Mapping the Healthcare Pathway to Multidisciplinary Assessment of 12-25 Year Olds With Somatic Symptom Disorder

NCT06582173 | Not Yet Recruiting

• 2 other identifiers: APHP2408902024-A01371-46
• Study Type: observational
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to describe the course of successive care events that follow individuals with somatic symptom disorder until they are assessed by a specialized multidisciplinary team. Data is collected during interviews with subjects aged 12 to 25 years old accompanied by their parents. A biographical grid is used to retrospectively identify all care events that occurred from first symptoms until multidisciplinary assessment. Life events and symptoms are collected as well to explore how history of healthcare consumption is linked to other trajectories. A qualitative analysis of the recorded interviews aims to describe the subjective experience of this healthcare pathway.

Conditions

Somatic Symptoms; Medically Unexplained Symptoms; Somatoform Disorders

Keywords

Somatic symptoms; Somatoform disorder; Medically unexplained symptoms; Healthcare pathway; Healthcare trajectory; Care episodes; Health Care Utilization; Adolescent; Young Adult

Outcome Measures

Primary Outcomes (1)

• Occurrence of healthcare events

  Successive healthcare events of individuals with somatic symptom disorder, from first symptoms to specialised multidisciplinary assessment

  Day of inclusion

Secondary Outcomes (7)

• Raise of healthcare events occurrence

  Day of inclusion

• Raise of life events occurrence

  Day of inclusion

• Decrease of healthcare events occurrence

  Day of inclusion

• Decrease of life events occurrence

  Day of inclusion

• Modification of somatic symptoms occurrence

  Day of inclusion

Study Arms (2)

Adolescents

Patients aged 12 to 25 years old and diagnosed with SSD by a specialised multidisciplinary team

Other: Face-to-face interviews assisted by a biographical grid

Parents

Parents of an adolescent included

Other: Face-to-face interviews assisted by a biographical grid

Interventions

Face-to-face interviews assisted by a biographical grid OTHER

Face-to-face interviews assisted by a biographical grid. Healthcare event of the adolescent : * medical specialist appointment * general practitioner appointment * emergency services use * hospital admission * diagnostic test * medication use * non-pharmacological treatment * nursing or physical therapy * alternative care Biographical of the adolescent : * Education event * Class/level * School * Attendance * Special arrangements * Grades * Off school education * Family event * Separation/union * Birth/death * Leave/Arrival * Location/Moving * Disease/accident * Peer events * Friendships * Love interests * Bullying * Leisure \& interests events * Activity * Frequency

Adolescents; Parents

Eligibility Criteria

• Age: 12 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Participants are selected among patients assessed in the recruiting centre, whatever their course after assessment. The recruiting centre is an adolescent clinic which is part of a public teaching hospital in Paris, France. The centre provides inpatient and outpatient care delivered by a multidisciplinary team. Patients aged 11 to 18 can be referred to this centre by a healthcare professional or can directly access to care, regardless of their living area. For each patient included, parents are asked to participate to research interviews to help map the healthcare pathway their child followed.

You may qualify if:

• Criteria relating to the population studied:
• Age between 12 and 25 years old
• Diagnosis of somatic symptom disorder and derivatives (DSM 5) after specialized multidisciplinary evaluation by the team of the Maison des Adolescents of Cochin hospital (Maison de Solenn).
• Criteria relating to the additional population participating in the research:
• \- Being a parent of a subject who has received the diagnosis of somatic symptom disorder and derivatives (DSM 5) after specialized multidisciplinary evaluation at the Maison des Adolescents of Cochin Hospital (Maison de Solenn).

