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PLOS One logoLink to PLOS One
. 2020 Aug 24;15(8):e0237859. doi: 10.1371/journal.pone.0237859

Knowledge about traumatic World War II experiences among ancestors and subjective well-being of young adults: A person-centred perspective

Marcin Rzeszutek 1,*, Maja Lis-Turlejska 2, Małgorzata Pięta 1, Monika Karlsen 1, Holly Backus 1, Wiktoria Florek 1, Katarzyna Lisowska 1, Daniel Pankowski 3, Szymon Szumiał 2
Editor: Geilson Lima Santana4
PMCID: PMC7446788  PMID: 32833986

Abstract

Objectives

The aim of our study is to examine the association between knowledge about the World War II (WWII)-related traumatic experiences of their ancestors and subjective well-being (SWB) of young adults, i.e., descendants of Polish survivors of WWII. Specifically, we focus on the life satisfaction and the mental, physical, and psychosocial well-being of our participants in relation to their knowledge about WWII trauma in their family histories.

Method

The sample comprised 500 Polish young adults recruited from a nonclinical general population. Participants first filled out a questionnaire assessing their knowledge about traumatic events that their ancestors could have experienced during WWII (see grandparents/mothers, great-grandparents/mothers). After that, subjects were given inventories to assess their SWB, i.e., the Satisfaction with Life Scale (SWLS) and the General Health Questionnaire (GHQ-28).

Results

Latent profile analysis was applied to extract profiles of participants differing with regard to the scope of knowledge about WWII-related traumatic experiences among ancestors. Specifically, six profiles were observed, and a general lack of knowledge about this kind of trauma in the family was characteristic of the sample. We also found differences in SWB across profiles of participants, with worse SWB in the profiles with the highest lack of knowledge about WWII-related traumatic experiences in the family.

Conclusion

Our study adds to the literature on intergenerational trauma by applying a person-centred perspective, a methodological approach almost invisible in research on that topic. In addition, our findings can serve as a stimulus for more comprehensive debate on WWII trauma in Polish society.

Introduction

More than half a century ago, Rakoff et al. [1] observed and described the phenomenon of intergenerational trauma manifesting in psychopathological symptoms among descendants of Holocaust survivors—descendants who did not experience this kind of massive traumatization directly, but were secondarily traumatized by parental traumatic history. More specifically, it was found that children and grandchildren of Holocaust survivors, i.e., of the second and third generation, reported considerable levels of depression and anxiety, constant guilt and shame, difficulties in independent social functioning, and various physical health problems like cancer, heart disease, or chronic pain [see for review 2]. Since then, research on the long-lasting impact of trauma passed from one generation to another has grown enormously, including primarily further research on adult offspring of Holocaust survivors [37], but also families of war veterans (e.g., World War II, e.g., [810]), refugees [11], and even survivors of childhood maltreatment and abuse [12]. Nevertheless, studies on intergenerational trauma have also aroused controversy, as several questions remained unanswered. Specifically, it is still not known whether trauma transmission imposes negative clinical consequences on subsequent generations or not [e.g., compare [7, 13, 14] and which generation (the second or third) is affected most by the traumatic experiences of ancestors [e.g., compare [15, 16]]. Moreover, no convincing mechanism that underlies the transmission of trauma through subsequent generations has been provided, and existing theories about this phenomena range from genetic and neurobiological factors [7] to psychosocial explanations pointing to adverse parenting styles and drawbacks in family communication [17]. Additionally, research on the intergenerational trauma was conducted predominantly in the variable-centred approach neglecting how particular subgroups of participants may cluster across the studied predictors and outcomes, which may be the possible reason for many conflicting results in this field [see for review 2, 11]. Finally, studies on intergenerational trauma are unequally distributed in different parts of Europe, with only a few studies available from Central and Eastern Europe [18]. In our project we concentrate on the link between knowledge about World War II (WWII)-related traumatic experiences of their ancestors and subjective well-being among young adults in Poland, i.e., descendants of Polish survivors of WWII.

The problem of the psychological consequences of WWII in Poland is greatly omitted both in scientific research as well as in public debate [19]. Aforementioned fact precludes understanding the significant differences between the prevalence of WWII-related psychopathology, particularly posttraumatic stress disorder (PTSD), among survivors of WWII in Poland compared to those in other European countries. Specifically, studies conducted among civilian survivors of WWII in Western Europe point to the prevalence of a PTSD level ranging from 1.9% in Austria [20] to 4.6% in the Netherlands [21] to 10.9% in Germany [22]. In contrast, similar research projects carried out in Poland show significantly higher PTSD intensity among Polish survivors of WWII, varying from 29.4% [23] to even 38.3% [19]. In order to explain this huge discrepancy, it is vital to underline first historical factors, i.e., the extraordinary intensity and prevalence of various WWII-related traumatic events in Poland. For example, during WWII Poland lost about 17% of its pre-war population, which was the highest percentage among all countries taking part in this war [24]. Many groups of Polish people faced multiple traumas, to mention only war veterans of various armed forces and resistance movements, persons deported deep into the Soviet Union in 1942–1944, the inhabitants of Warsaw as well as of many other towns who lost their loved ones, witnessed the executions, bombings, and fires, and witnesses of the Holocaust [25]. In addition, the sociopolitical situation in Poland after WWII, i.e., during the Communist regime (1946–1989), when many Poles were experiencing repression and insecurity, created significant obstacles that precluded revealing traumatic experiences to other people and obtaining support and social acknowledgment of their WWII trauma [19, 26]. Importantly, this problem was also present in families of Polish WWII survivors, where special patterns of communication can be observed characterized by an atmosphere of secrecy and taboo around the WWII-related traumatic experiences [19, 23, 27].

According to some theories, one of the main vehicles of intergenerational trauma transmission is the family, which may be associated with heritable epigenetic changes through subsequent generations [28], but also with specific patterns of attachment and communication [29]. More specifically, several studies conducted among children of Holocaust survivors reveal the link between perceived parental burden and parental overprotectiveness with the already-mentioned psychopathological and physical health problems of these children [17, 30, 31]. In addition, the conspiracy of silence, i.e., the ban on talking about any details of the Holocaust [6], which was very characteristic of the atmosphere of the family life of Polish survivors of WWII, contributed greatly to the transmission of trauma. Thus, the second and third generations of Holocaust survivors could not build a coherent narration of their family history of trauma [31]. According to the developmental perspective, sharing family history with children is a crucial element of the creation of their self-identity [32]. Furthermore, knowledge about family history is systematically mentioned as the major predictor of psychological well-being of young adults [33]. However, this topic has been poorly examined with regard to the knowledge of traumatic family stories, especially those experienced by past generations [34].

