Clinical practice during the COVID-19 pandemic: a qualitative study among child and adolescent psychiatrists across the world

Abstract Background The COVID-19 pandemic has directly impacted the field of child and adolescent psychiatry, affecting all aspects of the lives of children and their families and increasing their risk of distress and mental health issues, especially among children with preexisting psychiatric disor...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Jordan Sibeoni, Emilie Manolios, Emmanuel Costa-Drolon, Jean-Pierre Meunier, Laurence Verneuil, Anne Revah-Levy
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Qualitative methods COVID-19 Clinical practice Child psychiatrists Pediatrics RJ1-570 Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/a97bc05596c04aed996965c961a676dd
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a97bc05596c04aed996965c961a676dd
record_format	dspace
spelling	oai:doaj.org-article:a97bc05596c04aed996965c961a676dd2021-11-28T12:30:04ZClinical practice during the COVID-19 pandemic: a qualitative study among child and adolescent psychiatrists across the world10.1186/s13034-021-00417-y1753-2000https://doaj.org/article/a97bc05596c04aed996965c961a676dd2021-11-01T00:00:00Zhttps://doi.org/10.1186/s13034-021-00417-yhttps://doaj.org/toc/1753-2000Abstract Background The COVID-19 pandemic has directly impacted the field of child and adolescent psychiatry, affecting all aspects of the lives of children and their families and increasing their risk of distress and mental health issues, especially among children with preexisting psychiatric disorders. Child and adolescent psychiatrists (CAPs) across the world have had to adapt their practice, due to lockdown and social distancing measures. This study aimed to explore how CAPs experienced their clinical practice in these singular conditions. Methods This exploratory international qualitative study used the Inductive Process to analyse the Structure of lived Experience (IPSE) approach, which is a five-stage inductive process used to explore the lived experience of participants in depth and to analyze their structure of lived experience. This study took place from March through July 2020 through individual in-depth video interviews. The sample size was determined according to the principles of theoretical sufficiency. Results 39 CAPs from 26 countries participated (age range 32–70 years; 23 women). Data analysis produced a structure of lived experience comprising three central axes of experience: (1) lost in space, lost in time, describing CAPs’ experience of disorganization of their clinical practice in the dimensions of lived time and lived space, (2) the body—of CAPs and patients—underlining their disconcerting experience of both sensory aspects and the non-embodied encounter during clinical practice, and (3) unpleasant emotions, with angst and loneliness the two main feelings coloring their clinical practice experience. Conclusions This analysis of the structure of lived experience of CAPs went beyond the sole context of the pandemic and revealed key aspects of what usually organizes CAP clinical practice. It identified two blind spots or conceptual voids within the child and adolescent psychiatry field: first, the intrinsic therapeutic function of a CAP clinical practice and, second, the important diagnostic and therapeutic function of the embodied encounter during CAP consultations. Beyond the context of COVID-19, further research should investigate these aspects to better define what a CAP does in practice and to increase both attractiveness and recruitment in this specialty.Jordan SibeoniEmilie ManoliosEmmanuel Costa-DrolonJean-Pierre MeunierLaurence VerneuilAnne Revah-LevyBMCarticleQualitative methodsCOVID-19Clinical practiceChild psychiatristsPediatricsRJ1-570PsychiatryRC435-571ENChild and Adolescent Psychiatry and Mental Health, Vol 15, Iss 1, Pp 1-15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Qualitative methods COVID-19 Clinical practice Child psychiatrists Pediatrics RJ1-570 Psychiatry RC435-571
spellingShingle	Qualitative methods COVID-19 Clinical practice Child psychiatrists Pediatrics RJ1-570 Psychiatry RC435-571 Jordan Sibeoni Emilie Manolios Emmanuel Costa-Drolon Jean-Pierre Meunier Laurence Verneuil Anne Revah-Levy Clinical practice during the COVID-19 pandemic: a qualitative study among child and adolescent psychiatrists across the world
