« Retrouver le chemin de l’autre », évaluation de l’hospitalisation en soins/études de 33 adolescents

Abstract

ObjectiveThe “care and studies” hospitalisation at the Dupré Clinic (Fondation Santé des étudiants de France; Students Health French Foundation) is an original setting that integrate a therapeutic and eco systemic residential approach with schooling for adolescents suffering from psychiatrics disorders. MethodA selection of standardised questionaries’ was proposed to a group of 70 adolescents hospitalized in “care and study”. The final sample of the group was composed of 33 adolescents at the entrance and 9 months later. We compared the results between T0 and T9. The battery of questionaries’ is composed of: YSR (Youth Self report), ADRS (Adolescent depression rating scale), RSQ (Relationship scale questionnaire), IPPA (Inventory of Parent and Peer Attachment), FACES IV (Family adaptability and cohesion evaluation scale), Rosenberg self esteem scale, LEAS (Level of emotional awareness scale) and a self subjective evaluation of psychological functioning. A committee of ethics and deontology approved the methodology. ResultsThe results (YSR, ADRS) show a significant effect on reduction of internalised disorder at 9 months, especially in the measures of anxiety, depression and withdrawal. The RSQ results confirm significative less anxiety in the patient's relationship with others. Adolescents witness a feeling of a better global functioning. On the other hand, no evolution was observed in the measure of emotional consciousness (LEAS) and in the family functioning form an adolescent's perspective. ConclusionsThis study offers new clinical perspective based on the results. We proposed a few reflexions in the treatment of emotional disorder and in the domain of family therapy intervention.