Current study

Taking these research gaps into consideration, the aim of our study is to examine the association between knowledge about WWII-related traumatic experiences of their ancestors and subjective well-being (SWB) among young adults in Poland, i.e., descendants of Polish survivors of WWII. Specifically, we focus on the satisfaction with life and the mental, physical, and psychosocial well-being of our participants in relation to their knowledge about WWII trauma in their family histories. The novelty of our study is the application of the person-centred perspective, as until now studies on intergenerational trauma have focused only on the variable-centred approach, which neglects the problem of heterogeneity of participants with regard to the studied predictors and outcomes [see e.g., for review, 2, 11]. Thus, although our study is as such mainly explorative, we formulate two hypotheses. First, we expect that the studied sample will be heterogeneous in terms of knowledge about WWII-related traumatic experiences among ancestors, i.e., different profiles can be observed among the participants with regard to this aspect. Second, we assume that belonging to a particular profile will be differently related to subjective well-being among participants (i.e., satisfaction with life and mental, physical, and psychosocial well-being), after controlling for sociodemographic correlates. Particularly, we presume that lack of knowledge about WWII-related traumatic experiences among ancestors will be related to worse SWB among our participants.

Method

Participants and procedure

The sample comprised of 500 Polish young adults (368 women and 132 men) recruited from a nonclinical general population, who were the third or the fourth generation of the Polish survivors from the WWII. More specifically, out of 560 participants invited to the study, we excluded 60 because of a high level of missing data that precluded statistical analysis. Participants’ ages varied from 18 to 35 (M = 21.89, SD = 3.59). In terms of education levels, 40 participants (8.0%) completed higher education, 165 participants (33.0%) had some higher education, 290 participants (58.0%) had secondary education, 3 participants (0.6%) had vocational education, and 3 participants (0.4%) had primary education. With regard to marital status, 267 participants (53.4%) were single, 27 participants (5.4%) were married, 194 participants (38.8%) were involved in an informal relationship, 2 participants (0.4%) were separated, and10 participants (0.2%) were divorced.

The study was anonymous, and participation was voluntary. Informed consent was obtained from all participants before they were included in the research, and the participants did not receive remuneration for taking part in the project. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Our research project was accepted by the ethics committee of the Faculty of Psychology, University of Warsaw.

Measures

Knowledge about traumatic WWII experiences in the family

In the first part of the study, participants filled out the questionnaire, which checked their knowledge of traumatic events that their ancestors may have experienced during WWII (grandparents/mothers, great grandparents/mothers; [19]). Twenty-nine questions concerned the WWII-related traumatic experiences of the ancestors of the participants on the part of the mother, as well as the father, of each. Therefore, the respondent had to answer questions about the same traumatic events in relation to four people from the generation who survived WWII. Specifically, respondents indicated whether according to their knowledge each event had happened or had not happened in the life of their grandparents, or whether they did not know. The number of events not known is the variable used in the current study. The questionnaire also asks about the grandparents’/mothers’, great-grandparents’/mothers’ approximate year of birth.

Subjective well-being

Subjective well-being (SWB) was assessed first with the aid of the Satisfaction with Life Scale (SWLS) [35] in a Polish adaptation. The SWLS consists of five items, each with a 7-point scale, ranging from 1 (strongly disagree) to 7 (strongly agree). A higher total score means a higher level of satisfaction with life. The Cronbach’s alpha in the current study was .85.

The second inventory was the General Health Questionnaire (GHQ-28) [36] in a Polish adaptation, which measures various aspects of mental, physical, and psychosocial well-being, including somatic symptoms, anxiety and insomnia, social dysfunction, and depressive symptoms. Participants are asked to assess changes in their mood, feelings, and behaviours in the period of the past four weeks on a 4-point Likert scale. The higher the score, the poorer the well-being of the participant. The Cronbach’s alphas in the current study for the particular subscales were .78 for the A somatic symptoms subscale, .85 for the B anxiety/insomnia subscale, .85 for the C social dysfunction subscale, .91 for the D depression subscale, and .93 for the total score.

Data analysis

The data analysis consisted of three steps. First demographic characteristics of the analysed sample, descriptive statistics, and intercorrelations between analysed variables were computed. The deviation from normality was assessed with the use of skewness and kurtosis measures. The bootstrap method with the number of samples equal to 1.000 was used in the correlation analysis. In the next step, latent profile analysis was performed in order to extract potential subgroups of respondents and to verify the first hypothesis. The fit of models was assessed with the use of the Aikake information criterion (AIC) and Bayesian information criterion (BIC). The acquired profiles were centred in order to foster clear interpretation. The final stage was the analysis of mediation, including analysis of the relationship between knowledge about WWII-related traumatic events and subjective well-being, which verified the second hypothesis.

Descriptive statistics of the sample and analysed variables as well as the correlation analysis were performed with the use of IBM SPSS Statistics 25.0 software. The latent profile analysis was computed with the use of the tidyLPA package working in the R Statistics 3.6.2 environment [37]. Finally, the mediation was performed with the use of the Hayes [38] macro process version 3.4.

Results

Table 1 presents the descriptive statistics for all analysed interval variables. The values of skewness and kurtosis that falling outside the interval from -1 to 1 indicated that the distribution of participants’ age, number of events not remembered, and level of depression differed significantly from the normal distribution. As a consequence, the subsequent analysis was performed using the bootstrap method.

Table 1. Descriptive statistics and pearson correlation coefficients between analysed variables acquired with the use of the bootstrap method.

