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Understanding the Impact of Death Conditions Linked to the COVID-19 Crisis on the Grieving Process in Bereaved Families

Not Applicable
Not yet recruiting
Conditions
Psychological Disorder
Interventions
Other: Qualitative research interview
Registration Number
NCT05566366
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Brief Summary

This study aims to analyze the grieving process of people who have lost a close first degree relative, understand the impact of death conditions and model a "theory of mourning" in the context of the COVID-19 crisis .

Detailed Description

The COVID-19 pandemic has confronted us with an unprecedented health crisis, this had major consequences on mental health . International literature has already shown an increase in psychological and psychiatric distress in patients followed in psychiatry, and in the general population.

For bereaved relatives, certain factors contribute to complicate the mourning process, such as: the absence of communication with the healthcare team, the prohibition of visits, the absence of funeral rites... In the proposed research, we will analyze the grieving process of people who have lost a close first degree relative in children and adolescents population, understand the repercussions conditions of death in bereaved families and model a "theory of mourning" in the context of the current epidemic health crisis.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Bereaved person who lost a close relative (child, adolescent, adult) since March 2020
  • Age over 15 years old
  • First degree relative (husband-wife or equivalent, father-mother, son-daughter, brother-sister)
  • A bereaved person who is in at least one of the following conditions:
  • Unable to visit the hospital if hospitalized OR
  • Unable to travel to the home/EPHAD/hospital OR
  • Wish not to travel for personal reasons OR
  • Failure to perform funeral rites OR
  • Failure to respect the wishes of the deceased and his or her own wishes OR
  • Inability to see the deceased OR
  • Opportunity to participate in the funeral OR
  • Unable to say goodbye OR
  • Inability to communicate via telephone and/or smartphone OR
  • Unable to repatriate the body to the country or region of origin
  • Relative who died (child, adolescent, adult) between March 2020 and March 2021 with Covid-19 or other life-threatening conditions
  • Relative who died in an inpatient or outpatient setting (EPHAD, home or other structure)
  • French or non-French speaking bereaved person
Exclusion Criteria
  • Presence of a pathology preventing good elocution during the interview:

    • Presence of a neurological pathology (e.g. dementia, Alzheimer's, aphasia, dysphasia)
    • Presence of an unstabilised psychiatric disorder
  • Person under guardianship or curatorship

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
population who lost a loved one during the COVID19 health crisisQualitative research interviewAnalyze the grieving process of people who have lost a close first degree relative, understand the impact of death conditions on this process and model a "theory of mourning" in the context of the actual epidemic health crisis.
Primary Outcome Measures
NameTimeMethod
Identify the most traumatic aspects for bereaved families and better identify risk factors that may complicate the grieving process and contribute to the development of possible psychopathology.9 months

In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided

Secondary Outcome Measures
NameTimeMethod
Exploration of support practices for the deceased (s) and funeral rites practices implemented by the bereaved9 months

In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided

Analysis of coping strategies and resilience factors of the bereaved person9 months

In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided

• Exploration of the dimensions of the lived experience and feelings of the grieving person • Exploration of the psychological state of the bereaved9 months

In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided

• Assessment of pathological grief (Inventory of Complicated Grief - ICG)9 months

In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided

Hogan Inventory Bereavement - Short Form - Children and Adolescent Mourning Scale (HIB-SF-CA)9 months

In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided

Description of the socio-demographic characteristics of the bereaved9 months

In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided

Exploration of the relational aspects between the bereaved, his deceased and the rest of his family circle.9 months

In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided

Exploration of the history of the disease (Covid-19 and not Covid-19) and care management (extra-hospital and / or intra-hospital) until the announcement of the death9 months

In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided

Analysis of the relational dimensions between the bereaved and the healthcare team9 months

In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided

Adolescent Resilience Assessment Child and YouthResilienceMeasure (CYRM-R)9 months

In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided

• Exploration of the bereaved person's experience of reporting the epidemic in the media and the COVID-19 disease (whether or not they have contracted it)9 months

In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided

• Assessment of pathological grief (Inventory of Complicated Grief - ICG) • Connor-Davidson ResilienceScale (CD-RISC) Resilience Assessment • Assessment of post-traumatic symptoms in adolescent Children'sRevised Impact of Events Scale (CRIES)9 months

In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided

Connor-Davidson ResilienceScale (CD-RISC) Resilience Assessment9 months

In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided

Assessment of post-traumatic symptoms in adolescent Children'sRevised Impact of Events Scale (CRIES)9 months

In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided

Assessment of post-traumatic symptoms in adults (Post-Traumatic Stress Disorder) (Post-traumatic stress disorder checklist version DSM-5) (PCL-5)9 months

In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided

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