A04.3 D59.3 K58 F43.1
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Infection with EHEC -strain O104:H4 Presentation in in the university hospital of Hamburg or in any one of the participating hospitals with clinically diagnosed EHEC/HUS disease Minimum age of 18 years Written informed consent
Exclusion criteria
Exclusion criteria: Acute medical or psychological symptoms, which require immediate medical intervention (such as suicidal tendency or requiring intensive care treatment) Knowledge of German language does not suffice to understand and sign the informed consent or to fill in the study questionnaires
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence of Post-infectious Irritable Bowel Syndrome (PI-IBS) (K58), assessed by ROME III questionnaire (Andresen et al., 2008 u. 2009), 6 months after EHEC/HUS disease compared with a historic control group of patients with traveller’s diarrhea Prevalence of Post-traumatic stress disorder (PTBS) (F43.1), assessed by PDS questionnaire (Foa et al., 1997; dt. Version: Griesel et al., 2006) and validated by SKID interview (Wittchen et al., 1997), 6 months after EHEC/HUS disease compared with a historic control group of 965 patients treated by their general physician. | — |
Secondary
| Measure | Time frame |
|---|---|
| Multivariate analyses to identify variables that predict the development of a) PI-IBS (K58) and b) post-traumatic stress disorder (PTBS) (F43.1) in patients 6 months after EHEC/HUS disease, specifically: a) female gender, younger age, previous psychological illness, duration of EHEC/HUS disease, bloody diarrhea, abdominal pain, fever, weight loss, anxiety, and b) pre-traumatic factors such as female gender, younger age, low education, previous trauma, family history of psychological illness, peri-traumatic factors during EHEC/HUS disease such as severety of EHEC/HUS-illness, necessitiy of intensive care unit-treatment, peri-traumatic emotional stress, peritraumatic dissociation, subjective feeling of life-threatening disease as well as post-truamtic factos such as chronic stress or lack of social support. | — |
Countries
Germany
Contacts
Institut und Poliklinik für Psychosomatische Medizin und Psychotherapie Universitätsklinikum Hamburg-Eppendorf