Clinical trial NCT05668234: Study of the Parent's Subjective Experience of Parent-child Psychotherapy.
Official title: Study of the Parent's Subjective Experience Following a Parent-child Psychotherapy by Interactive Guidance or Integrative Psychodynamic Psychotherapy.
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Subjective Experience of Parent-child Psychotherapy
Keywords: parent-child psychotherapy
semi-structured interview
Lead sponsor: Centre Hospitalier Universitaire de Besancon
Sponsor class: OTHER
First posted: 2022-12-29
Enrollment: 20
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Parents who have benefited from psychotherapy treatment

Brief summary: The child psychiatric care of children under age of 5 years involves taking care of the child, the parent and their interaction. The investigators know that the parent-child relationship plays a key role in attachment and the mental and cerebral development of the child and many studies have shown that the interaction based psychotherapy allows an improvement in the symptoms of the child. The aim of this qualitative and exploratory study is to evaluate the parent's subjective experience of the parent-child psychotherapeutic treatment, i.e., evaluate their experience of the psychotherapy, their relationship with the therapist and a possible change occurring during the psychotherapy. The analysis will be based on semi-structured interviews that will be carried out with the parents.

Detailed description: Parent-child psychotherapy is the first-line treatment in the context of a dysfunctional parent-child interaction and takes into account both the parent's skills/fragilities, the child's modes of expression of suffering, and their relational modalities.

The care of the parent-child interaction has been the subject of many studies, but has rarely been evaluated from the point of view of the parent, even if the latter is one of the main actors in this interaction.

In France, about 50% of the parent-child psychotherapeutic treatments lead to clinical improvement. They are mainly based on the use of integrative psychodynamic psychotherapies (PPI). PPIs, based on speech, allow the therapist to identify conflicts or anxieties related to the past or present history of the parents and to relate the current troubles of the child to these conflicts of the past. This requires sufficiently significant capacities of narration and mentalization (which consists in the capacity to intellectualize one's own psychic conflicts). The literature shows that for 50% of the population, this treatment does not seem to allow engagement in care. It is important to also explore the relationship between therapist and subject, central element in psychotherapies, and the notion of therapeutic alliance from the subject's point of view. This study aims to evaluate the subjective experience of the parents, following parent-child psychotherapy. The investigaotors consider that the parents are experts in their experience and that the interviews can help them better understand the therapeutic process of the parent-child psychotherapies.

Eligibility criteria: Inclusion Criteria:

* Parent having carried out and completed parent-child psychotherapy with a child in the CHU Minjoz (child under 5 years old)
* Fluent in French.
* Not having expressed his opposition to participate.
* Affiliation to a French social security scheme or beneficiary of such affiliation.

Exclusion Criteria:

* Parent suffering from a severe and untreated psychiatric illness.
* Parent and/or dyad benefiting from psychiatric care in a day hospital and/or in full hospitalization
* Parent whose child has autism or neurodevelopmental disorders.
* Legal incapacity or limited legal capacity
* Subject unlikely to cooperate in the study and/or low cooperation anticipated by the investigator
* Subject without health insurance
* Pregnant woman
* Subject being in the period of exclusion from another study or declared in the "national volunteer file".

Primary outcomes:
measure: perception of change
timeFrame: 6 months
measure: Different ability to mentalize and understand the difficulties that had led to a request for psychotherapy
timeFrame: 6 months
Secondary outcomes:
Other outcomes:
Locations:
city: Besançon
country: France
facility: CHU de besançon
Study officials:
affiliation: Centre Hospitalier Universitaire de Besancon
name: Monika Szymanska, PhD
role: STUDY_CHAIR
affiliation: Centre Hospitalier Universitaire de Besancon
name: Livia Vicentini
role: STUDY_CHAIR
affiliation: Centre Hospitalier Universitaire de Besancon
name: Aline Chassagne, PhD
role: STUDY_CHAIR
References: