Lausanne Trilogue Play; family interactions; diagnostic assessment; adolescent mental health; Children Behavior Check List (CBCL)
Abstract :
[en] Objective: A great number of studies have confirmed the value of the Lausanne Trilogue Play (LTP) as a useful tool for identifying the features of triadic interactive competences in early infancy and in childhood. Despite the increase of knowledge in this field, few studies applied the LTP to clinical samples and in scholar age and adolescence, in order to investigate the possible link between the quality of family interactions and child's or adolescent's psychopathological functioning. Results from few researches in this domain are limited due to the small size of the studied samples and do not allow generalizations. For this reason, furthers studies need to be increase, with a larger number of participants, in order to contribute to a general reflection on the use of the LTP in the child or adolescent assessment. The aims of the research were: (i) to use the LTP with a clinical sample of families, with children in scholar age and adolescents, in order to increase knowledge on psychometric properties of the procedure, when used to observe family interactions in clinical groups; (ii) to explore the value of LTP as a discriminating tool for dysfunctional interactions, compared to Child Behavior Check List scores of children and adolescents; (iii) to investigate the LTP as a predictive tool for therapeutic indication in Infant Mental Health Services, compared to the indication of clinicians who have conducted the diagnostic assessment. Method: The sample consisted of 102 children and adolescents (M=12,9 yrs; SD=3.25), with their parents referred to the Mental Health Public Service of Padua, Veneto, Italy) in which they turn for psychological problem of their child/ adolescent. Results: Globally the LTP instrument showed good internal validity, in line with previous studies. A negative correlation between cBcl scores and ltP total score has been found, suggesting that families, whose children showed higher levels of disease and particularly externalizing behavioral problems, are more likely to experience low quality of family interactions. Conclusions: The literature on the LTP suggests the tool to be discriminant with respect to families with difficulties and families with severe psychopathology. This study confirms the possibility to use it as a valid support in the diagnostic assessment and it supports their application for therapeutic planning with clinical families.
Disciplines :
Treatment & clinical psychology
Author, co-author :
Gatta, Michela; Ulss6, Veneto, Padua, Italy > Childhood Adolescence Family Unit
Miscioscia, Marina; UNIPD - Università degli Studi di Padova > Department of Developmental Psychology and Socialisation
Brianda, Maria Elena ; UNIPD - Università degli Studi di Padova > Department of Developmental Psychology and Socialisation
Simonelli, Alessandra; UNIPD - Università degli Studi di Padova > Department of Developmental Psychology and Socialisation
Language :
English
Title :
Assessment and intervention in mental health services for children and adolescents using the Lausanne Trilogue Play.
Achenbach TM, Rescorla LA (2001). Manual for The ASEBA School-Age Forms & Profiles. University of Vermont, Research Center for Children, Youth, and Families, Burlington.
Altenburger LE, Schoppe-Sullivan SJ, Lang SN, Bower DJ, Kamp Dush CM (2014). Associations Between Prenatal Coparenting Behavior and Observed Coparenting Behavior at 9 Months Postpartum. Journal of Family Psychology 28, 4, 495-504.
Bateson G (1972). Steps to an ecology of mind: Collected essays in anthropology, psychiatry, evolution, and epistemology. University of Chicago Press, Chicago.
Brock RL, Kochanska G (2015). Decline in the Quality of Family Relationships Predicts Escalation in Children’s Internalizing Symptoms from Middle to Late Childhood. Journal of Abnormal Psychology 43, 7, 1295-1308.
Caviglia G, Perrella R, Sapuppo W, Del Villano N (2010). La ricerca in psicoterapia: il contributo del Gruppo di lavoro della Cattedra di Psicologia Dinamica della Seconda Università di Napoli. Research in Psychotherapy 2, 13, 32-52.
Cigala A, Fruggeri L, Venturelli E (2015). Configurazioni e microtransizioni familiari: cambiamento e ricostruzione della stabilità nelle interazioni triadiche. Psicologia Clinica dello Sviluppo 19, 1, 125-144.
Cummings EM, Davies P, Campbell S (2000). Developmental psychopathology and family process. Guilford, New York.
D’Amore S, Simonelli A, Miscioscia M (2013). La qualità delle interazioni triadiche nelle famiglie lesbo-genitoriali: uno studio pilota con la procedura del Lausanne Trilogue Play. Infanzia e Adolescenza 12, 2, 113-127.
Ebesutani C, Bernstein A, Nakamura BJ, Chorpita BF, Higa-McMillan CK, Weisz JR (2010). Concurrent Validity of the Child Behavior Checklist DSM-Oriented Scales: Correspondence with DSM Diagnoses and Comparison to Syndrome Scales. Journal of Psychopathology and Behavioral Assessment 32, 3, 373-384.
Favez N (2013). L’évaluation du contexte familial dans l’examen psychologique de l’enfant. Neuropsychiatrie de l’Enfance et de l’Adolescence 61, 3, 176-182.
