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Theses

La santé mentale des mères et des enfants en situation de grande précarité en île de France

Abstract : In the current context of the increase in the number of homeless families in Île-de-France and given their vulnerability, it is necessary to better know their characteristics, especially in mental health. The objective of this thesis is to study the factors associated with the mental health of mothers and children of homeless families in Ile de France, in order to bring French data to the scientific literature on the subject in order to contribute to extend the reflection ways of action that can improve the mental health of the poorest families.This thesis was based on the ENFAMS survey, conducted among 801 homeless families in Île-de-France, by bilingual trained interviewers and psychologist during the winter of 2012-2013. From these data, we showed that mothers from homeless families had high prevalence of depression (28.8%) and Post Traumatic Stress Disorders (PTSD) (18.9%), that their children had high levels of emotional and behavior difficulties (20.8%) and that the mothers' mental health was associated with emotional and behavioral difficulties of their child. Factors associated with maternal depression included fluency in French, suicidal risk, PTSD, and giving up medical care. The risk of PTSD for mothers was associated with departure from the country of origin for a violent cause, depression over the past 12 months, and residential instability. Children's emotional and behavioral difficulties were associated with parents' birth regions, residential mobility, children's health and overweight, children's sleep patterns, mother’s suicidal risk, the fact that children do not like their housing and being victim of school bullying. This thesis makes it possible to better understand the factors associated with the mental health of mothers and children of homeless families. Thus, the standard health care system and primary care professionals must take advantage of the opportunity offered by each contact with this families to detect mental health disorders for both mothers and their children, and refer them to existing structures to facilitate their access to care.
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  • HAL Id : tel-02926058, version 1

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Mathilde Roze. La santé mentale des mères et des enfants en situation de grande précarité en île de France. Médecine humaine et pathologie. Sorbonne Université, 2018. Français. ⟨NNT : 2018SORUS130⟩. ⟨tel-02926058⟩

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