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The Experience of Psychiatric Care of Adolescents with Anxiety-based School Refusal and of their Parents: A Qualitative Study

机译:基于焦虑的拒绝学校青少年及其父母的精神病护理经验:定性研究

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Objective Anxiety-based school refusal in adolescence is a complex, sometimes difficult to treat disorder that can have serious academic and psychiatric consequences. The objective of this qualitative study was to explore how teens with this problem and their parents experience the psychiatric care received. Methods This qualitative multicenter study took place in France, where we conducted semi-structured interviews with adolescents receiving psychiatric care for anxiety-based school refusal and with their parents. Data collection by purposive sampling continued until we reached theoretical sufficiency. Data analysis was thematic. Results This study included 20 adolescents aged 12 to 18 years and 21 parents. Two themes emerged from the analysis: (1) the goals of psychiatric care with two sub-themes, “ self-transformation ” and problem solving ; and, (2) the therapeutic levers identified as effective with two sub-themes: time and space and relationships . Conclusion Our results show a divergence between parents and teens in their representations of care and especially of its goals. Therapeutic and research implications about the terms of return to school within psychiatric care and also the temporality of care are discussed.
机译:客观拒绝青少年入学是一个复杂的,有时难以治疗的疾病,可能会导致严重的学术和精神病学后果。这项定性研究的目的是探讨有此问题的青少年及其父母如何体验所接受的精神病护理。方法这项定性的多中心研究在法国进行,我们与接受基于精神病拒绝入学的精神病治疗的青少年以及他们的父母进行了半结构化访谈。继续进行有目的抽样的数据收集,直到达到理论上的充分程度。数据分析是主题性的。结果本研究包括20名12至18岁的青少年和21名父母。分析中出现了两个主题:(1)精神科护理的目标包括两个子主题:“自我转变”和解决问题; (2)被确定为有效的治疗杠杆具有两个子主题:时间,空间和关系。结论我们的结果表明,父母和青少年在照顾方式,尤其是目标方面的表现存在分歧。讨论了有关精神病治疗中重返学校的条件的治疗和研究意义,以及治疗的时效性。

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