Predictive Factors for the Outcome of Young Children Emotional and/or Behavioral Disorders After Psychotherapeutic Intervention

NCT05820269 | Completed

• 1 other identifier: 8301
• Study Type: observational
• Target: 272
• Locations: 1 country
• Sites: 1

Brief Summary

Behavioral disorders and emotional disorders represent frequent reasons for consultation in young children. Their prevalence is between 7% and 13% depending on the studies. Behavioral disorders, and to a lesser extent emotional disorders, tend to persist through childhood and adolescence and are a risk factor for disorders in adulthood. There is still little research on psychotherapies concerning children and even less on parent(s)-young child therapies, despite a certain interest of clinicians for these. In a previous study, three independent factors appeared predictive of the unfavorable child's outcome : the frequency and intensity of behavioral problems and fears, as well as the absence of the father at more than 2/3 of the consultations. The only independent factor associated with the outcome of the mother was her anxiety score at the start of treatment. The study presented here will take these elements into account and will include an assessment of both parents. The main objective is to identify predictive factors of behavioural and emotional disorder outcome in children aged 18 months to 48 months after parent-child psychotherapy. The secondary objectives are to study predictive factors of the outcome in parents (anxiety/depression symptoms) and parent-child relationship. The main predictive factors will be the presence of the father at the consultations, the therapeutic alliance (subject to validation), the type of disorder of the child and the parental psychopathology.

Conditions

Behavioral Disorders; Emotional Disorder of Childhood

Keywords

childhood; Behavioral Disorders; Emotional Disorder of Childhood

Outcome Measures

Primary Outcomes (2)

• predictive factors of behavioural disorder outcome

  The evolution of the child will be the total score of the CBCL (a z-score \< 1 will be considered as a favorable evolution).

  between inclusion and 18 months

• predictive factors of emotional disorder outcome

  Parent-child relationships will be calculated by the PIR-GAS score. Relationship difficulties are assessed based on the intensity, frequency and duration of maladaptive interactions and a score below 40 indicates a disordered relationship.

  between inclusion and 18 months

Secondary Outcomes (1)

• predictive factors of the outcome in parents (anxiety/depression symptoms) and parent-child relationship

  at 18 months

Interventions

parents-child psychotherapy BEHAVIORAL

filling out questionnaires during psychotherapy consultations

Eligibility Criteria

• Age: 18 Months - 48 Months
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

child with behavioral problems or emotional disorders consulting in a psychological care service

You may qualify if:

• first medico-psychological consultation with a young child and one or both parents
• child aged 18 to 48 months at the time of making the appointment for the first consultation
• parents who can speak French
• child presenting as a reason for consultation a behavioral and/or a emotional disorder (anger, opposition, provocation, aggressiveness, hyperactivity, agitation, fits of crying, separation difficulties, exaggerated fears, anxiety, sadness, shyness, withdrawal)
• parents who signed the written consent
• affiliation to a social security scheme

You may not qualify if:

• child referred on therapeutic injunction by the judicial services
• child seen only for a diagnostic opinion, with redirection to another service or private for pick-up if needed
• presence of an adult other than the father or mother at the first consultation (apart from a mother-in-law or father-in-law)
• child with a suspected or diagnosed pervasive developmental disorder (according to ICD10, F84 criteria),
• suspicion or diagnosis of physical abuse
• child with a sensory disability or mental retardation already diagnosed
• child referred by a SESSAD, a CAMSP or an assessment center for pervasive disorders of the development

Sponsors & Collaborators

• University Hospital, Montpellier: lead

Study Sites (1)

UH of Montpellier

Montpellier, 34295, France

Location

MeSH Terms

Conditions

Mental Disorders

Study Officials

• Marie-Joëlle Hervé, PHD

  UH of Montpellier

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 22, 2023
• First Posted: April 19, 2023
• Study Start: January 5, 2009
• Primary Completion: December 31, 2013
• Study Completion: December 31, 2013
• Last Updated: April 19, 2023

Record last verified: 2023-04

Locations

FR (1)