Variables M SD S K 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
1. Age 21.89 3.59 2.93 12.11 -
Number of Events not Known 2. Maternal Grandmother 2.92 4.09 1.90 4.62 -.09÷.08 -
3. Maternal Grandfather 2.93 4.64 2.00 4.40 -.09÷.09 .41÷.64 -
4. Paternal Grandmother 2.31 3.97 2.23 5.44 -.12÷.06 .27÷.50 .26÷.51 -
5. Paternal Grandfather 2.78 4.82 2.08 4.12 -.09÷.07 .30÷.51 .33÷.57 .42÷.66 -
6. Life Satisfaction 21.28 5.97 -.34 -.22 -.15÷.04 -.13÷.10 -.11÷.10 -.04÷.17 -.06÷.16 -
Subjective-Well-Being 7. Somatic Symptoms 8.60 4.15 .43 -.39 -.09÷.08 -.06÷.13 -.03÷.16 -.05÷.16 -.10÷.12 -.38÷-.22 -
8. Anxiety/Insomnia 8.61 4.72 .45 -.14 -.18÷-.01 -.02÷.19 -.02÷.19 -.04÷.14 -.09÷.12 -.38÷-.21 .55÷.68 -
9. Social Dysfunction 8.41 3.57 .58 .79 -.10÷.06 -.09÷.12 -.06÷.15 -.13÷.08 -.09÷.14 -.47÷-.31 .40÷.55 .44÷.60 -
10. Depression 4.24 4.82 1.52 1.85 -.18÷-.02 -.07÷.16 -.07÷.16 -.09÷.10 -.09÷.10 -.56÷-.42 .33÷.50 .43÷.59 .40÷.57 -
11. GHQ-28 Total Score 29.86 13.79 .84 .70 -.16÷.01 -.06÷.18 -.04÷.19 -.08÷.13 -.10÷.13 -.54÷-.39 .75÷.82 .82÷.87 .70÷.80 .74÷.82

M–Mean Value; SD–Standard Deviation; S–Skewness; K–Kurtosis; * p < .05; ** p < .01.

Table 1 also presents bootstrap confidence intervals for intercorrelations between analysed variables. Statistically significant correlations are marked in bold. Participants’ ages correlated negatively with levels of anxiety/insomnia and depression. All indicators of lack of memory, i.e., number of events not known referring to maternal grandmother, maternal grandfather, paternal grandmother, and paternal grandfather correlated positively with each other. All scales of GHQ-28 also correlated positively with each other. Subjective well-being correlated negatively with the scores on all scales of GHQ-28.

Table 2 presents the frequency distribution for types of WWII-related traumatic events referring to which participants did not know if they had happened or not in the life of their maternal and paternal grandmothers and grandfathers.

Table 2. Frequency distribution–types of WW-II-related traumatic events not known by respondents.

Maternal Maternal Paternal Paternal Mean
Grandmother Grandfather Grandmother Grandfather Percentage
Type of WW-II Related Traumatic Event N % N % N % N % %
Loss of One’s Mother 252 50.4 328 65.6 319 63.8 350 70.0 62.5
Loss of One’s Father 269 53.8 331 66.2 327 65.4 351 70.2 63.9
Loss of One’s Close Relative 322 64.4 358 71.6 347 69.4 374 74.8 70.1
Being in Combat 227 45.4 275 55.0 297 59.4 328 65.6 56.4
Being in Resistance 239 47.8 292 58.4 308 61.6 338 67.6 58.9
Being Wounded 257 51.4 296 59.2 347 69.4 356 71.2 62.8
Killed Someone 238 47.6 314 62.8 298 59.6 348 69.6 59.9
Being Tortured 247 49.4 309 61.8 314 62.8 348 69.6 60.9
Being Imprisoned in a Nazi Concentration Camp 178 35.6 237 47.4 271 54.2 290 58.0 48.8
Being Imprisoned in a Soviet Camp 191 38.2 249 49.8 265 53.0 294 58.8 50.0
Being in a Ghetto 188 37.6 244 48.8 270 54.0 296 59.2 49.9
Being in Warsaw During the Warsaw Uprising 192 38.4 239 47.8 278 55.6 293 58.6 50.1
Experienced Rape or Other Form of Sexual abuse 310 62.0 312 62.4 353 70.6 347 69.4 66.1
Surviving Bombing 274 54.8 328 65.6 344 68.8 356 71.2 65.1
Had to Remain in Hiding 251 50.2 300 60.0 319 63.8 338 67.6 60.4
Hiding Jews 285 57.0 324 64.8 340 68.0 371 74.2 66.0
Being Forcedly Relocated to Siberia 185 37.0 248 49.6 262 52.4 284 56.8 49.0
Being in Forced Labor 211 42.2 266 53.2 267 53.4 298 59.6 52.1
Health or Life Threatening Cold 302 60.4 342 68.4 351 70.2 375 75.0 68.5
Life Threatening Hunger 293 58.6 343 68.6 351 70.2 366 73.2 67.7
Fight in the resistance 257 51.4 304 60.8 314 62.8 341 68.2 60.8
Serious Illness 305 61.0 340 68.0 366 73.2 375 75.0 69.3
The Closest Person Subjected to Torture, Sexual Violence or Serious Injury 338 67.6 380 76.0 386 77.2 396 79.2 75.0
Witnessed Combat 307 61.4 332 66.4 339 67.8 346 69.2 66.2
Witnessed Somebody Being Shot 345 69.0 362 72.4 378 75.6 379 75.8 73.2
Witnessed Execution or Murder 364 72.8 384 76.8 389 77.8 396 79.2 76.7
Witnessed Rape or other Form of Sexual Abuse 394 78.8 416 83.2 410 82.0 424 84.8 82.2
Witnessed Somebody Being Heavily Beaten 361 72.2 384 76.8 389 77.8 402 80.4 76.8
Witnessed Assault or Persecution of Jews 356 71.2 383 76.6 383 76.6 397 79.4 76.0

N–Number of Participants; %—Percent of the Sample.

The percentage of the respondents who did not know if the traumatic events had happened was considerably high. The lowest mean percentage was acquired referring to being forcibly relocated to Siberia and to being imprisoned in a Nazi concentration camp. The highest mean percentage was acquired referring to witnessed rape or other forms of sexual abuse.

In the process of the preparation of descriptive statistics, intercorrelations between analysed variables and frequency distributions for the events of which the respondents had no knowledge was the first step of performed statistical analysis. In the next step, latent profile analysis was executed in order to estimate distinct profiles and extract different subgroups of respondents differing in regard to the number of events they did not know about in the lives of their maternal and paternal grandparents. We analysed four variables: the number of events not known regarding maternal grandmother, the number of events not known regarding maternal grandfather, the number of events not known regarding paternal grandmother, and the number of events not known regarding paternal grandfather.

According to the values of AIC and BIC, the model with best fit was the model with equal variances and covariances fixed to 0 and with 6 extracted classes with 6 distinctive profiles. The values of fit statistics were equal to AIC = 4,774.04 and BIC = 4,914.12. Fig 1 presents acquired profiles.

Fig 1. Centered values of estimates of the analysed variables values in extracted classes with standard errors.

