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

Study Overview
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Brief Summary
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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
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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.

Official Title
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Understanding the Impact of Death Conditions Linked to the COVID-19 Health Crisis on the Grieving Process in Bereaved Families (Adolescents and Adults): a Qualitative Study

Conditions
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Psychological Disorder

Intervention / Treatment
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* Other: Qualitative research interview


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 15 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: population who lost a loved one during the COVID19 health crisis<br>Analyze 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. | Other: Qualitative research interview<br>* Qualitative research interview Administration of quantitative scales<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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. | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided | 9 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Description of the socio-demographic characteristics of the bereaved | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided | 9 months | 
| Exploration of the relational aspects between the bereaved, his deceased and the rest of his family circle. | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided | 9 months | 
| 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 death | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided | 9 months | 
| Analysis of the relational dimensions between the bereaved and the healthcare team | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided | 9 months | 
| Exploration of support practices for the deceased (s) and funeral rites practices implemented by the bereaved | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided | 9 months | 
| Analysis of coping strategies and resilience factors of the bereaved person | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided | 9 months | 
| • Exploration of the dimensions of the lived experience and feelings of the grieving person • Exploration of the psychological state of the bereaved | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided | 9 months | 
| • 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) | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided | 9 months | 
| • 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) | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided | 9 months | 
| Assessment of post-traumatic symptoms in adults (Post-Traumatic Stress Disorder) (Post-traumatic stress disorder checklist version DSM-5) (PCL-5) | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided | 9 months | 
| • Assessment of pathological grief (Inventory of Complicated Grief - ICG) | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided | 9 months | 
| Connor-Davidson ResilienceScale (CD-RISC) Resilience Assessment | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided | 9 months | 
| Assessment of post-traumatic symptoms in adolescent Children'sRevised Impact of Events Scale (CRIES) | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided | 9 months | 
| Hogan Inventory Bereavement - Short Form - Children and Adolescent Mourning Scale (HIB-SF-CA) | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided | 9 months | 
| Adolescent Resilience Assessment Child and YouthResilienceMeasure (CYRM-R) | In accordance with good practice in qualitative methodology, no secondary judging criteria should be used be provided | 9 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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COVID19 related psychological disorders