Depression, Anxiety, PTSD, Transplantation, Lung
Conditions
Brief summary
ICU patients frequently face complicated recovery processes, including long-term anxiety disorders. Lung transplantation (LTx) offers people with terminal respiratory conditions both the hope of prolonged survival and a better quality of life related to health. Among the disorders usually encountered in the postoperative period of LTx are anxio-depressive disorders. These anxiety disorders affect the quality of life related to health and compromise the follow-up of the patient by phenomenon of psychological disinvestment. Other psychological disorders are also anchored in the patient's experience of this post-surgical ICU period (ie, depressive episodes and/or, at a distance, post-traumatic stress disorder (PTSD). Various models of management of anxio-depressive disorders and PTSD are proposed in the literature. To our knowledge, while many of them have shown their efficiency in the curative management of disorders, few have demonstrated their effectiveness in preventing them. Exposure therapies using virtual reality (ETVR) have in the past demonstrated their effectiveness in many areas of psychiatry. In our study, experimental arm patients will be offered ETRV support with a virtual reality headset. A scenario with progressively increasing stress levels linked to the ICU environment and different situational contexts (alarms, etc.) will be presented to patients. This habituation to the potentially anxiety context of ICU will reduce the occurrence of psycho-cognitive disorders by progressive extinction phenomenon.
Interventions
BEHAVIORALExposure therapy with Virtual Reality.
Experimental arm patients will be offered Exposure therapy with Virtual Reality (ETRV) support with a virtual reality headset. A scenario with progressively increasing stress levels linked to the ICU environment and different situational contexts (alarms, etc.) will be presented to patients. This habituation to the potentially anxiety context of ICU will reduce the occurrence of psycho-cognitive disorders by progressive extinction phenomenon.
Sponsors
Assistance Publique Hopitaux De Marseille
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age above 18 years * Registration on the lung transplant waiting list * Signature of consent
Exclusion criteria
* Minor patient, pregnant or breastfeeding woman, or not affiliated to the social security scheme * Patient under guardianship or curatorship * Patient with a history of mental illness * Patient not mastering the French language * Patient deprived of liberty * Patient carrying a transplanted organ (liver, kidney, heart ...) * Lung re-transplantation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Spielberger state trait anxiety inventory for adults | Post-transplant | The State-Trait Anxiety Inventory (STAI) has been used extensively in research and clinical practice. It comprises separate self-report scales for measuring state and trait anxiety. The S-Anxiety scale (STAI Form Y-1) consists of twenty statements that evaluate how respondents feel right now, at this moment. The T-Anxiety scale (STAI Form Y-2) consists of twenty statements that assess how people generally feel. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hospital Anxiety and Depression scale (HADS) | Post-transplant | The Hospital Anxiety and Depression Scale (HADS) measure anxiety and depression in a general medical population of patients. |
| The Impact of Event Scale -Revised | Post-transplant | The IES-R is a solid measure of post-trauma phenomena and Posttraumatic Stress Disorder. |
| Post-traumatic stress disorder Checklist Scale (PCLS) | Post-transplant | The IES-R is a solid measure of post-trauma phenomena and Posttraumatic Stress Disorder. |
Countries
France
Outcome results
None listed