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在移民背景下,是否以及何时向子女透露创伤?一项试点混合方法研究。

Whether and when disclosing the trauma to one's children in a migratory context? A pilot mixed methods investigation.

机构信息

Universite Sorbonne Paris Nord, 93430, Villetaneuse, France.

Maison de Solenn-Maison of Cochin's Youth, APHP, 75014, Paris, France.

出版信息

BMC Psychol. 2022 Jun 7;10(1):144. doi: 10.1186/s40359-022-00858-w.

Abstract

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.

摘要

背景

向子女披露父母所经历的创伤事件是代际创伤传递中的一个核心问题。然而,在移民群体中,人们对此知之甚少。本研究的主要目的是研究移民女性在法国向子女披露创伤经历的选择。

方法

本初步研究调查了 14 对母婴,其中移民母亲(M=30 岁;范围=19-42 岁)曾经历创伤事件。使用顺序混合方法设计。除了完成修订后的影响事件量表外,还通过半结构化访谈收集定性数据。使用主题和跨文化方法分析这些数据。调查于 2019 年 5 月至 2020 年 7 月进行。

结果

我们的研究揭示了母亲在向孩子披露创伤故事的选择方面的三种特征:一组母亲选择沉默(n=4),另一组选择披露(n=7),最后一组犹豫不决(n=3)。选择的方式与创伤后应激症状的严重程度呈统计学相关,F(2,11)=4.62,p<.05。具体而言,选择沉默的女性(M=72.75,SD=4.99)和犹豫不决选择披露的女性(M=71.33,SD=7.51)报告的 IES-R 得分高于选择披露的女性(M=59.86,SD=12.44)。从参与者叙述的主题和跨文化分析中出现了六个主要主题:(1)创伤经历的个人化,(2)孩子被视为防止崩溃的武器,(3)对孩子个人反应的恐惧,(4)可能部分披露,(5)根据孩子年龄讲述创伤故事,以及(6)两种文化之间的陷阱。

结论

我们的结果表明,通过文化上适当的治疗护理,这些母亲从创伤中恢复,可以有效地促进她们向子女披露创伤经历的选择。这种治疗可以支持她们发展开放和健康的沟通策略,以防止创伤效应对子女的传递。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c275/9175308/d5cac8cfcd2e/40359_2022_858_Fig1_HTML.jpg

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