Post-traumatic Stress Disorder
Conditions
Keywords
Post-traumatic stress disorder, Psychotherapy, Qualitative study
Brief summary
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
BEHAVIORALSemi-structured interviews
Semi-structured interviews
BEHAVIORALChild 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)
Sponsors
URC-CIC Paris Descartes Necker Cochin
Assistance Publique - Hôpitaux de Paris
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Semi-structured interviews | At the end of the psychotherapy (up to month 12) | Adolescent Psychotherapy Experience = Evolution in semi-structured interviews at the beginning (T1) and end (T2) of psychotherapy (adolescents) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Child Post-Traumatic Stress Response Index (CPTS-RI) scale | At the end of the psychotherapy (up to month 12) | 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. |
| Therapeutic Alliance Questionnaire (HAQ-CP) | At the end of the psychotherapy (up to month 12) | 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). |
| Semi-structured interviews | At the end of the psychotherapy (up to month 12) | Experience at the end (T2) of psychotherapy (parents) |
Countries
France
Contacts
Primary ContactSevan Minassian, MD
Backup ContactMarie Benhammani
Outcome results
None listed