Fig 1

Class 5 was the class of respondents who unambiguously had the highest level of ignorance about WWII-related traumatic events in the lives of their grandparents. In Class 3, the level of lack of knowledge was unambiguously the lowest. Class 1 represents the group of respondents with an average level of knowledge. Class 2 is the group of respondents who knew much more about their paternal grandfathers. Class 4 represents lack of knowledge about paternal grandparents regarding WWII-related traumatic events. Class 6 represents lack of knowledge about paternal grandfathers. The extracted latent profiles confirm the first hypothesis.

The two extreme classes, i.e., class 3, representing the highest level of knowledge, and class 5, representing the highest level of lack of knowledge, were also analysed as explaining variables in the statistical model of mediation. The analysed model is depicted in Fig 2.

Fig 2. Analysed statistical model of mediation.

Fig 2

The level of ignorance about traumatic WWII events was analysed as the explaining variable, the level of life satisfaction as a mediator, and the GHQ-28 scales (somatic symptoms, anxiety/insomnia, social dysfunction, depression, and total score) being as the explained variable. Each scale was analysed in a separate statistical model, yielding five separate models. The acquired results are presented in Table 3.

Table 3. Relationships between the level of not knowing about the WW-II related traumatic events and GHQ-28 scores mediated by the life satisfaction level.

Relationships
Mediator Explained variable Path a Path b Path c’ Indirect effect df R2
Life Satisfaction Somatic Symptoms -.43** -.28*** .02 .03÷.24 3,239 0,33
Anxiety/Insomnia -.43** -.27*** -.04 .03÷.23 3,239 0,29
Social Dysfunction -.43** -.38*** .10 .05÷.29 2,239 0,40
Depression -.43** -.52*** -.09 .07÷.38 2,240 0,48
GHQ-28 Total Score -.43** -.45*** -.04 .06÷.34 4,237 0,49

df–Degrees of Freedom; R2 –Variance Explained; Level of not Knowing About the WW-II Related Traumatic Events Was the Explained Variable in Each Model;* p < .05;

** p < .01.

Standardized estimates.

In all five models, gender, age, and being in a relationship—formal or informal—were analysed as possible covariates. However, they were excluded if no statistical significance was found. Those significantly related to mediator or explained variable covariates were retained.

In all five models there was a statistically significant effect of mediation; the level of life satisfaction mediated the relationship between the level of ignorance and GHQ-28 scores in all five models. The participants from class 5 (with the highest level of ignorance) had lower levels of subjective well-being than participants from class 3 (with the lowest level of ignorance), which confirms the second hypothesis. The lower level of life satisfaction in consequence was associated with higher level of symptoms in GHQ-28. It refers to all scales analysed as explained variables; however, the effect was stronger regarding social dysfunction and depression. Considering covariates, it is worth mentioning that participants’ gender was controlled for in the models regarding somatic symptoms. The level of somatic symptoms was significantly lower in the group of females compared to the group of male participants: B = -0.35, t = -2.38, p < .05. Participants’ age was controlled for in the model regarding anxiety/insomnia. Age was negatively related to the level of symptoms: B = -0.04, t = -2.22, p < .05. Both participants’ gender and age were controlled for in the model regarding total GHQ-28 score. Again, the level of symptoms was significantly lower in the group of females than in the group of male participants: B = -0.33, t = -2.43, p < .05; and age was negatively related to the level of symptoms: B = -0.04, t = -2.43, p < .05. Table 4 additionally presents mean values of life satisfaction and GHQ-28 scores in two extracted groups of participants.

Table 4. Mean values of GHQ-28 scores and life satisfaction depending on the level of not knowing about the WW-II related traumatic events.

Class 3 Class 5
M SD M SD t df p d
Explained variable
Life Satisfaction 23.10 6.54 20.54 5.76 3.01 241 .003 .43
Somatic Symptoms 8.39 4.77 9.17 4.14 -1.27 244 .211 -.18
Anxiety/Insomnia 8.58 6.24 8.84 4.26 -0.31 93.72 .696 -.05
Social Dysfunction 7.54 4.31 8.51 3.18 -1.93 243 .092 -.27
Depression 4.14 5.68 4.73 5.00 -0.79 244 .417 -.11
GHQ-28 Total Score 28.65 17.51 31.26 13.07 -1.12 99.11 .247 -.18

M–Mean Value; SD–Standard Deviation; t–Independent Samples t Test; df–Degrees of Freedom; p–Statistical Significance Acquired From Bootstrapping; d–Cohen’s d Effect Size Measure.

Discussion

The results of our study are in accordance with the first hypothesis, as we managed to observe six profiles of participants with regard to scope of knowledge about WWII-related traumatic experiences among ancestors. Particularly, what was characteristic in our sample was the general lack of knowledge about this kind of trauma, as the only profile (profile 3) with relatively good memory of such trauma made up only about 14% of the total studied sample. On the one hand, this finding may be significant in itself as this is one of the first studies to address the problem of heterogeneity with the aid of latent profile analysis in research on intergenerational trauma [see for review 2, 11]. The dominance of the variable-centred analysis, which neglects how particular subgroups of participants may cluster across the studied predictors and outcomes, may be the possible reason for many conflicting results in the field of intergenerational trauma studies (see introduction). Until now, the person-centred perspective was applied only in one study devoted to the effects of parental Holocaust-related communication and secondary traumatization [5]. Particularly, Shrira [5] using latent profile analysis observed two profiles of offspring of Holocaust survivors with different parental Holocaust-related communication, i.e., offspring who declared intrusive parental communication about the Holocaust perceived themselves as aging less successfully and experienced more anxiety in comparison to offspring who declared informative parental communication. Thus, both our and Shrira [5] studies point to significant obstacles in sharing with subsequent generations the traumatic history of ancestors from WWII. However, whereas our study tackled the problem of vague knowledge about ancestor’s trauma, Shrira [5] results pointed to fragmented traumatic knowledge which was transmitted to offspring in intrusive ways. This latter issue, i.e., maintaining a specific conspiracy of silence over trauma experienced in the family, is mentioned in Danieli’s [39] Trauma and the Continuity of Self: A Multidimensional, Multidisciplinary Integrative framework (TCMI) as one of the major trauma transmission mechanisms through subsequent generations.

