SARS-CoV 2, Traumatic Stress Disorder
Conditions
Keywords
COVID-19, quarantine, Psychiatric Traumatic Stress Disorder
Brief summary
Quarantine related to the Covid-19 pandemic has begun on the 03/17/2020 in France. Quarantine has already be linked to pejorative effects on mental health. In this study, we aim to evaluated PTSD symptoms of patients already followed by a psychiatrist during quarantine, one month and 3 months after inclusion. It will be also evaluate various psychiatric symptoms.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients already followed in psychiatry before quarantine by one of the psychiatrists subscribed to L'Encéphale online.
Exclusion criteria
* Refusal to complete the questionnaire
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients with post-traumatic stress disorder (PTSD) defined by a total score on PCL-5 ≥ 31 at the time of quarantine | at inclusion | PCL-5 (Posttraumatic Stress Disorder Checklist for DSM-5). The PCL-5 is an instrument that consists of 20 items rated from 0 to 4 to obtain a score from 0 to 80. A score greater than or equal to 31-33 defines the presence of posttraumatic stress disorder. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Presence of suicidal ideation during the past month at the different times of the study | at inclusion, then at 1 month and 3 months after inclusion | closed-ended question: Yes /No |
| Total score at GHQ-28 (General Health Questionnaire) | at inclusion, then at 1 month and 3 months after inclusion | questionnaire with a 28 item scaled and assesses somatic symptoms, anxiety and insomnia, social dysfunction and severe depression that ranges from a 'better/healthier than normal' option, through a 'same as usual' and a 'worse/more than usual' to a 'much worse/more than usual' option. The exact wording will depend upon the particular nature of the item. |
| Total score at BDI (Beck Depression Inventory) | at inclusion, then at 1 month and 3 months after inclusion | 13 questions rated from 0 to 3 to obtain a score from 0 to 39 The higher the score, the greater the symptomatology: 0 to 3 (no depression), 4 to 7 (mild depression), 8 to 15 (depression of moderate to moderate intensity), greater than 16 (severe depression). |
| IES-R (Impact of Events Scale Revised) | at inclusion, then at 1 month and 3 months after inclusion | This self-questionnaire is intended to measure subjective post-traumatic stress after a traumatic situation (within 7 days) but is not a diagnostic tool. It includes 22 items rated from 0 (not at all) to 4 (extremely). There are 3 sub-scales: * an avoidance subscale (items 5, 7, 8, 11, 12, 13, 17, 22): the sum of the scores on each of these items ranges from 0 to 35; * Memory intrusion subscale (items 1, 2, 3, 6, 9, 14, 16 and 20): the sum of the scores on each of these items ranges from 0 to 40; * a Hyperarousal/High Neurovegetative Activation subscale (items 4, 10, 15, 18, 19 and 21): the sum of the scores on each of these items ranges from 0 to 35. A total score of at least 22 suggests the presence of significant symptoms of acute stress. A score of 36 and above suggests the presence of post-traumatic stress disorder. |
| Changes in alcohol and/or cannabis consumption during and at the end of the quarantine period | at inclusion, then at 1 month and 3 months after inclusion | — |
| Total score Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) | at inclusion, then at 1 month and 3 months after inclusion | It's a Likert scale from 14 to 70. The higher the score, the higher the level of well-being. |
| Socio-demographic factors significantly associated with all scores | at inclusion, then at 1 month and 3 months after inclusion | Socio-demographic factors, linked to medical history and the experience of the epidemic. |
| Total score at ISI (Insomnia Severity Index) | at inclusion, then at 1 month and 3 months after inclusion | 7 questions rated from 0 to 4 to obtain a score from 0 to 28 The higher the score, the greater the symptomatology: 0 to 7 (no insomnia), 8 to 14 (mild insomnia), 15 to 21 (moderate insomnia), 22 to 28 (severe insomnia). |