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Child Cognitive-Affective Resilience Following 13-11 Event : A Pluridisciplinary Study of Intergenerational Transmission of a Traumatic Event

Not Applicable
Recruiting
Conditions
Intergenerational Trauma
Registration Number
NCT07203443
Lead Sponsor
Institut National de la Santé Et de la Recherche Médicale, France
Brief Summary

CARE 13-11 study explores the transmission of trauma within families. Exposure to a traumatic event can have an impact on those directly exposed, but also on their family.

This transmission is both biological and behavioral, leading to adaptation that is still poorly understood. CARE 13-11 project offers a unique opportunity to bring together different disciplinary fields, from neuroscience to human and social sciences, to understand this phenomenon.

To answer these questions, the study includes directly exposed families with minor children born before the events, as well as families with no exposure to these events (the so-called "control" group).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
960
Inclusion Criteria

Exposed group

Children

  • Minor child born before November 13, 2015
  • At least one parent was present at the scene of the attacks: criteria A1 (directly exposed to the event) or exposed to the event) or A2 (witnessed the event) of DSM-5
  • With a good command of the French language (francophone)
  • Whose parents have given written consent for their child's their child's participation
  • At least one parent is covered by health insurance

Parent 1 (and Parent 3)

  • Parent of child(ren) included
  • Directly exposed to the attacks: present at the scene of the attacks: criteria A1 (directly exposed to the event) or to the event) or A2 (witness to the event) of the DSM-5
  • Good command of the French language
  • Affiliated with or benefiting from a social security scheme
  • Has given written consent

Parent 2

  • Parent of child(ren) included
  • Not exposed but whose spouse (or ex-spouse) was directly exposed to the attacks on a declarative basis
  • Have a good command of the French language
  • Affiliated with a social security scheme or beneficiary of such a scheme
  • Having given written consent

Uncle/aunt

  • Not exposed, but has a brother or sister directly exposed to the attacks
  • Have a good command of the French language
  • Beneficiary of health insurance
  • Having given written consent

Cousin

  • Minor child born before November 13, 2015
  • Whose aunt or uncle was directly exposed to the attacks
  • Child with a good command of the French language
  • Who has given written consent
  • Whose parents with parental authority have given written consent for their child's their child's participation
  • Whose parent is affiliated to a social security scheme or is a beneficiary of such a scheme

Unexposed group

Child

  • Minor child born before November 13, 2015
  • No relative (family or close friend) has been exposed to the attacks
  • With a good command of the French language
  • Whose parents have given their written consent for their child's their child's participation
  • One of whose parents is affiliated to or benefits from a social security scheme

Parent 1

  • Parent of child(ren) included
  • No exposure to the attacks and no close relative (family or close friend) exposed to the attacks attacks
  • No PTSD at the time of inclusion (PCL-5 < 33)
  • Have a good command of the French language
  • Affiliated with or benefiting from a social security scheme
  • Having given written consent

Parent 2

  • Parent of included child(ren)
  • No exposure to terrorist attacks
  • With a good command of the French language
  • Affiliated with or benefiting from a social security scheme
  • Having given written consent
Exclusion Criteria

For all children:

  • Loss of both parents following the events of November 13
  • Presence of a history of severe neurological, mental or psychopathological disorders (epilepsy, head trauma with loss of consciousness of more than one hour, autism spectrum disorder, intellectual disability, schizophrenia)
  • Persons subject to a legal protection measure (safeguard of justice, curatorship, guardianship)
  • Subject to a period of exclusion in the context of another research project
  • Refusal of the child to participate in research

For children undergoing the on-site protocol:

  • Person with contraindications to MRI
  • For women of childbearing age, pregnancy in progress
  • Psychotropic products capable of modifying attention, vigilance and concentration taken less than 24 hours before questionnaires or examinations (sleeping pills and hypnotics, antipsychotics, mood regulators, antiepileptics and antihistamines). If in doubt about the patient's ability the patient's ability to postpone treatment, advice should be sought from the attending physician.

in the case of antipsychotics and antiepileptics

For all parents:

  • Presence of a history of neurological or neurodevelopmental disorders prior to the attacks except ADHD (epilepsy, head trauma with loss of consciousness of more than one hour, autism spectrum disorder autism spectrum disorder, intellectual disability, schizophrenia)
  • Persons subject to a legal protection measure (safeguard of justice, curatorship, guardianship)
  • Subject to a period of exclusion in the context of another research project
  • Parent's refusal to participate in research

For parents carrying out the protocol on site:

