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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
71
PCL-5 autoquestionnaire to make the PTSD diagnosis
Service d'Accueil des Urgences
Pierre-Bénite, France
Existence of a Post Traumatic Stress Disorder (PTSD) at 12 months using PTSD Scale
: 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
Time frame: 12 months after the end of the second Lockdown (December 2020)
Existence of a Post Ttraumatic Stress Disorder (PTSD) 9 months using PTSD Scale
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
Time frame: 9months after the end of the second Lockdown (December 2020)
Anxiety evaluation at 12 months using HAD scale
Existence of anxious symptomatology assessed by the HAD scale. 14 items, cut-off score: 8 suspected disorder, 11: proven disorder
Time frame: 12months after the end of the second Lockdown (December 2020)
Anxiety evaluation at 9 months using HAD scale
Existence of anxious symptomatology assessed by the HAD scale. 14 items, cut-off score: 8 suspected disorder, 11: proven disorder
Time frame: 9months after the end of the second Lockdown (December 2020)
Depression evaluation at 12 months using HAD scale
Existence of depression symptomatology assessed by the HAD scale. 14 items, cut-off score: 8 suspected disorder, 11: proven disorder
Time frame: 12months after the end of the second Lockdown (December 2020)
Depression evaluation at 9 months using HAD scale
Existence of depression symptomatology assessed by the HAD scale. 14 items, cut-off score: 8 suspected disorder, 11: proven disorder
Time frame: 9months after the end of the second Lockdown (December 2020)
Presence of a Burn out at 12 months using the Maslach Burnot Inventory (MBI) scale
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.
Time frame: 12months after the end of the second Lockdown (December 2020)
Presence of a Burn out at 9 months using the MBI scale
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.
Time frame: 9months 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 12 months
Time frame: 12months after the end of the second Lockdown (December 2020)
Work-related stress measured using Karasek questionnaire at 9 months
Work-related stress measured using Karasek questionnaire at 9 months
Time frame: 9months after the end of the second Lockdown (December 2020)
Consumption of psychoactive substances at 12 months
Change in the consumption of psychoactive substances at 12 months
Time frame: 12months after the end of the second Lockdown (December 2020)
Percentage of patients with psychological Support at 12 months
Percentage of patients who benefit from a psychological support at 12 months
Time frame: 12months after the end of the second Lockdown (December 2020)
Mean number of days of sick leave at 12 months
Mean number of days of sick leave at 12 months
Time frame: 12months after the end of the second Lockdown (December 2020)
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