Our findings occurred to be also consistent with two other research hypotheses: namely, not only were we able to observe the differences in SWB across profiles of participants, but we also found worse SWB in the profile with the greatest lack of knowledge about WWII-related traumatic experiences among ancestors (profile 5), which, incidentally, was the most numerous (about 35% of the total sample). Moreover, the only significant differences in life satisfaction among all six profiles were observed among extreme profiles, i.e., profile 3, with a level of memory of WWII trauma in the family that was atypically good for the whole sample and the highest life satisfaction, versus profile 5, with the worst life satisfaction of all extracted profiles. In interpreting these results, the aforementioned TCMI framework and the concept of conspiracy of silence may be useful [15, 39]. Specifically, according to this theory, after massive trauma in the family, there is a tendency to preserve silence about it, which stems from two sometimes conflicting tendencies. First, there is the will to protect other family members, especially children, from a knowledge that could be intolerable for them. Second, even if survivors are willing to talk about their traumatic stories, sometimes close relatives indeed cannot bear these often tremendously traumatic stories, so survivors experience denial or lack of social acknowledgement of their trauma. These processes lead to the disruption of the family system and problems in communication and attachment in the family, and thus to further transmission of trauma to subsequent generations, which were all observed in several studies on offspring of Holocaust survivors [6, 17, 30].

Finally, we were able to find one more interesting result among participants belonging to extreme profiles with respect to knowledge about the WWII-related traumatic experiences among ancestors, i.e., profiles 3 and 5: namely, life satisfaction mediated the link between belonging to these profiles and mental, physical, and psychosocial well-being described by the GHQ-28 subscales. In other words, participants from profile 5, with the highest lack of knowledge about family WWII, trauma also had the lowest level of life satisfaction, which was indirectly associated with the poorest GHQ-28 scores, especially with regard to the highest intensity of depressive symptoms, among all profiles of participants. This finding may not only be interpreted in light of the already-mentioned TCMI framework [39], but can also be understood in the context of the perspective of child development, highlighting that sharing family history with children and adolescents helps establish their self-identity and is crucial for their well-being in adulthood [33].

Strengths and limitations

This theory-driven study was conducted on a large sample of young adults and adopted a person-centred perspective, and these factors represent the strengths of our research. However, several limitations should be also underscored. First, our sample was homogenous with regard to psychosocial functioning, i.e., these were rather highly functioning young adults from large cities in Poland. Future studies could concentrate on more diverse populations in this regard and could also explore the differences between nonclinical and clinical samples (e.g., people suffering from mental disorders). Second, we did not ask participants about the details of family relationships, bonds, and especially communication over the traumatic WWII events of their ancestors. Finally, our study is cross-sectional, which is unfortunately typical for research on intergenerational trauma [2], and prospective studies on this problem remain scarce [40]. In light of this limitation it is also not possible to determine whether participants’ life satisfaction actually preceded GHQ-28 scores or whether it was the other way around.

Conclusion

Despite these limitations, our study adds to the literature on intergenerational trauma by applying a person-centred perspective, which shows that long-term impact of knowledge about traumatic WWII family history may be related to the subjective well-being of young adults in different ways. In addition, our findings are especially important for Polish literature on trauma, as they highlight the general lack of knowledge of young people about the traumatic WWII experiences of their ancestors. We believe that it can serve as a stimulus for a more comprehensive debate on WWII trauma in Polish society.

Supporting information

S1 File. Survey Polish.

(DOCX)

S2 File. Survey English.

(DOCX)

S3 File

(SAV)

Data Availability

Data are included in the Supporting Information.

Funding Statement

The study was co-financed from the internal funds of the Faculty of Psychology, University of Warsaw (grant recipient Marcin Rzeszutek), the Faculty of Psychology, SWPS University of Social Sciences and Humanities (grant recipient Maja Lis-Turlejska) and the Faculty of Psychology, University of Economics and Human Sciences in Warsaw (grant recipient Daniel Pankowski). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

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Decision Letter 0

Geilson Lima Santana

11 Jun 2020

PONE-D-20-05928

Knowledge about Traumatic World War II Experiences among Ancestors and Subjective Well-Being of Young Adults: A Person-Centred Perspective

PLOS ONE

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Reviewer #1: Yes

**********

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Reviewer #1: Yes

**********

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Reviewer #1: No

**********

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Reviewer #1: Yes

**********

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Reviewer #1: This is an interesting and well-written manuscript. The main findings show that there was variance in the amount of knowledge descendants had about their grandparents WWII-related experiences. Moreover, the less knowledge the descendants had, the lower their subjective well-being was. I have several comments which I hope will help the authors to improve their study. (1) The mediation analyses come as a surprise, because the Introduction and hypotheses say nothing about it. Another problem with this approach is that the current study design is cross-sectional, so it is not possible to determine whether subjective well-being actually precedes GHQ-28 scores or whether it is the other way around. (2) In case the authors decide to maintain the current mediation approach they need to refer to this effect in their literature review and hypotheses and further discuss the limitations of running such an analysis in a cross-sectional design. (3) Please avoid the use of terms such as "full mediation", as such terms may confuse (cf. http://dx.doi.org/10.1016/j.brat.2016.11.001). (4) The authors rightly claim that their study is among the few that took a person-centered approach in the field of intergenerational transmission of trauma. However, they should devote more space to discuss Shrira's (2016) findings, as his study also used latent class analysis trying to delineate communication about and knowledge of ancestral trauma. The authors can compare their own findings to those reported in Shrira (2016). One interesting point arising from such a comparison is that their study mainly tackle the problem of vague knowledge about ancestral trauma, while Shrira (2016) seem to assess fragmented knowledge which was transmitted to offspring in intrusive ways. (5) It is important to clarify which generation the current study relates to (from the age range and the fact that respondents were asked to refer to grandparents' traumatic experiences, I understand the sample consisted of grandchildren of Polish survivors. (6) Please present more details about the group comparison in SWB and GHQ-28. I would like to see the means, SD, and statistical tests including effect size. (7) The Introduction begins by referring to rather early works from the 80s and 90s noting higher level of physical health problems among descendants of Holocaust survivors. This is interesting and I was not aware of these findings (i.e., cancer, heart disease and chronic pain). Can you please provide more details about these findings? (8) Later in the Introduction, when discussing findings about the third generation of Holocaust survivors the authors mention Danieli et al. (2016); however I believe that study investigated second generation only. (9) The rationale mentioned in the first paragraph of the Discussion section should be highlighted in the Introduction section (e.g., using person-centered approach due to conflicting findings in the field of intergenerational transmission).

