Emotional Difficulties in Adolescence: Psychopathology and Family Interactions

Gatta, Michela; Simonelli, Alessandra; Sudati, Laura; Sisti, Marta; Svanellini, Lorenza; Stucchi, M.; Spoto, Andrea; Battistella, Pier Antonio

doi:10.9734/indj/2015/17789

Cited by 6 publications

(10 citation statements)

References 17 publications

(15 reference statements)

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“…Although preliminary, these results seem to be in line with literature evidences (Palmer et al, 2013;Gatta et al, 2015a) which show that patients with internalizing disorders seem to respond quicker and better to psychotherapeutic treatment than those with externalizing problems. Indeed, patients with externalizing problems seem more difficult to treat and to involve in research studies and, furthermore, it appears more difficult to build a working alliance with them (Midgley & Kennedy, 2011).…”

Section: Discussionsupporting

confidence: 80%

“…However, what seems to be confirmed from our data is that adolescents with internalizing problems, somatic complaints and attention difficulties belong to families with high levels of conflict between parents (Gatta et al, 2015a). In addition, in a case control study run in 2015 on the transmission of the parent-adoThe Lausanne Trilogue Play within the outcome evaluation in infant mental health: a preliminary report N o n -c o m m e r c i a l u s e o n l y lescent attachment bond (Gatta et al, 2015b) results confirmed the prevalence of dysfunctional parental attachment bonds in adolescents with psychopathological issues, stressing the important role of interactive family patterns as risk or protective factors for the onset of psychiatric disorders.…”

Section: Introductionsupporting

confidence: 70%

“…Secondly, we know from a general qualitative study that the families belonging to the subgroup studied in this work showed particular clinical peculiarities (Gatta et al, 2015a(Gatta et al, , 2015b(Gatta et al, , 2015c. Analyzing the peculiarities of these families we have observed that families with no parental support present at the time of the take in charge better parental competences and lower level of adolescent psychopathology.…”

Section: Discussionmentioning

confidence: 81%

“…The main goal of this project was to assess the value of the Lausanne Trilogue Play paradigm (LTP; Fivaz-Depeursinge & Corboz-Warnery, 1999) in the diagnostic workup and treatment of families with children or adolescents revealing individual and/or familiar psychological problems Gatta et al, 2015aGatta et al, , 2015c.…”

Section: Introductionmentioning

confidence: 99%

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The Lausanne Trilogue Play within the outcome evaluation in infant mental health: a preliminary report

Gatta¹,

Sisti²,

Sudati³

et al. 2016

ResPsy

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This study aims to contribute to the scientific debate about the evaluation of the intervention in infant mental health and presents the main results after one year of intervention based on integrated types of treatments (psychodynamic psychotherapy for the child/adolescent, parental support and observation and assessment of family interactions). Furthermore, the study aims to explore the use of the Lausanne Trilogue Play (LTP) as a new assessment tool for planning the of treatments. The sample consists of 23 children and adolescents, aged between 4 and 17 years old, and their families, attending the Infancy, Adolescence and Family Service, Local Health Unit 16 of Padua due to their psychopathological problems. In order to assess their psychological conditions we used the Child Behavior Checklist (CBCL) to evaluate psycho-behavioral problems and the LTP to assess family interactions. The CBCL was used at the time of the diagnostic assessment (T0) and after 12 months of treatment (T12). Concerning the application of LTP, the sample was divided randomly in two groups: one where LTP was used in two different time intervals during therapy (T0 and T12) and another one where it was used in three different time intervals during therapy (T0, T6 and T12) with a video-feedback intervention at time T6. Results report a favorable outcome in regards of the gravity of patients' symptoms, displaying, after one year of treatment, a statistical significant decrease in the clinical level of internalizing symptoms. In terms of family interactions, results show stability within the family patterns except for a statistically significant deterioration in the management of interactive mistakes. Regarding the use of LTP as evaluator of the above intervention, the study shows that the assessment of family's interactions during long-term psychotherapy helps clinicians focus the intervention on those aspects that remain dysfunctional. These results and the possible interpretations, however, emphasize the need for further studies on this topic.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Lausanne Trilogue Play within the outcome evaluation in infant mental health: a preliminary report

