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Psychiatric DisorderProgram14-7NCT03356028

Pedopsychiatric and Multidisciplinary Research Devoted to Children Exposed to the Attack in Nice on July 14, 2016

A study testing Child and adolescent psychiatry and Epidemiology, salivary biological collection and qualitative analysis of the discourse in people with Psychiatric Disorder and Trauma, Psychological, run by Fondation Lenval at 1 site in France.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

On July 14, 2016, in Nice, children and their families were attacked by the organization "EI". In Nice, 86 deaths, including 10 children, the youngest at 4, were recorded. A number of children, still difficult to assess exactly but over 100, was bereaved. Read more about this study

Who is it for?
Ages Up to 18 yearsHealthy volunteers can take part
Conditions the study is for
Psychiatric Disorder, Trauma, Psychological
What is being tested?
Child and adolescent psychiatry and Epidemiology, salivary biological collection and qualitative analysis of the discourse
Could I receive a placebo?
No, everyone receives an active treatment
How many people
728 participants
Where
1 siteFrance
Study dates
21 Nov 2017to Dec 2044
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Up to 18 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Children and / or young adults who have consulted at the pediatric consultation center of the CHU Lenval or who are listed in the ORSAN "organization of the health system response in exceptional health situations" file or who have made an appointment following the call by press;
  • Children and / or young adults under 18 at the time of the Nice attack of 14/07/2016.
  • Affiliated to a social security scheme;
  • Having a good command of the French language (French);
  • Children whose parents have accepted participation in the study (collection of informed consents).
  • Non inclusion:
Show all 9Show fewer
  • Children and / or young adults with average intellectual disability (Intelligence Quotient IQ less than 50);
  • Person deprived of liberty by judicial or administrative decision;
  • Person subject to an exclusion period for another search.

Who cannot join

  • a simple request from the child / adolescent and / or young adults or their parents (interruption of participation or withdrawal of consent);
  • failure to comply with the instructions defined and exposed at the time of inclusion.

Trial locations and contacts

1 site in 1 country.

France1 site
  • Hôpitaux pédiatriques de Nice CHU-Lenval

    Nice, 06200

Other trials in France

About this study

Official title: Pedopsychiatric and Multidisciplinary Research (Public Health, Psychodynamics, Neuroscience and Human and Social Sciences) Devoted to Children Exposed to the Attack in Nice on July 14, 2016

On July 14, 2016, in Nice, children and their families were attacked by the organization "EI". In Nice, 86 deaths, including 10 children, the youngest at 4, were recorded. A number of children, still difficult to assess exactly but over 100, was bereaved.

After a traumatic event, multiple clinical consequences may appear in children. Among these consequences, the most common is Post-Traumatic Stress Disorder (PTSD). The aim of the study is to characterize the psycho-social factors of risk and / or protection interfering in the children's future, following the mass trauma of 14 July 2016 in Nice on a sample of pediatric population exposed in comparison of children controls.

Read more

Ancillary study, entilted "The Physalis Child", prospectively observe the presence or not of non-psychotic acousto-verbal hallucinations (AVH) in the population with PTSD from the "Program 14-7". The main objective of this ancillary study will be to identify factors of social and emotional cognition linked to the presence of non-psychotic HAV within the cohort of children exposed to the mass trauma of July 14, 2016 in Nice but also to any type of individual trauma.

Ancillary study, entilted "trail of the 14 July attack", prospectively observe the risk of traumatic reactivation.

Read the detailed description

On July 14, 2016, in Nice, children and their families were attacked by the organization "EI". This is the second time in our country that children are victims of this organization after the attack on the school Ozar Hotarah in March 2012 in Toulouse where four children were killed "touching end".

In Nice, 86 deaths, including 10 children, the youngest at 4, were recorded. A number of children, still difficult to assess exactly but over 100, was bereaved.

After a traumatic event, multiple clinical consequences may appear in children. Among these consequences, the most common is Post-Traumatic Stress Disorder (PTSD). This pathology includes 4 main symptoms: the reviviscences of the event, avoidance behaviors, alterations of cognition and mood and neurovegetative overactivation. In addition, PTSD contributes to the development of many other mental disorders. It is estimated that 75% of adolescents or children having a comorbid disorder with PTSD. In the literature, the main comorbidities identified in pediatric populations are: anxiety disorders, Attention Deficit Hyperactivity Disorder (ADHD) and depression. There is no recommendation as to the therapeutics to be used in psychotraumatism in pediatric population. Epidemiological studies conducted on the consequences of trauma reveal a high variability in the development of psychopathologies. 6 to 20% of exposed children would develop PTSD after a potentially traumatic situation. Several factors can explain the heterogeneity of the results, including the age, the type of trauma experienced, the violence suffered during this trauma. In Nice, to date, more than 2200 children have consulted: 700 children between July 14 and July 28, 2016, 1100 children were seen between August and December, and about 400 since the creation of the Post Traumatic Pediatric Intersectoral Assessment Center (CE2P), in January 2017. The aim of the study is to characterize the psycho-social factors of risk and / or protection interfering in the children's future, following the mass trauma of 14 July 2016 in Nice on a sample of pediatric population exposed in comparison of children controls.