**********

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PLoS One. 2020 Aug 24;15(8):e0237859. doi: 10.1371/journal.pone.0237859.r002

Author response to Decision Letter 0


24 Jun 2020

Dear Editor, Dear Reviewers,

thank you very much for your suggestions and remarks concerning our article titled “Knowledge about Traumatic World War II Experiences among Ancestors and Subjective Well-being of Young Adults: A Person-Centred Perspective”, which we would like to publish in PLOS One. We referred to all reviewers’ remarks. Below we cite every remark and comment of the reviewers and provide the answers to them in parentheses. All the changes in the revised text are marked with red font.

Editorial comments

When submitting your revision, we need you to address these additional requirements.

1. Please ensure that your manuscript meets PLOS ONE's style requirements, including those for file naming. The PLOS ONE style templates can be found at

https://journals.plos.org/plosone/s/file?id=wjVg/PLOSOne_formatting_sample_main_body.pdf and

https://journals.plos.org/plosone/s/file?id=ba62/PLOSOne_formatting_sample_title_authors_affiliations.pdf

[Thank you very much for reminder. We double checked that our manuscript meets PLOS ONE's style requirements.]

2. Please include additional information regarding the survey or questionnaire used in the study and ensure that you have provided sufficient details that others could replicate the analyses. For instance, if you developed a questionnaire as part of this study and it is not under a copyright more restrictive than CC-BY, please include a copy, in both the original language and English, as Supporting Information.

[Thank you very much. In the Method section we provided all the details regarding the survey we used, which checked their knowledge of traumatic events that participants’ ancestors may have experienced during WWII. We included the copy of the Polish and the English version of this survey in the appendices, in the Supporting Information.]

3. We note that you have indicated that data from this study are available upon request. PLOS only allows data to be available upon request if there are legal or ethical restrictions on sharing data publicly. For more information on unacceptable data access restrictions, please see http://journals.plos.org/plosone/s/data-availability#loc-unacceptable-data-access-restrictions.

[It is very important remark. We included our raw data set in the supporting information.]

In your revised cover letter, please address the following prompts:

a) If there are ethical or legal restrictions on sharing a de-identified data set, please explain them in detail (e.g., data contain potentially sensitive information, data are owned by a third-party organization, etc.) and who has imposed them (e.g., an ethics committee). Please also provide contact information for a data access committee, ethics committee, or other institutional body to which data requests may be sent.

[See above. We now included a raw data set in the Supporting Information. We did not know that apart from the possibility of sending data set upon the request, we also have to include it in the Supporting Information.]

b) If there are no restrictions, please upload the minimal anonymized data set necessary to replicate your study findings as either Supporting Information files or to a stable, public repository and provide us with the relevant URLs, DOIs, or accession numbers. For a list of acceptable repositories, please see http://journals.plos.org/plosone/s/data-availability#loc-recommended-repositories.

We will update your Data Availability statement on your behalf to reflect the information you provide.

[See above.]

4. Thank you for stating the following in the Title Page of your manuscript:

'Funding: The study was co-financed from the funds of internal funds of the Faculty of Psychology, University of Warsaw and Faculty of Psychology, SWPS University of Social Sciences and Humanities.'

We note that you have provided funding information that is not currently declared in your Funding Statement. However, funding information should not appear in the Acknowledgments section or other areas of your manuscript. We will only publish funding information present in the Funding Statement section of the online submission form.

[Thank you very much for this remark. We now moved the Acknowledgments section to the Funding Statement.]

Please remove any funding-related text from the manuscript and let us know how you would like to update your Funding Statement. Currently, your Funding Statement reads as follows:

'The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.' Please include your amended statements within your cover letter; we will change the online submission form on your behalf.

[We removed any funding-related text from the manuscript and we would like to declare that this statement” 'The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.' Is OK – we want it to sound exactly like this.]

5. Your ethics statement must appear in the Methods section of your manuscript. If your ethics statement is written in any section besides the Methods, please move it to the Methods section and delete it from any other section. Please also ensure that your ethics statement is included in your manuscript, as the ethics section of your online submission will not be published alongside your manuscript.

[We moved the ethics statement from the title page to the Method section.]

6. Please include captions for your Supporting Information files at the end of your manuscript, and update any in-text citations to match accordingly. Please see our Supporting Information guidelines for more information: http://journals.plos.org/plosone/s/supporting-information

[We included the captions for Supporting Information according to PLOS ONE’s requirements and updated any in-text citations to match accordingly.]

[Note: HTML markup is below. Please do not edit.]

Reviewers' comments:

Reviewer's Responses to Questions

1. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

3. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: No

4. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

[Thank you very much for these positive, general, evaluation of our manuscript. As far as the data set is concerned, I would like only to declare that we now included a raw data set in the Supporting Information. We did not know that apart from the possibility of sending data set upon the request, we also have to include it in the Supporting Information.]

Review Comments to the Author

Reviewer #1: This is an interesting and well-written manuscript. The main findings show that there was variance in the amount of knowledge descendants had about their grandparent’s WWII-related experiences. Moreover, the less knowledge the descendants had, the lower their subjective well-being was.

[Thank you very much again for this positive outlook on our study.]

I have several comments which I hope will help the authors to improve their study. (1) The mediation analyses come as a surprise, because the Introduction and hypotheses say nothing about it. Another problem with this approach is that the current study design is cross-sectional, so it is not possible to determine whether subjective well-being actually precedes GHQ-28 scores or whether it is the other way around.

[Thank you very much for this remark. As far as your first concern, we would like to underline the fact that due to mainly explorative character of this study, we were very caution to put direct hypotheses. Thus, we stated only general assumptions that studied sample will be heterogeneous in terms of knowledge about WWII-related traumatic experiences among ancestors and that belonging to a particular profile will be differently related to subjective well-being among participants (especially that lack of knowledge about WWII-related traumatic experiences among ancestors will be related to worse SWB among our participants). This mediation appeared when we looked for our data set in more details and found this quite unexpected finding. In other words, we did not expect initially this mediation, so we did not mention about it in the introduction nor in the current study section – but sometimes in science in general it happens that you find in your data something you did not expect. Secondly, regarding your remark on cross-sectional character of this study, you are absolutely right - it is not possible to determine whether subjective well-being actually precedes GHQ-28 scores or whether it is the other way around. As you see in the discussion, we were very cautious to draw final conclusions. But we included your remark in the limitations section.]

(2) In case the authors decide to maintain the current mediation approach they need to refer to this effect in their literature review and hypotheses and further discuss the limitations of running such an analysis in a cross-sectional design.

