Community engagement in epigenomic and neurocognitive research on post-traumatic stress disorder in Rwandans exposed to the 1994 genocide against the Tutsi: lessons learned

Author:

Musanabaganwa Clarisse12345ORCID,Jansen Stefan26ORCID,Wani Agaz3ORCID,Rugamba Alex1ORCID,Mutabaruka Jean2ORCID,Rutembesa Eugene2ORCID,Uwineza Annette1ORCID,Fatumo Segun78ORCID,Hermans Erno J4ORCID,Souopgui Jacob9ORCID,Wildman Derek E3ORCID,Uddin Monica3ORCID,Roozendaal Benno4ORCID,Njemini Rose5ORCID,Mutesa Leon1ORCID

Affiliation:

1. Center for Human Genetics, College of Medicine & Health Sciences, University of Rwanda, Kigali, PO BOX 4285, Rwanda

2. Department of Clinical Psychology, College of Medicine & Health Sciences, University of Rwanda, PO BOX 4285, Rwanda

3. Genomics Program, College of Public Health, University of South Florida, FL 33612, USA

4. Department of Cognitive Neuroscience, Radboud University Medical Center, 6500HB, Nijmegen, and Donders Institute for Brain, Cognition & Behaviour, Radboud University, Nijmegen, 6525EN, The Netherlands

5. Frailty in Ageing Research Department, Vrije Universiteit Brussel, Jette Campus, 1090, Belgium

6. Directorate of Research & Innovation, College of Medicine & Health Sciences, University of Rwanda, Kigali, PO-BOX 4285, Rwanda

7. London School of Hygiene & Tropical Medicine, Bloomsbury, London, WC1E 7HT, UK

8. The African Computational Genomics (TACG) Research Group, MRC/UVRI & LSHTM, Entebbe, 31302, Uganda

9. Department of Molecular Biology, Institute of Biology & Molecular Medicine (IBMM), Université Libre de Bruxelles, Gosselies Campus, Gosselies, 126040, Belgium

Abstract

Epigenomic and neurocognitive studies have provided new perspectives on post-traumatic stress disorder and its intergenerational transmission. This article outlines the lessons learned from community engagement (CE) in such research on Rwandan genocide survivors. A strong trauma-related response was observed within the research project-targeted community (genocide survivors) during explanation of the project. CE also revealed privacy concerns, as community members worried that any leakage of genetic/(epi)genomic data could affect not only themselves but also their close relatives. Adopting a culture of CE in the process of research implementation enables the prioritization of targeted community needs and interests. Furthermore, CE has stimulated the development of mental healthcare interventions, which married couples can apply to protect their offspring and thus truly break the cycle of inherited vulnerability.

Funder

National Institute of Mental Health

Publisher

Future Medicine Ltd

Subject

Cancer Research,Genetics

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