This study aims to describe the course of successive care events that follow individuals with somatic symptom disorder until they are assessed by a specialized multidisciplinary team. Data is collected during interviews with subjects aged 12 to 25 years old accompanied by their parents. A biographical grid is used to retrospectively identify all care events that occurred from first symptoms until multidisciplinary assessment. Life events and symptoms are collected as well to explore how history of healthcare consumption is linked to other trajectories. A qualitative analysis of the recorded interviews aims to describe the subjective experience of this healthcare pathway.
Age between 12 and 25 years old
Diagnosis of somatic symptom disorder and derivatives (DSM 5) after specialized multidisciplinary evaluation by the team of the Maison des Adolescents of Cochin hospital (Maison de Solenn).
Age less than 12 years or greater than 25 years at the time of assessment,
Subject presenting ongoing psychiatric decompensation, that is to say a state of mental health breaking with their baseline state and requiring rapid care which does not allow a research interview to be carried out.
Participants are selected among patients assessed in the recruiting centre, whatever their course after assessment. The recruiting centre is an adolescent clinic which is part of a public teaching hospital in Paris, France. The centre provides inpatient and outpatient care delivered by a multidisciplinary team. Patients aged 11 to 18 can be referred to this centre by a healthcare professional or can directly access to care, regardless of their living area. For each patient included, parents are asked to participate to research interviews to help map the healthcare pathway their child followed.
Case-only
Prospective
Face-to-face interviews assisted by a biographical grid
Other interventionFace-to-face interviews assisted by a biographical grid. Healthcare event of the adolescent : * medical specialist appointment * general practitioner appointment * emergency services use * hospital admission * diagnostic test * medication use * non-pharmacological treatment * nursing or physical therapy * alternative care Biographical of the adolescent : * Education event * Class/level * School * Attendance * Special arrangements * Grades * Off school education * Family event * Separation/union * Birth/death * Leave/Arrival * Location/Moving * Disease/accident * Peer events * Friendships * Love interests * Bullying * Leisure \& interests events * Activity * Frequency
Occurrence of healthcare events
Successive healthcare events of individuals with somatic symptom disorder, from first symptoms to specialised multidisciplinary assessment
Raise of healthcare events occurrence
Raise of healthcare events occurrence following the occurrence of somatic symptoms. From first symptoms to specialised multidisciplinary assessment
Raise of life events occurrence
From first symptoms to specialised multidisciplinary assessment
Decrease of healthcare events occurrence
Decrease of healthcare events occurrence following the occurrence of somatic symptoms. From first symptoms to specialised multidisciplinary assessment
Decrease of life events occurrence
From first symptoms to specialised multidisciplinary assessment
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Assistance Publique - Hôpitaux de Paris
Lead sponsor
URC-CIC Paris Descartes Necker Cochin
Collaborator
