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Qualitative Study on the Perception of Changes in the Psychotherapy of Traumatized Young People (TRAUMADOPSY)

A

Assistance Publique - Hôpitaux de Paris

Status

Enrolling

Conditions

Post-traumatic Stress Disorder

Treatments

Behavioral: - Therapeutic Alliance Questionnaire (HAQ-CP)
Behavioral: Semi-structured interviews
Behavioral: Child Post-Traumatic Stress Response Index (CPTS-RI) scale

Study type

Observational

Funder types

Other

Identifiers

NCT06138522
APHP231046
2023-A01689-36 (Other Identifier)

Details and patient eligibility

About

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.

Full 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.

Enrollment

65 estimated patients

Sex

All

Ages

12+ years old

Volunteers

Accepts Healthy Volunteers

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

Trial design

65 participants in 3 patient groups

Adolescents
Description:
Participants in consultations specialising in the treatment of psychotrauma at the Maison de Solenn
Treatment:
Behavioral: Child Post-Traumatic Stress Response Index (CPTS-RI) scale
Behavioral: Semi-structured interviews
Behavioral: - Therapeutic Alliance Questionnaire (HAQ-CP)
Parents
Description:
Participants in consultations specialising in the treatment of psychotrauma at the Maison de Solenn
Treatment:
Behavioral: Semi-structured interviews
Behavioral: - Therapeutic Alliance Questionnaire (HAQ-CP)
Professionals
Description:
Participants in consultations specialising in the treatment of psychotrauma at the Maison de Solenn
Treatment:
Behavioral: - Therapeutic Alliance Questionnaire (HAQ-CP)

Trial contacts and locations

1

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Central trial contact

Sevan Minassian, MD; Marie Benhammani

Data sourced from clinicaltrials.gov

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