level, family income, parental employment status, ethnicity, and residential area. Youth Self-Report, Parental Bonding Instrument, Family Assessment Device were used. Adolescent offspring of PTSD veterans reported having significantly more internalizing and externalizing problems than non-PTSD veteran offspring, and also more difficulties in their family functioning, lower levels of maternal and paternal care, and more impaired mother-child and father-child bonding than control subjects. Internalizing symptoms were associated with family dysfunction, while externalizing symptoms were associated with paternal overcontrol/overprotection, and low maternal and paternal care. In conclusion, the increase in internalizing and externalizing symptoms as well as family and parental dysfunction among clinically referred adolescent offspring of PTSD veterans compared to their non-PTSD veteran counterparts indicates a need for early detection and interventions targeting both adolescent psychopathology and family relationships.

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Crossref · 10.1007/s00787-013-0462-2

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  • Across conflict-affected populations, exposure to active combat or chronic threat has been associated with harsh, inconsistent, diminished warmth, or overprotective parenting patterns.

    “Across conflict-affected populations, exposure to active combat or chronic threat has been associated with harsh, inconsistent, diminished warmth, or overprotective parenting patterns (113–115).”

    From Epigenetic changes associated with multi-generational trauma: characterization, mechanisms, and therapeutics (2026) · cites this paper as [115]

  • These caregiving styles have corresponded with increased internalizing and externalizing symptoms in offspring, reduced parental bonding, and family dysfunction.

    “These caregiving styles have corresponded with increased internalizing and externalizing symptoms in offspring, reduced parental bonding, and family dysfunction (114, 115).”

    From Epigenetic changes associated with multi-generational trauma: characterization, mechanisms, and therapeutics (2026) · cites this paper as [115]

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Authors
Boričević Maršanić, V., Aukst Margetić, B., Jukić, V., Matko, V., & Grgić, V.
Affiliations
  • Klinika za psihijatriju Vrapče (HR)
  • University Hospital Centre Zagreb (HR)
Venue
European Child & Adolescent Psychiatry
Publisher
Springer Science and Business Media LLC
Published
2013-08-15
Volume
23
Issue
5
Pages
295-306
ISSN
  • 1018-8827 (ISSN-L)
  • 1435-165X
DOI
10.1007/s00787-013-0462-2
OpenAlex
W2076431267
Cited by
63
References
76
Citations by year
2026: 3 · 2025: 2 · 2024: 5 · 2023: 3 · 2021: 2 · 2020: 8 · 2019: 10 · 2018: 4 · 2017: 5 · 2016: 10 · 2015: 6 · 2014: 4 · 2013: 1
FWCI
7.78
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • European Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords
post-traumatic stress disorder, war veterans, adolescent psychopathology, internalizing problems, externalizing problems, family functioning, parental care, family dysfunction
MeSH terms
Adolescent, Behavioral Symptoms, Child, Cross-Sectional Studies, Emotions, Family Relations, Female, Humans, Internal-External Control, Male, Object Attachment, Parent-Child Relations, Parents, Psychopathology, Surveys and Questionnaires, Regression Analysis, Stress Disorders, Post-Traumatic, Veterans, Warfare, Prevalence, Case-Control Studies, Child of Impaired Parents, Croatia, Mood Disorders, Self Report

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