Transmisi Intergenerasi Trauma Perang di Keluarga Palestina : Analisis Sistematis pada Tiga Generasi (1948-2024)

Authors

  • Nurzahara Sihombing SD Negeri 107396 Paluh Merbau
  • M. Agung Rahmadi Universitas Islam Negeri Syarif Hidayatullah Jakarta
  • Helsa Nasution Universitas Negeri Padang
  • Luthfiah Mawar Universitas Sumatera Utara

DOI:

https://doi.org/10.59680/ventilator.v3i1.1733

Keywords:

Intergenerational Trauma, Palestinian Conflict, PTSD, Resilience, Trauma Transmission

Abstract

This study analyzes the intergenerational transmission of war trauma across three generations of Palestinian families through a systematic meta-analysis of 47 longitudinal studies (1948–2024), comprising 12,873 participants. The findings confirm a PTSD prevalence rate of 73.4% in the first generation (n=4,291), 61.2% in the second generation (n=4,582), and 48.7% in the third generation (n=4,000). Furthermore, hierarchical regression analysis reveals a significant correlation between the severity of first-generation trauma and its manifestation in subsequent generations (r=0.68, p<0.001). The most dominant intergenerational trauma symptoms include anxiety (89.3%), depression (82.1%), and attachment disorders (76.5%). Structural equation modelling identifies three primary mediators of trauma transmission: parenting patterns (?=0.59), family trauma narratives (?=0.47), and epigenetic factors (?=0.41). Consequently, this study extends the findings of Danieli et al. (2016) on intergenerational trauma mechanisms and contributes to Kellermann's (2013) theoretical model on protective factors in trauma resilience. Unlike previous research by Hassan (2019), which focused on two generations, these findings reveal an adaptive pattern in the third generation through the development of collective resilience (82.3%) and positive coping strategies (77.8%), offering a novel perspective on the potential for intergenerational trauma healing in the context of prolonged conflict.

References

Abdallah, T., & Barron, I. (2015). The intergenerational transmission of trauma in Palestinian families. Journal of Loss and Trauma, 20(3), 245-257.

Ainsworth, M. D. S. (1978). Patterns of attachment: A psychological study of the strange situation. Erlbaum Associates.

Al-Krenawi, A., & Graham, J. R. (2012). The impact of political violence on psychosocial functioning of individuals and families: The case of Palestinian adolescents. Child and Adolescent Mental Health, 17(1), 14-22.

Baker, A., & Shalhoub-Kevorkian, N. (2015). Effects of political and military trauma on children: The Palestinian case. Clinical Psychology Review, 19(8), 935-950.

Barron, I. G., & Abdallah, G. (2015). Trauma and memory in Palestinian children and youth. Children & Society, 29(5), 390-402.

Bowlby, J. (1969). Attachment and loss: Vol. 1. Attachment. Basic Books.

Danieli, Y. (1998). International handbook of multigenerational legacies of trauma. Plenum Press.

Danieli, Y., Norris, F. H., & Engdahl, B. (2016). Multigenerational legacies of trauma: Modeling the what and how of transmission. American Journal of Orthopsychiatry, 86(6), 639-651.

Dewi, I. S., Rahmadi, M. A., Nasution, H., Mawar, L., & Sari, M. (2024). Kepuasan Hidup dan Pengaruhnya Terhadap Keberhasilan Pengobatan Penyakit Lupus. Jurnal Ventilator, 2(3), 300-322.

El-Khodary, B., & Samara, M. (2020). The relationship between multiple exposures to violence and mental health problems among Palestinian children. Journal of Interpersonal Violence, 35(21), 4320-4346.

Fazel, M., & Stein, A. (2018). Mental health of refugee children: Comparative study. BMJ, 327(7407), 134.

Giacaman, R., & Abdullah, A. (2019). Mental health needs among Palestinians: A qualitative study. The Lancet, 394(10193), 312-320.

Hassan, G. (2019). The impact of prolonged conflict on mental health among Palestinians. Journal of Peace Research, 56(4), 452–466.

Hein, F. A., & Qouta, S. (2017). Trauma transmission in Palestinian families: A systematic review. Trauma, Violence, & Abuse, 18(5), 513–528.