  • Person with contraindications to MRI
  • For women of childbearing age, current or planned pregnancy
  • Psychotropic products capable of modifying attention, vigilance and concentration taken less than 24 hours before questionnaires or examinations (sleeping pills and hypnotics, antipsychotics, mood regulators, antiepileptics and antihistamines). If in doubt about the patient's ability the patient's ability to postpone treatment, advice should be sought from the attending physician.

in the case of antipsychotics and antiepileptics

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Self-esteemDuring the one day of assessments

Parents : scores from SPP-Adult

Emotion regulation for parents and children over the age of 18During the one day of assessments

Scores from ERQ

Emotion regulation for Children and adolescents aged 8 to 17During the one day of assessments

Scores from ERQ-CA

Empathy for Parents, chidren 12-17 years and children over the age of 18During the one day of assessments

Scores from BES-A

Empathy for Children 8-11 yearsDuring the one day of assessments

Scores from BES-C

World visionDuring the one day of assessments

Parents and children : scores from WAS

Well beingDuring the one day of assessments

Parents and children : score from WHO-5

Assessment of Psychiatric nosography with CBCL/YSR (children)During the one day of assessments

Total score, Main scales: Internalized behaviours, Externalized behaviours, Subscales: Anxiety/Depression, Social withdrawal, Somatic complaints, Interpersonal problems, Thought disorder, Attention deficit disorder, Deviant behaviours, Aggressive behaviours, Other problems

Social supportDuring the one day of assessments

Parents : scores from Social Support Questionnaire

Cognitive avoidanceDuring the one day of assessments

Parents and children : scores from QEC

Familial functionningDuring the one day of assessments

Parents and children :Scores from the FAD-SF

BondingDuring the one day of assessments

Parents and children : scores from PBI

Parenting style and practicesDuring the one day of assessments

Parents and children : Scores from the APQ

Communication about 13-11 EventDuring the one day of assessments

Parents and children : results from Communication about 13-11 Event Interview

AttentionDuring the one day of assessments

Parents and children : scores from the Attentional Network Test

Transmission of traumatic memoryDuring the one day of assessments

Parents and children : results from the Approach-Avoidance Task

CortisolDuring the morning of the one day of assessments

Parents and children : Cortisol Awakening Response

Executive functionningDuring the one day of assessments

Children : scores from BRIEF

Sleep - questionnaires for children 8-11 and 12-17 yearsDuring the one day of assessments

Scores from SDSC

Sleep - questionnaires for Parents and children over the age of 18During the one day of assessments

Scores from ISI

Sleep - actimetry Parents and childrenOne week before the one day of assessments

Measurement of bedtimes and wake-up times using an actimeter (a wrist-worn watch-size device).

Sleep - planner Parents and childrenOne week before the one day of assessments

Evalustion of the sleep diary

Neuroanatomical analysisDuring the one day of assessments

Parents and children : anatomic MRI with the classic anatomical sequences

Neurofunctional analysisDuring the one day of assessments

Parents and children fonctionnal MRI with the measurement of the magnitude of the BOLD signal

Assessment of Psychiatric nosography with MINI (parents)During the one day of assessments

Psychological interview

Assessment of PTSD symptoms severity in children 8-11 years and 12-17 yearsDuring the one day of assessments

Results from CPSS-5 a semi-structered interview

Assesssment of PTSD symptoms for parents and children over the age of 18During the one day of assessments

Results from SCID-5-CV which is a semi-structered interview for the diagnosis of mental disorders DSM-5

Assessment of PTSD symptoms severity in adultsDuring the one day of assessments

Scores from PCL-5 which is a self report measure

Coping skills for parents and children 8-11 yearsDuring the one day of assessments

Scores from SRCS.

Secondary traumatisationDuring the one day of assessments

Parents and children : Scores from FST

Post-traumatic growthDuring the one day of assessments

Parents : Scores from PTGI

Coping skills for parents, children 12-17 years and over the age of 18During the one day of assessments

Scores from BCI

Resilience for children 8 to 11 years oldDuring the one day of assessments

Scores from CYRM-R-Child

Resilience for parents and children over the age of 18During the one day of assessments

Scores from ARM-R

Resilience for children 12 to 17 years oldDuring the one day of assessments

Scores from CYRM-R-Youth

AttachmentDuring the one day of assessments

Children : Scores from IPPA

AnxietyDuring the one day of assessments

Parents : scores from STAI

DepressionDuring the one day of assessments

Parents : scores from BDI

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Umr-S 1077 Nimh

🇫🇷

Caen, France

Umr-S 1077 Nimh
🇫🇷Caen, France
Fabian Guénolé
Contact
+33231272309
guenole-f@chu-caen.fr

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