Qualitative Study on the Perception of Changes in the Psychotherapy of Traumatized Young People (TRAUMADOPSY)

The clinic of psychological trauma in adolescents still requires further development, whereas it is well documented in adults. This clinic is complex, because it must take into account the nature and type of trauma (recent or not, intentional or not, situations of abuse or sexual violence, etc.), the impact on development, the contexts (social, cultural and family) in which the trauma occurs, and the various vulnerability factors associated with it. This complexity has implications for psychotherapeutic management, which needs to be tailored to the specific clinical profiles of adolescents.

Several studies have evaluated psychotherapy for traumatized adolescents, showing a positive short-term effect on the reduction of post-traumatic stress symptoms, whatever the type of psychotherapy. Few studies, however, have analyzed the therapeutic process and the common factors of change, linked mainly to the therapeutic alliance, the patient's experience and the therapist's role: key factors of change according to the international literature. In this context, the patient's experience of his or her psychotherapeutic follow-up is a source of information that has long been neglected, even though it seems essential for better investigating and understanding the complexity of the processes at play in trauma psychotherapy.

Study Overview

• Status: Recruiting
• Conditions: Post-traumatic Stress Disorder
• Intervention / Treatment: Behavioral: Semi-structured interviews; Behavioral: Child Post-Traumatic Stress Response Index (CPTS-RI) scale; Behavioral: - Therapeutic Alliance Questionnaire (HAQ-CP)

Detailed Description

The clinic of psychological trauma in adolescents still requires further development, whereas it is well documented in adults. This clinic is complex, because it must take into account the nature and type of trauma (recent or not, intentional or not, situations of abuse or sexual violence, etc.), the impact on development, the contexts (social, cultural and family) in which the trauma occurs, and the various vulnerability factors associated with it. This complexity has implications for psychotherapeutic management, which needs to be tailored to the specific clinical profiles of adolescents.

Several studies have evaluated psychotherapy for traumatized adolescents, showing a positive short-term effect on the reduction of post-traumatic stress symptoms, whatever the type of psychotherapy. Few studies, however, have analyzed the therapeutic process and the common factors of change, linked mainly to the therapeutic alliance, the patient's experience and the therapist's role: key factors of change according to the international literature. In this context, the patient's experience of his or her psychotherapeutic follow-up is a source of information that has long been neglected, even though it seems essential for better investigating and understanding the complexity of the processes at play in trauma psychotherapy.

• Study Type: Observational
• Enrollment (Estimated): 65

Contacts and Locations

• Study Contact: Name: Sevan Minassian, MD; Phone Number: 00 33 1 58 41 24 29; Email: sevan.minassian@aphp.fr
• Study Contact Backup: Name: Marie Benhammani; Phone Number: 00 33 1 58 41 11 90; Email: marie.godard@aphp.fr

Study Locations

• France
  • IDF
    • Paris, IDF, France, 75014
      • Recruiting
      • University Hospital Cochin, Maison des Adolescents - Youth Department, F-75014 Paris, France
      • Contact: Sevan Minassian; Phone Number: 00 33 1 58 41 24 29; Email: sevan.minassian@aphp.fr
      • Contact: Khadija Chahraoui
      • Sub-Investigator: Marie Rose Moro, MD, PhD

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

Adolescents suffering from psychotrauma and psychotherapy follow-up in the Consultation Service, Maison de Solenn, Maison des adolescents de l'hôpital Cochin (AP-HP).

Description

Inclusion Criteria:

Teenagers :

• Teenagers from 12 to 18 years old
• Post-traumatic stress disorder (DSM Criteria 5 Post-Traumatic Stress Disorder)
• Consultant at the Maison de Solenn (Maison des Adolescents)
• Affiliated to a social security scheme

Parents : parents of adolescents followed at the MDA and agreeing to participate in the study

Professionals: providing psychotherapeutic follow-up for adolescents at the MDa

Exclusion Criteria:

• Refusal of the adolescent and/or his/her family (if applicable) to participate in the study,
• Adults (all groups combined): under guardianship or curatorship, under judicial protection

Study Plan

How is the study designed?

