Cited by 344Migration, Health and TraumaRacial and Ethnic Identity ResearchMemory, History, Trauma, Identity

Intergenerational Trauma in Refugee Families: A Systematic Review

Open access
Sangalang, Cindy C., Vang, Cindy·2017·Journal of Immigrant and Minority Health

Abstract

Although a robust literature describes the intergenerational effects of traumatic experiences in various populations, evidence specific to refugee families is scattered and contains wide variations in approaches for examining intergenerational trauma. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria, the purpose of this systematic review was to describe the methodologies and findings of peer-reviewed literature regarding intergenerational trauma in refugee families. In doing so we aimed to critically examine how existing literature characterizes refugee trauma, its long-term effects on descendants, and psychosocial processes of transmission in order to provide recommendations for future research. The results highlight populations upon which current evidence is based, conceptualizations of refugee trauma, effects of parental trauma transmission on descendants' health and well-being, and mechanisms of transmission and underlying meanings attributed to parental trauma in refugee families. Greater methodological rigor and consistency in future evidence-based research is needed to inform supportive systems that promote the health and well-being of refugees and their descendants.

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  • The reviewed studies were consistent in reporting parent- and family-related variables as the most salient mechanisms of transmission.

    “As reported by Sangalang and Vang (2017) and as echoed in the broader intergenerational trauma field (Dashorst, Mooren, Kleber, de Jong, & Huntjens, 2019), the reviewed studies were consistent in reporting parent- and family-related variables as the most salient mechanisms of transmission.”

    From Crossing borders: a systematic review identifying potential mechanisms of intergenerational trauma transmission in asylum-seeking and refugee families (2020) · cites this paper as Sangalang and Vang (2017)

    The Discussion says the literature was “fairly consistent” in describing parenting and family interactions as playing significant roles in transmission, and the psychosocial-mechanisms section describes studies of those pathways. It does not rank parent- and family-related variables as the most salient mechanisms; that part overstates the review's conclusion. (LLM, conf=0.84)

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  • The same factors may serve as mechanisms for trauma transmission regardless of whether a child has been trauma-exposed and irrespective of children's age.

    “This confers the findings reported by Sangalang and Vang (2017) and demonstrates that the same factors may serve as mechanisms for trauma transmission regardless of whether a child has been trauma-exposed and irrespective of children's’ age.”

    From Crossing borders: a systematic review identifying potential mechanisms of intergenerational trauma transmission in asylum-seeking and refugee families (2020) · cites this paper as Sangalang and Vang (2017)

    The Discussion (page unavailable) identifies parenting and family interactions as potential mechanisms of trauma transmission, supporting the core point. But the Methods limit the reviewed studies to offspring who had not directly experienced political trauma or had fled very young, and the Results report different age groups without establishing that the same mechanisms operate irrespective of age. The review therefore does not support the claim's exposure- and age-independent qualifiers. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • In contrast to Sangalang and Vang (2017) review, an examination of independent intergenerational effects of trauma transmission was possible.

    “Consequently, and in contrast to Sangalang and Vang (2017) review, an examination of independent intergenerational effects of trauma transmission was possible.”
  • The intergenerational transmission of cultural trauma has been clearly observed in multiple populations including Holocaust survivors, refugees, combat veterans, and Indigenous populations.

    “The intergenerational transmission of cultural trauma has been clearly observed in multiple populations including Holocaust survivors (Yehuda et al., 2008), refugees (Field et al., 2013; Sangalang and Vang, 2017), combat veterans (Dekel and Goldblatt, 2008), and Indigenous populations (Brave Heart, 2003; Kirmayer et al., 2014).”

    From Cultural trauma as a fundamental cause of health disparities (2022) · cites this paper as Sangalang and Vang, 2017

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Research works printed but not linked: 24

