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[The effects of terrorist attacks on European Holocaust survivors compared to Greek Holocaust survivors].

This research aims to examine whether there are differences in the level of anxiety, the perception of danger, the reliance on security forces and signs of psychological distress during times of war between two groups of Holocaust survivors: Jews of Greece and Jews of Eastern and Western Europe, while assessing their psychological ability to cope with the wave of terrorism against the Israeli population. The Jews of Greece have been portrayed as being different, both by the Nazis and by Jews from other countries, as well as by the Greeks themselves. Their strength of spirit, encouraging them to rebel and resist, as well as their physical strength, were renowned in the concentration camps. Each of these traits has been supported by specific documentation in history books dealing with the Jews of Greece during the Holocaust. Fifty-eight years after the Holocaust and before it disappears from historical record, we scientifically examined the psychological or mental capacity of these people to withstand the wave of terrorism. The study included 33 European Jewish Holocaust survivors and 38 Greek Jewish Holocaust survivors. The subjects completed four questionnaires. The main results are: 1. The average level of anxiety among Greek Holocaust survivors is clearly lower than that of other Holocaust survivors--an average of 10.00 compared to 16.48 (t = 4.83, p < 0.001). 2. The average level of psychological distress during times of war among Greek Holocaust survivors is 2.10 compared to 2.65 among other Holocaust survivors (t = 4.24, p < 0.001). 3. The average level of trust in the security forces among Greek Holocaust survivors is 3.67 compared to 2.70 among the other Holocaust survivors (t = 4.354, p < 0.001). 4. The average level of perception of danger among Greek Holocaust survivors is 2.75 compared to 3.39 among other Holocaust survivors (t = 2.60, p < 0.01). 5. The readiness to emigrate from Israel is 1.02 among Greek Holocaust survivors compared to 2.09 among other Holocaust survivors (t = 4.06, p < 0.001). The findings of the research support the theory that the Greek Holocaust survivors statistically demonstrate clear and more substantial psychological or mental immunity as compared to European Holocaust survivors. The differences between Greek Holocaust survivors and other Holocaust survivors increase when applied to a subgroup of former concentration camp prisoners. In conclusion, Holocaust survivors do not constitute a homogeneous group which responds uniformly to traumatic events. They are not to be regarded as one unit, since they bear different social and cultural burdens, as well as the universal values which they absorbed in their countries of origin.

Anxiety↗

Expressions of Holocaust experience and their relationship to mental symptoms and physical morbidity among Holocaust survivor patients.

This study explores current expressions of past trauma among Holocaust survivors. Medical records and extensive interviews were analyzed for 38 Holocaust survivors who were hospitalized and/or under ambulatory care. The sample consisted of 55% women and 45% men whose mean age was 72 (SD = 9.2). Expressions of Holocaust experience yielded two factors: Holocaust-as-Present (e.g., feeling the Holocaust experience as continuing, Holocaust-related somatization) and Holocaust-as-Past (e.g., avoiding preoccupation with traumatic memories, feeling unduly stigmatized as a survivor). The results indicate that mental symptoms and the number of medical diagnoses are positively correlated with Holocaust-as-Present but negatively correlated with Holocaust-as-Past. However, scoring high on Holocaust-as-Past relates to a higher danger to life as a result of significant morbidity. The findings suggest two differential modes of either remaining enmeshed in the traumatic experience or attempting to contain the sequelae of the trauma. These modes differ in their implications for mental and physical health.

Aged↗

[Psychosocial effects of the Holocaust on the second generation of Holocaust survivors].

A modified version of the questionnaire used in research with survivors of the holocaust was used in research of their children. Twenty two persons were interviewed in order to answer the following questions: What national identity do the children of the holocaust survivors have, especially as they come from mixed marriages? What influence on their identity do family relationships have?

Adult↗

The impact of the Holocaust on the second generation: Norwegian Jewish Holocaust survivors and their children.

The entire population of Norwegian-born Jews who survived the German concentration camps and their children was examined, and compared to Norwegian-born Jews who escaped to Sweden, and their children. An attempt is made to look for the symptoms described as a "second generation syndrome" by several authors. The present findings do not support the presence of serious psychopathology among the children of Norwegian-born Jewish survivors as a group, but indicate a certain degree of psychological vulnerability among these children. As adults, they are more often engaged in health/social care professions and organizations and also show signs of greater assimilation to their non-Jewish surroundings than the comparison group.

Acculturation↗

Memory for trauma-related information in Holocaust survivors with PTSD.

The impact of trauma-related information on memory performance in aging Holocaust survivors with post-traumatic stress disorder (PTSD) was evaluated. Explicit and implicit memory for neutral and Holocaust-related words was assessed in Holocaust survivors with PTSD (PTSD+, n=31), in Holocaust survivors without PTSD (PTSD-, n=17), and in healthy Jewish adults not exposed to the Holocaust (non-exposed, n=34) using the paired associates learning and word-stem completion tests, respectively. The PTSD+ group had significantly poorer paired associate recall than the PTSD- and non-exposed groups, and showed a significantly different response to the introduction of Holocaust-related words. The PTSD+ group recalled significantly more words from the Holocaust-related than the neutral word pairs, whereas word type had little effect on paired associate recall in the other two groups. In contrast, there were no group differences in implicit memory performance or in the effect of Holocaust-related words on implicit memory. Among Holocaust survivors, explicit recall of Holocaust-related word pairs was associated with intrusive PTSD symptoms. These results suggest that aging Holocaust survivors with PTSD preferentially form new associations with trauma-related stimuli as compared with neutral stimuli. The presence of such a disturbance of associative learning decades after the Holocaust may underlie the persistence of psychological symptoms and, in particular, the intrusive symptoms of PTSD. This trauma-related facilitation of explicit memory, together with generally poorer explicit memory, may help to explain the bi-directional nature of the memory impairments in PTSD.

Affect↗

Psychological distress in female cancer patients with Holocaust experience.

This study examined whether severe emotional and physical trauma in the past affects the psychological condition of female patients currently afflicted with cancer. Using the Brief Symptom Inventory (BSI), 41 women with cancer, who had sustained extreme trauma during the Nazi Holocaust of the midcentury, were compared with three different groups: a matched group of cancer patients without Holocaust experience, a physically healthy group of female Holocaust survivors, and healthy women without a Holocaust past. Although psychological distress was comparable in the two healthy groups, it was far higher in Holocaust cancer patients than in either their non-Holocaust counterparts or in the group of healthy Holocaust survivors. These results may suggest that the severe trauma of the Holocaust could be responsible for markedly diminished psychological response when such patients are confronted with new stress.

Aged↗