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Factors associated with PTSD and partial PTSD among first responders following the Paris terror attacks in November 2015

Identifieur interne : 000003 ( 2020/Analysis ); précédent : 000002; suivant : 000004

Factors associated with PTSD and partial PTSD among first responders following the Paris terror attacks in November 2015

Auteurs : Yvon Motreff [France] ; Thierry Baubet [France] ; Philippe Pirard [France] ; Gabrielle Rabet [France] ; Matthieu Petitclerc [France] ; Lise Eilin Stene [Norvège] ; Cécile Vuillermoz [France] ; Pierre Chauvin [France] ; Stéphanie Vandentorren [France]

Source :

RBID : Hal:hal-02489575

Descripteurs français

English descriptors

Abstract

During the evening of 13 November 2015, the deadliest terror attacks in France in recent times occurred in the Paris area. Overall, 130 people were killed, 643 were physically injured and several thousands were psychologically impacted. Thousands of first responders, including health professionals, firefighters, affiliated volunteers and police officers were mobilized that night and during the subsequent weeks. The aims of our study were to measure the psychological impact on first responders in terms of post-traumatic stress disorder (PTSD) and partial PTSD as well as associated factors 12 months after the 13 November 2015 terrorist attacks. First responders who had intervened during the night and/or the aftermath of the terror attacks had the possibility of answering a web-based study 8-12 months after the attacks. They satisfied criterion A of the DSM 5 definition of PTSD. PTSD and partial PTSD were measured using the PCL-5. Gender, age, educational level, exposure, first responder category, mental health and traumatic event history, training and social support were all analysed as potential factors associated with PTSD and partial PTSD, using multinomial logistic regression. Overall, 663 participants were included in this analysis. Prevalence of PTSD in our sample went from 3.4% among firefighters to 9.5% among police officers and prevalence of partial PTSD from 10.4% among health professionals to 23.2% among police officers. Low educational level and social isolation were associated with PTSD and partial PTSD. Intervention on unsecured crime scenes and lack of training were associated with PTSD. Special attention should be given to first responders living in social isolation, those with low educational levels and those who intervene in unsecured crime scenes. Education and training about the potential mental health consequences of mass trauma intervention should be developed.


Url:
DOI: 10.1016/j.jpsychires.2019.11.018


Affiliations:


