Department of Child and Adolescent Psychiatry, CHRU Montpellier, St Eloi University Hospital, 80, avenue Augustin Fliche, 34295 Montpellier, France.
Department of Child and Adolescent Psychiatry, CHRU Montpellier, St Eloi University Hospital, 80, avenue Augustin Fliche, 34295 Montpellier, France.
Encephale. 2023 Jun;49(3):254-260. doi: 10.1016/j.encep.2021.10.003. Epub 2022 Jan 7.
Several studies have shown that in young children, behavioural and/or emotional disorders are more difficult to manage than regulatory disorders. Moreover, data are lacking on outcome predictive factors. This article presents a short synthesis of previous research about outcome predictive factors in child psychiatry. It also describes the protocol of a longitudinal observational European multicentre study the main objective of which was to identify predictive factors of behavioural and emotional disorder outcome in toddlers after parent-child psychotherapy. The secondary objectives were to study predictive factors of the outcome in parents (anxiety/depression symptoms) and parent-child relationship.
In order to highlight medium-effect size, 255 toddlers (age: 18 to 48 months) needed to be included. Outcomes will be assessed by comparing the pre- and post-therapy scores of a battery of questionnaires that assess the child's symptoms, the parents' anxiety/depression, and the parent-child relationship. Multivariate linear regression analysis will be used to identify predictive factors of the outcome among the studied variables (child age and sex, socio-economic status, life events, disorder type, intensity and duration, social support, parents' psychopathology, parents' attachment, parent-child relationships, therapy length and frequency, father's involvement in the therapy, and therapeutic alliance).
This study should allow identifying some of the factors that contribute to the outcome of externalizing and internalizing disorders, and distinguishing between pre-existing and treatment-related variables. It should also help to identify children at higher risk of poor outcome who require special vigilance on the part of the therapist. It should confirm the importance of therapeutic alliance.
ID-RCB 2008-A01088-47.
多项研究表明，在幼儿中，行为和/或情绪障碍比调节障碍更难处理。此外，缺乏关于预后预测因素的数据。本文对儿童精神病学中预后预测因素的先前研究进行了简要综合。它还描述了一项纵向观察性欧洲多中心研究的方案，该研究的主要目的是确定亲子心理治疗后幼儿行为和情绪障碍结局的预测因素。次要目标是研究父母（焦虑/抑郁症状）和亲子关系结局的预测因素。
为了突出中等效应量，需要纳入 255 名幼儿（年龄：18 至 48 个月）。通过比较评估儿童症状、父母焦虑/抑郁和亲子关系的一整套问卷的治疗前后评分，来评估结果。将使用多元线性回归分析来确定研究变量（儿童年龄和性别、社会经济地位、生活事件、障碍类型、强度和持续时间、社会支持、父母精神病理学、父母依恋、亲子关系、治疗长度和频率、父亲参与治疗以及治疗联盟）中对结局的预测因素。
这项研究应该能够确定一些导致外在和内在障碍结局的因素，并区分预先存在的和与治疗相关的变量。它还应该有助于识别预后较差的高风险儿童，治疗师需要对他们特别警惕。它应该证实治疗联盟的重要性。
ID-RCB 2008-A01088-47。
