Contributors: Unité Transversale de Recherche Psychogenèse et Psychopathologie (UTRPP); Université Paris 13 (UP13)-Université Sorbonne Paris Nord; Maison de Solenn CHU Cochin; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Cochin AP-HP; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP); Centre de recherche en épidémiologie et santé des populations (CESP); Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay; Centre Hospitalier Victor Dupouy; Epidemiology and Clinical Statistics for Tumor, Respiratory, and Resuscitation; Centre for Research in Epidemiology and Statistics; Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE); Many thanks to all the participants, the main investigators of the EDPT-Ados project (H?l?ne ASENSI, Thierry BAUBET, Julien DEPAIRE, Selim GUESSOUM, Pierre LAMACHE, Claire MESTRE, Sevan MINASSIAN, Annie MSELLATI, Jean-Claude MOULIN, Laura PREMAT, Rahmeth RADJACK, Lucie ROSENTHAL, Jeanne-Flore ROUCHON, Gesine STURM, Olivier TAIEB, Catherine ZITTOUN) as well as all the people who helped us to design the global protocol (Sylvie BONNET, Hawa CAMARA, Charles DI, Isabelle JALENQUES, Estelle GIOAN, Kouakou KOUASSI, Aicha LKHADIR, Pierre-Michel LLORCA, Maude LUDOT, Fran?oise NOTON-DURAND, Laura PREMAT, Jean-Philippe RAYNAUD, Isabelle REAL, B?r?nice QUATTONI, Dalila REZZOUG, Alice Titia RIZZI, Fatima TOUHAMI, Paul DE BOISSIEU), as well as Jo Ann Cahn for the translation.
Abstract: International audience ; Background: Migrant adolescents are at a higher risk than their native-born counterparts of psychiatric disorders, and their care is a public health issue. In France, transcultural psychotherapy is a treatment provided by a group of therapists designed to meet the specific needs of these patients when usual care appears ineffective. The objective of this study was to explore the therapeutic elements at work in transcultural psychotherapy. Methods: We conducted a qualitative study crossing the perspectives of adolescents receiving transcultural psychotherapy, their parents, their first-line therapist (FLT), and the transcultural therapists. The families were chosen by purposive sampling. Data were collected during semi-structured individual (for FLTs) and group (families and transcultural therapists) interviews that explored the therapeutic elements involved and effective in transcultural psychotherapy. We used interpretative phenomenological analysis (IPA) to examine the data. In all, 44 participants were questioned: three adolescents (2 girls and 1 boy, all aged 18 to 21 years) and their parents (3 mothers and 1 father), three FLTs (2 child psychiatrists and 1 psychologist), and the 34 therapists participating in the three transcultural psychotherapy groups. Results: The analysis uncovered three themes: (1) the perceived effectiveness of the group’s functioning; (2) the recounting of the individual, family, and cultural history to allow for complexity and nuance; and (3) the personal investment by therapists, made possible by the group. Conclusions: Our results show some therapeutic elements at work in transcultural psychotherapy that enable it to meet the particular needs of some migrant adolescents that are unmet in standard therapy. Continuing to study transcultural psychotherapy and assess its effectiveness is essential for promoting and optimizing psychiatric care for migrant adolescents.
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