Non-psychotic hallucinations represent a significant symptomatology in child psychiatry (1) and remain clinical question. The results of our previous study "the physalis child" showed a significant correlation between the persistence of non-psychotic acousto-verbal hallucinations (AVH) and the presence of negative emotions, linked to post traumatic stress disorder (PTSD). It seems important to understand the link between trauma and the presence of non-psychotic AVH in children as the literature shows the risk of progression to psychosis when these AVH persist.The interest of the ancllary study of "the physalis child" would be to prospectively observe the presence or not of non-psychotic AVH in the population with PTSD from the "Program 14-7". The question would then be: "Why in two subjects diagnosed with PTSD, one has non-psychotic HAV and the other does not?" The main objective of this ancillary study will be to identify factors of social and emotional cognition linked to the presence of non-psychotic HAV within the cohort of children exposed to the mass trauma of July 14, 2016 in Nice but also to any type of individual trauma.

The impending opening of the trial of the 14 July attack, the conduct and the media coverage associated with the trial are all factors that could be distressing for the children and families exposed to the attack in Nice. Re-exposure to testimonials and certain images can increase the risk of traumatic reactivation with a return of suppressed fears and the symptoms associated. Some factors have been identified as protective: social and family support, cognitive functioning, the presence of residual symptoms or the quality of sleep.

Therefore, an assessment of these factors before and after the opening of the trial would identify children and families with traumatic reactivation, as well as identify protective or risk factors for relapse of traumatic symptoms

Being tested
Child and adolescent psychiatry and Epidemiology, salivary biological collection, qualitative analysis of the discourse, Parenthood, Cognitive alterations
Keywords
Trauma, Psychiatric Disorder, mass trauma
Medical subject headings
Mental Disorders, Psychological Trauma, Wounds and Injuries

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Child and adolescent psychiatry and EpidemiologyBehavioural

    psychosocial risk assessment questionnaire, structured diagnostic interview, pedopsychiatric questionnaire

  • salivary biological collectionOther

    Saliva sampling will be done using a specific kit

  • qualitative analysis of the discourseBehavioural

    two semi-structured interviews, the first with the teenager alone, the second with the lone parents

  • ParenthoodBehavioural

    Parenting Sense of Competence (PSOC) questionnaires completed online.Two visits will be realized: a first in the month preceding the start of the trial and a second in the month following the end of the trial

  • Cognitive alterationsBehavioural

    Episodic memory will be assessed using Grober and Buschke. The evaluation of the cognitive alterations will include two stages: a first in the month preceding the start of the trial and a second in the month following the end of the trial. For child and parents

  • Impact on schoolingBehavioural

    collect of several data about the number of absences of the child, the number of exclusions and hours of detention of the child, as well as the school reports of the child

  • Sleep disorders and associated somatizationsBehavioural

    Evaluation of sleep disorders and associated somatizations by connected watche and sleep questionnaire

Study groups in NCT03356028
Study groupRoleWhat they receive
impacted by the attack of 14 July 2016Othercharacterize the psycho-social factors of risk and / or protection interfering in the children's future with questionnaire following the mass trauma of 14 July 2016 in Nice on a sample of exposed pediatric population
Receives: Behavioral: Child and adolescent psychiatry and Epidemiology; Other: salivary biological collection; Behavioral: qualitative analysis of the discourse; Behavioral: Parenthood; Behavioral: Cognitive alterations; Behavioral: Impact on schooling; Behavioral: Sleep disorders and associated somatizations
control groupOthercharacterize the psycho-social factors of risk and / or protection interfering in the children's future with questionnaire of children controls
Receives: Behavioral: Child and adolescent psychiatry and Epidemiology

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. psychosocial risk assessment questionnaire after 2 year

    Completion of the psychosocial risk assessment questionnaire

    Measured: Difference between baseline and after 2 year

Secondary outcomes (30)
  1. psychosocial risk assessment questionnaire after 5 year

