Qualitative Evaluation of Therapeutic Alliance in Adolescent Psychiatry

NCT03288649 | Completed

• 1 other identifier: 20140600001072
• Study Type: observational
• Target: 129
• Locations: 1 country
• Sites: 2

Brief Summary

Context: Psychiatric disorders (anorexia nervosa, depression, anxiety based school refusal) are a major public health concern in adolescence. Their treatment is a challenge for the families, the health care system and society. The treatment is complex and non-standardized. In clinical practice, the relational dimension between the stakeholders is recognized by all. Nevertheless no study has ever crossed their perspectives about therapeutic alliance in adolescent psychiatry. Objective: to explore, within a qualitative approach, how a therapeutic alliance is established in three different clinical situations according to the adolescents, their parents and their physicians by crossing their perspectives. Methods: This is a national (France) multi-center qualitative study based on 180 semi-structured interviews. Participants (purposively selected until data saturation) came from three different sub-samples: (i) adolescents with anorexia nervosa (N =20) plus their parents (N=20) and their physicians (N=20), (ii) adolescents with depressions (N=20) plus their parents (N=20) and their physicians (N=20), and (iii) adolescents with anxiety-based school refusal (N=20) plus their parents (N=20) and their physicians (N=20). Data are collected through open ended semi structured interviews and independently analyzed with NVivo V.11 software by three researchers according to the principles of Interpretative Phenomenological Analysis.

Conditions

Anorexia Nervosa; Depression; School Phobia

Outcome Measures

Primary Outcomes (1)

• to describe the facilitators of therapeutic alliance within adolescent psychiatry using a qualitative approach

  qualitative methodology using verbal data analysis of semi-structured interviex

  2 years

Study Arms (3)

Anorexia nervosa

adolescents with anorexia nervosa (N=20 ?), their parents (N=20), their physicians (N=20)

Anxiety based school refusal

adolescents with anxiety based school refusal (N=20 ?), their parents (N=20), their physicians (N=20)

Depression

adolescents with depression (N=20 ?), their parents (N=20), their physicians (N=20)

Eligibility Criteria

• Age: 12 Years - 18 Years
• Sex: all
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

adolescents with psychiatric disorders

You may qualify if:

• adolescents, boys and girls, aged 12 to 18 years, speaking fluent French, with (i) anorexia nervosa according to DSM 5 criteria (ii) depressive disorders (dysthymia, depressive episode) according to DSM 5 criteria (iii) anxiety-based school refusal according to four criteria:
• refusal to attend school (to operationalize this first criterion, adolescents were included if they had not attended school at all for at least one month before starting treatment); (2) presence of a DSM-5 anxiety disorder (except obsessive-compulsive or post-traumatic stress disorders) with emotional upset at the prospect of attending school; (3) absence of a DSM-5 conduct disorder; and (4) parental knowledge of the adolescent's whereabouts during the period of non-attendance.
• that led to treatment that had begun at least six months earlier and clinically determined to be well enough to participate in a research interview.
• receiving treatment for at least 6 months
• one parent at least agrees to participate

You may not qualify if:

• acute symptoms and serious somatic and/or psychiatric co-morbidities

Sponsors & Collaborators

• Centre Hospitalier Victor Dupouy: lead

Study Sites (2)

CHVictorDupouy

Argenteuil, 95100, France

Location

CHU Rouen

Rouen, 76000, France

Location

MeSH Terms

Conditions

Anorexia Nervosa; Depression; Phobia, School

Condition Hierarchy (Ancestors)

Feeding and Eating Disorders; Mental Disorders; Behavioral Symptoms; Behavior; Phobic Disorders; Anxiety Disorders

Study Officials

• Anne Revah-Levy, MD PhD

  Paris diderot University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Pr Anne Revah-Levy

Study Record Dates

• First Submitted: September 13, 2017
• First Posted: September 20, 2017
• Study Start: January 1, 2016
• Primary Completion: December 31, 2019
• Study Completion: June 30, 2021
• Last Updated: August 23, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

FR (2)