Jordan Sibeoni1,2, Massimiliano Orri3, Marc-Antoine Podlipski4, Mathilde Labey2, Sophie Campredon5, Priscille Gerardin4, Anne Revah-Levy1,2. 1. Service Universitaire de Psychiatrie de l'Adolescent. Argenteuil Hospital Centre, Argenteuil, France. 2. ECSTRA Team, UMR-1153, Inserm, Paris Diderot University, Sorbonne Paris Cité. 3. University Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR1219, Bordeaux, France. 4. Centre Hospitalier du Rouvray, Fédération Hospitalo-Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, CHU de Rouen - CH du Rouvray. 5. Espace Méditerranéen de l'adolescent, hôpital Salvator, AP-HM.
Abstract
OBJECTIVE: Anxiety-based school refusal in adolescence is a complex, sometimes difficult to treat disorder that can have serious academic and psychiatric consequences. The objective of this qualitative study was to explore how teens with this problem and their parents experience the psychiatric care received. METHODS: This qualitative multicenter study took place in France, where we conducted semi-structured interviews with adolescents receiving psychiatric care for anxiety-based school refusal and with their parents. Data collection by purposive sampling continued until we reached theoretical sufficiency. Data analysis was thematic. RESULTS: This study included 20 adolescents aged 12 to 18 years and 21 parents. Two themes emerged from the analysis: (1) the goals of psychiatric care with two sub-themes, "self-transformation" and problem solving; and, (2) the therapeutic levers identified as effective with two sub-themes: time and space and relationships. CONCLUSION: Our results show a divergence between parents and teens in their representations of care and especially of its goals. Therapeutic and research implications about the terms of return to school within psychiatric care and also the temporality of care are discussed.
OBJECTIVE: Anxiety-based school refusal in adolescence is a complex, sometimes difficult to treat disorder that can have serious academic and psychiatric consequences. The objective of this qualitative study was to explore how teens with this problem and their parents experience the psychiatric care received. METHODS: This qualitative multicenter study took place in France, where we conducted semi-structured interviews with adolescents receiving psychiatric care for anxiety-based school refusal and with their parents. Data collection by purposive sampling continued until we reached theoretical sufficiency. Data analysis was thematic. RESULTS: This study included 20 adolescents aged 12 to 18 years and 21 parents. Two themes emerged from the analysis: (1) the goals of psychiatric care with two sub-themes, "self-transformation" and problem solving; and, (2) the therapeutic levers identified as effective with two sub-themes: time and space and relationships. CONCLUSION: Our results show a divergence between parents and teens in their representations of care and especially of its goals. Therapeutic and research implications about the terms of return to school within psychiatric care and also the temporality of care are discussed.
Entities:
Keywords:
adolescents; child and adolescent psychiatry; patient reported outcome; qualitative research; school refusal
Authors: Michel Spodenkiewicz; Mario Speranza; Olivier Taïeb; Alexandra Pham-Scottez; Maurice Corcos; Anne Révah-Levy Journal: J Can Acad Child Adolesc Psychiatry Date: 2013-11
Authors: Anna M Torrens Armstrong; Kelli R McCormack Brown; Roger Brindley; Jeannine Coreil; Robert J McDermott Journal: J Sch Health Date: 2011-09 Impact factor: 2.118