    Completion of the psychosocial risk assessment questionnaire

    Measured: Difference between baseline and after 5 year

  2. psychosocial risk assessment questionnaire after 10 year

    Completion of the psychosocial risk assessment questionnaire

    Measured: Difference between baseline and after 10 year

  3. psychosocial risk assessment questionnaire after 15 year

    Completion of the psychosocial risk assessment questionnaire

    Measured: Difference between baseline and after 15 year

  4. psychosocial risk assessment questionnaire after 20 year

    Completion of the psychosocial risk assessment questionnaire

    Measured: Difference between baseline and after 20 year

  5. psychosocial risk assessment questionnaire after 25 year

    Completion of the psychosocial risk assessment questionnaire

    Measured: Difference between baseline and after 25 year

  6. Structured diagnostic interview MINI (Mini International Neuropsychiatric Interview) after 2 year

    Completion of the MINI questionnaire

    Measured: Difference between baseline and after 2 year

  7. Structured diagnostic interview MINI (Mini International Neuropsychiatric Interview) after 5 year

    Completion of the MINI questionnaire

    Measured: Difference between baseline and after 5 year

  8. Structured diagnostic interview MINI (Mini International Neuropsychiatric Interview) after 10 year

    Completion of the MINI questionnaire

    Measured: Difference between baseline and after 10 year

  9. Structured diagnostic interview MINI (Mini International Neuropsychiatric Interview) after 15 year

    Completion of the MINI questionnaire

    Measured: Difference between baseline and after 15 year

  10. Structured diagnostic interview MINI (Mini International Neuropsychiatric Interview) after 20 year

    Completion of the MINI questionnaire

    Measured: Difference between baseline and after 20 year

  11. Structured diagnostic interview MINI (Mini International Neuropsychiatric Interview) after 25 year

    Completion of the MINI questionnaire

    Measured: Difference between baseline and after 25 year

  12. Overall assessment of the individual CGI-S (Clinical Global Impression - Severity) after 2 year

    Completion of the CGI-S

    Measured: Difference between baseline and after 2 year

  13. Overall assessment of the individual CGI-S (Clinical Global Impression - Severity) after 5 year

    Completion of the CGI-S

    Measured: Difference between baseline and after 5 year

  14. Overall assessment of the individual CGI-S (Clinical Global Impression - Severity) after 10 year

    Completion of the CGI-S

    Measured: Difference between baseline and after 10 year

  15. Overall assessment of the individual CGI-S (Clinical Global Impression - Severity) after 15 year

    Completion of the CGI-S

    Measured: Difference between baseline and after 15 year

  16. Overall assessment of the individual CGI-S (Clinical Global Impression - Severity) after 20 year

    Completion of the CGI-S

    Measured: Difference between baseline and after 20 year

  17. Overall assessment of the individual CGI-S (Clinical Global Impression - Severity) after 25 year

    Completion of the CGI-S

    Measured: Difference between baseline and after 25 year

  18. General operation CGA-S (Children's Global Assessment Scale) after 2 year

    Completion of the CGA-S

    Measured: Difference between baseline and after 2 year

  19. General operation CGA-S (Children's Global Assessment Scale) after 5 year

    Completion of the CGA-S

    Measured: Difference between baseline and after 5 year

  20. General operation CGA-S (Children's Global Assessment Scale) after 10 year

    Completion of the CGA-S

    Measured: Difference between baseline and after 10 year

  21. General operation CGA-S (Children's Global Assessment Scale) after 15 year

    Completion of the CGA-S

    Measured: Difference between baseline and after 15 year

  22. General operation CGA-S (Children's Global Assessment Scale) after 20 year

    Completion of the CGA-S

    Measured: Difference between baseline and after 20 year

  23. General operation CGA-S (Children's Global Assessment Scale) after 25 year

    Completion of the CGA-S

    Measured: Difference between baseline and after 25 year

  24. identify factors of social cognition linked to the presence of non-psychotic acousto-verbal hallucinations (AVH)

    completion of the NEPSY II for a complete neuropsychological assessment

    Measured: at baseline

  25. identify factors of emotional cognition linked to the presence of non-psychotic AVH

    completion of the EED IV , French version of the Differential Emotions Scale IV (DES-IV

    Measured: at baseline

  26. identify the factors of persistence of AVH

    complete neuropsychological assessment

    Measured: after 6 months, 1 year and 2 year from baseline

  27. impact of trial of the attack July 14th on Parenthood

    Parenthood assessment will be offered to parents of children included in the arm "impacted by attack" The Parenting Sense of Competence (PSOC) questionnaire is a widely used scale to assess and measure parenting abilities perceived by parents with two subscales: competence/knowledge and appreciation/comfort.

    The PSOC is a scale with a score ranging from 17 to 102. The higher the score, the more the parent feels a sense of high parenting competence. To demonstrate a minimum difference of 20 points on this questionnaire before and after the trial, with a standard deviation of 20, the number of participants required is 44

    Two visits will be realized: a first in the month preceding the start of the trial (baseline) and a second in the month following the end of the trial.

