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Living with a Veteran with trauma: impact on family functioning using the genogram as a research tool

2026-02-17Artigo científico Acesso aberto
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datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg16:Paz, Justiça e Instituições Eficazes
datacite.subject.sdg05:Igualdade de Género
dc.contributor.authorBrites, Rute
dc.contributor.authorNunes, Odete
dc.contributor.authorHipólito, João
dc.contributor.authorBrandão, Tânia
dc.contributor.authorCorreia, António
dc.contributor.authorNunes, Cristina
dc.date.accessioned2026-03-24T14:38:36Z
dc.date.available2026-03-24T14:38:36Z
dc.date.issued2026-02-17
dc.description.abstractIntroduction: Although the psychological impact of war on veterans, particularly the development of post-traumatic stress disorder (PTSD), has been well documented, the long-term effects on their families have been less widely studied. Research suggests that veterans’ trauma can disrupt relationships and contribute to secondary/intergenerational trauma within the family. Objective: This study uses genograms to explore how PTSD symptoms experienced by veterans have influenced family relationships over time, and to uncover patterns of intergenerational and systemic impact in families of Portuguese Overseas War veterans. Method: A qualitative approach involving semi-structured interviews with 32 families (each comprising a veteran, their spouse, and at least one adult child) was used (n =100). The data were synthesized into genograms to visually map family structure, relationship quality, and patterns of psychological distress. Cross-family analysis was then conducted to identify common relational themes. Results: Families were clustered into four main impact groups: maximum negative impact, limited negative impact, no impact, and protective impact. These classifications reflect variations in family functioning, mental health symptoms, and relational patterns. In some families, the veteran’s trauma appeared to affect multiple subsystems, while in others, spouses played a buffering/protective role. A fifth group was identified, with no consistent pattern. Conclusion: Findings emphasize the complexity and variability of trauma transmission within families, highlighting both vulnerability and resilience. Using genograms proved effective in capturing systemic dynamics. These results emphasize the importance of adopting a family-systems approach in the clinical treatment of veterans affected by PTSD and suggest avenues for future research.eng
dc.description.sponsorshipUID/06317/2023; UID/4345/2020
dc.identifier.doi10.1177/10664807261415864
dc.identifier.eissn1552-3950
dc.identifier.issn1066-4807
dc.identifier.urihttp://hdl.handle.net/10400.1/28528
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSAGE Publications
dc.relation.ispartofThe Family Journal
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectWar veterans
dc.subjectFamily functioning
dc.subjectGenogram
dc.subjectSecondary trauma
dc.subjectSystemic theory
dc.titleLiving with a Veteran with trauma: impact on family functioning using the genogram as a research tooleng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleThe family journal: Counseling and therapy for couples and families
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameNunes
person.givenNameCristina
person.identifier.ciencia-idD711-CB24-6539
person.identifier.orcid0000-0002-1009-0519
person.identifier.ridD-3608-2015
person.identifier.scopus-author-id7006695278
relation.isAuthorOfPublication5a4b8a7a-8592-4961-a8f0-d78fae1a0635
relation.isAuthorOfPublication.latestForDiscovery5a4b8a7a-8592-4961-a8f0-d78fae1a0635

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