Post-traumatic Stress Disorder
Conditions
Brief summary
ThThe aim of this study is to determinate the potential benefits of a respiratory training program (cardiac coherence, CC) in patients suffering from acute stress disorder, after a potentially traumatic event. Using this method is supposed to prevent the onset of chronic post traumatic stress disorder after 3 months. This pilot study will help to determinate the need of developing this kind of complementary and alternative program, and will also provide knowledge about the feasibiility and acceptability of this program for the patients.
Detailed description
Each patient will be teached how to use cardiac coherence with a trained practitioner at the inclusion visit. A respiratory guide on smartphone will be given to the patient aswell as a diary in order to keep tracks of the patient's compliance to this program.
Interventions
OTHERcardiac coherence
standard care associated to cardiac coherence training during 3 months
Sponsors
Centre Hospitalier Universitaire de la Réunion
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Pilot study
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients seen at medico-psychological emergency cell * patients with an acute stress disorder, diagnosed by DSM-5 * patients who have experienced a potentially traumatic event for the last 3-15 days (vctim or witness) * patients able to read and write in French language * person affiliated or beneficiary of a social security scheme. * person who agrees to participate in the study
Exclusion criteria
* patients with respiratory pathology not allowing cardiac coherence training * patients currently practicing a regular respiratory control technique or within the last 6 months * patients taking beta-blocker, betamimetic, anti-arrhythmic, opioid, antidepressant * patients with a pacemaker or suffering from severe cardiac illness * patients with non-stabilized psychiatric disorder at inclusion * patient taking benzodiazepine unable to wean off in the week following the inclusion * patients with addiction * patients with a cognitive deficit * patients under guardianship or curatorship, under judicial supervision
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients without Post-traumatic stress disorder | at month 3 | Measured by the Post Traumatic Stress Disorder CheckList for DSM-5 (PCL-5) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Complications associated to Post-traumatic stress disorder | at inclusion | number of suicide attempt |
| Variation in heart rate variability | at inclusion | measured by time and frequency indices obtained on the tachogram |
| Duration of scale completion | at inclusion | timed |
| Compliance to Cardiac coherence | at inclusion | percentage of time spent in cardiac coherence |
| Proportion of patients who refuse to participate | up to month 3 | all screened patient will be recorded |
Countries
Reunion
Contacts
CONTACTEmilie TECHER
PRINCIPAL_INVESTIGATORErick GOKALSING
Etablissement Public de Santé Mentale de La Réunion
Outcome results
None listed