Whether and When Disclosing the Trauma to One's Children in a Migratory Context? A Pilot Mixed Methods Investigation.

Elodie Gaëlle Ngameni (1) , Mayssa El Husseini (2, 3) , Elisabetta Dozio (4) , Cyrille Kossigan Kokou-Kpolou (5) , Gisèle Apter (6, 7) , Marie Rose Moro (8, 3, 9)

1 Université Sorbonne Paris Nord
2 CHSSC - Centre d'Histoire des Sociétés, des Sciences et des Conflits - UR UPJV 4289
3 Maison de Solenn [CHU Cochin]
4 ACF - Action contre la Faim
5 ULaval - Université Laval [Québec]
6 Groupe Hospitalier du Havre
7 UNIROUEN - Université de Rouen Normandie
8 CESP - Centre de recherche en épidémiologie et santé des populations
9 PCPP (URP_4056) - Laboratoire de Psychologie Clinique, Psychopathologie, Psychanalyse

BACKGROUND: Disclosing traumatic events experienced by parents to their children is a central issue in the intergenerational trauma transmission. However, little is known about this question among migrant population. The main objective of this study was to examine the choice to disclose the traumatic experiences of migrant women in France to their children. METHODS: This pilot study examined fourteen mother-child dyads in which migrant mothers (M\,=\,30~years; range\,=\,19-42~years) were exposed to traumatic events. A sequential mixed method design was used. In addition to the completion of the Impact Event Scale-Revised, qualitative data were collected through semi-structured interviews. These data were analyzed using thematic and cross-cultural methods. The survey took place from May 2019 to July 2020. RESULTS: Our study revealed three profiles of mothers with regard to the choice to disclose the traumatic story to the child: one group of mothers opted for silence (n\,=\,4), the other for disclosure (n\,=\,7) and the last group who were hesitant (n\,=\,3). The modalities of choice were statistically associated with the severity of the post-traumatic stress symptoms, F (2, 11)\,=\,4,62, p\,<\,.05. Specifically, women who made the choice of silence (M\,=\,72.75, SD\,=\,4.99) and those hesitated on the choice to disclosure (M\,=\,71.33, SD\,=\,7.51) reported higher scores on IES-R than those who made the choice to disclosure (M\,=\,59.86, SD\,=\,12.44). Six main themes emerged from the thematic and cross-cultural analysis of participants' narratives: (1) the personalization of the traumatic experience, (2) the child seen as a weapon against collapse, (3) the fear of the child's personal reactions, (4) the possible partial disclosure, (5) the trauma narrative according to the child's age, and (6) the trap of the in-between two cultures. CONCLUSION: Our results suggest that the recovery of these mothers from their trauma, through culturally appropriate therapeutic care, can effectively contribute to the choice to disclose their traumatic experiences to their children. This treatment can support them in developing open and healthy communication strategies to prevent the transmission of traumatic effects to their children.

Mots clés: Disclosure; Migration; Mother–child; Transmission; Trauma narrative

Domaines: Médecine humaine et pathologie

Elodie Gaëlle Ngameni, Mayssa El Husseini, Elisabetta Dozio, Cyrille Kossigan Kokou-Kpolou, Gisèle Apter, et al.. Whether and When Disclosing the Trauma to One's Children in a Migratory Context? A Pilot Mixed Methods Investigation.. BMC Psychology, 2022, 10 (1), pp.144. ⟨10.1186/s40359-022-00858-w⟩. ⟨hal-03692961⟩