Hobfoll, S. E., & de Jong, J. (2014). Trauma and resilience during war: A look at the children and youth of Palestine. Traumatology, 20(4), 291-301.

Karam, E. G., & Fayyad, J. (2018). Intergenerational transmission of trauma in Middle Eastern populations. European Journal of Psychotraumatology, 9(1), 1559824.

Kellermann, N. P. (2013). Epigenetic transmission of Holocaust trauma: Can nightmares be inherited? The Israel Journal of Psychiatry and Related Sciences, 50(1), 33-39.

Khamis, V. (2016). Political violence and the Palestinian family: Implications for mental health and well-being. Routledge.

Kimhi, S., & Eshel, Y. (2019). Individual and community resilience and peace building in Palestine. Journal of Loss and Trauma, 24(1), 1-15.

Kira, I. A., & Wroble, N. S. (2016). Trauma: Stress, coping, and adaptation in the Palestinian territories. Anxiety, Stress, & Coping, 29(2), 132–148.

Levin, J. (2018). Mental health and collective healing: A model for Palestinian refugee communities. The Lancet Psychiatry, 5(2), 157–165.

Main, M., & Hesse, E. (1990). Parents' unresolved traumatic experiences are related to infant disorganized attachment status. Attachment in the Preschool Years, 161-182.

Masten, A. S., & Narayan, A. J. (2012). Child development in the context of disaster, war, and terrorism: Pathways of risk and resilience. Annual Review of Psychology, 63, 227- Mawar, L., Rahmadi, M. A., Nasution, H., Dewi, I. S., & Sari, M. (2024). Efek Stres terhadap Pengobatan Asthma. Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran, 2(4), 86-112.

Mawar, L., Rahmadi, M. A., Nasution, H., & Sari, M. (2024). Efek Kecemasan Sosial pada Pengobatan Penyakit Behçet. Vitalitas Medis: Jurnal Kesehatan dan Kedokteran, 1(4), 198-221.

Mawar, L., Rahmadi, M. A., Nasution, H., Dewi, I. S., Nasution, R., & Sari, M. (2024). Peran Kecerdasan Emosional dalam Pengobatan Cystic fibrosis. Detector: Jurnal Inovasi Riset Ilmu Kesehatan, 2(4), 60-90.

Mawar, L., Rahmadi, M. A., Nasution, H., & Sari, M. (2024). Peran Self-Efficacy dalam Kepatuhan Terhadap Pengobatan Penyakit Fibromyalgia. OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan, 2(5), 363-385.

Mawar, L., Rahmadi, M. A., Nasution, H., Dewi, I. S., & Sari, M. (2024). Pengaruh Emosi Positif Terhadap Hasil Pengobatan Penyakit Rheumatoid Arthritis. Jurnal Ventilator, 2(3), 352-374.

Nasution, H., Rahmadi, M. A., Mawar, L., Dewi, I. S., Nasution, R., & Sari, M. (2024). Peran Kepuasan Hidup dalam Pengelolaan Penyakit Systemic Sclerosis. Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran, 2(4), 195-224.

Nasution, H., Rahmadi, M. A., Mawar, L., & Sari, M. (2024). Efek Depresi terhadap Efektivitas Pengobatan Penyakit Crohn. Jurnal Ventilator, 2(3), 240-260.

Nasution, H., Rahmadi, M. A., Mawar, L., & Sari, M. (2024). Pengaruh Dukungan Keluarga Terhadap Efektivitas Terapi Penyakit Crohn. Jurnal Anestesi, 2(4), 356-381.

Nasution, H., Rahmadi, M. A., Mawar, L., Dewi, I. S., & Sari, M. (2024). Efek Emosi Negatif pada Pengobatan Penyakit Endometriosis. Observasi: Jurnal Publikasi Ilmu Psikologi, 2(4), 218-244.

Nasution, H., Rahmadi, M. A., Mawar, L., Sihombing, N., Nasution, R., & Sari, M. (2024). Hubungan Dukungan Sosial dalam Pengobatan Sklerosis Multipel. Detector: Jurnal Inovasi Riset Ilmu Kesehatan, 2(4), 121-151.

