Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-22T18:46:30.406Z Has data issue: false hasContentIssue false

Balancing psychache and resilience in aging Holocaust survivors

Published online by Cambridge University Press:  13 February 2014

Irit Ohana
Affiliation:
Sackler School of Medicine, Tel-Aviv University, Ramat Aviv, Tel Aviv, Israel
Hava Golander
Affiliation:
Sackler School of Medicine, Tel-Aviv University, Ramat Aviv, Tel Aviv, Israel
Yoram Barak*
Affiliation:
Sackler School of Medicine, Tel-Aviv University, Ramat Aviv, Tel Aviv, Israel
*
Correspondence should be addressed to: Prof. Yoram Barak, Director-Psychogeriatrics, Abarbanel Mental Health Center, 15 KKL Street, Bat-Yam 59100, Israel. Phone/Fax: +972-3-5552738. Email: [email protected].
Get access

Abstract

Background:

Psychache can and does co-exist alongside resilience and coping amongst trauma survivors. This has been the center of the a-integrative theory of aging demonstrating an attitude to life based on cognitive and emotional dimensions. Aging of Holocaust survivors (HS) is especially difficult when focus is brought to the issue of integrating their life history. The present study aimed to investigate the interplay between psychache and resilience amongst aging HS.

Methods:

Cross-sectional study of HS and a matched comparison group recruited from the general population was carried out. All underwent a personal interview and endorsed quantifiable psychache and resilience scales.

Results:

We enrolled 214 elderly participants: 107 HS and 107 comparison participants. Mean age for the participants was 80.7± years; there were 101 women and 113 men in each group. Holocaust survivors did not differ in the level of resilience from comparisons (mean: 5.82 ± 0.68 vs. 5.88 ± 0.55, respectively). Psychache was significantly more intense in the HS group (F(8,205) = 2.21; p < 0.05).

Conclusions:

The present study demonstrates the complex interplay between psychache and resilience. Aging HS still have to cope with high levels of psychache while realizing a life-long process of development through resilience.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Albiński, R., Kleszczewska-Albińska, A., and Bedyńska, S. (2011). Geriatric Depression Scale (GDS). Validity and reliability of different versions of the scale–review. Psychiatry Polish, 45, 555562.Google Scholar
Bowling, A. and Iliffe, S. (2011). Psychological approach to successful ageing predicts future quality of life in older adults. Health and Quality of Life Outcomes, 9, 913.Google Scholar
Dasberg, H. (1987). Psychological distress of Holocaust survivors and offspring in Israel, forty years later: a review. Israel Journal of Psychiatry and Related Sciences, 24, 243256.Google Scholar
Epstein, S. (1990). The self-concept, the traumatic neurosis, and the structure of personality. In Ozer, D. J., Healy, J. M.. and Stewar, A. J. (eds.), Perspectives in Personality, vol. 3 (pp. 6398). London: Jessica Kingsley.Google Scholar
Grodstein, F. (2013). You are only as old as you think. American Journal of Psychiatry, 170, 143145.Google Scholar
Hardy, S. E., Concato, J. and Gill, T. M. (2004). Resilience of community-dwelling older persons. The American Geriatric Society, 52, 257262.CrossRefGoogle ScholarPubMed
Hicks, M. M. and Conner, N. E. (2013). Resilient ageing: a concept analysis. Journal of Advance Nursing. doi: 10.1111/jan.12226.Google Scholar
Iliceto, P., Candilera, G., Funaro, D., Pompili, M., Kaplan, K. J. and Markus-Kaplan, M. (2011). Hopelessness, temperament, anger and interpersonal relationships in Holocaust (Shoah) survivors’ grandchildren. Journal of Religion and Health, 50, 321329.Google Scholar
Jeste, D. V. et al. (2013). Association between older age and more successful aging: critical role of resilience and depression. American Journal of Psychiatry, 170, 188196.Google Scholar
Joffe, C., Brodaty, H., Luscombe, G. and Ehrlich, F. (2003). The Sydney holocaust study: posttraumatic stress disorder and other psychosocial morbidity in an aged community sample. Journal of Traumatic Stress, 16, 3947.Google Scholar
Kahana, B., Kahana, E., Harel, Z., Kelly, K., Monaghan, P. and Holland, L. (1997). A framework for understanding the chronic stress of Holocust survivors. In Gottlieb, B. H. (ed.), Coping with Chronic Stress (pp. 315342). New York: Plenum Press.Google Scholar
Lomranz, J. (1995). Endurance and living: Long-term effects of the Holocaust. In Hobfoll, S. and de Vries, M. (ed.), Extreme Stress and Communities: Impact and Intervention (pp. 325352). Boston: Kluwer Academic Publishers.Google Scholar
Lomranz, J. (ed.) (1998). Handbook on Mental Health and Aging: An Integration Approach. New York: Plenum.Google Scholar
Norris, F. H. and Murrell, S. A. (1988). Prior experience as a moderator of disaster impact on anxiety symptoms in older adults. American Journal of Community Psychology, 16, 665683.Google Scholar
Nygren, B., Aléx, L., Jonsén, E., Gustafson, Y., Norberg, A. and Lundman, B. (2005). Resilience, sense of coherence, purpose in life and self-transcendence in relation to perceived physical and mental health among the oldest old. Aging Mental Health, 9, 354362.Google Scholar
Orbach, I. (2003). Mental pain and suicide. Journal of Psychiatry Relate Sciences, 40, 191201.Google Scholar
Orbach, I. and Mikulincer, M. (2000). Mental pain: Definition and operationalization. Unpublished manuscript, Department of Psychology, Bar-Illan University, Ramat Gan.Google Scholar
Orbach, I., Mikulincer, M., Sirota, P. and Gilboa-Schechtman, E. (2003). Mental pain: a multidimensional operationalization and definition. Suicide and Life Threatening Behavior, 33, 219230.CrossRefGoogle Scholar
Palgi, Y. and Shmotkin, D. (2007). Relationship between experience during World War II and effect typology of subjective well-being and adaptive aging and mortality. Gerontology, 3, 62–35. (In Hebrew).Google Scholar
Pompili, M. (2010). Exploring the phenomenology of suicide. Suicide and Life-Threatening Behavior, 40, 234244.CrossRefGoogle Scholar
Pompili, M., Lester, D., Leenaars, A. A., Tatarelli, R. and Girardi, P. (2008). Psychache and suicide: a preliminary investigation. Suicide and Life Threatening Behavior, 38, 116121.Google Scholar
Rowe, J. W. and Kahn, R. L. (1987). Human aging: usual and successful. Science, 237, 143149.Google Scholar
Rowe, J. W. and Kahn, R. L. (1998). Successful Aging. New York: Pantheon.Google Scholar
Ryff, C. D., Singer, B., Love, G. D. and Essex, M. J. (1998). Resilience in adulthood and later life: defining features and dynamic processes. In Lomranz, J. (ed.), Handbook on Mental Health and Aging: An Integration Approach (pp. 6999). New York: Plenum.CrossRefGoogle Scholar
Shmotkin, D. (2008). Mental health and trauma among Israeli adults. Social Security, 76, 224–197. (In Hebrew).Google Scholar
Shneidman, E. S. (ed.) (1993). Suicide as psych-ache. Journal of Nervous and Mental Disease, 181, 147149.Google Scholar
Wagnild, G. and Young, H. M. (1990). Resilience among older women. Image: Journal of Nursing Scholarship, 22, 252255.Google ScholarPubMed
Windle, G. (2010). The resilience network. What is resilience? A systematic review and concept analysis. Reviews in Clinical Gerontology, 21, 118.Google Scholar