Multi-family Therapy and School Refusal: an Exploratory Study With Adolescents and Their Families

N/AActive Not RecruitingNCT05432323

Assistance Publique - Hôpitaux de Paris74 enrolled

Overview

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

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.

Study Type

OBSERVATIONAL

Enrollment

Conditions

School Phobia

Interventions

Multi-family therapyBEHAVIORAL

8 sessions of Multi-family therapy of 3 hours each during 24 weeks

Eligibility

Sex: ALLMin age: 12 YearsMax age: 18 Years

Medical Language ↔ Plain English

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)

Locations (1)

Maison de Solenn Maison des Adolescents, Cochin Hospital

Paris, IDF, France

Outcomes

Primary Outcomes

Visual Analogue Scale (VAS)

Visual Analogue Scale for anxiety (adolescents and parents) / 0 = no anxiety at all, 10 = maximum anxiety imaginable / Weekly measurement between inclusion and the end of the Single Case Experimental Design (SCED) follow-up (13 to 15 months)

Time frame: 13 to 15 months

Secondary Outcomes

Goal Attainment Scale (GAS)

School attendance (adolescent) / 3-terminal GAS are 5-level GAS, i.e. with a possible rating ranging from -2 to +2. Level -2 corresponds to the initial state at the time of inclusion. Levels -2, 0 and +2 are precisely described, level -1 corresponds to a rating between -2 and 0 and level +1 to a rating between 0 and +2 / Weekly measurements, parents and adolescent, once a week from inclusion to the end of the SCED follow-up (13 to 15 months)

Time frame: 13 to 15 months

Adolescent Depression Rating Scale (ADRS)

Depression (adolescent) / 10 questions / Monthly measurements, adolescent and referring psychiatrist once a month from inclusion to the end of the SCED follow-up (13 to 15 months)

Time frame: 13 to 15 months

Family Assessment Device General Functioning (FAD-GF)

Family functioning / 12 questions, minimum = 12, maximum = 48 / Monthly measurements, parents and adolescent, once a month from inclusion to the end of the SCED follow-up (13 to 15 months)

Time frame: 13 to 15 months

Global Assessment of Functioning Scale (GAF)

Global Functioning of the adolescent / From 0 = inadequate information, to 100 = higher level of functioning in a wide variety of activities - V-axis of the DSM 5 / Monthly measurements, referring psychiatrist, once a month from inclusion to the end of the SCED follow-up (13 to15 months)

Time frame: 13 to 15 months

Data from ClinicalTrials.gov

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