Number of groups / cohorts

3

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Adolescents; Participants in consultations specialising in the treatment of psychotrauma at the Maison de Solenn	Behavioral: Semi-structured interviews; Semi-structured interviews; Behavioral: Child Post-Traumatic Stress Response Index (CPTS-RI) scale; Child Post-Traumatic Stress Response Index (CPTS-RI) scale; Behavioral: - Therapeutic Alliance Questionnaire (HAQ-CP); - Therapeutic Alliance Questionnaire (HAQ-CP)
Parents; Participants in consultations specialising in the treatment of psychotrauma at the Maison de Solenn	Behavioral: Semi-structured interviews; Semi-structured interviews; Behavioral: - Therapeutic Alliance Questionnaire (HAQ-CP); - Therapeutic Alliance Questionnaire (HAQ-CP)
Professionals; Participants in consultations specialising in the treatment of psychotrauma at the Maison de Solenn	Behavioral: - Therapeutic Alliance Questionnaire (HAQ-CP); - Therapeutic Alliance Questionnaire (HAQ-CP)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Semi-structured interviews	Adolescent Psychotherapy Experience = Evolution in semi-structured interviews at the beginning (T1) and end (T2) of psychotherapy (adolescents)	At the end of the psychotherapy (up to month 12)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Semi-structured interviews	Experience at the end (T2) of psychotherapy (parents)	At the end of the psychotherapy (up to month 12)
Child Post-Traumatic Stress Response Index (CPTS-RI) scale	Evolution of psychotraumatic symptoms in adolescents (CPTS-IR) between the beginning (T1) and the end of psychotherapy (T2) (adolescents). The Child Posttraumatic Stress Reaction Index (CPTS-RI) measures the presence of post-traumatic stress disorder: Severity is generally assessed according to the following criteria: 0 - 11: mild, 11 - 24: mild, 25 - 39: moderate, 40 - 59: severe, 60 - 80: very severe.	At the end of the psychotherapy (up to month 12)
Therapeutic Alliance Questionnaire (HAQ-CP)	Perception of change, the therapeutic alliance perceived by adolescents, parents and therapists at the end of psychotherapy (adolescents + parents + professionals). The Helping Alliance Questionnaires for Child and Parents (HAQ-CP) assesses the quality of the therapeutic alliance. Answers to the questionnaires produce 2 scores: An alliance score ranging from 0 (weak alliance) to 100 (strong alliance) A well-being score ranging from 0 (feeling unwell) to 10 (feeling well).	At the end of the psychotherapy (up to month 12)

Collaborators and Investigators

• Sponsor: Assistance Publique - Hôpitaux de Paris
• Collaborators: URC-CIC Paris Descartes Necker Cochin
• Investigators: Principal Investigator: Sevan Minassian, MD, University Hospital Cochin, Maison des Adolescents - Youth Department, F-75014 Paris, France

Study record dates

Study Major Dates

• Study Start (Actual): November 30, 2023
• Primary Completion (Estimated): May 1, 2028
• Study Completion (Estimated): December 1, 2028

Study Registration Dates

• First Submitted: November 14, 2023
• First Submitted That Met QC Criteria: November 14, 2023
• First Posted (Actual): November 18, 2023

Study Record Updates

• Last Update Posted (Actual): December 23, 2025
• Last Update Submitted That Met QC Criteria: December 17, 2025
• Last Verified: December 1, 2025

More Information

Terms related to this study

• Keywords: Psychotherapy; Qualitative study; Post-traumatic stress disorder
• Additional Relevant MeSH Terms: Trauma and Stressor Related Disorders; Mental Disorders; Stress Disorders, Traumatic; Stress Disorders, Post-Traumatic; Investigative Techniques; Weights and Measures
• Other Study ID Numbers: APHP231046; 2023-A01689-36 (Other Identifier: French Ministry of Health)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No