Qualitative Study on the Perception of Changes in the Psychotherapy of Traumatized Young People
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Semi-structured interviews, Child Post-Traumatic Stress Response Index (CPTS-RI) scale, - Therapeutic Alliance Questionnaire (HAQ-CP).
- Who it may be relevant to
- Registry conditions: Post-traumatic Stress Disorder. Basic parameters: from 12 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- France
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The clinic of psychological trauma in adolescents still requires further development, whereas it is well documented in adults. This clinic is complex, because it must take into account the nature and type of trauma (recent or not, intentional or not, situations of abuse or sexual violence, etc.), the impact on development, the contexts (social, cultural and family) in which the trauma occurs, and the various vulnerability factors associated with it. This complexity has implications for psychotherapeutic management, which needs to be tailored to the specific clinical profiles of adolescents. Several studies have evaluated psychotherapy for traumatized adolescents, showing a positive short-term effect on the reduction of post-traumatic stress symptoms, whatever the type of psychotherapy. Few studies, however, have analyzed the therapeutic process and the common factors of change, linked mainly to the therapeutic alliance, the patient's experience and the therapist's role: key factors of change according to the international literature. In this context, the patient's experience of his or her psychotherapeutic follow-up is a source of information that has long been neglected, even though it seems essential for better investigating and understanding the complexity of the processes at play in trauma psychotherapy.
Detailed description
The clinic of psychological trauma in adolescents still requires further development, whereas it is well documented in adults. This clinic is complex, because it must take into account the nature and type of trauma (recent or not, intentional or not, situations of abuse or sexual violence, etc.), the impact on development, the contexts (social, cultural and family) in which the trauma occurs, and the various vulnerability factors associated with it. This complexity has implications for psychotherapeutic management, which needs to be tailored to the specific clinical profiles of adolescents.
Several studies have evaluated psychotherapy for traumatized adolescents, showing a positive short-term effect on the reduction of post-traumatic stress symptoms, whatever the type of psychotherapy. Few studies, however, have analyzed the therapeutic process and the common factors of change, linked mainly to the therapeutic alliance, the patient's experience and the therapist's role: key factors of change according to the international literature. In this context, the patient's experience of his or her psychotherapeutic follow-up is a source of information that has long been neglected, even though it seems essential for better investigating and understanding the complexity of the processes at play in trauma psychotherapy.
Interventions
- Behavioral Semi-structured interviews
Semi-structured interviews - Behavioral Child Post-Traumatic Stress Response Index (CPTS-RI) scale
Child Post-Traumatic Stress Response Index (CPTS-RI) scale - Behavioral - Therapeutic Alliance Questionnaire (HAQ-CP)
\- Therapeutic Alliance Questionnaire (HAQ-CP)
Primary outcome measures
- Semi-structured interviews [Time frame: At the end of the psychotherapy (up to month 12)]
Secondary outcome measures (3)
- Child Post-Traumatic Stress Response Index (CPTS-RI) scale [Time frame: At the end of the psychotherapy (up to month 12)]
- Therapeutic Alliance Questionnaire (HAQ-CP) [Time frame: At the end of the psychotherapy (up to month 12)]
- Semi-structured interviews [Time frame: At the end of the psychotherapy (up to month 12)]
Eligibility criteria
Inclusion criteria
Teenagers :
- Teenagers from 12 to 18 years old
- Post-traumatic stress disorder (DSM Criteria 5 Post-Traumatic Stress Disorder)
- Consultant at the Maison de Solenn (Maison des Adolescents)
- Affiliated to a social security scheme
Parents : parents of adolescents followed at the MDA and agreeing to participate in the study
Professionals: providing psychotherapeutic follow-up for adolescents at the MDa
Exclusion criteria
- Refusal of the adolescent and/or his/her family (if applicable) to participate in the study,
- Adults (all groups combined): under guardianship or curatorship, under judicial protection
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Cohort
Study locations
France · 1 center
- University Hospital Cochin, Maison des Adolescents - Youth Department, F-75014 Paris, Fran — Paris
Identifiers
NCT: NCT06138522 · APHP231046 · 2023-A01689-36