Cognitive and Behavioral Therapy in School Refusal

NCT04559633 | Completed

• 1 other identifier: RECHMPL20_0048
• Study Type: interventional
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

Anxious school refusal (ASR) is a common disorder which concerns more and more adolescents who are at worse completely absent from school. A specific ambulatory cognitive and behavioral therapy (CBT) program has been established to gradually reintegrate the child back into the school environment with a multidisciplinary team. Alongside school reintegration assessment, the child's overall ability to function and anxiety levels will be measured before and after the program with additional assessments made after a further 6 and 12 months have elapsed.

Conditions

Child Psychiatry; Adolescent; Anxious School Refusal; Cognitive Behavioral Therapy

Keywords

Anxious school refusal; anxiety disorders; CBT; treatment outcome; adolescents

Outcome Measures

Primary Outcomes (1)

• School continue reintegration

  The return back to school next year : school continue reintegration (number of hours the adolescent attended school \> 80% of the number of hours expected for each patient

  46 months

Secondary Outcomes (8)

• Types of anxiety disorders according to the DSM 5

  46 months

• Presence of comorbidities

  46 months

• Initial severity of mental disorders and the evolution of these disorders

  46 months

• Anxiety assessment

  46 months

• Anxiety assessment

  46 months

Study Arms (1)

Anxious school refusal

EXPERIMENTAL

Adolescents with anxious shool refusal will beneficiate of cognitive and behavioral therapy (CBT) in order to help them to return back to school

Other: cognitive and behavioral therapy (CBT)

Interventions

cognitive and behavioral therapy (CBT) OTHER

The CBT program is delivered by a multidisciplinary team with 4 half day hospitalization that includes individual, group CBT and education time (2 hours per day delivered by the teacher). Participants have homework to do in their own time at home. CBT is a manualized program with anxiety psychoeducation, stress management, cognitive restructuration, problem solving techniques, progressive exposure, assertiveness exercises and self-esteem work.

Anxious school refusal

Eligibility Criteria

• Age: 10 Years - 16 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Adolescents between 10 and 16 years old registered in French college (6è to 3è),
• Anxious school refusal based on Berg's criteria,
• Completely dropped out from school (\>5 consecutive days of school nonattendance, absenteeism \< 12 months),
• Anxiety disorder as a principal diagnosis (DSM 5)(MINI -S KID),
• Adolescents want to return to school,
• Signed consent by parents and adolescents

You may not qualify if:

• Intellectual disabilities
• Autism spectrum disorder
• Learning disabilities that causes emotional trouble and being the primary cause of teenagers dropping out of school.
• Conduct disorder (DSM 5)
• Ongoing psychotherapeutic care that the parents or the adolescent would not wish to suspend
• Participation in other ongoing research
• Pregnancy
• Patient not benefiting from a social security scheme

Sponsors & Collaborators

• University Hospital, Montpellier: lead

Study Sites (1)

Montpellier University Hospital

Montpellier, 34295, France

Location

MeSH Terms

Conditions

Anxiety Disorders

Interventions

Cognitive Behavioral Therapy

Condition Hierarchy (Ancestors)

Mental Disorders

Intervention Hierarchy (Ancestors)

Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Hélène DENIS

  Montpellier University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 18, 2020
• First Posted: September 23, 2020
• Study Start: September 22, 2020
• Primary Completion: May 22, 2023
• Study Completion: July 8, 2024
• Last Updated: July 18, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)