Post Traumatic Stress Disorder
Conditions
Keywords
post traumatic stress disorder, PTSD, emergency services, COVID-19, burn-out
Brief summary
The COVID-19 outbreak has been categorized as a pandemic and declared an international public health emergency by WHO. In this context, an exceptional mobilization and a complete reorganization of the organization of the healthcare offer was put in place.The investigators will study the psychological consequences among emergency department (ED) / SAMU (Service d'Aide Médicale Urgente) professionals exposed during the COVID-19 pandemic to high psychological stress due to work overload, changes in practices and fears of contamination.They will evaluate at 9 and 12 months after the end of the second lockdown (July December 2020), post-traumatic stress disorder (PTSD), personal and professional stress, anxiety and depression, burn-out and consumption of anxiolytic products. This is a multi-center study and includes doctors, DE interns and nurses, other paramedics and medical regulatory assistants working in one of the ED or SAMU working during phase 3 of the COVID-19 pandemic. It should make it possible to know the psychological load of the months following the epidemic among health professionals who worked in emergencies during this period and to understand their risk of occurrence of PTSD. These elements are also essential to improve the management of health crises and to put in place preventive measures for health professionals, in particular in anticipation of recurrences, second wave or future new episode.
Interventions
OTHERPTSD evaluation of emergency room staff 9 and 12 months after the end of second lockdown in France during COvid-19 pandemic
PCL-5 autoquestionnaire to make the PTSD diagnosis
Sponsors
Hospices Civils de Lyon
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults * Administrative and technical medical staff of the Hospices Civils de Lyon * Contractual or holder * Having participated in the COVER PRO study * Working in one of the HCL phase 3 departments of the COVID-19 pandemic. * Affiliated with a social security system * Having signed an informed consent
Exclusion criteria
* Refusal to participate * Major under legal protection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Existence of a Post Traumatic Stress Disorder (PTSD) at 12 months using PTSD Scale | 12 months after the end of the second Lockdown (December 2020) | : Existence of a PTSD after the end of the second lockdown using the PCL-5 scale (Post Traumatic Stress Disorder Checklist, 20 items, self-questionnaire) validated in French for PTSD screening. The presence of a probable PTSD will be defined by a cut-off score of 31/80 and at least a positive response to one of the four questions asking if the symptoms were causing difficulties in relations with family, friends, work or in daily life |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety evaluation at 9 months using HAD scale | 9months after the end of the second Lockdown (December 2020) | Existence of anxious symptomatology assessed by the HAD scale. 14 items, cut-off score: 8 suspected disorder, 11: proven disorder |
| Existence of a Post Ttraumatic Stress Disorder (PTSD) 9 months using PTSD Scale | 9months after the end of the second Lockdown (December 2020) | Existence of a PTSD after the end of the second lockdown using the PCL-5 scale (Post Traumatic Stress Disorder Checklist, 20 items, self-questionnaire) validated in French for PTSD screening. The presence of a probable PTSD will be defined by a cut-off score of 31/80 and at least a positive response to one of the four questions asking if the symptoms were causing difficulties in relations with family, friends, work or in daily life |
| Depression evaluation at 12 months using HAD scale | 12months after the end of the second Lockdown (December 2020) | Existence of depression symptomatology assessed by the HAD scale. 14 items, cut-off score: 8 suspected disorder, 11: proven disorder |
| Depression evaluation at 9 months using HAD scale | 9months after the end of the second Lockdown (December 2020) | Existence of depression symptomatology assessed by the HAD scale. 14 items, cut-off score: 8 suspected disorder, 11: proven disorder |
| Presence of a Burn out at 12 months using the Maslach Burnot Inventory (MBI) scale | 12months after the end of the second Lockdown (December 2020) | Burnout characterized by the Maslach burnout inventory scale. All MBI items are scored using a 7 level frequency ratings from never to daily. The MBI has three component scales: emotional exhaustion (9 items), depersonalization (5 items) and personal achievement (8 items). Each scale measures its own unique dimension of burnout. |
| Anxiety evaluation at 12 months using HAD scale | 12months after the end of the second Lockdown (December 2020) | Existence of anxious symptomatology assessed by the HAD scale. 14 items, cut-off score: 8 suspected disorder, 11: proven disorder |
| Work-related stress measured using Karasek questionnaire at 12 months | 12months after the end of the second Lockdown (December 2020) | Work-related stress measured using Karasek questionnaire at 12 months |
| Work-related stress measured using Karasek questionnaire at 9 months | 9months after the end of the second Lockdown (December 2020) | Work-related stress measured using Karasek questionnaire at 9 months |
| Consumption of psychoactive substances at 12 months | 12months after the end of the second Lockdown (December 2020) | Change in the consumption of psychoactive substances at 12 months |
| Percentage of patients with psychological Support at 12 months | 12months after the end of the second Lockdown (December 2020) | Percentage of patients who benefit from a psychological support at 12 months |
| Mean number of days of sick leave at 12 months | 12months after the end of the second Lockdown (December 2020) | Mean number of days of sick leave at 12 months |
| Presence of a Burn out at 9 months using the MBI scale | 9months after the end of the second Lockdown (December 2020) | Burnout characterized by the Maslach burnout inventory scale. All MBI items are scored using a 7 level frequency ratings from never to daily. The MBI has three component scales: emotional exhaustion (9 items), depersonalization (5 items) and personal achievement (8 items). Each scale measures its own unique dimension of burnout. |
Countries
France
Outcome results
None listed