[Thank you again very much for the remark concerning our mediational approach. As we stated above, this mediation appeared when we looked for our data set in more details and found this quite unexpected finding. In other words, we did not expect initially this mediation, so we did not mention about it in the introduction nor in the current study section, as our study was mainly explorative (which we mentioned in the current study section), so we also could not comment this mediation in light of other studies in the field, as no such study, i.e. with this specific set of variables, this topic and this methodological design (person-centered) appeared in the literature. Please understand us in this context – as we wrote above, sometimes in science in general it happens that you find in your data something you did not expect. Secondly, in the limitations sections we elaborate more on the limitations of running such an analysis in a cross-sectional design, including your remarks.]

(3) Please avoid the use of terms such as "full mediation", as such terms may confuse (cf. http://dx.doi.org/10.1016/j.brat.2016.11.001).

[We eliminated the phrase “full mediation” throughout the manuscript.]

(4) The authors rightly claim that their study is among the few that took a person-centered approach in the field of intergenerational transmission of trauma. However, they should devote more space to discuss Shrira's (2016) findings, as his study also used latent class analysis trying to delineate communication about and knowledge of ancestral trauma. The authors can compare their own findings to those reported in Shrira (2016). One interesting point arising from such a comparison is that their study mainly tackles the problem of vague knowledge about ancestral trauma, while Shrira (2016) seem to assess fragmented knowledge which was transmitted to offspring in intrusive ways.

[It is very important remark. According to your suggestion we discussed Shrira's (2016) findings in a more details, especially in light of our findings on vague knowledge vs. Shrira's (2016) findings on fragmented knowledge which was transmitted to offspring in intrusive ways].

(5) It is important to clarify which generation the current study relates to (from the age range and the fact that respondents were asked to refer to grandparents' traumatic experiences, I understand the sample consisted of grandchildren of Polish survivors.

[Thank you very much for this remark. The current study sample relates to grand (3-rd generation) or great-grandparent (4-th generation) of Polish survivors – we included this information in the Method section.]

(6) Please present more details about the group comparison in SWB and GHQ-28. I would like to see the means, SD, and statistical tests including effect size.

[Thank you very much for this remark. We included additional Table to the manuscript.]

(7) The Introduction begins by referring to rather early works from the 80s and 90s noting higher level of physical health problems among descendants of Holocaust survivors. This is interesting and I was not aware of these findings (i.e., cancer, heart disease and chronic pain). Can you please provide more details about these findings?

[Thank you for your interest. There are many hypotheses on how parental trauma may affect next generation mental and physical health. Due to the cross-sectional nature of this study and related limitations, we did not want to elaborate on this issue in details to avoid some speculative remarks taking into an account our study design and assessed variables. However, here I can only mention for you that growing number of studies have underlined biological and (epi)genetic mechanisms linking parental trauma with changes in offspring’s cortisol metabolism compared to offspring of non-traumatized parents (e.g. Yehuda & Bierer, 2008; Yehuda et al., 2005). Alternatively speaking, parental stress (in case of second generation), in a pre- or post-natal period, affects the stress system of offspring leading to epigenetic and cortisol level changes (Betancourt, 2015). This may be responsible for aforementioned problems with physical health. There is also theory pointing to the fact adverse parental communication patterns and poor attachment styles in the family may be responsible for subsequent problems in mental and physical health due to chronic, but non-expressed distress in offspring Letzter-Pouw et al., 2014.]

(8) Later in the Introduction, when discussing findings about the third generation of Holocaust survivors the authors mention Danieli et al. (2016); however I believe that study investigated second generation only.

[Yes you are right second generation, but I compare Danieli et al. (2016) study with Sagi-Schwartz et al., 2008 metanalysis on other generation. This comparison was was done to point to the discussion whether trauma transmission imposes negative clinical consequences on subsequent generations or not (e.g., compare Bowers & Yehuda, 2016 and van Ijzendoorn et al., 2003) and which generation (the second or third) is affected most by the traumatic experiences of ancestors (e.g., compare Danieli et al., 2016 and Sagi-Schwartz et al., 2008).]

(9) The rationale mentioned in the first paragraph of the Discussion section should be highlighted in the Introduction section (e.g., using person-centered approach due to conflicting findings in the field of intergenerational transmission).

[We put this rationale also in the Introduction section.]

To sum up, I would like to thank Editor and Reviewers for their time and effort. I found all the comments very useful and I believe that they helped me to improve the manuscript quality. I deeply appreciate a chance you gave me to revise and submit it to be considered for publication in PLOS One.

Attachment

Submitted filename: Response to reviewers.docx

Decision Letter 1

Geilson Lima Santana

20 Jul 2020

PONE-D-20-05928R1

Knowledge about Traumatic World War II Experiences among Ancestors and Subjective Well-Being of Young Adults: A Person-Centred Perspective

PLOS ONE

Dear Dr. Rzeszutek,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

Please submit your revised manuscript by Sep 03 2020 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file.

Please include the following items when submitting your revised manuscript:

  • A rebuttal letter that responds to each point raised by the academic editor and reviewer(s). You should upload this letter as a separate file labeled 'Response to Reviewers'.

  • A marked-up copy of your manuscript that highlights changes made to the original version. You should upload this as a separate file labeled 'Revised Manuscript with Track Changes'.

  • An unmarked version of your revised paper without tracked changes. You should upload this as a separate file labeled 'Manuscript'.

If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter.

If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: http://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols

We look forward to receiving your revised manuscript.

Kind regards,

Geilson Lima Santana, M.D., Ph.D.

Academic Editor

PLOS ONE

[Note: HTML markup is below. Please do not edit.]

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: (No Response)

**********

2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: The authors have responded to most of my comments yet several issues remained unresolved. (1) Regarding the claim that second and third generations reported higher levels of physical health problems like cancer, heart disease, or chronic pain: In their response the authors mention neuroendocrine and epigenetic works. Still it seems like they stretched the conclusions of these studies in their claim for higher physical morbidity. I also don't think Baranovsky or Sigal & Weinfeld provided empirical evidence for higher physical morbidity in these groups. Therefore I ask the authors to rephrase the sentence or alternatively provide empirical support for their claim. (2) Shrira is misspelled as Shira twice; please correct.

**********

7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

[NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.]

While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step.

PLoS One. 2020 Aug 24;15(8):e0237859. doi: 10.1371/journal.pone.0237859.r004

Author response to Decision Letter 1


21 Jul 2020

Dear Editor, Dear Reviewers,

thank you very much for another suggestions and remarks concerning our article titled “Knowledge about Traumatic World War II Experiences among Ancestors and Subjective Well-being of Young Adults: A Person-Centred Perspective”, which we would like to publish in PLOS One. We referred to all reviewers’ remarks. Below we cite every remark and comment of the reviewers and provide the answers to them in parentheses. All the changes in the revised text are marked with red font.