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Hal:hal-02489575

Le document en format XML

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<name sortKey="Chauvin, Pierre" sort="Chauvin, Pierre" uniqKey="Chauvin P" first="Pierre" last="Chauvin">Pierre Chauvin</name>
<affiliation wicri:level="1">
<hal:affiliation type="laboratory" xml:id="struct-542132" status="VALID">
<idno type="RNSR">201420917E</idno>
<orgName>Institut Pierre Louis d'Epidémiologie et de Santé Publique</orgName>
<orgName type="acronym">iPLESP</orgName>
<desc>
<address>
<addrLine>56, boulevard Vincent Auriol - CS 81393 - 75646 Paris Cedex 13</addrLine>
<country key="FR"></country>
</address>
<ref type="url">https://www.iplesp.upmc.fr/</ref>
</desc>
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<tutelle name="U1136" active="#struct-303623" type="direct">
<org type="institution" xml:id="struct-303623" status="VALID">
<idno type="IdRef">026388278</idno>
<orgName>Institut National de la Santé et de la Recherche Médicale</orgName>
<orgName type="acronym">INSERM</orgName>
<desc>
<address>
<addrLine>101, rue de Tolbiac, 75013 Paris </addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.inserm.fr</ref>
</desc>
</org>
</tutelle>
<tutelle active="#struct-413221" type="direct">
<org type="institution" xml:id="struct-413221" status="VALID">
<orgName>Sorbonne Université</orgName>
<orgName type="acronym">SU</orgName>
<date type="start">2018-01-01</date>
<desc>
<address>
<addrLine>21 rue de l’École de médecine - 75006 Paris</addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.sorbonne-universite.fr/</ref>
</desc>
</org>
</tutelle>
</tutelles>
</hal:affiliation>
<country>France</country>
</affiliation>
</author>
<author>
<name sortKey="Vandentorren, Stephanie" sort="Vandentorren, Stephanie" uniqKey="Vandentorren S" first="Stéphanie" last="Vandentorren">Stéphanie Vandentorren</name>
<affiliation wicri:level="1">
<hal:affiliation type="laboratory" xml:id="struct-542132" status="VALID">
<idno type="RNSR">201420917E</idno>
<orgName>Institut Pierre Louis d'Epidémiologie et de Santé Publique</orgName>
<orgName type="acronym">iPLESP</orgName>
<desc>
<address>
<addrLine>56, boulevard Vincent Auriol - CS 81393 - 75646 Paris Cedex 13</addrLine>
<country key="FR"></country>
</address>
<ref type="url">https://www.iplesp.upmc.fr/</ref>
</desc>
<listRelation>
<relation name="U1136" active="#struct-303623" type="direct"></relation>
<relation active="#struct-413221" type="direct"></relation>
</listRelation>
<tutelles>
<tutelle name="U1136" active="#struct-303623" type="direct">
<org type="institution" xml:id="struct-303623" status="VALID">
<idno type="IdRef">026388278</idno>
<orgName>Institut National de la Santé et de la Recherche Médicale</orgName>
<orgName type="acronym">INSERM</orgName>
<desc>
<address>
<addrLine>101, rue de Tolbiac, 75013 Paris </addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.inserm.fr</ref>
</desc>
</org>
</tutelle>
<tutelle active="#struct-413221" type="direct">
<org type="institution" xml:id="struct-413221" status="VALID">
<orgName>Sorbonne Université</orgName>
<orgName type="acronym">SU</orgName>
<date type="start">2018-01-01</date>
<desc>
<address>
<addrLine>21 rue de l’École de médecine - 75006 Paris</addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.sorbonne-universite.fr/</ref>
</desc>
</org>
</tutelle>
</tutelles>
</hal:affiliation>
<country>France</country>
</affiliation>
</author>
</analytic>
<idno type="DOI">10.1016/j.jpsychires.2019.11.018</idno>
<series>
<title level="j">Journal of Psychiatric Research</title>
<idno type="ISSN">0022-3956</idno>
<imprint>
<date type="datePub">2020-02</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="mix" xml:lang="en">
<term>Epidemiology</term>
<term>First responders</term>
<term>Post-traumatic stress disorder</term>
<term>Terror attack</term>
<term>Trauma</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>épidémiologie</term>
<term>Traumatisme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>During the evening of 13 November 2015, the deadliest terror attacks in France in recent times occurred in the Paris area. Overall, 130 people were killed, 643 were physically injured and several thousands were psychologically impacted. Thousands of first responders, including health professionals, firefighters, affiliated volunteers and police officers were mobilized that night and during the subsequent weeks. The aims of our study were to measure the psychological impact on first responders in terms of post-traumatic stress disorder (PTSD) and partial PTSD as well as associated factors 12 months after the 13 November 2015 terrorist attacks. First responders who had intervened during the night and/or the aftermath of the terror attacks had the possibility of answering a web-based study 8-12 months after the attacks. They satisfied criterion A of the DSM 5 definition of PTSD. PTSD and partial PTSD were measured using the PCL-5. Gender, age, educational level, exposure, first responder category, mental health and traumatic event history, training and social support were all analysed as potential factors associated with PTSD and partial PTSD, using multinomial logistic regression. Overall, 663 participants were included in this analysis. Prevalence of PTSD in our sample went from 3.4% among firefighters to 9.5% among police officers and prevalence of partial PTSD from 10.4% among health professionals to 23.2% among police officers. Low educational level and social isolation were associated with PTSD and partial PTSD. Intervention on unsecured crime scenes and lack of training were associated with PTSD. Special attention should be given to first responders living in social isolation, those with low educational levels and those who intervene in unsecured crime scenes. Education and training about the potential mental health consequences of mass trauma intervention should be developed.</p>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>France</li>
<li>Norvège</li>
</country>
<region>
<li>Île-de-France</li>
</region>
<settlement>
<li>Versailles</li>
</settlement>
<orgName>
<li>Université de Versailles-Saint-Quentin-en-Yvelines</li>
</orgName>
</list>
<tree>
<country name="France">
<noRegion>
<name sortKey="Motreff, Yvon" sort="Motreff, Yvon" uniqKey="Motreff Y" first="Yvon" last="Motreff">Yvon Motreff</name>
</noRegion>
<name sortKey="Baubet, Thierry" sort="Baubet, Thierry" uniqKey="Baubet T" first="Thierry" last="Baubet">Thierry Baubet</name>
<name sortKey="Chauvin, Pierre" sort="Chauvin, Pierre" uniqKey="Chauvin P" first="Pierre" last="Chauvin">Pierre Chauvin</name>
<name sortKey="Petitclerc, Matthieu" sort="Petitclerc, Matthieu" uniqKey="Petitclerc M" first="Matthieu" last="Petitclerc">Matthieu Petitclerc</name>
<name sortKey="Pirard, Philippe" sort="Pirard, Philippe" uniqKey="Pirard P" first="Philippe" last="Pirard">Philippe Pirard</name>
<name sortKey="Rabet, Gabrielle" sort="Rabet, Gabrielle" uniqKey="Rabet G" first="Gabrielle" last="Rabet">Gabrielle Rabet</name>
<name sortKey="Vandentorren, Stephanie" sort="Vandentorren, Stephanie" uniqKey="Vandentorren S" first="Stéphanie" last="Vandentorren">Stéphanie Vandentorren</name>
<name sortKey="Vuillermoz, Cecile" sort="Vuillermoz, Cecile" uniqKey="Vuillermoz C" first="Cécile" last="Vuillermoz">Cécile Vuillermoz</name>
</country>
<country name="Norvège">
<noRegion>
<name sortKey="Stene, Lise Eilin" sort="Stene, Lise Eilin" uniqKey="Stene L" first="Lise Eilin" last="Stene">Lise Eilin Stene</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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