Stress Disorder, Post Traumatic
Conditions
Brief summary
The investigator hypothesize that, during an IPDE consultation 3 months after discharge from critical care, the investigator will identify PTSD in approximately one-third of children, and show an association between this syndrome and quality of life in children admitted to pediatric intensive care.
Interventions
OTHERdetect post-traumatic stress disorder
recommendation for follow-up by a professional specializing in child development and/or a complementary medical consultation
Sponsors
University Hospital, Grenoble
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Patients aged between 1 and 17.5 years at inclusion * Having stayed in a paediatric intensive care unit in one of the 2 participating centers: Lyon or Grenoble * Requiring mechanical ventilation (invasive or non-invasive) for more than 24 hours
Exclusion criteria
* Patients already under the care of a psychologist or psychiatrist * patients who died during their stay in intensive care * Patients who died between discharge and 3 months * Patients suspected of abuse * Patient and/or parent refusal to participate * No social security affiliation * Patients / parents who do not speak French
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| post-traumatic stress disorder | 3 months | Prevalence of post-traumatic stress disorder (PTSD) as defined by a standardized assessment of PTSD using the Children's Revised Impact of Event Scale (CRIES-13) scale for children over 7 years of age. Range from 0 to 80. Higher scores indicate greater post-traumatic stress |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pediatric Quality of Life Inventory TM (PEDSQL scale) | 3 months | assessing Pediatric Quality of Life Inventory TM (PESQL scale) at 3 months in patients admitted to pediatric critical care. Range from 0 to 230. Higher scores indicate better health related quality of life. |
| correlation between the PTSD score and the child's quality of life | 3 months | correlation between the post-traumatic stress disorder score (Using Children's Revised Impact of Event Scale - range from 0 to 65 - the higher the score, the greater the impact of the event on the child) and the child's quality of life ( Using Pediatric Quality of Life Inventory TM scale - range from 0 to 230 - higher scores indicate better health-related quality of life) |
| Measurement of the association between the characteristics of children and their stay in critical care, and the presence of PTSD | 3 months | Search for factors associated with the onset of PTSD. Measurement of the association between the characteristics of children and their stay in critical care, and the presence of PTSD (using the Children's Revised Impact of event Scale - Range from 0to 65 - the higher the score, the greater the impact of the event on the child) |
| Evaluate the feasibility of having the follow-up critical care consultation carried out by a nursery nurse | 3 months | time devoted to organising and carrying out consultations and referrals, number and proportion of parents who do not attend consultations (parental involvement) |
| Screening parents for PTSD | 3 months | Screening parents for PTSD using the POst-Traumatic stress disorder checklist version DSM-5 (PCL 5). range from 0 to 80 - the higher the score, the greater the post-traumatic stress |
| factors associated with the occurrence of PTSD in parents | 3 months | Measurement of the association between the characteristics of the children and their stay in critical care, and the presence of PTSD in the parents with Post-Traumatic stress disorder checklist version DSM-5 (PCL 5). range from 0 to 80 - the higher the score, the greater the post-traumatic stress |
| number of children with significant somatic symptoms | 3 months | Estimate the proportion of children presenting significant and disabling somatic symptoms in their lives, requiring referral to the appropriate healthcare professionals. |
Contacts
Primary ContactAlice FUMAGALLI, PDE
Backup ContactGuillaume MORTAMET, PHD
Outcome results
None listed