RESOPSYBB: How to Collect the Expression of Psychological Suffering of Children Under Two Years?
Study Details
Study Description
Brief Summary
Emotional Neglect (NE) is a form of abuse to the child whose prevalence is high (WHO Europe). Experiencing NE, psycho-emotional development and brain child may be impacted generating psychic suffering signs may progress to severe developmental disorders. The recognition of suffering can prevent and treat these disorders.
This research promotes a multi-professional device, centered on observation, collection of expression of the baby's psychic pain (≤ 2 years) living in vulnerable families. The investigators assume that this collection requires the crossing of looks of a child psychiatrist and a repeated observation at home by a trained nurse.
The two devices described in these two groups are devices set up as part of the routine management of these patients. Usually, depending on the means of structures (human and financial), one of these devices may be preferred over another.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Group "Maternal and Child Protection" Followed by the doctor and pediatric nurse of the Maternal and Child Protection . A child psychiatric consultation (usual care) can take place during the monitoring of this patient. |
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| Group "Home passages" A child psychiatric consultation is scheduled in the month following the inclusion and three home passages between the 2nd and 3rd months of follow up. |
Other: Home passages
Three home passages between the 2nd and 3rd months of follow up.
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Outcome Measures
Primary Outcome Measures
- Comparison of the sensitivity of the Global Printing-scale gravity relative to the Development Quotient (reference) between the 2 supported (Group A versus Group B). [up to three months]
Development Quotient level will be measured by Brunet Lezine R. This questionnaire provides an objective measure of the impact of mental suffering. It will be measured by psychomotor between the 3rd and 4th month follow up. A child with a score of QD lower or equal 85 is considered a child with developmental impairment. - Clinical Global Impression Severity Scale suitable for measuring the assessment of mental suffering of children less than two years is considered an indicator of the intensity of suffering. This will be assessed by a nurse between the 3rd and 4th months of follow up. A child with a CGI-severity score between 1 and 4 inclusive shall be considered a child with developmental impairment.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Families say vulnerable falling M.Heaman selection criteria associated with two significant items of Q-Sort, agreeing to participate in the research project.
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Patient 24 months or less at the time of the first consultation PMI.
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Parents / legal representatives agreeing to participate in the research project.
Non inclusion Criteria:
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Serious genetic and somatic pathologies resulting deficiency, physical pain,
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Non-French speaking families.
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Families whose baby is monitored as part of the network grow together because of their prematurity.
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Minor or major Parents Trust
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Medical-social Center Dalby Millet | Nantes | France | 44000 | |
| 2 | Medical-Social center Bellevue | Nantes | France | 44100 | |
| 3 | Medical-social center Pilotière | Nantes | France | 44300 | |
| 4 | Medical-Social center Port Boyer | Nantes | France | 44300 | |
| 5 | Medical-social Saint-Servan | Saint-Herblain | France | 44800 | |
| 6 | Medical-social St-Etienne de Montluc | St-Etienne de Montluc | France | 44360 |
Sponsors and Collaborators
- Nantes University Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- RC15_0445