Stress Disorders, Post-Traumatic Clinical Trial
Official title:
Definition of a Probabilistic Model of the Evolution of an Acute Stress Disorder (ASD ) to a Posttraumatic Stress Disorder (PTSD): an Analytical Prospective Cohort Study of Patients Directly Involved in Attacks Terrorists of 13 November 2015
The scientific approach of this project proposes to build a cohort of "psychological
injuries" post-attack of 13 November 2015. This is called patients "involved", ie patients
who directly witnessed the events and having the most either came under automatic gunfire or
were close to an explosion, whether or not physically injured.
The main objective is to define and validate a model of transition from acute stress
disorder (ASD) to posttraumatic stress disorder (PTSD) for better detection of the risk of
unfavorable and thus better patient supported.
The first step is to determine independent risk factors found in analytic prospective cohort
study.
Bayesian models are well suited to exercise because they can integrate (i) the context
related to the patient, (ii) the context related to the trauma itself, and (iii) the
immediate reactions and long-term to the latter . They are particularly suited to
understanding the brain disordered by saying down information (prior probability) wrong by
improper memory of the traumatic event. The confrontation of these descending information
and perceived bottom-information could be partly responsible for the symptoms of PTSD.
Once validated, the model will characterize the individual level the most at risk of
unfavorable patients (calculating a probability of developing PTSD) and to assess the
epidemiological impact on long-term cohort of event considered.
These determinations are necessary prerequisites to optimize the means of support for these
current and future casualties.
The investigators main objective is to define a Bayesian model describing a resilient
functioning facing a trauma which also allows to describe a possible evolution of the ASD to
PTSD by an error.
The state of PTSD or not will be determined by the PCL-S scale.
cohort tracking study ;
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