This qualitative study, combining psychiatric and anthropological perspectives, focusedon the development and/or worsening of patients' eating disorders since Covid-19, as wellas the experiences and perceptions of those around them - such as their family, teachersor staff. School and nursing staff. This multi-site approach will provide amultidimensional perspective on the experience of individuals and those around them, aswell as a triangulation of data. The hypotheses to explain the increase in EatingDisorders (EDs) will be addressed through semi-structured interviews offered to studyparticipants.
This study will be offered to all patients treated within the SUPEA of HPNCL for TCA. The
active queue of patients is collected using the HPNCL medical software. Patients and
their parents will be contacted by telephone to inform them and suggest that they
participate in this study.
The schools will be chosen from those attended by the patients on this list. They will
also be contacted by telephone to inform them and suggest that they participate in this
study.
Interviews in the presence of two members of the research team (child psychiatrists,
psychologists, anthropologists, etc.) will be offered to all patients. These interviews
will be face-to-face when possible, but can also be done remotely, by teleconsultation,
depending on the preferences of the participants.
These interviews will be based on a questionnaire established beforehand evoking the
history of eating disorders and the experience of the participant in the study and his
entourage of the Covid-19 health crisis.
All information exchanged during these interviews will be made anonymous (data collected
and processed as well as the results presented). They will be used exclusively in the
context of the study and not communicated to the medical team involved in the patient's
care.
The proposed interviews will be carried out separately with:
- The patient presenting or having presented a TCA
- The parents
- One or more health professionals taking care of the patient
- The school attended by the patient who will be questioned about the TCA and Covid-19
problem in general or not about the patient in particular.
Questionnaires will also be carried out with patients in order to complete the assessment
of their clinical condition at a distance from the psychological crisis:
Behavioral: Self-questionnaire Eating Attitudes
self-diagnostic and quantitative questionnaire of 40 questions evaluating the behavior,
severity and evolution of anorexia nervosa
Behavioral: Situational Anxiety and Trait Anxiety
assess anxiety as a "personality trait" (feelings of apprehension, tension, nervousness
and worry that the subject usually feels), and anxiety as a ' "emotional state" linked to
a particular situation
Behavioral: Beck Depression Inventory (BDI) scale
a diagnostic self-questionnaire allowing a quantitative estimation of the intensity of
depressive symptoms in adults and adolescents
Behavioral: • Post-traumatic Check List Scale
questionnaire includes 20 items, each question is to be rated between 1 and 5 depending
on the intensity and frequency of symptoms during the previous month.
Inclusion Criteria:
Any patient having consulted in the child psychiatric emergency room of the HPNCL between
November 1, 2021 and November 30, 2021 for suicidal thoughts.
Age between 13 years and 17 years and 11 months. Good understanding of written and oral
French. Collection of the informed consent of the patient and of one of the two parents
or holder of parental authority
Exclusion Criteria:
Inability to comply with the instructions defined and exposed during inclusion. Refusal
of participation by the patient or one of the legal guardians
Hôpital Lenval
Nice, France
Louise-Emilie DUMAS, MD, Principal Investigator
Fondation Lenval