  1. [2]Fazel M Reed RV Panter-Brick C Stein A Mental health of displaced and refugee children resettled in high-income countries: risk and protective factors. Lancet 2012 379 9812 266 82 21835459
  2. [3]Kirmayer LJ Narasiah L Munoz M Rashid M Ryder AG Guzder J Hassan G Rousseau C Pottie K Common mental health problems in immigrants and refugees: general approach in primary care. Can Med Assoc J 2011 183 12 E959 E967 20603342 PMC3168672
  3. [4]Marshall GN Schell TL Elliott MN Berthold SM Chun CA Mental health of Cambodian refugees 2 decades after resettlement in the United States. JAMA 2005 294 5 571 9 16077051
  4. [5]Weine S Muzurovic N Kulauzovic Y Besic S Lezic A Mujagic A Muzurovic J Spahovic D Feetham S Ware N Knafl K Pavkovic I Family consequences of refugee trauma. Fam Process 2004 43 2 147 60 15603500
  5. [6]Dekel R Goldblatt H Is there intergenerational transmission of trauma? The case of combat veterans’ children. Am J Orthopsychiatry 2008 78 3 281 19123747
  6. [12]Braga LL Mello MF Fiks JP Transgenerational transmission of trauma and resilience: a qualitative study with Brazilian offspring of Holocaust survivors. BMC Psychiatry 2012 12 1 134 44 22943578 PMC3500267
  7. [14]Fridman A Bakermans-Kranenburg MJ Sagi-Schwartz A Van IJzendoorn MH Coping in old age with extreme childhood trauma: aging Holocaust survivors and their offspring facing new challenges. Aging & Ment. Health (London) 2011 15 2 232 42 20924822
  8. [15]Kellermann NPF Perceived parental rearing behavior in children of Holocaust survivors. Isr J Psychiatry Relat Sci 2015 38 1 58 68 11381587
  9. [17]Sagi-Schwartz A Van Ijzendoorn MH Grossmann KE Joels T Grossmann K Scharf M Koren-Karie N Alkalay S Attachment and traumatic stress in female Holocaust child survivors and their daughters. Am J Psychiatry 2003 160 6 1086 92 12777266
  10. [18]Shrira A Palgi Y Ben-Ezra M Shmotkin D Transgenerational effects of trauma in midlife: evidence for resilience and vulnerability in offspring of Holocaust survivors. Psychol Trauma 2012 3 4 394 402 PMC3259702 22267975
  11. [19]Shrira A Transmitting the sum of all fears: Iranian nuclear threat salience among offspring of Holocaust survivors. Psychol Trauma 2015 7 4 364 71 25793401
  12. [20]Wiseman H Metzl E Barber JP Anger, guilt, and intergenerational communication of trauma in the interpersonal narratives of second generation Holocaust survivors. Am J Orthopsychiatry 2006 76 2 176 84 16719636
  13. [21]Wiseman H On failed intersubjectivity: recollections of loneliness experiences in offspring of Holocaust survivors. Am J Orthopsychiatr 2008 78 3 350 8 19123754
  14. [23]Yehuda R Halligan SL Grossman R Childhood trauma and risk for PTSD: relationship to intergenerational effects of trauma, parental PTSD, and cortisol excretion. Dev Psychopathol 2001 13 3 733 53 11523857
  15. [26]Vaage AB Thomsen PH Rousseau C Wentzel-Larsen T Ta TV Hauff E Paternal predictors of the mental health of children of Vietnamese refugees. Child Adolesc Psychiatr Ment Health 2011 5 2 1 11 PMC3024952 21219651
  16. [27]Spencer JH Le TN Parent refugee status, immigration stressors, and Southeast Asian youth violence. J Immigr Minor Health 2006 8 4 359 68 16841183
  17. [30]Daud A Klinetberg B Rydelius PA Resilience and vulnerability among refugee children of traumatized and non-traumatized parents. Child Adolesc Psychiatr Mental Health 2008 2 7 PMC2292147 18373846
  18. [31]Ellis BH MacDonald HZ Lincoln AK Cabral HJ Mental health of Somali adolescent refugees: the role of trauma, stress, and perceived discrimination. J Consult Clin Psychol 2008 76 2 184 93 18377116
  19. [33]Fazel M Wheeler J Danesh J Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review. Lancet 2005 365 9467 1309 14 15823380
  20. [35]Hollifield M Eckert V Warner TD Jenkins J Krakow B Ruiz J Westermeyer J Development of an inventory for measuring warrelated events in refugees. Compr Psychiatry 2005 46 1 67 80 15714198
  21. [36]Eisenbruch M From post-traumatic stress disorder to cultural bereavement: diagnosis of Southeast Asian refugees. Soc Sci Med 1991 33 6 673 80 1957187
  22. [37]Pedersen D Political violence, ethnic conflict, and contemporary wars: broad implications for health and social well-being. Soc Sci Med 2002 55 2 175 90 12144134
  23. [39]Taku K Cann A Calhoun LG Tedeschi RG The factor structure of the posttraumatic growth inventory: a comparison of five models using confirmatory factory analysis. J Trauma Stress 2008 21 2 158 64 18404631
  24. [40]Weingarten K Witnessing the effects of political violence in families: mechanisms of intergenerational transmission and clinical interventions. J Marital Fam Ther 2004 30 1 45 59 14763208

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Authors
Sangalang, C. C., & Vang, C.
Affiliations
Arizona State University (US)
Corresponding author
Sangalang, Cindy C.
Venue
Journal of Immigrant and Minority Health
Published
2016-09-22
Volume
19
Issue
3
Pages
745-754
ISSN
  • 1557-1912 (ISSN-L)
  • 1557-1920
OpenAlex
W2522428851
Cited by
344
References
6
Citations by year
2026: 33 · 2025: 44 · 2024: 43 · 2023: 47 · 2022: 41 · 2021: 40 · 2020: 65 · 2019: 18 · 2018: 9 · 2017: 4
FWCI
1.53
Type
journal article
Language
en
Open access
Locations
  • Journal of Immigrant and Minority Health (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
National Institute on Minority Health and Health Disparities (P20MD002316)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
  • Social Sciences › Arts and Humanities › Philosophy › Memory, History, Trauma, Identity
Keywords
intergenerational trauma, refugee families, refugee trauma, trauma transmission, parental trauma, psychosocial processes, health and well-being, methodological quality
MeSH terms
Psychological Trauma, Health Status, Humans, Mental Health, Refugees, Violence, Warfare, Intergenerational Relations

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