Favez N, Lavanchy Scaiola C, Tissot H, Darwiche J, Frascarolo F (2011). The Family Alliance Assessment Scales: Steps Toward Validity and Reliability of an Observational Assessment Tool for Early Family Interactions. Journal of Child and Family Studies 20, 1, 23-37.
Favez N, Lopes F, Bernard M, Frascarolo F, Lavanchy Scaiola C, Corboz-Warnery A, Fivaz-Depeursinge E (2012). The development of family alliance from pregnancy to toddlerhood and child outcomes at 5 years. Family Process 51, 4, 542-556.
Favez N, Tissot H, Frascarolo F, Fivaz-Depeursinge E (2014). Dépressivité maternelle au post-partum et symptomatologie du bébé à trois mois: l’effet modérateur de l’alliance familiale et de la satisfaction conjugale. Neuropsychiatrie de l’Enfance et de l’Adolescence 62, 4, 203-211.
Fivaz-Depeursinge E, Corboz-Warnery A (1999). Il triangolo primario. Le prime interazioni triadiche tra padre, madre e bambino. Raffaello Cortina, Milano.
Fivaz-Depeursinge E, Cairo S, Lavanchy Scaiola C, Favez N (2012). Nine-month olds’ triangular interactive strategies with their parents’ couple in low-coordination families: A descriptive study. Infant Mental Health Journal 33, 1, 10-21.
Gatta M, Dal Zotto L, Nequinio G, Del Col L, Sorgato R, Ceranto G, Testa CP, Pertile R, Battistella PA (2011b). Parents of adolescents with mental disorders: Improving their caregiving experience. Journal of Child and Family Studies 20, 4, 478-490.
Gatta M, Ramaglioni E, Lai J, Svanellini L, Toldo I, Del Col L, Salviato C, Spoto A, Battistella PA (2009). Psychological and behavioral disease during developmental age: the importance of the alliance with parents. Neuropsychiatric Disease and Treatment 5, 541-546.
Gatta M, Simonelli A, Sudati L, Sisti M, Svanellini L, Stucchi M, Spoto A, Battistella PA (2015). Emotional Difficulties in Adolescence: Psychopathology and Family Interactions. International Neuropsychiatric Disease Journal 4, 1, 47-54.
Gatta M, Sisti M, Brunello G, Sale E, Simonelli A, Battistella PA (2014a). Evaluation of family relationships in psychomotor intervention with pre-teens suffering from cerebral palsy. Giornale di Neuropsichiatria dell’Età Evolutiva 34, 73-81.
Gatta M, Sisti M, Sudati L, Miscioscia M, Simonelli A (2016). The Lausanne Trilogue Play within the outcome evaluation in infant mental health: a preliminary report. Research in Psychotherapy: Psychopathology, Process and Outcome 19, 1, 19-30.
Gatta M, Miscioscia M, Simonelli A, Sudati L, Sisti M, Comis I, Battistella BA (2017a). Contribution of Analyses on Triadic Relationships to Diagnostics and Treatment Planning in Developmental Psychopathology. Psychological Reports 120, 2, 290-304.
Gatta M, Canetta E, Zordan M, Spoto A, Ferruzza E, Manco I, Addis A, Battistella PA (2011a). Alexithymia in juvenile primary headache sufferers: A pilot study. Journal of Headache and Pain 12, 1, 71-80.
Gatta M, Gallo C, Vianello M (2014b). Art therapy groups for adolescents with personality disorders. The Arts in Psychotherapy 41, 1, 1-6.
Gatta M, Dal Zotto L, Del Col L, Spoto A, Testa CP, Ceranto G, Sorgato R, Bonafede C, Battistella PA (2010). Analytical psychodrama with adolescents suffering from psychobehavioral disorder: Short-term effects on psychiatric symptoms. The Arts in Psychotherapy 37, 3, 240-247.
Gatta M, Miscioscia M, Sisti M, Comis I, Battistella PA (2017b) Interactive family dynamics and Non-Suicidal Self-Injury in psychiatric adolescent patients: a single case study. Frontiers in Psychology 8, 46, 1-5.
Gueron-Sela N, Atzaba-Poria N, Meiri G, Marks K (2015). The Caregiving Environment and Developmental Outcomes of Preterm Infants: Diathesis Stress or Differential Susceptibility Effects? Child Development 86, 4, 1014-1030.
Hedenbro M, Rydelius PA (2014). Early interaction between infants and their parents predicts social competence at the age of four. Acta Paediatrica 103, 3, 268-274.
Keren M, Tyano S (2015). Psychopathology and its early impact on parenting behaviors in mothers: The interface between adult and infant psychiatry. Israel Journal of Psychiatry and Related Sciences 52, 2, 92-99.
Kim SR, Szigethy E, Meltzer-Brody S, Pilowsky DJ, Verhulst F (2013). Supporting the mental health of children by treating mental illness in parents. Psychiatric Annals 43, 12, 534-537.
