MISAPSY: Childhood Maltreatment, Food Insecurity, Psychological Distress and Professional Integration Among Socioeconomically Disadvantaged Young Adults
Trauma and Stress-related DisordersFood InsecurityChild MaltreatmentPsychological DistressDepression SymptomsAnxiety Symptoms
Investigational drug(s) / intervention(s)
Food AssistancePsychological Follow-Up
Food Assistance: Weekly food assistance provided to participants for a duration of 12 months, aimed at reducing food insecurity.
Psychological Follow-Up: Twice-monthly psychological follow-up sessions provided over a 6-month period, delivered by trained psychodynamic psychologists, aiming to support psychological well-being and address trauma-related psychological distress.
Study summary
The MISAPSY study (Childhood Maltreatment, Food Insecurity, Psychological Distress and Professional Integration Among Socioeconomically Disadvantaged Young Adults) aims to model the complex interrelations between child maltreatment, trauma exposure, food insecurity, and psychological distress among precarious young adults enrolled in French youth employment and social integration services (Mission Locale).
Adopting a methodology structured around three complementary components, this study consists of: (1) a cross-sectional survey to identify key associations ; (2) a qualitative study based on semi-structured interviews exploring psychologists' subjective experiences, and (3) a longitudinal comparative interventional study involving two different support programs to assess and compare the impact of these interventions on participants' food insecurity and psychological well-being.
Using a multi-phase design, MISAPSY seeks to move beyond linear risk-factor models by adopting a systemic and network-based approach to mental health and social vulnerability. The study integrates quantitative analyses, including network analyses, qualitative exploration of professional practices, and comparative longitudinal intervention to inform more holistic, equitable, and transferable models of care for vulnerable young adults.
Eligibility
Sex
ALL
Min age
18 Years
Max age
25 Years
Healthy volunteers
No
Inclusion Criteria:
* Be aged 18 to 25 years
* Be supported by a Mission Locale in Paris as part of a social and/or professional integration program
* Voluntarily participate in the study after receiving clear information and signing an informed consent form
* Experiencing severe food insecurity (positive response to item 8 of the FIES)
* Experiencing significant psychological distress, defined by: PHQ-9 score \> 15; GAD-7 score \> 10
* Have been exposed to at least one adverse childhood experience, identified via the CTQ-SF (Childhood Trauma Questionnaire - Short Form).
Exclusion Criteria:
* Being unable to provide informed consent due to impaired comprehension or communication skills
* Currently receiving psychiatric care for an acute or chronic mental illness requiring regular specialized treatment
* Experiencing a social or medical emergency incompatible with the study (e.g., unstable emergency housing, acute suicidal crisis, ongoing hospitalization)
* Being incarcerated, under guardianship or curatorship without specific legal authorization to participate in research
* Having previously participated in a similar study or currently being engaged in a structured psychological intervention protocol
* Having insufficient command of the French language, preventing comprehension of instructions, questionnaires, or interviews.
Primary outcome measure(s)
Change in Food Insecurity Severity — T0: Baseline; T1: 3 months after baseline; T2: 6 months after baseline (end of the psychological follow-up); and T3: 12 months after baseline (end of the study) Food insecurity assessed using the Food Insecurity Experience Scale (FIES), an 8-item standardized questionnaire. The total raw score ranges from 0 to 8, with higher scores indicating greater food insecurity severity. Changes in food insecurity severity over time will be compared between the two intervention arms to evaluate the added impact of psychological support alongside food assistance. The primary outcome is the change in FIES total score from baseline to 12 months (4 assessments), comparing the two intervention arms.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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