InterventionPredictive Factors for the Outcome of Emotional and/or Behavioural Disorders in 18- to 48 Month-old Children After Psychotherapeutic Intervention
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 272
- 试验地点
- 1
- 主要终点
- predictive factors of behavioural disorder outcome
研究概览
简要总结
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.
详细描述
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.
Most studies have shown a significant association between these early childhood disorders and a parent-child relationship disorder, as well as the presence of depressive symptoms in the mother.
Other risk factors include environmental, child and parenting factors.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Months 至 48 Months（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
predictive factors of behavioural disorder outcome
时间窗: between inclusion and 18 months
The evolution of the child will be the total score of the CBCL (a z-score \< 1 will be considered as a favorable evolution).
predictive factors of emotional disorder outcome
时间窗: between inclusion and 18 months
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.
次要结局
- predictive factors of the outcome in parents (anxiety/depression symptoms) and parent-child relationship(at 18 months)