Clinical trial NCT05432323: Multi-family Therapy and School Refusal: an Exploratory Study with Adolescents and Their Families
Official title: Multi-family Therapy and School Refusal: an Exploratory Study with Adolescents and Their Families
Study type: OBSERVATIONAL
Overall status: ACTIVE_NOT_RECRUITING
Conditions: School Phobia
Keywords: Adolescence
School Phobia
Multi-family therapy
Anxiety disorder
Lead sponsor: Assistance Publique - Hôpitaux de Paris
Sponsor class: OTHER
First posted: 2022-06-27
Enrollment: 74
Sex: ALL
Minimum age (years): 12
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Cochin Hospital, Maison de Solenn-Maison des Adolescents, Paris, AP-HP Primary care clinic, Day care clinic

Brief summary: The purpose of this study is to determine whether multi-family therapy is effective in the treatment of school refusal with anxiety in adolescence.

Detailed description: Anxious school refusal in adolescence is a major public health problem. The involvement of families is essential and multi-family therapy has shown its effectiveness for many mental disorders. This study aims to explore the benefit of multi-family therapy in the care of anxious school refusal in adolescence.

The method will be qualitative with phenomenological analysis of semi-structured interviews with adolescents and their parents and quantitative with a SCED design to assess the evolution of the level of anxiety of adolescents and parents, as well as personalized objectives.

The objective is therefore to improve the care of adolescents with anxious school refusal.

Eligibility criteria: Inclusion Criteria:

* Families with an adolescent
* Aged 12 to 18
* Totally out of school for more than 2 consecutive weeks and less than 18 months
* Follow-up at the Maison de Solenn-Maison des Adolescents (Cochin Hospital AP-HP) for a school refusal
* Having agreed to participate in a multi-family therapy
* Domiciliation in Ile de France
* Agreement of the parents and the adolescent to participate in the study: Collection of the non-opposition of non-emancipated minors and their legal representatives

Exclusion Criteria:

* any family situation that makes it impossible to bring parents and children together in family therapy
* patient under curatorship or tutorship
* patient with AME (french State Medical Aid)

Primary outcomes:
measure: Visual Analogue Scale (VAS)
timeFrame: 13 to 15 months
Secondary outcomes:
measure: Goal Attainment Scale (GAS)
timeFrame: 13 to 15 months
measure: Adolescent Depression Rating Scale (ADRS)
timeFrame: 13 to 15 months
measure: Family Assessment Device General Functioning (FAD-GF)
timeFrame: 13 to 15 months
measure: Global Assessment of Functioning Scale (GAF)
timeFrame: 13 to 15 months
measure: CSQ 8 (Client Satisfaction Questionnaire)
timeFrame: 7 to 9 months
measure: Semi-structured interview
timeFrame: 7 to 9 months
measure: Semi-structured interview
timeFrame: 19 to 21 months
Other outcomes:
Locations:
city: Paris
country: France
facility: Maison de Solenn Maison des Adolescents, Cochin Hospital
state: IDF
Study officials:
affiliation: Cochin Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP)
name: Marie-Rose MORO, MD, PhD, PU-PH
role: STUDY_DIRECTOR
affiliation: Cochin Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP)
name: Aurélie HARF, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References: