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NCT Number: NCT06138522

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

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.

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Key information

Age range

12 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

University Hospital Cochin, Maison des Adolescents - Youth Department, F-75014 Paris, France

Paris, IDF, 75014, France

Location status: Recruiting

Location contact

Khadija Chahraoui

CONTACT

Marie Rose Moro, MD, PhD

SUB_INVESTIGATOR

Sevan Minassian

CONTACT

[email protected]

00 33 1 58 41 24 29

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

semi-structured interviews

Behavioral

Semi-structured interviews

Child Post-Traumatic Stress Response Index (CPTS-RI) scale

Behavioral

Child Post-Traumatic Stress Response Index (CPTS-RI) scale

- Therapeutic Alliance Questionnaire (HAQ-CP)

Behavioral
  • Therapeutic Alliance Questionnaire (HAQ-CP)

Primary outcomes

  1. Semi-structured interviews

    Time frame: At the end of the psychotherapy (up to month 12)

    Adolescent Psychotherapy Experience = Evolution in semi-structured interviews at the beginning (T1) and end (T2) of psychotherapy (adolescents)

Secondary outcomes

  1. Child Post-Traumatic Stress Response Index (CPTS-RI) scale

    Time frame: At the end of the psychotherapy (up to month 12)

    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.

  2. Therapeutic Alliance Questionnaire (HAQ-CP)

    Time frame: At the end of the psychotherapy (up to month 12)

    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).

  3. Semi-structured interviews

    Time frame: At the end of the psychotherapy (up to month 12)

    Experience at the end (T2) of psychotherapy (parents)

Study contacts

Contact information is provided by the study sponsor or research team.

Marie Benhammani

CONTACT

[email protected]

00 33 1 58 41 11 90

Sevan Minassian, MD

CONTACT

[email protected]

00 33 1 58 41 24 29

Sponsors and collaborators

Lead sponsor

Assistance Publique - Hôpitaux de Paris

Other

Collaborators

  • URC-CIC Paris Descartes Necker Cochin

Registry information

Acronym: TRAUMADOPSY

Important dates

Study start
2023
Primary completion
2028
Study completion
2028
First posted
Nov 18, 2023
Registry last updated
Dec 23, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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