Mazzoni S, Lubrano Lavadera A, Di Benedetto R, Criscuolo M, Mangano C (2015). Le coalizioni genitoriali: lo stile interattivo del bambino a fronte degli stili cogenitoriali. Psicologia Clinica dello Sviluppo 19, 1, 79-100.
Mazzoni S, Veronesi C, Vismara L (2013). Coordinare la genitorialità nelle famiglie con un bambino con Disturbo dello Spettro Autistico. Psichiatria dell’Infanzia e dell’Adolescenza 80, 1, 39-60.
Minuchin S (1974). Families and family therapy. Harvard University Press, Cambridge.
Miscioscia M, Blavier A, Pagone PR, Simonelli A (2017). The Desire of Parenthood: Intuitive Co-Parental Behaviors and Quality of Couple’s Relationship among Italian and Belgian Same-Sex and Opposite-sex Couples. Frontiers in Psychology 8, 110, 1-9.
Murphy SE, Jacobvitz DB, Hazen NL (2015). What’s so Bad About Competitive Coparenting? Family-Level Predictors of Children’s Externalizing Symptoms. Journal of Child and Family Studies 25, 5, 1684-1690.
Ollendick TH, King NJ, Chorpita BF (2006). Empirically Supported Treatments for Children and Adolescents. In Kendall PC (ed) Child and adolescent therapy: Cognitivebehavioral procedures, pp. 492-520. The Guilford Press, New York, London.
Parolin M, Simonelli A (2016). Attachment Theory and Maternal Drug Addiction: The Contribution to Parenting Interventions. Frontiers in Psychiatry 7, 152, 1-14. Doi: 10.3389/fpsyt.2016.00152
Reiss, D. (1989). La famiglia rappresentata e la famiglia reale. In Sameroff AJ, Emde RN (Eds.) I disturbi delle relazioni nella prima infanzia, pp. 200-230. Bollati Boringhieri, Torino.
Ringoot AP, Tiemeier H, Jaddoe VW, So P, Hofman A, Verhulst FC, (2015). Jansen PW. Parental depression and child wellbeing: young children’s self-reports helped addressing biases in parent reports. Journal of Clinical Epidemiology 68, 8, 928-38.
Simonelli A, Bighin M, De Palo F (2013). L’évolution de l’alliance familiale et son impact sur l’enfant à l’âge de 4 ans: une étude longitudinale en Italie. In Favez N, Frascarolo F, Tissot H (eds) Naitre et grandir au sein de la triade: Le developement de l’alliance familiale, pp. 159-173. De Boeck, Louvain-la-Neuve.
Simonelli A, De Palo F, Bighin M (2014c). From pregnancy to the 9th month: the development of early interactiverelational competencies of the child in the family context. Interdisciplinary Journal of Family Studies 19, 1, 110-130.
Simonelli A, Parolin M, Sacchi C, De Palo F, Vieno A (2016). The Role of Father Involvement and Marital Satisfaction in the Development of Family Interactive Abilities: A Multilevel Approach. Frontiers in Psychology 7, 1725, 1-11.
Simonelli A, Sisti M, Svanellini L, Sudati L, Fregna R, Vellon L, Stucchi M, Spoto A, Gatta M (2014b). Is there any relationship between children psychopathology and interactive family pattern?. Infant Mental Health Journal, Suppl A, 35, 3, 243-244.
Simonelli A, Sudati L, Sisti M, Calloni V, Spoto A, Svanellini L, Battistella PA, Gatta M (2014a). Alexithymia, psychopathology vulnerability and family dynamics in adolescence. Infant Mental Health Journal, Suppl A, 35, 3, 241-242.
Stern DN (2005). Intersubjectivity. In Person ES, Cooper AM, Gabbard GO (eds) The American psychiatric publishing textbook of psychoanalysis, pp. 77-92. American Psychiatric Publishing, Washington.
Teubert D, Pinquart M (2010). The Association Between Coparenting and Child Adjustment: A Meta-Analysis. Parenting: Science and Practice 10, 4, 286-307.
Tissot H, Favez N, Udry-Jorgensen L, Frascarolo F, Despland JN (2015). Mothers’ and Fathers’ Sensitive Parenting and Mother-Father-Child Family Alliance During Triadic Interactions. The Family Journal 23, 4, 374-380. doi: 10.1177/1066480715601110
Tissot H, Lavanchy Scaiola C, Frascarolo F, Despland JN, Stiefel F, Favez N (2014). Family alliance as a moderator of the link between maternal postpartum depression and child symptoms assessed by both parents. Journal of Family Issues 35, 11, 1520-1542.
Umemura T, Christopher C, Mann T, Jacobvitz D, Hazen N (2015). Coparenting Problems with Toddlers Predict Children’s Symptoms of Psychological Problems at Age 7. Child Psychiatry & Human Development 46, 6, 981-996.
Weinfield NS, Sroufe AL, Egeland B, Carlson E (2008). Individual differences in attachment. 2nded ed. In Cassidy J, Shaver PR (eds) Handbook of Attachment: Theory, Research, and Clinical Applications, pp. 78-101. Guilford Press, New York.