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Master Thesis

Étude du deuil compliqué à la suite d’un prélèvement multiple d’organes sur personne décédée, en état de mort encéphalique : évaluation des proches du défunt à 6 mois du décès

Abstract : Objective : In 2015, 1824 organ donations were performed in France. Currently, there doesn’t exist any sector to orientate donors’ families. The purpose of our study is to investigate the complicated grief donors’ relatives, its associated diseases and risk factors. Method : Prospective, single-center, observational study. During the first meeting with the transplantation coordination team of the University Hospital of Bordeaux, France, it was proposed to the organ donors’ relatives to participate. The relatives who had accepted received the ICG, IDS-SR and PCLS questionnaires at 1, 3 and 6 months after the death. The primary endpoint was the presence of complicated grief, defined by an ICG>25, among the relatives of organ donors after 6 months from the death. The secondary end points were the presence of major depressive disorders (IDS-SR≥15) and post-traumatic stress disorders (PTSD) (PCLS≥44) at 6 months and the analysis of complicated grief‘s risk factors. Results : From December 2014 to January 2016, 81 donors’ relatives were included. An average of 3.24 relatives per donor was included. 16 of the 29 relatives who responded at 6 months had an ICG>25. The prevalence of complicated grief is 55.2 % [CI95 = 37-73]. The prevalence of major depressive disorder and PTSD are respectively 72 % [CI95 = 55.7-88.3] and 31 % [CI95 = 14.2-47.8]. No risk factors of complicated grief after 6 months from the death were found in this population. Conclusion : This study shows a high risk of complicated grief among donor’s relatives. The establishment of dedicated channels to orientate these bereaved persons seems important. Further studies should be conducted to define better the complicated grief’s risk factors following the organ donation.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01390776
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Submitted on : Wednesday, November 2, 2016 - 2:23:16 PM
Last modification on : Wednesday, August 23, 2017 - 4:41:05 PM
Long-term archiving on: : Friday, February 3, 2017 - 1:56:07 PM

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Hélène Foulgoc. Étude du deuil compliqué à la suite d’un prélèvement multiple d’organes sur personne décédée, en état de mort encéphalique : évaluation des proches du défunt à 6 mois du décès. Médecine humaine et pathologie. 2016. ⟨dumas-01390776⟩

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