Open AccessAssessment of transcultural psychotherapy to treat resistant major depressive disorder in children and adolescents from migrant families: Protocol for a randomized controlled trial using mixed method and Bayesian approaches
Author(s) -
Lachal Jonathan,
Moro Marie Rose,
Carretier Emilie,
Simon Amalini,
Barry Caroline,
Falissard Bruno,
Rouquette Alexandra
Publication year - 2020
Publication title -
international journal of methods in psychiatric research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.275
H-Index - 73
eISSN - 1557-0657
pISSN - 1049-8931
DOI - 10.1002/mpr.1847
Subject(s) - context (archaeology) , randomized controlled trial , psychology , clinical psychology , population , clinical global impression , psychotherapist , protocol (science) , clinical trial , psychiatry , medicine , alternative medicine , paleontology , surgery , environmental health , pathology , biology , placebo
Objectives Cultural variations complicate psychiatric care, especially for migrant children. Transcultural psychotherapy (TCP) is an original psychotherapeutic technique developed to address complex situations of resistant mental disorders in the context of migration. This research will aim to assess the efficacy, the acceptability, and describe the therapeutic processes of TCP for the treatment of depression in first or second generation of migration children and adolescents. Method Mixed method study using a multicenter, Bayesian randomized clinical trial with blinded evaluation of the primary outcome. Two parallel groups of 40 children or adolescents from 6 to 20 years old and their family will be included. In the experimental group, patients will attend six sessions of transcultural therapy in addition to usual care. Results The improved Clinical Global Impression scale scores at 6 months will be compared across groups. Qualitative analysis of families and therapists' interviews will allow to specify the therapeutic processes and acceptability of the therapy. Conclusion The findings will encourage the development and routinization of TCP for second‐line use and its adaption as a first‐line technique in this population.