Reviewers' comments:

Reviewer's Responses to Questions

Reviewer #1: The authors have responded to most of my comments yet several issues remained unresolved.

[Thank you very much for kind words. We tried a lot to incorporate all your remarks; however, we see that not all were incorporated completely properly.]

(1) Regarding the claim that second and third generations reported higher levels of physical health problems like cancer, heart disease, or chronic pain: In their response the authors mention neuroendocrine and epigenetic works. Still it seems like they stretched the conclusions of these studies in their claim for higher physical morbidity. I also don't think Baranovsky or Sigal & Weinfeld provided empirical evidence for higher physical morbidity in these groups. Therefore I ask the authors

to rephrase the sentence or alternatively provide empirical support for their claim.

[Thank you very much for this remark. It is very important suggestion. As we wrote in the previous response to your comments, there are many hypotheses on how parental trauma may affect next generation mental and physical health. Due to the cross-sectional nature of this study and related limitations, we did not want to elaborate on this issue in details to avoid some speculative remarks taking into an account our study design and assessed variables. And in the introduction we only mentioned that such theories exist. However, at this time, in the second revision of our study we eliminated from the discussion sections all mentioning about neuroendocrine and epigenetic mechanisms to comment our findings. We also eliminated Baranovsky and Sigal & Weinfeld references when writing about higher physical morbidity in these groups. Once again thank you for this remark.]

(2) Shrira is misspelled as Shira twice; please correct.

[Thank you very much for this remark – we corrected this typo throughout the whole manuscript.]

To sum up, I would like to thank again Editor and Reviewers for their time and effort. I found all the comments very useful and I believe that they helped me to improve the manuscript quality. I deeply appreciate a chance you gave me to revise and submit it to be considered for publication in PLOS One.

Attachment

Submitted filename: Response to reviewers_vol2.docx

Decision Letter 2

Geilson Lima Santana

30 Jul 2020

PONE-D-20-05928R2

Knowledge about Traumatic World War II Experiences among Ancestors and Subjective Well-Being of Young Adults: A Person-Centred Perspective

PLOS ONE

Dear Dr. Rzeszutek,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

Please submit your revised manuscript by Sep 13 2020 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file.

Please include the following items when submitting your revised manuscript:

  • A rebuttal letter that responds to each point raised by the academic editor and reviewer(s). You should upload this letter as a separate file labeled 'Response to Reviewers'.

  • A marked-up copy of your manuscript that highlights changes made to the original version. You should upload this as a separate file labeled 'Revised Manuscript with Track Changes'.

  • An unmarked version of your revised paper without tracked changes. You should upload this as a separate file labeled 'Manuscript'.

If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter.

If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: http://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols

We look forward to receiving your revised manuscript.

Kind regards,

Geilson Lima Santana, M.D., Ph.D.

Academic Editor

PLOS ONE

Additional Editor Comments (if provided):

Dear author, thank you very much for addressing reviewer's suggestions.

Some final details are needed for accepting your manuscript for publication. It is necessary to adapt it according to PlosOne's guidelines:

https://journals.plos.org/plosone/s/submission-guidelines

1. Include page numbers and line numbers in the manuscript file. Use continuous line numbers (do not restart the numbering on each page).

2. PLOS uses “Vancouver” style, numbered and bracketed.

https://journals.plos.org/plosone/s/file?id=80c1/PLOSOne_formatting_sample_main_body.pdf

3.Please follow the structure and the style of the three levels of heading

4. Pay careful attention to figure captions, legends and file naming for figures.

5. Please pay especial attention to table and table citations: Tables should be included directly after the paragraph in which they are first cited.

[Note: HTML markup is below. Please do not edit.]

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: All comments have been addressed

**********

2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: No

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: (No Response)

**********

7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

[NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.]

While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step.

PLoS One. 2020 Aug 24;15(8):e0237859. doi: 10.1371/journal.pone.0237859.r006

Author response to Decision Letter 2


31 Jul 2020

Dear Editor, Dear Reviewers,

thank you very much for another suggestions and remarks concerning our article titled “Knowledge about Traumatic World War II Experiences among Ancestors and Subjective Well-being of Young Adults: A Person-Centred Perspective”, which we would like to publish in PLOS One. We referred to all reviewers’ remarks. Below we cite every remark and comment of the reviewers and provide the answers to them in parentheses.

Editor’s comments

1. Include page numbers and line numbers in the manuscript file. Use continuous line numbers (do not restart the numbering on each page).

[We included page numbers and line numbers in the manuscript file.]

2. PLOS uses “Vancouver” style, numbered and bracketed.

[We changed the style to Vancouver throughout the manuscript.]

To sum up, I would like to thank again Editor and Reviewers for their time and effort. I found all the comments very useful and I believe that they helped me to improve the manuscript quality. I deeply appreciate a chance you gave me to revise and submit it to be considered for publication in PLOS One.

Decision Letter 3

Geilson Lima Santana

5 Aug 2020

Knowledge about Traumatic World War II Experiences among Ancestors and Subjective Well-Being of Young Adults: A Person-Centred Perspective

PONE-D-20-05928R3

Dear Dr. Rzeszutek,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org.

If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

Kind regards,

Geilson Lima Santana, M.D., Ph.D.

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Thank you for addressing the points I´ve shown you.

Reviewers' comments:

Acceptance letter

Geilson Lima Santana

12 Aug 2020

PONE-D-20-05928R3

Knowledge about Traumatic World War II Experiences among Ancestors and Subjective Well-being of Young Adults: A Person-Centred Perspective

Dear Dr. Rzeszutek:

I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department.

If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org.

If we can help with anything else, please email us at plosone@plos.org.

Thank you for submitting your work to PLOS ONE and supporting open access.

Kind regards,

PLOS ONE Editorial Office Staff

on behalf of

Dr. Geilson Lima Santana

Academic Editor

PLOS ONE

Associated Data

    This section collects any data citations, data availability statements, or supplementary materials included in this article.

    Supplementary Materials

    S1 File. Survey Polish.

    (DOCX)

    S2 File. Survey English.

    (DOCX)

    S3 File

    (SAV)

    Attachment

    Submitted filename: Response to reviewers.docx

    Attachment

    Submitted filename: Response to reviewers_vol2.docx

    Data Availability Statement

    Data are included in the Supporting Information.


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