Is silence about trauma harmful for children? Transgenerational communication in Palestinian families
Abstract
Style of family communication is considered important in the transgenerational transmission of trauma. This study had three aims: first, to identify the contents of family communication about past national trauma; second, to examine how parents’ current war trauma is associated with transgenerational communication; and third, to analyze the associations between transgenerational communication and children’s mental health, measured as posttraumatic stress disorder (PTSD), depression and psychological distress. The study sample consisted of 170 Palestinian families in Gaza Strip, in which both mothers (n = 170) and fathers (n = 170) participated, each with their 11–13-year-old child. Mothers and fathers responded separately to three questions: 1) what did their own parents tell them about the War of 1948, Nakba?; 2) what did they tell their own children about the Nakba?; and 3) What did they tell their own children about the 1967 Arab–Israeli War and military occupation? Current war trauma, as reported separately by mothers, fathers and their children, refers to the Gaza War 2008/09. Children reported their symptoms of PTSD, depression, and psychological distress. Results revealed seven communication content categories and one category indicating maintaining silence about the traumas. Fathers’ high exposure to current war trauma was associated with a higher level of communicating facts, reasons, and meanings regarding the1948 and 1967 wars, and mothers’ high exposure to current war trauma was associated with a lower level of maintaining silence. Family communication about facts, reasons, and meanings was significantly associated with children not showing PTSD and marginally with not showing psychological distress, while maintaining silence was not associated with children’s mental health.
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Parental communication that contextualizes war experiences has been associated with lower psychiatric stress and PTSD symptoms in offspring.
“Parental communication that contextualizes war experiences has been associated with lower psychiatric stress and PTSD symptoms in offspring (134).”
From Epigenetic changes associated with multi-generational trauma: characterization, mechanisms, and therapeutics (2026) · cites this paper as [134]
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Kac, E., Qi, Q., & Ryznar, R. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1769422 · Cited by 1 · see citing works
“Parental communication that contextualizes war experiences has been associated with lower psychiatric stress and PTSD symptoms in offspring (134).”
- Authors
- Dalgaard, N. T., Diab, S. Y., Montgomery, E., Qouta, S. R., & Punamäki, R.-L.
- Affiliations
- University of Copenhagen (DK)
- Al-Quds Open University (PS)
- Danish Institute against Torture (DK)
- Islamic University (BD)
- University of Tampere (FI)
- Corresponding author
- Punamäki, Raija-Leena
- Venue
- Transcultural Psychiatry
- Publisher
- SAGE Publications
- Published
- 2019-01-31
- Volume
- 56
- Issue
- 2
- Pages
- 398-427
- ISSN
- 1363-4615 (ISSN-L)
- 1461-7471
- OpenAlex
- W2913569190
- Cited by
- 61
- References
- 5
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 7 · 2023: 9 · 2022: 4 · 2021: 2 · 2020: 28 · 2019: 1
- FWCI
- 10.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Transcultural Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- Suomen Akatemia (25012751971)
- Suomen Kulttuurirahasto
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Social Psychology › Memory, Trauma, and Commemoration
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- family communication, Palestinian families, Nakba, Six-Day War, child mental health, post-traumatic stress disorder, depression, psychological distress, parents, Gaza Strip
- MeSH terms
- Adolescent, Adult, Aged, Child, Child Psychiatry, Communication, Female, Humans, Male, Middle Aged, Middle East, Parent-Child Relations, Parents, Psychiatric Status Rating Scales, Stress Disorders, Post-Traumatic, Violence, Warfare, Logistic Models, Protective Factors
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