Therapeutic Process at Work in Multiple Family Therapy Groups for Anorexia Nervosa During Adolescence. An Exploratory Study.

Status: Recruiting
Location: See location...
Intervention Type: Behavioral
Study Type: Observational
SUMMARY

Anorexia nervosa is a characterised disorder which forms part of the wider spectrum of eating disorders. It is a common pathology, particularly in adolescence, with a complex, severe prognosis in both somatic and psychiatric terms, and significant psychosocial consequences, particularly for family relationships. The treatment of anorexia requires a multidisciplinary team of specialists who can offer individual and family-based approaches. International recommendations highlight the encouraging results of family therapy in the treatment of anorexia nervosa in adolescence. Various types of family approach exist, including Family Based Treatments, which are a specific but highly effective approach, particularly widespread in the United States. Multifamily therapy (MFT), which involves bringing several families together to address the problem of anorexia, has proved effective for several years now. Since January 2019, multifamily therapy has been offered to adolescents aged 12 to 18 who are being followed at the Maison de Solenn-Maison des Adolescents at Cochin hospital, for anorexia nervosa, as well as their families. Each group brings together 5 to 7 families and comprises 10 3-hour sessions, with 3 weeks between each session. 2 groups are offered per year. Multi-family therapy therefore involves 10 to 14 families per year. It complements the other approaches available in the department. To be able to describe the therapeutic processes at work in multifamily groups in order to be able to better describe our therapeutic device and envisage possible modifications. These processes would be broken down into four areas: MFT and its effects on the anorexic symptom, MFT and its effects on the family, MFT as group therapy and ways of improving the MFT system.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 6
Healthy Volunteers: t
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⁃ Families who have taken part in a multifamily group on anorexia nervosa, i.e. :

• Parents (or any adult identified as a referent by the teenager), teenagers and siblings (over 6 years old) who have taken part in multi-family therapy (people from the teenager's family who have not taken part in the group will not be included),

• Adolescents aged 12 to 20,

• Adolescents with anorexia nervosa according to DSM5 criteria,

• Adolescents treated at the Maison des Adolescents at Cochin Hospital,

• Non-opposition of adolescents, their parents and siblings.

⁃ It will be possible to include in the study a parent or sibling whose adolescent did not wish to take part in the research but who participated in the MFT group.

Locations
Other Locations
France
University Hospital Cochin, Maison des Adolescents - Youth Department (Maison de Solenn)
RECRUITING
Paris
Contact Information
Primary
Salomé Grandclerc, MD
salome.grandclerc@aphp.fr
0033158412426
Backup
Marie Benhammani-Godard
marie.godard@aphp.fr
0033158411190
Time Frame
Start Date: 2023-12-01
Estimated Completion Date: 2027-05
Participants
Target number of participants: 138
Treatments
Participants in a multifamily therapy group for adolescents, their parents and siblings
The study is therefore being proposed to all the families who have taken part in the multifamily therapy for anorexia nervosa, i.e. the adolescents being followed, their parents and siblings.~The investigators propose to use a qualitative methodology aimed at collecting the experiences of patients suffering from anorexia nervosa, their parents and their siblings, using alternately, depending on the group, data collection by focus group or by individual semi-structured interview according to a semi-structured interview guide specifically designed by the research team. The data was collected 4 to 6 months after the tenth and final session of the multi-family group.
Related Therapeutic Areas
Sponsors
Collaborators: URC-CIC Paris Descartes Necker Cochin
Leads: Assistance Publique - Hôpitaux de Paris

This content was sourced from clinicaltrials.gov