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

Journal: Social science & medicine (1982)

Volume: 265

Issue: 

Year of Publication: 2021

Affiliated Institutions:  Department of Clinical Psychology, University of Edinburgh, Edinburgh, UK. Department of Psychology, University of Bath, Bath, United Kingdom. Department of Psychology, University of Bath, Bath, United Kingdom; Institute of Psychiatry, Department of Forensic and Neurodevelopmental Sciences, Kings College London, London, United Kingdom. Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town, South Africa; School of Nursing and Midwifery, Queens University, Belfast, UK. Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town, South Africa. Department of Psychology, University of Bath, Bath, United Kingdom; Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa. Electronic address: s.l.halligan@bath.ac.uk.

Abstract summary 

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.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.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.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.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.

Authors & Co-authors:  Christie Hope H Hamilton-Giachritsis Catherine C Alves-Costa Filipa F Tomlinson Mark M Stewart Jackie J Skeen Sarah S Notholi Vuyolwethu V Gqwaka Phumza P Sambudla Akhona A Halligan Sarah S

Study Outcome 

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Citations : 
Authors :  10
Identifiers
Doi : 10.1016/j.socscimed.2020.113474
SSN : 1873-5347
Study Population
Male,Female
Mesh Terms
Child
Other Terms
Caregiver;Family;Low and middle income countries;Parent;Parenting;Posttraumatic stress disorder;South Africa;Trauma
Study Design
Cross Sectional Study
Study Approach
Qualitative
Country of Study
South Africa
Publication Country
England