Mapping the Healthcare Pathway to Multidisciplinary Assessment of 12-25 Year Olds With Somatic Symptom Disorder
NCT ID: NCT06582173
Last Updated: 2025-09-12
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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NOT_YET_RECRUITING
36 participants
OBSERVATIONAL
2025-10-31
2027-10-31
Brief Summary
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Detailed Description
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The aim of this study is to trace back the pathway of care that individuals follow before they eventually undergo a specialised multidisciplinary assessment.
This descriptive study relies on data retrospectively collected from patients and their parents during face-to-face interviews assisted by a biographical grid. Inclusion criteria for patients are to be aged 12 to 25 years old and to be diagnosed with SSD by a specialised multidisciplinary team. Variables measured to describe the healthcare pathway are chosen according to professional experience and literature review. They are collected alongside concomitant life events both to reduce memory bias and to explore determinants and effects of healthcare consumption as a secondary outcome. The subjective experience of this healthcare pathway described by patients and their parents is analysed qualitatively in the verbatim of the audio recorded interview.
Conditions
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Study Design
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CASE_ONLY
PROSPECTIVE
Study Groups
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Adolescents
Patients aged 12 to 25 years old and diagnosed with SSD by a specialised multidisciplinary team
Face-to-face interviews assisted by a biographical grid
Face-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
Parents
Parents of an adolescent included
Face-to-face interviews assisted by a biographical grid
Face-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
Interventions
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Face-to-face interviews assisted by a biographical grid
Face-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
Eligibility Criteria
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Inclusion Criteria
* 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).
Criteria relating to the additional population participating in the research:
\- Being a parent of a subject who has received the diagnosis of somatic symptom disorder and derivatives (DSM 5) after specialized multidisciplinary evaluation at the Maison des Adolescents of Cochin Hospital (Maison de Solenn).
Exclusion Criteria
* 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.
Criteria relating to the additional population participating in the research:
None
12 Years
ALL
Yes
Sponsors
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URC-CIC Paris Descartes Necker Cochin
OTHER
Assistance Publique - Hôpitaux de Paris
OTHER
Responsible Party
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Principal Investigators
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Maude LUDOT-GREGOIRE, MD, PhD
Role: PRINCIPAL_INVESTIGATOR
Maison des Adolescents - Cochin Hospital - AP-HP
Locations
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Maison de Solenn Maison des Adolescents, Cochin Hospital
Paris, IDF, France
Countries
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Central Contacts
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Facility Contacts
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Pauline BOUE, MD
Role: backup
References
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Joustra ML, Janssens KA, Bultmann U, Rosmalen JG. Functional limitations in functional somatic syndromes and well-defined medical diseases. Results from the general population cohort LifeLines. J Psychosom Res. 2015 Aug;79(2):94-9. doi: 10.1016/j.jpsychores.2015.05.004. Epub 2015 May 16.
van Dessel N, den Boeft M, van der Wouden JC, Kleinstauber M, Leone SS, Terluin B, Numans ME, van der Horst HE, van Marwijk H. Non-pharmacological interventions for somatoform disorders and medically unexplained physical symptoms (MUPS) in adults. Cochrane Database Syst Rev. 2014 Nov 1;2014(11):CD011142. doi: 10.1002/14651858.CD011142.pub2.
Wortman MSH, Lokkerbol J, van der Wouden JC, Visser B, van der Horst HE, Olde Hartman TC. Cost-effectiveness of interventions for medically unexplained symptoms: A systematic review. PLoS One. 2018 Oct 15;13(10):e0205278. doi: 10.1371/journal.pone.0205278. eCollection 2018.
Gosselin A, Desgrees du Lou A, Lelievre E; PARCOURS Study Group. How to use sequence analysis for life course epidemiology? An example on HIV-positive Sub-Saharan migrants in France. J Epidemiol Community Health. 2018 Jun;72(6):507-512. doi: 10.1136/jech-2017-209739. Epub 2018 Feb 2.
Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescence. Lancet Child Adolesc Health. 2018 Mar;2(3):223-228. doi: 10.1016/S2352-4642(18)30022-1. Epub 2018 Jan 30.
Kachaner A, Harim M, Combier A, Trouvin AP, Avouac J, Ranque B, Piot MA. Management perspectives from patients with fibromyalgia experiences with the healthcare pathway: a qualitative study. Front Med (Lausanne). 2023 Dec 1;10:1231951. doi: 10.3389/fmed.2023.1231951. eCollection 2023.
Hinton D, Kirk S. Families' and healthcare professionals' perceptions of healthcare services for children and young people with medically unexplained symptoms: a narrative review of the literature. Health Soc Care Community. 2016 Jan;24(1):12-26. doi: 10.1111/hsc.12184. Epub 2015 Feb 16.
Ludot M, Merlo M, Ibrahim N, Piot MA, Lefevre H, Carles ME, Harf A, Moro MR. ["Somatic symptom disorders" in adolescence. A systematic review of the recent literature]. Encephale. 2021 Dec;47(6):596-604. doi: 10.1016/j.encep.2021.04.007. Epub 2021 Sep 16. French.
Other Identifiers
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2024-A01371-46
Identifier Type: OTHER
Identifier Source: secondary_id
APHP240890
Identifier Type: -
Identifier Source: org_study_id
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