Qualitative Study on the Perception of Changes in the Psychotherapy of Traumatized Young People

Recruiting

• Conditions: Post-traumatic Stress Disorder
• Interventions: Behavioral: Semi-structured interviews; Behavioral: Child Post-Traumatic Stress Response Index (CPTS-RI) scale; Behavioral: - Therapeutic Alliance Questionnaire (HAQ-CP)

• Registration Number: NCT06138522
• Lead Sponsor: Assistance Publique - Hôpitaux de Paris

Brief Summary

The clinic of psychological trauma in adolescents still requires further development, whereas it is well documented in adults. This clinic is complex, because it must take into account the nature and type of trauma (recent or not, intentional or not, situations of abuse or sexual violence, etc.), the impact on development, the contexts (social, cultural and family) in which the trauma occurs, and the various vulnerability factors associated with it. This complexity has implications for psychotherapeutic management, which needs to be tailored to the specific clinical profiles of adolescents.

Several studies have evaluated psychotherapy for traumatized adolescents, showing a positive short-term effect on the reduction of post-traumatic stress symptoms, whatever the type of psychotherapy. Few studies, however, have analyzed the therapeutic process and the common factors of change, linked mainly to the therapeutic alliance, the patient's experience and the therapist's role: key factors of change according to the international literature. In this context, the patient's experience of his or her psychotherapeutic follow-up is a source of information that has long been neglected, even though it seems essential for better investigating and understanding the complexity of the processes at play in trauma psychotherapy.

Detailed Description

The clinic of psychological trauma in adolescents still requires further development, whereas it is well documented in adults. This clinic is complex, because it must take into account the nature and type of trauma (recent or not, intentional or not, situations of abuse or sexual violence, etc.), the impact on development, the contexts (social, cultural and family) in which the trauma occurs, and the various vulnerability factors associated with it. This complexity has implications for psychotherapeutic management, which needs to be tailored to the specific clinical profiles of adolescents.

Several studies have evaluated psychotherapy for traumatized adolescents, showing a positive short-term effect on the reduction of post-traumatic stress symptoms, whatever the type of psychotherapy. Few studies, however, have analyzed the therapeutic process and the common factors of change, linked mainly to the therapeutic alliance, the patient's experience and the therapist's role: key factors of change according to the international literature. In this context, the patient's experience of his or her psychotherapeutic follow-up is a source of information that has long been neglected, even though it seems essential for better investigating and understanding the complexity of the processes at play in trauma psychotherapy.

Study Timeline

• Study First Submitted: 2023-11-14
• Study First Submitted QC: 2023-11-14
• Study First Posted: 2023-11-18
• Study Start: 2023-11-30
• Status Verified: 2024-01
• Last Update Submitted: 2024-01-23
• Last Update Posted: 2024-01-24
• Primary Completion: 2026-11
• Study Completion: 2027-06

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

Teenagers :

• Teenagers from 12 to 18 years old
• Post-traumatic stress disorder (DSM Criteria 5 Post-Traumatic Stress Disorder)
• Consultant at the Maison de Solenn (Maison des Adolescents)
• Affiliated to a social security scheme

Parents : parents of adolescents followed at the MDA and agreeing to participate in the study

Professionals: providing psychotherapeutic follow-up for adolescents at the MDa

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Exclusion Criteria

• Refusal of the adolescent and/or his/her family (if applicable) to participate in the study,
• Adults (all groups combined): under guardianship or curatorship, under judicial protection

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Adolescents	- Therapeutic Alliance Questionnaire (HAQ-CP)	Participants in consultations specialising in the treatment of psychotrauma at the Maison de Solenn
Parents	- Therapeutic Alliance Questionnaire (HAQ-CP)	Participants in consultations specialising in the treatment of psychotrauma at the Maison de Solenn
Professionals	- Therapeutic Alliance Questionnaire (HAQ-CP)	Participants in consultations specialising in the treatment of psychotrauma at the Maison de Solenn
Adolescents	Semi-structured interviews	Participants in consultations specialising in the treatment of psychotrauma at the Maison de Solenn
Parents	Semi-structured interviews	Participants in consultations specialising in the treatment of psychotrauma at the Maison de Solenn
Adolescents	Child Post-Traumatic Stress Response Index (CPTS-RI) scale	Participants in consultations specialising in the treatment of psychotrauma at the Maison de Solenn

Primary Outcome Measures

Name	Time	Method
Semi-structured interviews	At the end of the psychotherapy (up to month 12)	Adolescent Psychotherapy Experience = Evolution in semi-structured interviews at the beginning (T1) and end (T2) of psychotherapy (adolescents)

Secondary Outcome Measures

Name	Time	Method
Semi-structured interviews	At the end of the psychotherapy (up to month 12)	Experience at the end (T2) of psychotherapy (parents)
Child Post-Traumatic Stress Response Index (CPTS-RI) scale	At the end of the psychotherapy (up to month 12)	Evolution of psychotraumatic symptoms in adolescents (CPTS-IR) between the beginning (T1) and the end of psychotherapy (T2) (adolescents).; The Child Posttraumatic Stress Reaction Index (CPTS-RI) measures the presence of post-traumatic stress disorder: Severity is generally assessed according to the following criteria: 0 - 11: mild, 11 - 24: mild, 25 - 39: moderate, 40 - 59: severe, 60 - 80: very severe.
Therapeutic Alliance Questionnaire (HAQ-CP)	At the end of the psychotherapy (up to month 12)	Perception of change, the therapeutic alliance perceived by adolescents, parents and therapists at the end of psychotherapy (adolescents + parents + professionals).; The Helping Alliance Questionnaires for Child and Parents (HAQ-CP) assesses the quality of the therapeutic alliance.; Answers to the questionnaires produce 2 scores: An alliance score ranging from 0 (weak alliance) to 100 (strong alliance) A well-being score ranging from 0 (feeling unwell) to 10 (feeling well).

Trial Locations

Locations (1)

University Hospital Cochin, Maison des Adolescents - Youth Department, F-75014 Paris, France; 🇫🇷 Paris, IDF, France