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

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

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.

Study Overview

• Status: Completed
• Conditions: Stress Disorders, Post-Traumatic; Stress Disorders, Traumatic, Acute
• Intervention / Treatment: Behavioral: DEPITAC

Detailed 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.

• Study Type: Observational
• Enrollment (Actual): 274

Contacts and Locations

Study Locations

• France
  • Douai, France
    • General Hospital, Douai
  • Grenoble, France
    • University Hospital, Grenoble
  • Lille, France
    • Catholic University Hospital of Lille Saint Philibert
  • Lille, France
    • Catholic University Hospital of Lille Saint Vincent
  • Paris, France
    • Georges Pompidou European Hospital, Paris
  • North
    • Lille, North, France, 59037
      • University Hospital, Lille

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 16 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

We include 250 road traffic accident victim hospitalized in surgical department (less than 2 weeks). Patients are hospitalized in 5 different hospitals (3 in Lille, 1 in Douai, 1 in Paris).

Description

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 Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Road traffic accident victims; Cohort of patients hospitalized in surgical department after a motor vehicle accident less than 2 weeks	Behavioral: DEPITAC; heteroevaluation scale by a nurse during hospitalization; Other Names: early screening PTSD scale

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
DEPITAC's 10 item screen score	total score of DEPITAC scale	six months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Peritraumatic Distress Inventory (PDI) results		six months / one year
MINI DSM IV results	Minimal International Neuropsychiatric Interview DSM IV	six months / one year
PTSD Check List symptoms results		six months / one year

Collaborators and Investigators

• Sponsor: University Hospital, Lille
• Investigators: Principal Investigator: Olivier COTTENCIN, MD PhD, University Hospital, Lille

Publications and helpful links

General Publications

• Leroy A, Cottencin O, Labreuche J, Mascarel P, De Pourtales MA, Molenda S, Paget V, Lemogne C, Bougerol T, Gregory T, Chantelot C, Demarty AL, Meyer S, Warembourg F, Duhem S, Vaiva G. Four Questions Nurses Can Ask to Predict PTSD 1 Year After a Motor Vehicle Crash. J Trauma Nurs. 2022 Mar-Apr 01;29(2):70-79. doi: 10.1097/JTN.0000000000000638.

Study record dates

Study Major Dates

• Study Start: June 1, 2007
• Primary Completion (Actual): June 1, 2015
• Study Completion (Actual): June 1, 2015

Study Registration Dates

• First Submitted: March 18, 2010
• First Submitted That Met QC Criteria: September 10, 2010
• First Posted (Estimate): September 13, 2010

Study Record Updates

• Last Update Posted (Estimate): June 17, 2015
• Last Update Submitted That Met QC Criteria: June 16, 2015
• Last Verified: June 1, 2015

More Information

Terms related to this study

• Keywords: PTSD; posttraumatic stress disorder; motor vehicle accident; acute PTSD
• Additional Relevant MeSH Terms: Mental Disorders; Pathologic Processes; Trauma and Stressor Related Disorders; Disease; Stress Disorders, Traumatic; Stress Disorders, Post-Traumatic; Stress Disorders, Traumatic, Acute
• Other Study ID Numbers: 2006_0632; DGS 2006-0053 (Other Identifier: AFSSAPS); PHRC 2006/R1904 (Other Identifier: DHOS); 2006-A00180-51 (Other Identifier: ID-RCB number, ANSM)