You may not qualify if:

• Criteria relating to the population studied:
• Age less than 12 years or greater than 25 years at the time of assessment,
• Subject presenting ongoing psychiatric decompensation, that is to say a state of mental health breaking with their baseline state and requiring rapid care which does not allow a research interview to be carried out.
• Criteria relating to the additional population participating in the research:
• None

Sponsors & Collaborators

• Assistance Publique - Hôpitaux de Paris: lead
• URC-CIC Paris Descartes Necker Cochin: collaborator

Study Sites (1)

Maison de Solenn Maison des Adolescents, Cochin Hospital

Paris, IDF, 75014, France

Location

Related Publications (8)

• Joustra ML, Janssens KA, Bultmann U, Rosmalen JG. Functional limitations in functional somatic syndromes and well-defined medical diseases. Results from the general population cohort LifeLines. J Psychosom Res. 2015 Aug;79(2):94-9. doi: 10.1016/j.jpsychores.2015.05.004. Epub 2015 May 16.

  PMID: 26026696 BACKGROUND

• van Dessel N, den Boeft M, van der Wouden JC, Kleinstauber M, Leone SS, Terluin B, Numans ME, van der Horst HE, van Marwijk H. Non-pharmacological interventions for somatoform disorders and medically unexplained physical symptoms (MUPS) in adults. Cochrane Database Syst Rev. 2014 Nov 1;2014(11):CD011142. doi: 10.1002/14651858.CD011142.pub2.

  PMID: 25362239 BACKGROUND

• Wortman MSH, Lokkerbol J, van der Wouden JC, Visser B, van der Horst HE, Olde Hartman TC. Cost-effectiveness of interventions for medically unexplained symptoms: A systematic review. PLoS One. 2018 Oct 15;13(10):e0205278. doi: 10.1371/journal.pone.0205278. eCollection 2018.

  PMID: 30321193 BACKGROUND

• Gosselin A, Desgrees du Lou A, Lelievre E; PARCOURS Study Group. How to use sequence analysis for life course epidemiology? An example on HIV-positive Sub-Saharan migrants in France. J Epidemiol Community Health. 2018 Jun;72(6):507-512. doi: 10.1136/jech-2017-209739. Epub 2018 Feb 2.

  PMID: 29437866 BACKGROUND

• Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescence. Lancet Child Adolesc Health. 2018 Mar;2(3):223-228. doi: 10.1016/S2352-4642(18)30022-1. Epub 2018 Jan 30.

  PMID: 30169257 BACKGROUND

• Kachaner A, Harim M, Combier A, Trouvin AP, Avouac J, Ranque B, Piot MA. Management perspectives from patients with fibromyalgia experiences with the healthcare pathway: a qualitative study. Front Med (Lausanne). 2023 Dec 1;10:1231951. doi: 10.3389/fmed.2023.1231951. eCollection 2023.

  PMID: 38105901 BACKGROUND

• Hinton D, Kirk S. Families' and healthcare professionals' perceptions of healthcare services for children and young people with medically unexplained symptoms: a narrative review of the literature. Health Soc Care Community. 2016 Jan;24(1):12-26. doi: 10.1111/hsc.12184. Epub 2015 Feb 16.

  PMID: 25684117 BACKGROUND

• Ludot M, Merlo M, Ibrahim N, Piot MA, Lefevre H, Carles ME, Harf A, Moro MR. ["Somatic symptom disorders" in adolescence. A systematic review of the recent literature]. Encephale. 2021 Dec;47(6):596-604. doi: 10.1016/j.encep.2021.04.007. Epub 2021 Sep 16. French.

  PMID: 34538623 BACKGROUND

MeSH Terms

Conditions

Medically Unexplained Symptoms; Somatoform Disorders; Patient Acceptance of Health Care

Condition Hierarchy (Ancestors)

Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Maude LUDOT-GREGOIRE, MD, PhD

  Maison des Adolescents - Cochin Hospital - AP-HP

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Maude LUDOT-GREGOIRE, MD, PhD

CONTACT

+33 1 58 41 24 26; maude.ludot@aphp.fr

Marie BENHAMMANI-GODARD

CONTACT

0033158411190; marie.godard@aphp.fr

Study Design

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

Study Record Dates

• First Submitted: August 30, 2024
• First Posted: September 3, 2024
• Study Start: March 1, 2026
• Primary Completion (Estimated): March 1, 2028
• Study Completion (Estimated): March 1, 2028
• Last Updated: March 16, 2026

Record last verified: 2026-03

Locations

FR (1)