Associations between parental trauma, mental health, and parenting: A qualitative study in a high-adversity South African community. (November 2020)

• Record Type: Journal Article
• Authors: Christie, Hope; Hamilton-Giachritsis, Catherine; Alves-Costa, Filipa; Tomlinson, Mark; Stewart, Jackie; Skeen, Sarah; Notholi, Vuyolwethu; Gqwaka, Phumza; Sambudla, Akhona; Halligan, Sarah
• Is Part Of: Social science & medicine. Volume 265(2020)
• Publication Date: 2020-11
• Subjects: Posttraumatic stress disorder -- Trauma -- Parent -- Family -- Parenting -- Caregiver -- Low and middle income countries -- South Africa; Social medicine -- Periodicals; Medical anthropology -- Periodicals; Public health -- Periodicals; Psychology -- Periodicals; Medicine -- Periodicals; Medicine -- Periodicals; Médecine sociale -- Périodiques; Anthropologie médicale -- Périodiques; Santé publique -- Périodiques; Psychologie -- Périodiques; Médecine -- Périodiques; Electronic journals; 362.105
• DOI: 10.1016/j.socscimed.2020.113474
• Languages: English
• ISSNs: 0277-9536

Abstract

Abstract: Rationale: Research suggests that parenting behaviours are negatively affected by parental trauma. However, thus far, the evidence base has provided limited insight into why this occurs. Further, the available evidence has focused largely on high income contexts (HICs), and we know much less about the experiences of parents in low- and middle-income countries (LMICs) who are frequently coping with multiple adversities. Objective: The current qualitative study aimed to gain a more in-depth understanding from the parent's perspective about whether and how their trauma impacted themselves and their parenting behaviours. Method: We conducted interviews with 30 trauma-exposed, Xhosa speaking parents (28 mothers) from Khayelitsha, a township outside Cape Town in South Africa, 66% of whom reported experiencing moderate to severe posttraumatic stress symptoms. Results: Five key themes were identified: consequences for parents as individuals (in terms of mental and physical health); the centrality of community and cultural context to parental experiences; consequences in terms of parenting capacity; trauma related effects on the child and how these may influence parental coping; and mechanisms of coping and achieving recovery. Conclusion: Findings highlight the difficult nature of parenting following trauma due to impacts on multiple areas of life, and suggest potential avenues for the development of parenting interventions in order to support parents and families more effectively following trauma. Highlights: Trauma exposure and posttraumatic distress present many challenges to LMIC parents. Posttrauma anger, threat perceptions, poor coping may particularly affect parenting. Physical consequences (e.g., loss of income) are also crucial for LMIC parents. Perceived negative impacts for their children can compound parental distress. Despite these challenges, parental bonds with their children may be retained.