    Measured: baseline and month9

  28. impact of trial of the attack July 14th on Cognitive alterations

    Evaluation of cognitive alterations, in particular memory disorders and executive functions, will be aimed at children aged 0 to 6 at the time of the July 14, 2016 attack Episodic memory will be assessed using Grober and Buschke (Grober and Buschke, 1988). This test includes 16 items to memorize belonging to 16 different semantic categories. The duration of this test is approximately 20 minutes. This test starts with a control phase of the semantic encoding of words with an immediate cued recall, 3 free and cued recall phases with a 20-second interferential task, a recognition phase and finally a free and deferred cued recall phase to test learning.

    Previous studies using this test show a mean difference of 2 points between the control groups and the experimental groups.

    The evaluation of the cognitive alterations will include two stages: a first in the month preceding the start of the trial (baseline) and a second in the month following the end of the trial

    Measured: baseline and month 6

  29. impact of trial of the attack July 14th on schooling

    Evaluation of the impact of schooling will focus on middle and high school students, using Pronote software and included in the arm "impacted by attack" .

    In order to test the impact of the trial on children's education, several data will be requested from parents. Using the Pronote software, they will be able to communicate to us the number of absences of the child, the number of exclusions and hours of detention of the child, as well as the school reports of the child to obtain the effective grades of children and adolescents. This data will be collected for the 2021-2022 school year (3 terms of the previous school year) and for the 2022-2023 school year (3 terms of the current year).

    Measured: 2 years from baseline

  30. impact of trial of the attack July 14th on Sleep disorders and associated somatizations

    Evaluation of sleep disorders and associated somatizations will be offered to adolescents in the "14-7" cohort, are children aged 7 to 12 at the time of the attack.

    The screening scale for sleep disorders in children aged 4 to 16 years by Bruni et al. 1996 . This questionnaire includes an overall sleep quality score, but also sub-indices evaluating insomnia, parasomnia, respiratory problems, non-restorative sleep and excessive daytime sleepiness. The threshold score is 39 and an average score around 25 for the control population.

    This questionnaire will be carried out during the month preceding the opening of the trial (baseline), then every month, until the end of the trial.

    From baseline to the end of trial, participants will receive a connected watches to continuously record sleep quality and daytime activity.

    A questionnaire on Post Traumatic Stress Disorder (PTSD) symptoms will also be completed by the participants at baseline and at the end of trial.

    Measured: baseline and month 6

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Nov 2017
  2. Study start21 Nov 2017
  3. Primary completionDec 2044 (estimated)
  4. Study completionDec 2044 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Diagnosis
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Interventional research involving the category 2 human person at minimal risk and constraint, excluding health product, multicentre
Masking
None (open label)
Enrolment
728 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03356028
Sponsor's protocol ID
17-HPNCL-03
Acronym
Program14-7
Status last verified
Sep 2023
First submitted
9 Nov 2017
Last updated
29 Sep 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Dumas LE, Askenazy F, Fernandez A. Relationships between markers of emotional and social cognition and acoustic-verbal hallucinations in children and adolescents with post-traumatic stress disorder (PTSD). PLoS One. 2025 Sep 23;20(9):e0332910. doi: 10.1371/journal.pone.0332910. eCollection 2025.

    PubMed 40986567
  • Dumas LE, Fernandez A, Auby P, Askenazy F. Relationship between social cognition and emotional markers and acoustic-verbal hallucination in youth with post-traumatic stress disorder: Protocol for a prospective, 2-year, longitudinal case-control study. PLoS One. 2024 Jul 2;19(7):e0306338. doi: 10.1371/journal.pone.0306338. eCollection 2024.

    PubMed 38954699
  • Gindt M, Thummler S, Soubelet A, Guenole F, Battista M, Askenazy F. Methodology of "14-7" Program: A Longitudinal Follow-Up Study of the Pediatric Population and Their Families Exposed to the Terrorist Attack of Nice on July 14th, 2016. Front Psychiatry. 2019 Sep 12;10:629. doi: 10.3389/fpsyt.2019.00629. eCollection 2019.

    PubMed 31572232

Questions about this trial

What is this clinical trial studying?

A study testing Child and adolescent psychiatry and Epidemiology, salivary biological collection and qualitative analysis of the discourse in people with Psychiatric Disorder and Trauma, Psychological, run by Fondation Lenval at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 29 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

psychosocial risk assessment questionnaire after 2 year (time frame: Difference between baseline and after 2 year). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03356028, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Sep 2023.

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