The aim of the present research is to set up a large multicentric, prospective cohort of family members of patients admitted to intensive care. The data collected will concern the patients and their family members, the caregivers and the functioning of the services during the collection period. This cohort will allow: 1. to carry out a quantitative evaluation of post-traumatic stress disorder (PTSD) in a large number of family members, to determine the risk factors in relation to the characteristics of the family members, and to define a predictive model of PTSD in this population 2. to determine the factors related to the operating conditions of the resuscitation services that favor the occurrence of PTSD in the family members, 3. to create a biological bank from blood samples taken from family members, 4. to carry out a qualitative study allowing a psychological and sociological analysis of the experience of the family members concerning the hospitalization in intensive care of their loved one.
Study Type
OBSERVATIONAL
Enrollment
1,346
At inclusion: * Collection of demographic data, Anxiety-Depression Scale (HADS), Insomnia Severity Index (ISI), Resilience Insomnia Severity Index (ISI), Resilience Scale (CD RISC 10), Peritraumatic Dissociation Peritraumatic Dissociation Experience Scale (PDEQ) and MEDEC questionnaire. * Venous blood sampling at 350 relatives * Upon discharge of the patient (alive or deceased): Resuscitation questionnaire, HADS, ISI and PDEQ. 3 months after discharge: Demographic questionnaire, Post Traumatic Stress Disorder questionnaire (PCL-5), THS Past Trauma Experience Questionnaire, HADS experiences, HADS, ISI, CD RISC 10, MEDEC and Who- assist questionnaire (Question 2) on the use of psychoactive substances. 6 months after patient discharge: PCL-5, HADS, ISI, CD RISC 10, MEDEC, Who-assist (Question 2) and Prolonged Grief disorder (PG-13) questionnaire on bereavement if patient died in the ICU.
All professionals in all categories and in all participating departments will be asked to complete questionnaires to assess the level of conflict, work stress and burn out in the units : Masclach Burnout Inventory (MBI), Job Content Questionnaire (JCQ), Ethical Decision-Making Climate Questionnaire (EDMCQ), Professional Quality Of Life scale (ProQOL), Connor-Davidson Resilience scale (CD-RISC 10), Cultural Awareness Scale (CAS).
Inclusion (at D3 after admission to the ICU): collection of demographic data Discharge from the ICU: characteristics of the stay and outcome (alive/deceased)
CH Angoulême
Angoulême, France, France
Hôpital Privé d'Antony
Antony, France, France
CH d'Argenteuil
Argenteuil, France, France
CH de Bastia
Bastia, France, France
CH Beauvais
Beauvais, France, France
Hôpital Nord Franche Comté
Belfort, France, France
To determine the factors associated with post-traumatic stress disorder (PTSD) in family members of patients admitted to the ICU, and.
The primary endpoint is the proportion of family members who developed PTSD 3 months after the patient's discharge from the ICU assessed by the Post-traumatic stress disorder CheckList (PCL-5) version Diagnostic and Statistical Manual of Mental Disorders (DSM-5) scale. This scale consists of 20 items on the symptoms of PTSD according to the DSM-5 criteria. Each item is rated from 0 ("not at all") to 4 ("extremely"). The maximum score is 80.
Time frame: at 3 months after the patient's discharge from the ICU
To define a predictive model of PTSD in this population
The primary endpoint is the proportion of family members who developed PTSD 3 months after the patient's discharge from the ICU assessed by the Post-traumatic stress disorder CheckList (PCL-5) version Diagnostic and Statistical Manual of Mental Disorders (DSM-5) scale. This scale consists of 20 items on the symptoms of PTSD according to the DSM-5 criteria. Each item is rated from 0 ("not at all") to 4 ("extremely"). The maximum score is 80.
Time frame: at 3 months after the patient's discharge from the ICU
Assessing the psychological impact of a family member stay in intensive care
Proportion of family members who developed symptoms of anxiety and depression assessed by the Hospital Anxiety and Depression Scale (HADS),
Time frame: at inclusion, at the patient's discharge from the ICU, 3 and 6 months after the patient's discharge from the ICU
Assessing the psychological impact of a family member stay in intensive care
Proportion of family members who developed PTSD 6 months after discharge from the assessed by the PCL-5 scale
Time frame: 6 months after the patient's discharge from the ICU
Assessing the psychological impact of a family member stay in intensive care
Proportion of relatives who developed severe insomnia assessed by the Insomnia Severity Index (ISI)
Time frame: at inclusion, at the patient's discharge from the ICU, 3 and 6 months after the patient's discharge from the ICU
Assessing the psychological impact of a family member stay in intensive care
Proportion of resilient relatives assessed by Resilience Scale (CD RISC 10)
Time frame: at inclusion, at the patient's discharge from the ICU, 3 and 6 months after the patient's discharge from the ICU
Assessing the psychological impact of a family member stay in intensive care
Proportion of relatives who developed peri-traumatic dissociation experiences (PDEQ)
Time frame: at inclusion, at the patient's discharge from the ICU, 3 and 6 months after the patient's discharge from the ICU
Assessing the psychological impact of a family member stay in intensive care
Proportion of relatives who developed prolonged grief assessed by the Prolonged Grief disorder (PG-13) questionnaire
Time frame: at 6 months after the patient's death in intensive care
To identify the impact on the consumption of care and medical procedures of PTSD in family members of patients admitted to the ICU
Proportion of relatives who used psychoactive substances assessed by the Who-assist questionnaire (Question 2 of the questionnaire), Consumption of care and medical procedures by relatives (MEDEC questionnaire
Time frame: at 3 and 6 months after discharge of the patient from the intensive care unit
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CH de Béthune
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