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Early-treatment stage for adolescents with depression and their parents: An IPSE qualitative study

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Abstract

The period at the start of treatment of adolescents with depression is both crucial and complex. Adolescents’ and parents’ perspectives on that early-treatment stage are important but have not yet been explored. The present study explores the lived experience of the early-treatment stage among adolescents with major depressive disorder and their parents and aims to cross their perspectives. This French qualitative multicentre study followed the five stages IPSE approach. Semi-structured interviews with adolescents with depression and with their parents were conducted. Data collection by purposive sampling continued until we reached theoretical sufficiency. Forty-seven participants—20 adolescents, 27 parents—were included. Data analysis produced a structure of lived experience based on two axes: (1) what leads to care: what is shown, what is seen, describing a dynamic process of showing and seeing around the start of treatment and (2) the start of treatment: knowing and sharing everyone's explanations. Results suggest some early therapeutic alliance facilitators, that is, first to be able to see the depressive manifestations and directly address the issue of depression based on what is shown and seen, second to give the opportunity to both adolescents and parents to share their views and explanations about the adolescent’s distress, and finally to explicitly name this distress depression to first agree on the term to use.

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Acknowledgements

We would like to thank the participants of this study, and JA Cahn for the translation.

Funding

The study was funded by the French ministry of health through the Programme de recherche sur la performance du système des soins – PREPS EVAADO.

Author information

Authors and Affiliations

  1. Service Universitaire de Psychiatrie de L’Adolescent, Argenteuil Hospital Centre, 69 Rue du Lieutenant Colonel Prudhon, 95100, Argenteuil, France

    Jordan Sibeoni & Anne Revah-Levy

  2. ECSTRRA Team, UMR-1153, Inserm, Université de Paris, Paris, France

    Jordan Sibeoni, Emilie Manolios, Laurence Verneuil & Anne Revah-Levy

  3. McGill Group for Suicide Studies, Douglas Mental Health University Institute, McGill University, Montreal, Québec, Canada

    Massimiliano Orri

  4. Service de Psychologie Et Psychiatrie de Liaison Et d’Urgences, Hôpital Européen Georges Pompidou AP-HP, Hôpitaux Universitaires Paris Ouest, Paris, France

    Emilie Manolios

  5. Sorbonne Universités, UPMC Univ Paris 06, CNRS UMR 7222, Institut Des Systèmes Intelligents Et de Robotique, Paris, France

    Michel Spodenkiewicz

  6. Hôpitaux de Saint-Maurice, pôle de psychiatrie adulte Paris 11, Saint-Maurice, France

    Mathilde Labey

  7. Bordeaux Population Health Research Centre, INSERM U1219, University of Bordeaux, Bordeaux, France

    Massimiliano Orri

  8. CEPOI EA 7388, Unité de Pédopsychiatrie de Liaison, Pôle de Santé Mentale, CHU Sud Réunion, Université de La Réunion, Saint-Pierre, France

    Michel Spodenkiewicz

  9. Groupe IPSOM, CESP Inserm U1178, Paris, France

    Michel Spodenkiewicz

  10. Pôle Précarité, GHU Paris psychiatrie & neurosciences Site Sainte-Anne, Paris, France

    Laurence Verneuil

Authors
  1. Jordan Sibeoni
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  2. Massimiliano Orri
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  3. Emilie Manolios
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  4. Michel Spodenkiewicz
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  5. Mathilde Labey
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  6. Laurence Verneuil
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  7. Anne Revah-Levy
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Contributions

JS and ARL conceived the design and methodology; JS, MO, MS, ML conducted the research interviews, JS, ARL, LV, EM performed the data analysis. JS wrote the first draught of the manuscript. All authors contributed to and have approved the final manuscript.

Corresponding author

Correspondence to Jordan Sibeoni.

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Conflict of interest

The author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.

Ethics approval

Ethical approval for the study was granted by the council for the evaluation of ethics in health research of the University of Paris-Descartes.

Consent to participate

All adolescents and their parents provided written consent before inclusion in the study.

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Sibeoni, J., Orri, M., Manolios, E. et al. Early-treatment stage for adolescents with depression and their parents: An IPSE qualitative study. Eur Child Adolesc Psychiatry 32, 1415–1426 (2023). https://doi.org/10.1007/s00787-022-01952-5

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  • DOI: https://doi.org/10.1007/s00787-022-01952-5

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