War-Related Traumas and Mental Health Across Generations

This issue of JAMA Psychiatry presents the findings from an epidemiological study from Santavirta et al on the risk of psychiatric hospitalization among the offspring of adults who were evacuated as child refugees to Sweden during World War II under the Finnish Evacuation Policy. The study provides a glimpse into the potential intergenerational associations of being a child refugee during World War II with psychiatric hospitalization, with particular attention to sex.

Associability-modulated loss learning is increased in posttraumatic stress disorder

Disproportionate reactions to unexpected stimuli in the environment are a cardinal symptom of posttraumatic stress disorder (PTSD). Here, we test whether these heightened responses are associated with disruptions in distinct components of reinforcement learning. Specifically, using functional neuroimaging, a loss-learning task, and a computational model-based approach, we assessed the mechanistic hypothesis that overreactions to stimuli in PTSD arise from anomalous gating of attention during learning (i.e., associability).

Association of the World War II finnish evacuation of children with psychiatric hospitalization in the next generation

IMPORTANCE

Although there is evidence that adverse childhood experiences are associated with worse mental health in adulthood, scarce evidence is available regarding an emerging concern that the next generation might also be affected.

 

OBJECTIVE

To compare the risk of psychiatric hospitalization in cousins whose parents were vs were not exposed to the Finnish evacuation policy that involved a mean 2-year stay with a Swedish foster family.

 

DESIGN, SETTING, AND PARTICIPANTS

Primary care for refugees and newly arrived migrants in Europe : a qualitative study on health needs, barriers and wishes

Background
 
In order to provide effective primary care for refugees and to develop interventions tailored to them, we must know their needs. Little is known of the health needs and experiences of recently arrived refugees and other migrants throughout their journey through Europe. We aimed to gain insight into their health needs, barriers in access and wishes regarding primary health care.
Methods

Neural activity during the viewing of emotional pictures in veterans with pathological anger and aggression

Anger and aggression are common mental health problems after military deployment. Anger and aggression have been associated with abnormalities in subcortical and cortical levels of the brain and their connectivity.

Here, we tested brain activation during the processing of emotional stimuli in military veterans with and without anger and aggression problems.

Thirty military veterans with anger and aggression problems and 29 veterans without a psychiatric diagnosis (all males) participated in this study.

A single-session growth mindset intervention for adolescent anxiety and depression : 9-month outcomes of a randomized trial

Background

Single-session interventions (SSIs) show promise in the prevention and treatment of youth psychopathology, carrying potential to improve the scalability and accessibility of youth psychological services. However, existing SSIs have conferred greater benefits for youths with anxiety, compared to depression or comorbid problems, and their effects have generally waned over time – particularly for follow-ups exceeding 3 months.

Method

The Effects of Traumatic and Multiple Loss on Psychopathology, Disability, and Quality of Life in Iraqi Asylum Seekers in the Netherlands

Emerging evidence suggests that the loss of loved ones under traumatic circumstances is highly prevalent among refugees and asylum seekers.

We evaluated the effects of traumatic and multiple losses of family members and friends on psychopathology, disability, and quality of life in Iraqi asylum seekers in the Netherlands, and investigated mediation of these effects through psychopathology.

Respondents (N = 294) completed structured Arabic interviews.

Data were analyzed using structural equation modeling.

Suicidality risk and (repeat) disaster exposure : Findings from a nationally representative population survey

Objective: Despite growing awareness of adverse disaster mental health consequences, the scarce existing evidence on the link of disaster exposure and suicidality has remained inconclusive, and the differential suicidality risk associated with distinct levels of natural and man-made disaster exposure is unknown. We therefore investigated the lifetime prevalence and risk of suicidal behaviour associated with natural and man-made disaster exposure in Australia.

 

Do prolonged grief disorder symptoms predict post-traumatic stress symptoms following bereavement? : A cross-lagged analysis

Background: Bereavement can precipitate different forms of psychopathology, including prolonged grief disorder (PGD) and posttraumatic

stress disorder (PTSD) symptoms. How these symptoms influence each other is unclear. The aim of this study was to examine the temporal

relationship of symptoms of PGD and PTSD following bereavement.

Methods: We included 204 individuals, confronted with the loss of a loved one within the past year, who completed self-report measures of

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