School Phobia
Conditions
Keywords
Adolescence, School Phobia, Multi-family therapy, Anxiety disorder
Brief summary
The purpose of this study is to determine whether multi-family therapy is effective in the treatment of school refusal with anxiety in adolescence.
Detailed description
Anxious school refusal in adolescence is a major public health problem. The involvement of families is essential and multi-family therapy has shown its effectiveness for many mental disorders. This study aims to explore the benefit of multi-family therapy in the care of anxious school refusal in adolescence. The method will be qualitative with phenomenological analysis of semi-structured interviews with adolescents and their parents and quantitative with a SCED design to assess the evolution of the level of anxiety of adolescents and parents, as well as personalized objectives. The objective is therefore to improve the care of adolescents with anxious school refusal.
Interventions
BEHAVIORALMulti-family therapy
8 sessions of Multi-family therapy of 3 hours each during 24 weeks
Sponsors
Assistance Publique - Hôpitaux de Paris
URC-CIC Paris Descartes Necker Cochin
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
12 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Families with an adolescent * Aged 12 to 18 * Totally out of school for more than 2 consecutive weeks and less than 18 months * Follow-up at the Maison de Solenn-Maison des Adolescents (Cochin Hospital AP-HP) for a school refusal * Having agreed to participate in a multi-family therapy * Domiciliation in Ile de France * Agreement of the parents and the adolescent to participate in the study: Collection of the non-opposition of non-emancipated minors and their legal representatives
Exclusion criteria
* any family situation that makes it impossible to bring parents and children together in family therapy * patient under curatorship or tutorship * patient with AME (french State Medical Aid)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale (VAS) | 13 to 15 months | Visual Analogue Scale for anxiety (adolescents and parents) / 0 = no anxiety at all, 10 = maximum anxiety imaginable / Weekly measurement between inclusion and the end of the Single Case Experimental Design (SCED) follow-up (13 to 15 months) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Goal Attainment Scale (GAS) | 13 to 15 months | School attendance (adolescent) / 3-terminal GAS are 5-level GAS, i.e. with a possible rating ranging from -2 to +2. Level -2 corresponds to the initial state at the time of inclusion. Levels -2, 0 and +2 are precisely described, level -1 corresponds to a rating between -2 and 0 and level +1 to a rating between 0 and +2 / Weekly measurements, parents and adolescent, once a week from inclusion to the end of the SCED follow-up (13 to 15 months) |
| Adolescent Depression Rating Scale (ADRS) | 13 to 15 months | Depression (adolescent) / 10 questions / Monthly measurements, adolescent and referring psychiatrist once a month from inclusion to the end of the SCED follow-up (13 to 15 months) |
| Family Assessment Device General Functioning (FAD-GF) | 13 to 15 months | Family functioning / 12 questions, minimum = 12, maximum = 48 / Monthly measurements, parents and adolescent, once a month from inclusion to the end of the SCED follow-up (13 to 15 months) |
| Global Assessment of Functioning Scale (GAF) | 13 to 15 months | Global Functioning of the adolescent / From 0 = inadequate information, to 100 = higher level of functioning in a wide variety of activities - V-axis of the DSM 5 / Monthly measurements, referring psychiatrist, once a month from inclusion to the end of the SCED follow-up (13 to15 months) |
| CSQ 8 (Client Satisfaction Questionnaire) | 7 to 9 months | Satisfaction of the patients and the parents with multi-family therapy / 8 questions, minimum score = 8, maximum = 32 / At the end of the multifamily therapy, parents and teenager |
| Semi-structured interview | 7 to 9 months | Semi-structured interview with qualitative phenomenological analysis (patients and parents) At the end of multi-family therapy |
Countries
France
Contacts
STUDY_DIRECTORMarie-Rose MORO, MD, PhD, PU-PH
Cochin Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP)
PRINCIPAL_INVESTIGATORAurélie HARF, MD, PhD
Cochin Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP)
Outcome results
None listed