description	Abstract Background The COVID-19 pandemic has directly impacted the field of child and adolescent psychiatry, affecting all aspects of the lives of children and their families and increasing their risk of distress and mental health issues, especially among children with preexisting psychiatric disorders. Child and adolescent psychiatrists (CAPs) across the world have had to adapt their practice, due to lockdown and social distancing measures. This study aimed to explore how CAPs experienced their clinical practice in these singular conditions. Methods This exploratory international qualitative study used the Inductive Process to analyse the Structure of lived Experience (IPSE) approach, which is a five-stage inductive process used to explore the lived experience of participants in depth and to analyze their structure of lived experience. This study took place from March through July 2020 through individual in-depth video interviews. The sample size was determined according to the principles of theoretical sufficiency. Results 39 CAPs from 26 countries participated (age range 32–70 years; 23 women). Data analysis produced a structure of lived experience comprising three central axes of experience: (1) lost in space, lost in time, describing CAPs’ experience of disorganization of their clinical practice in the dimensions of lived time and lived space, (2) the body—of CAPs and patients—underlining their disconcerting experience of both sensory aspects and the non-embodied encounter during clinical practice, and (3) unpleasant emotions, with angst and loneliness the two main feelings coloring their clinical practice experience. Conclusions This analysis of the structure of lived experience of CAPs went beyond the sole context of the pandemic and revealed key aspects of what usually organizes CAP clinical practice. It identified two blind spots or conceptual voids within the child and adolescent psychiatry field: first, the intrinsic therapeutic function of a CAP clinical practice and, second, the important diagnostic and therapeutic function of the embodied encounter during CAP consultations. Beyond the context of COVID-19, further research should investigate these aspects to better define what a CAP does in practice and to increase both attractiveness and recruitment in this specialty.
format	article
author	Jordan Sibeoni Emilie Manolios Emmanuel Costa-Drolon Jean-Pierre Meunier Laurence Verneuil Anne Revah-Levy
author_facet	Jordan Sibeoni Emilie Manolios Emmanuel Costa-Drolon Jean-Pierre Meunier Laurence Verneuil Anne Revah-Levy
author_sort	Jordan Sibeoni
title	Clinical practice during the COVID-19 pandemic: a qualitative study among child and adolescent psychiatrists across the world
title_short	Clinical practice during the COVID-19 pandemic: a qualitative study among child and adolescent psychiatrists across the world
title_full	Clinical practice during the COVID-19 pandemic: a qualitative study among child and adolescent psychiatrists across the world
title_fullStr	Clinical practice during the COVID-19 pandemic: a qualitative study among child and adolescent psychiatrists across the world
title_full_unstemmed	Clinical practice during the COVID-19 pandemic: a qualitative study among child and adolescent psychiatrists across the world
title_sort	clinical practice during the covid-19 pandemic: a qualitative study among child and adolescent psychiatrists across the world
publisher	BMC
publishDate	2021
url	https://doaj.org/article/a97bc05596c04aed996965c961a676dd
work_keys_str_mv	AT jordansibeoni clinicalpracticeduringthecovid19pandemicaqualitativestudyamongchildandadolescentpsychiatristsacrosstheworld AT emiliemanolios clinicalpracticeduringthecovid19pandemicaqualitativestudyamongchildandadolescentpsychiatristsacrosstheworld AT emmanuelcostadrolon clinicalpracticeduringthecovid19pandemicaqualitativestudyamongchildandadolescentpsychiatristsacrosstheworld AT jeanpierremeunier clinicalpracticeduringthecovid19pandemicaqualitativestudyamongchildandadolescentpsychiatristsacrosstheworld AT laurenceverneuil clinicalpracticeduringthecovid19pandemicaqualitativestudyamongchildandadolescentpsychiatristsacrosstheworld AT annerevahlevy clinicalpracticeduringthecovid19pandemicaqualitativestudyamongchildandadolescentpsychiatristsacrosstheworld
_version_	1718407974956826624

Clinical practice during the COVID-19 pandemic: a qualitative study among child and adolescent psychiatrists across the world

Ejemplares similares