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Master Thesis

Évaluation de l’impact des symptômes de stress post-traumatique lié à l’attaque terroriste de Nice le 14 juillet 2016 chez les enfants de 0 à 5 ans

Abstract : Introduction: In Nice, the attack of the 14th of July 2016 is one of the first attacks in France to impact a population of children and adolescents, between 2 months and 18 years old and their families. Children are highly exposed to traumatic events and are at greater risk of developing Post-Traumatic Stress Disorder (PTSD). Presently, there is little literature concerning the PTSD for infant and preschool children. In order to detect these at-risk children, it is necessary to have appropriate developmental diagnostic criteria and to assess the impact of the trauma in the child's life and environment, particularly in the relationship with the caregiver.
Materials and methods: This retrospective, monocentric, observational study examines the limitations of the criteria of the diagnostic classifications (ICD-10, DSM-5 and DC:0-5). 97 children from 0 to 5 years old at the time of the attack were included. The main objective was to determine the most sensitive classification of PTSD in young children and to identify post-traumatic symptoms specific to this age group. Secondary objectives were to assess correlations between clinical severity and 1) level of exposure, 2) previous trauma, 3) latency to first consultation, 4) comorbidities, and 5) impact of the child-parent relationship.
Results: DC:0-5 is the most sensitive classification for diagnosing PTSD in young children, followed by DSM-5. The ICD-10 criteria does not appropriately capture PTSD for young children. The most frequently found post-traumatic symptoms are sleep disorders, floating anxiety and psychomotor instability, fears, separation difficulties, somatizations, neurodevelopmental symptoms, pathological games, and exacerbations of behavioural disorders. In addition, there is a correlation between clinical severity and high exposure, late treatment, increased comorbidities and impacted parent-child relationship.
Conclusion: It is necessary to continue to adapt the diagnostic criteria to the child's development. The DC:0-5, rarely used in France, would be the most sensitive classification. In addition, it is essential to sensitize the public and particularly parents and workers in early childhood to identify these children more quickly following a potentially traumatic event and to propose appropriate and early care.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02969260
Contributor : Bibliothèque Universitaire de Médecine Nice <>
Submitted on : Friday, October 16, 2020 - 2:51:32 PM
Last modification on : Saturday, May 8, 2021 - 3:13:20 AM

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  • HAL Id : dumas-02969260, version 1

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Laura Brocart. Évaluation de l’impact des symptômes de stress post-traumatique lié à l’attaque terroriste de Nice le 14 juillet 2016 chez les enfants de 0 à 5 ans. Médecine humaine et pathologie. 2020. ⟨dumas-02969260⟩

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