Psychological Disorder
Conditions
Keywords
COVID19 related psychological disorders
Brief summary
This study aims to analyze the grieving process of people who have lost a close first degree relative, understand the impact of death conditions and model a theory of mourning in the context of the COVID-19 crisis .
Detailed description
The COVID-19 pandemic has confronted us with an unprecedented health crisis, this had major consequences on mental health . International literature has already shown an increase in psychological and psychiatric distress in patients followed in psychiatry, and in the general population. For bereaved relatives, certain factors contribute to complicate the mourning process, such as: the absence of communication with the healthcare team, the prohibition of visits, the absence of funeral rites... In the proposed research, we will analyze the grieving process of people who have lost a close first degree relative in children and adolescents population, understand the repercussions conditions of death in bereaved families and model a theory of mourning in the context of the current epidemic health crisis.
Interventions
Qualitative research interview Administration of quantitative scales
Sponsors
Assistance Publique - Hôpitaux de Paris
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
15 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Bereaved person who lost a close relative (child, adolescent, adult) since March 2020 * Age over 15 years old * First degree relative (husband-wife or equivalent, father-mother, son-daughter, brother-sister) * A bereaved person who is in at least one of the following conditions: * Unable to visit the hospital if hospitalized OR * Unable to travel to the home/EPHAD/hospital OR * Wish not to travel for personal reasons OR * Failure to perform funeral rites OR * Failure to respect the wishes of the deceased and his or her own wishes OR * Inability to see the deceased OR * Opportunity to participate in the funeral OR * Unable to say goodbye OR * Inability to communicate via telephone and/or smartphone OR * Unable to repatriate the body to the country or region of origin * Relative who died (child, adolescent, adult) between March 2020 and March 2021 with Covid-19 or other life-threatening conditions * Relative who died in an inpatient or outpatient setting (EPHAD, home or other structure) * French or non-French speaking bereaved person
Exclusion criteria
* Presence of a pathology preventing good elocution during the interview: * Presence of a neurological pathology (e.g. dementia, Alzheimer's, aphasia, dysphasia) * Presence of an unstabilised psychiatric disorder * Person under guardianship or curatorship
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Identify the most traumatic aspects for bereaved families and better identify risk factors that may complicate the grieving process and contribute to the development of possible psychopathology. | 9 months | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Exploration of the relational aspects between the bereaved, his deceased and the rest of his family circle. | 9 months | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided |
| Exploration of the history of the disease (Covid-19 and not Covid-19) and care management (extra-hospital and / or intra-hospital) until the announcement of the death | 9 months | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided |
| Analysis of the relational dimensions between the bereaved and the healthcare team | 9 months | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided |
| Exploration of support practices for the deceased (s) and funeral rites practices implemented by the bereaved | 9 months | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided |
| Analysis of coping strategies and resilience factors of the bereaved person | 9 months | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided |
| • Exploration of the dimensions of the lived experience and feelings of the grieving person • Exploration of the psychological state of the bereaved | 9 months | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided |
| • Exploration of the bereaved person's experience of reporting the epidemic in the media and the COVID-19 disease (whether or not they have contracted it) | 9 months | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided |
| Description of the socio-demographic characteristics of the bereaved | 9 months | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided |
| Assessment of post-traumatic symptoms in adults (Post-Traumatic Stress Disorder) (Post-traumatic stress disorder checklist version DSM-5) (PCL-5) | 9 months | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided |
| • Assessment of pathological grief (Inventory of Complicated Grief - ICG) | 9 months | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided |
| Connor-Davidson ResilienceScale (CD-RISC) Resilience Assessment | 9 months | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided |
| Assessment of post-traumatic symptoms in adolescent Children'sRevised Impact of Events Scale (CRIES) | 9 months | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided |
| Hogan Inventory Bereavement - Short Form - Children and Adolescent Mourning Scale (HIB-SF-CA) | 9 months | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided |
| Adolescent Resilience Assessment Child and YouthResilienceMeasure (CYRM-R) | 9 months | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided |
| • Assessment of pathological grief (Inventory of Complicated Grief - ICG) • Connor-Davidson ResilienceScale (CD-RISC) Resilience Assessment • Assessment of post-traumatic symptoms in adolescent Children'sRevised Impact of Events Scale (CRIES) | 9 months | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided |
Contacts
Primary ContactCarla DE STEFANO, Dr
Backup ContactZahia BEN ABDESSELAM, PM
Outcome results
None listed