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Master Thesis

Symptômes de stress post-traumatique et qualité de vie des avalanchés : étude prospective de 2014 à 2018 à partir du Recueil Nord Alpin des Avalanches

Abstract : Objectives: The aim of this study was to identify whether an avalanche accident has a psychological impact on avalanche victims. The first objective was to determine the prevalence of Post Traumatic Stress Disorder (PTSD) of avalanche survivors. Secondary, we aimed to evaluate the Quality of Life, mountain practices of the victims, and PTSD risks factors. Materials/methods: In 2019, we conducted a prospective observational multicentre study in the French North Alps concerning subjects exposed to an avalanche and included in the North Alpine Avalanche Register (RENAAV) from 2014 to 2018. Data were collected through a standard questionnaire during a phone interview. The primary outcome was the total score on the Impact of Event Scale Revised (IES-R). The secondary outcomes were the Mental Component Scale score (MCS) and the Physical Component Scale score (PCS) obtained through the Short Form 12 questionnaire (SF-12). Results: Response rate was 51,4% (55/107). Five patients had a strong PTSD probability (IES-R ≥ 33). The PTSD prevalence was 9,1% CI95% = [1.5 – 16,7]. There was no significant difference concerning the quality of life even if the MCS score was lower for patients with PTSD than for patients without PTSD. Intubation and complete burial were risk factors of PTSD in unvaried analysis. Conclusions: An avalanche is a traumatic event for victims and could influence their quality of life. Regarding these findings, medical teams should to be aware of PTSD to prevent its health consequences.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02158716
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Submitted on : Thursday, December 19, 2019 - 12:12:49 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
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  • HAL Id : dumas-02158716, version 1

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Charlotte Léonard. Symptômes de stress post-traumatique et qualité de vie des avalanchés : étude prospective de 2014 à 2018 à partir du Recueil Nord Alpin des Avalanches. Médecine humaine et pathologie. 2019. ⟨dumas-02158716⟩

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