DEPITAC : Short Screening Scale for Psychotraumatic Disorders After Motor Vehicle Accident

Stress Disorders, Post-Traumatic Clinical Trial

— DEPITAC  

Official title:

Construction and Validation of a Short Screening Scale for Psychotraumatic Disorders for Inpatients Hospitalized in Surgical Unit Following a Road Traffic Accident

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01200628
• Other study ID #: 2006_0632
• Secondary ID: DGS 2006-0053PHR
• Status: Completed
• Phase: N/A
• First received: March 18, 2010
• Last updated: June 16, 2015
• Start date: June 2007
• Est. completion date: June 2015

Study information

• Verified date: June 2015
• Source: University Hospital, Lille
• Contact: n/a
• Is FDA regulated: No
• Health authority: France: Direction Générale de la Santé
• Study type: Observational

Clinical Trial Summary

Posttraumatic stress disorder (PTSD) is a serious and often chronic response to overwhelmingly stressful events as Road Traffic Accident. Moreover PTSD is associated with increased rates of medical morbidity, poor health-related quality of life, and functional impairment. PTSD is prevalent in primary care settings after road traffic accident, where approximately 25% of patients meet diagnostic criteria for the disorder. Despite the development of a number of efficacious behavioral and pharmacological treatments, only a minority of patients with PTSD receive mental health services. PTSD is frequently underrecognized and untreated in Emergency Department and Surgical Unit.

Then, early diagnosis and prevention of PTSD might help to identify patients with PTSD high risk and lead them to benefit of personalized cares. Nevertheless it is not possible (neither useful) to provide psychological cares for each road traffic accident victim.

This is the reason why we think that nurses can help to screen patients who need treatment for PTSD Hypothesis : Recognition of specific clinical or biological signs occurring during road traffic accident victim hospitalization in surgical unit could allow beginning specific treatment using consultation liaison psychiatry.

Early treatment could allow decreasing incidence of psychotraumatic disorders, increasing surgical functional efficacy and improve convalescence programs. The use of a specific questionnaire could help to screen this disorder.

We have created the DEPITAC scale : a short screening questionnaire with 10 items.

This study will be evaluated DEPITAC's 10-item screen for posttraumatic stress disorder (PTSD) for use in surgical or emergency department.

Description:

We include 300 road traffic accident victims hospitalized in surgical department (less than 2 weeks). Patients are hospitalized in 5 different hospitals (3 in Lille, 1 in Douai, 1 in Paris). Patients will be evaluated by a short screening questionnaire (DEPITAC's 10 item screen). Patients will be evaluated by phone with a experimented psychologist (Minimal International Neuropsychiatric Interview DSM IV, PTSD Check List symptoms) at 6 weeks, 6 months and 1 year after the accident.

Purposes :

• To evaluate DEPITAC's 10-item screen for posttraumatic stress disorder (PTSD) for use in surgical or emergency department.

• To measure prognosis value of DEPITAC's 10 item screen on acute PTSD (PTSD Check List symptoms (PCLs) 6th week) and late PTSD (PTSD Check List symptoms (PCLs) 6 months and 1 year) or other psychiatric disorder (anxiety, depression or addictive disorder) (Minimal International Neuropsychiatric Interview MINI DSM IV at 6 months and 1 year).

• To compare DEPITAC to Peritraumatic Distress Inventory (PDI) given a the same time.

• To calculate DEPITAC's total score and correlate to the onset of a PTSD at 6 week, 6 months and 1 year.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 274
• Est. completion date: June 2015
• Est. primary completion date: June 2015
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Road traffic accident victims hospitalized in surgical department less than 2 weeks

• Can be called by phone

Exclusion Criteria:

• Patient with a coma for more than 15 minutes

• Patient with a crania traumatism and with loss of consciousness over 15 minutes

• Homeless

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Related Conditions & MeSH terms

• Disease
• Stress Disorders, Post-Traumatic
• Stress Disorders, Traumatic
• Stress Disorders, Traumatic, Acute

Intervention

Behavioral:
• DEPITAC
heteroevaluation scale by a nurse during hospitalization

Locations

Country	Name	City	State
France	General Hospital, Douai	Douai
France	University Hospital, Grenoble	Grenoble
France	Catholic University Hospital of Lille Saint Philibert	Lille
France	Catholic University Hospital of Lille Saint Vincent	Lille
France	University Hospital, Lille	Lille	North
France	Georges Pompidou European Hospital, Paris	Paris

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Lille

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	DEPITAC's 10 item screen score	total score of DEPITAC scale	six months	No
Secondary	Peritraumatic Distress Inventory (PDI) results		six months / one year	No
Secondary	MINI DSM IV results	Minimal International Neuropsychiatric Interview DSM IV	six months / one year	No
Secondary	PTSD Check List symptoms results		six months / one year	No