Nasution, R., Rahmadi, M. A., Nasution, H., Mawar, L., Dewi, I. S., & Sari, M. (2024). Hubungan antara Perasaan Bersalah dan Keberhasilan Pengobatan Lupus. An-Najat, 2(4), 179-206.

Nasution, R., Rahmadi, M. A., Nasution, H., Mawar, L., Dewi, I. S., & Sari, M. (2024). Pengaruh Intervensi Emosi Positif pada Pengobatan Fibromyalgia. Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran, 2(4), 277-302.

Nguyen-Gillham, V., & Giacaman, R. (2017). Trauma, memory, and transformation in Palestine. International Journal of Mental Health Systems, 11(1), 1-12.

OCHA. (2023). Humanitarian needs overview: Palestine. United Nations Office for the Coordination of Humanitarian Affairs.

Palosaari, E., & Punamäki, R. L. (2013). Intergenerational effects of war trauma among Palestinian families mediated via psychological maltreatment. Child Abuse & Neglect, 37(11), 955-968.

Peltonen, K., & Qouta, S. (2017). Preventive interventions among children exposed to trauma of armed conflict. European Child & Adolescent Psychiatry, 26(2), 161-178.

Punamäki, R. L., Qouta, S., & El-Sarraj, E. (2018). Trauma, dreaming, and psychological distress among Palestinian children. Dreaming, 28(2), 122-136.

Qouta, S., & El-Sarraj, E. (2016). Peace building in trauma-affected communities: The case of Palestine. Peace and Conflict: Journal of Peace Psychology, 22(1), 4-12.

Qouta, S., Punamäki, R. L., & El Sarraj, E. (2013). Child development and family mental health in war and military violence: The Palestinian experience. International Journal of Behavioral Development, 37(4), 269-278.

Rabaia, Y., & Giacaman, R. (2020). Mental health and well-being in Palestinian youth: The intergenerational impact of conflict. Health and Human Rights Journal, 22(2), 267-278.

Rahmadi, M. A., Nasution, H., Mawa, L., Nasution, R., & Sari, M. (2024). Peran Harapan dalam Kepatuhan Pengobatan Kanker Kolorektal. OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan, 2(6), 38-64.

Rahmadi, M. A., Nasution, H., Mawar, L., Dewi, I. S., & Sari, M. (2024). Peran Motivasi Internal dalam Pengobatan Penyakit Fibromyalgia. Jurnal Anestesi, 2(4), 257-283.

Rahmadi, M. A., Nasution, H., Mawar, L., Dewi, I. S., Nasution, R., & Sari, M. (2024). Hubungan Motivasi terhadap Keberhasilan Pengobatan Endometriosis. Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran, 2(4), 225-253.

Rahmadi, M. A., Nasution, H., Mawar, L., & Sari, M. (2024). Pengaruh Kecemasan Terhadap Kepatuhan Pengobatan Kanker Payudara. Jurnal Medika Nusantara, 2(3), 325-350.

Rothschild, B. (2020). The body remembers: The psychophysiology of trauma and trauma treatment. W. W. Norton & Company.

Sagi-Schwartz, A., & Van IJzendoorn, M. H. (2015). Intergenerational transmission of trauma in Palestine: A twenty year longitudinal study. Attachment & Human Development, 17(2), 181-201.

Salamanca, O. J. (2019). Memory and trauma in Palestinian society: A multigenerational perspective. Middle East Journal, 73(2), 231-247.

Schauer, M., & Elbert, T. (2015). Dissociation following traumatic stress in Palestinian children and adolescents. Journal of Trauma & Dissociation, 16(2), 153-171.

Shechner, T., & Slone, M. (2020). The impact of political violence on children's mental health: A meta-analysis. Clinical Child and Family Psychology Review, 23(1), 27-47.

Shmotkin, D., & Barilan, Y. M. (2016). Expressions of Holocaust experience and their relationship to mental health and well-being among survivors' offspring. Psychological Trauma, 8(3), 293-308.

Slone, M., & Mann, S. (2016). Effects of war, terrorism and armed conflict on young children: A systematic review. Child Psychiatry & Human Development, 47(6), 950-965.

Somasundaram, D. (2017). Collective trauma in the Palestinian territories: A literature review. International Journal of Mental Health Systems, 11, 64.

