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| ID | Type | Description | Link |
|---|---|---|---|
| 2023-A01689-36 | Other Identifier | French Ministry of Health |
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| Name | Class |
|---|---|
| URC-CIC Paris Descartes Necker Cochin | OTHER |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Adolescents | Participants in consultations specialising in the treatment of psychotrauma at the Maison de Solenn |
| |
| Parents | Participants in consultations specialising in the treatment of psychotrauma at the Maison de Solenn |
| |
| Professionals | Participants in consultations specialising in the treatment of psychotrauma at the Maison de Solenn |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Semi-structured interviews | Behavioral | Semi-structured interviews |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Semi-structured interviews | Adolescent Psychotherapy Experience = Evolution in semi-structured interviews at the beginning (T1) and end (T2) of psychotherapy (adolescents) | At the end of the psychotherapy (up to month 12) |
| Measure | Description | Time Frame |
|---|---|---|
| Child Post-Traumatic Stress Response Index (CPTS-RI) scale | Evolution of psychotraumatic symptoms in adolescents (CPTS-IR) between the beginning (T1) and the end of psychotherapy (T2) (adolescents). The Child Posttraumatic Stress Reaction Index (CPTS-RI) measures the presence of post-traumatic stress disorder: Severity is generally assessed according to the following criteria: 0 - 11: mild, 11 - 24: mild, 25 - 39: moderate, 40 - 59: severe, 60 - 80: very severe. |
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Inclusion Criteria:
Teenagers :
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:
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Adolescents suffering from psychotrauma and psychotherapy follow-up in the Consultation Service, Maison de Solenn, Maison des adolescents de l'hôpital Cochin (AP-HP).
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sevan Minassian, MD | Contact | 00 33 1 58 41 24 29 | sevan.minassian@aphp.fr | |
| Marie Benhammani | Contact | 00 33 1 58 41 11 90 | marie.godard@aphp.fr |
| Name | Affiliation | Role |
|---|---|---|
| Sevan Minassian, MD | University Hospital Cochin, Maison des Adolescents - Youth Department, F-75014 Paris, France | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Cochin, Maison des Adolescents - Youth Department, F-75014 Paris, France | Recruiting | Paris | IDF | 75014 | France |
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| Child Post-Traumatic Stress Response Index (CPTS-RI) scale |
| Behavioral |
Child Post-Traumatic Stress Response Index (CPTS-RI) scale |
|
| - Therapeutic Alliance Questionnaire (HAQ-CP) | Behavioral | - Therapeutic Alliance Questionnaire (HAQ-CP) |
|
| At the end of the psychotherapy (up to month 12) |
| Therapeutic Alliance Questionnaire (HAQ-CP) | Perception of change, the therapeutic alliance perceived by adolescents, parents and therapists at the end of psychotherapy (adolescents + parents + professionals). The Helping Alliance Questionnaires for Child and Parents (HAQ-CP) assesses the quality of the therapeutic alliance. Answers to the questionnaires produce 2 scores: An alliance score ranging from 0 (weak alliance) to 100 (strong alliance) A well-being score ranging from 0 (feeling unwell) to 10 (feeling well). | At the end of the psychotherapy (up to month 12) |
| Semi-structured interviews | Experience at the end (T2) of psychotherapy (parents) | At the end of the psychotherapy (up to month 12) |
| ID | Term |
|---|---|
| D013313 | Stress Disorders, Post-Traumatic |
| ID | Term |
|---|---|
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D014894 | Weights and Measures |
| ID | Term |
|---|---|
| D008919 | Investigative Techniques |
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