Family over-involvement, defined as emotions, thoughts, and behaviors indicating an over-protection of family members and preoccupation with family legacy, is recognized as a unique yet underexplored mechanism in the intergenerational effects of trauma. The study examined the role of family over-involvement in predicting post-traumatic stress disorder (PTSD) symptoms among Holocaust descendants following the October 7 attack and during the Israel-Hamas War. Using a longitudinal prospective design, Israeli Jew descendants from two generations (second and third generation to those who were living during WWII) completed questionnaires via a web-based survey company a year before the October 7, 2023 attack (W1, 2022, N = 1071) and two and 9 months during the war (W3, December 2023, N = 582, and W4, July 2024, N = 405). Results showed significantly higher levels of family over-involvement (i.e., descendants' efforts to compensate for their ancestors' suffering, shield ancestors from further suffering, and care for family continuation) in Holocaust descendants relative to comparisons. Path analysis showed that family over-involvement mediated the effect of having a Holocaust background on PTSD symptoms in W3 and the effect of having a Holocaust background on PTSD symptoms in W4 via PTSD symptoms in W3. Moderated mediation analysis revealed that the mediation effect of the compensation subscale of family over-involvement was stronger among the second generation relative to the third generation. The findings have crucial implications by highlighting family over-involvement as a unique interpersonal mechanism behind the intergenerational effects of Holocaust trauma, which clinicians should integrate in multi-generational interventions with Holocaust families, particularly when descendants face adversity.
{"title":"Family Over-Involvement Mediates PTSD Symptoms in Holocaust Descendants Following the October 7 Attack: A Prospective Study","authors":"Lee Greenblatt-Kimron, Amit Shrira, Yuval Palgi","doi":"10.1111/famp.70089","DOIUrl":"10.1111/famp.70089","url":null,"abstract":"<p>Family over-involvement, defined as emotions, thoughts, and behaviors indicating an over-protection of family members and preoccupation with family legacy, is recognized as a unique yet underexplored mechanism in the intergenerational effects of trauma. The study examined the role of family over-involvement in predicting post-traumatic stress disorder (PTSD) symptoms among Holocaust descendants following the October 7 attack and during the Israel-Hamas War. Using a longitudinal prospective design, Israeli Jew descendants from two generations (second and third generation to those who were living during WWII) completed questionnaires via a web-based survey company a year before the October 7, 2023 attack (W1, 2022, <i>N</i> = 1071) and two and 9 months during the war (W3, December 2023, <i>N</i> = 582, and W4, July 2024, <i>N</i> = 405). Results showed significantly higher levels of family over-involvement (i.e., descendants' efforts to compensate for their ancestors' suffering, shield ancestors from further suffering, and care for family continuation) in Holocaust descendants relative to comparisons. Path analysis showed that family over-involvement mediated the effect of having a Holocaust background on PTSD symptoms in W3 and the effect of having a Holocaust background on PTSD symptoms in W4 via PTSD symptoms in W3. Moderated mediation analysis revealed that the mediation effect of the compensation subscale of family over-involvement was stronger among the second generation relative to the third generation. The findings have crucial implications by highlighting family over-involvement as a unique interpersonal mechanism behind the intergenerational effects of Holocaust trauma, which clinicians should integrate in multi-generational interventions with Holocaust families, particularly when descendants face adversity.</p>","PeriodicalId":51396,"journal":{"name":"Family Process","volume":"64 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/famp.70089","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Validation from family members has been found to reduce emotion dysregulation among youth, yet no interventions teach the skill of validation exclusively. This convergent, mixed-methods pilot study examined the feasibility, acceptability, and utility of a single-session virtual validation intervention, as well as its impact on family members' knowledge of validation and perceptions of hope. Thirty-four family members on the waitlist for a Family Connections program in Canada participated in the 2-h intervention. Qualitative feedback supported the feasibility, acceptability and utility of the intervention. Family members highlighted practice exercises and self-validation content as particularly useful. Quantitative analyses indicated a significant increase in applied knowledge of validation and perceptions of hope (p < 0.05). This study offers preliminary evidence that learning validation as a standalone skill may be feasible and helpful for family members of youth experiencing emotion dysregulation and could be a timely way to support those awaiting comprehensive offerings. Further research is needed to explore the role of single-session interventions in family member engagement with long-term programs such as Family Connections.
{"title":"A Single-Session Virtual Validation Intervention for Family Members of Youth Experiencing Emotion Dysregulation","authors":"Clare Sheasgreen, Andria Aiello, Lynn Courey, Doreen Hyndman","doi":"10.1111/famp.70085","DOIUrl":"10.1111/famp.70085","url":null,"abstract":"<p>Validation from family members has been found to reduce emotion dysregulation among youth, yet no interventions teach the skill of validation exclusively. This convergent, mixed-methods pilot study examined the feasibility, acceptability, and utility of a single-session virtual validation intervention, as well as its impact on family members' knowledge of validation and perceptions of hope. Thirty-four family members on the waitlist for a Family Connections program in Canada participated in the 2-h intervention. Qualitative feedback supported the feasibility, acceptability and utility of the intervention. Family members highlighted practice exercises and self-validation content as particularly useful. Quantitative analyses indicated a significant increase in applied knowledge of validation and perceptions of hope (<i>p</i> < 0.05). This study offers preliminary evidence that learning validation as a standalone skill may be feasible and helpful for family members of youth experiencing emotion dysregulation and could be a timely way to support those awaiting comprehensive offerings. Further research is needed to explore the role of single-session interventions in family member engagement with long-term programs such as Family Connections.</p>","PeriodicalId":51396,"journal":{"name":"Family Process","volume":"64 4","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/famp.70085","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}