Gatta¹,

Sisti²,

Sudati³

et al. 2016

ResPsy

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show abstract

“…More specifically, as far as it concerns the application of the LTP to the feeding situation, the presence of such good indexes of internal consistency in all the variables considered appears to support the suitability of the application of the procedure to contexts which are different from the original one represented by the play situation. This result appears in line with previous studies that adapted the LTP procedure according to family culture, children’s age, peculiarities in development, and which did not result to compromise the internal consistency and the reliability of the coding system (Hedenbro et al, 2006; Miscioscia et al, 2013; Gatta et al, 2014, 2015). …”

Section: Methodssupporting

confidence: 91%

Infantile Anorexia and Co-parenting: A Pilot Study on Mother–Father–Child Triadic Interactions during Feeding and Play

et al. 2017

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Infantile Anorexia (IA), defined by the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood Revised (DC: 0-3R, Zero To Three, 2005), occurs when the child (a) refuses to eat adequate amounts of food for at least 1 month, and shows growth deficiency, (b) does not communicate hunger and lacks interest in food, and (c) the child’s food refusal does not follow a traumatic event and is not due to an underlying medical illness. IA usually emerges during the transition to self-feeding, when the child issues of autonomy are played out daily in the feeding situation. Studies evidence that the feeding interactions between children with IA and their mothers are characterized by low reciprocity, greater interactional conflict and negative affects (Chatoor et al., 2000; Ammaniti et al., 2010, 2012). Moreover, these studies pointed out that maternal depression and eating disorders are frequently associated with IA (Cooper et al., 2004; Ammaniti et al., 2010; Lucarelli et al., 2013). To date, research has focused almost exclusively on the mother–child dyad, while fathers’ involvement, co-parental and family interactions are poorly studied. The current study is a pilot research that investigated mother–father–child triadic interactions, during feeding and play, in families with children diagnosed with IA, in comparison to families with normally developing children. Until now, at the study participated N = 10 families (five with a child with IA diagnosis and five with lack of child’s IA diagnosis, matched for child’s age and gender). The parents–child triadic interactions were assessed in feeding and play contexts using the Lausanne Trilogue Play (Fivaz-Depeursinge and Corboz-Warnery, 1999), adapted to observe father-mother-infant primary triangle in the feeding context, compared to the play context (Lucarelli et al., 2012). Families of the IA-group showed difficulties in expressing and sharing pleasure and positive affects, and in structuring a predictable and flexible context. Children showed little autonomy and difficulty in being actively engaged and tune with parents. Dysfunctional family interactions are a critical issue for IA that affects co-parental and family subsystems, stressing the importance of an articulated diagnostic assessment in order to target effective treatment approaches.

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Contribution of Analyses on Triadic Relationships to Diagnostics and Treatment Planning in Developmental Psychopathology

et al. 2017

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Recent clinical and theoretical research in the field of developmental psychopathology has focused on the importance of interactions in a child's development. The literature has investigated how children's early relationships contribute to the structure and expression of any subsequent psychological problems. The main focus of this pilot study is the application of the Lausanne Trilogue Play paradigm as part of psychodiagnostic assessments to elucidate family functioning in clinical settings. The research aims particularly to observe the characteristics of a family's interactions in the light of their child's psychopathological symptoms, based on a sample of 38 families with school-age children referred to a Neuropsychiatry Unit for Children and Adolescents for emotional or behavioral problems. The children's psychopathological symptoms were assessed by administering the Child Behavior Check List to their parents. Triadic family interactions were observed using the Lausanne Trilogue Play procedure. Statistically significant relationships emerged between the family's interaction patterns and the child's externalizing and internalizing problems, suggesting an interdependence between these relational and individual factors in the development of the young person's psychopathology. The clinical and therapeutic implications of these findings are discussed.

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Emotional Difficulties in Adolescence: Psychopathology and Family Interactions

Cited by 6 publications

References 17 publications

The Lausanne Trilogue Play within the outcome evaluation in infant mental health: a preliminary report

The Lausanne Trilogue Play within the outcome evaluation in infant mental health: a preliminary report

Infantile Anorexia and Co-parenting: A Pilot Study on Mother–Father–Child Triadic Interactions during Feeding and Play

Contribution of Analyses on Triadic Relationships to Diagnostics and Treatment Planning in Developmental Psychopathology

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