Depression Clinical Trial
Official title:
Qualitative Evaluation of Therapeutic Alliance in Adolescent Psychiatry: Crossing Perspectives of Adolescents, Parents and Physicians
Context: Psychiatric disorders (anorexia nervosa, depression, anxiety based school refusal)
are a major public health concern in adolescence. Their treatment is a challenge for the
families, the health care system and society. The treatment is complex and non-standardized.
In clinical practice, the relational dimension between the stakeholders is recognized by all.
Nevertheless no study has ever crossed their perspectives about therapeutic alliance in
adolescent psychiatry.
Objective: to explore, within a qualitative approach, how a therapeutic alliance is
established in three different clinical situations according to the adolescents, their
parents and their physicians by crossing their perspectives.
Methods: This is a national (France) multi-center qualitative study based on 180
semi-structured interviews. Participants (purposively selected until data saturation) came
from three different sub-samples: (i) adolescents with anorexia nervosa (N =20) plus their
parents (N=20) and their physicians (N=20), (ii) adolescents with depressions (N=20) plus
their parents (N=20) and their physicians (N=20), and (iii) adolescents with anxiety-based
school refusal (N=20) plus their parents (N=20) and their physicians (N=20). Data are
collected through open ended semi structured interviews and independently analyzed with NVivo
V.11 software by three researchers according to the principles of Interpretative
Phenomenological Analysis.
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