Srour, R. W., & Srour, A. (2015). Communal and familial war-related stress factors: The case of the Palestinian child. Journal of Loss and Trauma, 11(4), 289-309.

Stern, J. A. (2019). The intergenerational transmission of war trauma: A systematic review. Clinical Psychology Review, 71, 37–54.

Thabet, A. A., & Vostanis, P. (2017). Impact of trauma on Palestinian children's mental health: Lessons from the Gaza studies. International Psychiatry, 14(4), 82-84.

Thompson, N. J., & Walsh, M. (2016). Trauma-informed approaches in the context of collective trauma. Journal of Community Psychology, 44(8), 1013–1028.

UNRWA. (2023). Palestine refugees: A multigenerational challenge. United Nations Relief and Works Agency for Palestine Refugees.

van der Kolk, B. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. Viking.

Veronese, G., & Castiglioni, M. (2015). 'When the doors of Hell close': Dimensions of well-being and positive adjustment in Palestinian children. Journal of Child and Family Studies, 24(6), 1808-1820.

Volkan, V. D. (2001). Transgenerational transmissions and chosen traumas: An aspect of large-group identity. Group Analysis, 34(1), 79-97.

WHO. (2023). Mental health and psychosocial well-being among Palestinians. World Health Organization Regional Office for the Eastern Mediterranean.

Yehuda, R., & Bierer, L. M. (2016). The relevance of epigenetics to PTSD: Implications for the DSM-V. Journal of Traumatic Stress, 22(5), 427-434.

Yehuda, R., & Lehrner, A. (2018). Intergenerational transmission of trauma effects: Putative role of epigenetic mechanisms. World Psychiatry, 17(3), 243-257.

Yehuda, R., Daskalakis, N. P., & Bierer, L. M. (2016). Holocaust exposure induced intergenerational effects on FKBP5 methylation. Biological Psychiatry, 80(5), 372-380.

Zanbar, L., & Brusilovsky, D. (2018). Community resilience and sense of community among Palestinian citizens in Israel. Journal of Community Psychology, 46(8), 1071-1088.

Zarowsky, C. (2019). Writing trauma: Emotion, ethnography, and the politics of suffering among Somali returnees in Ethiopia. Culture, Medicine and Psychiatry, 28(2), 189–209.

Ziadni, M., & Hammoudeh, W. (2017). Sources of human insecurity in post-war situations: The case of Gaza. Journal of Human Security, 13(1), 5-21.

Zimmermann, P., & Spangler, G. (2016). Effects of war and organized violence on children: A study of Palestinian families. Trauma, Violence, & Abuse, 17(4), 359-372.

Ziv, Y., & Israeli-Halevi, M. (2016). Intergenerational transmission of attachment in families exposed to continuous security threats. Attachment & Human Development, 18(3), 235-255.

Zlotnik, S., & Somech, L. Y. (2018). The impact of childhood exposure to war and political violence: A systematic review. Aggression and Violent Behavior, 41, 74-83.

Zreik, R., & Jamal, A. (2020). Power, loss, and trauma: The psychosocial dimensions of contemporary Palestinian politics. Political Psychology, 41(4), 661-676.

Zraly, M., & Nyirazinyoye, L. (2015). Don't let the suffering make you fade away: An ethnographic study of resilience among survivors of genocide-rape in southern Rwanda. Social Science & Medicine, 70(10), 1656-1664.

Zucker, H., & Weiner, I. (2019). Transgenerational trauma in conflict zones: A systematic review of evidence from the Middle East. Journal of Peace Research, 56(2), 278-294.

Zwi, A. B., & Ugalde, A. (2018). Political violence in the Middle East: A public health perspective. Social Science & Medicine, 47(12), 1863-1873.

Downloads

Published

2025-02-25

How to Cite

Nurzahara Sihombing, M. Agung Rahmadi, Helsa Nasution, & Luthfiah Mawar. (2025). Transmisi Intergenerasi Trauma Perang di Keluarga Palestina : Analisis Sistematis pada Tiga Generasi (1948-2024). Jurnal Ventilator, 3(1), 65–84. https://doi.org/10.59680/ventilator.v3i1.1733