Hospital Interns Psychological State During the COVID-19

Study Overview
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Brief Summary
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The mental health of the French population in response to covid-19 pandemic is of concern. Health professionals are prone to more mental disorders due to their direct exposure to the pandemic consequences. Indeed, compared to general population, health care workers face enormous in the current health situation, especially those who may be in contact with suspected or confirmed cases (risk of infection, inadequate protection, loss of control, lack of experience in managing the diseases, overwork, stigma, lack of support). Thus, it seems interesting to describe the psychological state of hospital interns during this pandemic.

Official Title
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Hospital Interns Psychological State During the COVID-19 Pandemic

Conditions
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COVID 19, Depression, Stress Disorders, Post-Traumatic

Participation Criteria
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Eligibility Criteria
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Inclusion criteria: Being a DES intern (Occitanie-Est) Being on internship as of November 1, 2020 Exclusion criteria: - Refusal to participate

Ages Eligible for Study
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Minimum Age: 18 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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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Depressive Symptomatology (PHQ-9) | evaluation of the participant depressive symptomatology based on the PHQ-9 scale. The PHQ-9 total score ranges from 0 to 27. A score between 0 and 4 indicates absence of depression; a score between 5 and 9 indicates mild depression; a score between 10 and 14 indicates moderate depression; score between 15 and 19 indicates moderately severe depression and score between 20 and 27 indicates sever depression. | at 5 months (6 months of internship) | 
| Depressive Symptomatology (PHQ-9) | evaluation of the participant depressive symptomatology based on the PHQ-9 scale. The PHQ-9 total score ranges from 0 to 27. A score between 0 and 4 indicates absence of depression; a score between 5 and 9 indicates mild depression; a score between 10 and 14 indicates moderate depression; score between 15 and 19 indicates moderately severe depression and score between 20 and 27 indicates sever depression. | at inclusion (1 month of internship) | 
| Depressive Symptomatology (PHQ-9) | evaluation of the participant depressive symptomatology based on the PHQ-9 scale. The PHQ-9 total score ranges from 0 to 27. A score between 0 and 4 indicates absence of depression; a score between 5 and 9 indicates mild depression; a score between 10 and 14 indicates moderate depression; score between 15 and 19 indicates moderately severe depression and score between 20 and 27 indicates sever depression. | at 2 months (3 months of internship) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sleep evaluation with the Insomnia Severity Index (ISI) | sleep quality evaluation based on the ISI score. The ISI total score ranges from 0 to 28. A score between 0 and 7 indicates an absence of insomnia; a score between 8 and 14 indicates sub-threshold insomnia; a score between 15 and 21 indicates moderate insomnia and a score between 22 and 28 indicates severe insomnia. | at inclusion (1 month of internship) | 
| Sleep evaluation with the Insomnia Severity Index (ISI) | sleep quality evaluation based on the ISI score. The ISI total score ranges from 0 to 28. A score between 0 and 7 indicates an absence of insomnia; a score between 8 and 14 indicates sub-threshold insomnia; a score between 15 and 21 indicates moderate insomnia and a score between 22 and 28 indicates severe insomnia. | at 2 months (3 months of internship) | 
| Sleep evaluation with the Insomnia Severity Index (ISI) | sleep quality evaluation based on the ISI score. The ISI total score ranges from 0 to 28. A score between 0 and 7 indicates an absence of insomnia; a score between 8 and 14 indicates sub-threshold insomnia; a score between 15 and 21 indicates moderate insomnia and a score between 22 and 28 indicates severe insomnia. | at 5 months (6 months of internship) | 
| Anxiety with the Generalised Anxiety Disorder Assessment (GAD-7) | anxiety evaluation based on the GAD-7 score. The GAD-7 total score ranges from 0 to 21. Scores of 5, 10, and 15 represent cut-points for mild, moderate, and severe anxiety, respectively. | at inclusion (1 month of internship) | 
| Anxiety with the Generalised Anxiety Disorder Assessment (GAD-7) | anxiety evaluation based on the GAD-7 score. The GAD-7 total score ranges from 0 to 21. Scores of 5, 10, and 15 represent cut-points for mild, moderate, and severe anxiety, respectively. | at 2 months (3 months of internship) | 
| Anxiety with the Generalised Anxiety Disorder Assessment (GAD-7) | anxiety evaluation based on the GAD-7 score. The GAD-7 total score ranges from 0 to 21. Scores of 5, 10, and 15 represent cut-points for mild, moderate, and severe anxiety, respectively. | at 5 months (6 months of internship) | 
| Psychological pain assessed with visual analogue scale (VAS) | assessment of the psychological pain. The VAS ranges from 0 (none) to 10 (maximum pain). | at inclusion (1 month of internship) | 
| Psychological pain assessed with visual analogue scale (VAS) | assessment of the psychological pain. The VAS ranges from 0 (none) to 10 (maximum pain). | at 2 months (3 months of internship) | 
| Psychological pain assessed with visual analogue scale (VAS) | assessment of the psychological pain. The VAS ranges from 0 (none) to 10 (maximum pain). | at 5 months (6 months of internship) | 
| Physical pain assessed with visual analogue scale (VAS) | assessment of the physical pain. The VAS ranges from 0 (none) to 10 (maximum pain). | at inclusion (1 month of internship) | 
| Physical pain assessed with visual analogue scale (VAS) | assessment of the physical pain. The VAS ranges from 0 (none) to 10 (maximum pain). | at 2 months (3 months of internship) | 
| Physical pain assessed with visual analogue scale (VAS) | assessment of the physical pain. The VAS ranges from 0 (none) to 10 (maximum pain). | at 5 months (6 months of internship) | 
| Suicidal ideation assessed with visual analogue scale (VAS) | assessment of the suicidal ideation. The VAS ranges from 0 (none) to 10 (maximum ideation). | at inclusion (1 month of internship) | 
| Suicidal ideation assessed with visual analogue scale (VAS) | assessment of the suicidal ideation. The VAS ranges from 0 (none) to 10 (maximum ideation). | at 2 months (3 months of internship) | 
| Suicidal ideation assessed with visual analogue scale (VAS) | assessment of the suicidal ideation. The VAS ranges from 0 (none) to 10 (maximum ideation). | at 5 months (6 months of internship) | 
| Anger assessed with the State Anger Expression Inventory (STAXI - state) | anger assessment with the STAXI state scale. The total score ranges from 0 to 50. The higher the score the higher the anger expression. | at 2 months (3 months of internship) | 
| Anger assessed with the State Anger Expression Inventory (STAXI - state) | anger assessment with the STAXI state scale. The total score ranges from 0 to 50. The higher the score the higher the anger expression. | at 5 months (6 months of internship) | 
| Anger assessed with the State Anger Expression Inventory (STAXI - state) | anger assessment with the STAXI state scale. The total score ranges from 0 to 50. The higher the score the higher the anger expression. | at inclusion (1 month of internship) | 
| Stressful Event Impact (Horowitz scale) | assessement of stressful event impact with the Horowitz scale. The total score ranges from 0 to 45. The higher the score the higher the trauma | at inclusion (1 month of internship) | 
| Stressful Event Impact (Horowitz scale) | assessement of stressful event impact with the Horowitz scale. The total score ranges from 0 to 45. The higher the score the higher the trauma | at 2 months (3 months of internship) | 
| Stressful Event Impact (Horowitz scale) | assessement of stressful event impact with the Horowitz scale. The total score ranges from 0 to 45. The higher the score the higher the trauma | at 5 months (6 months of internship) | 
| Psychotropic drugs use | assessement of the psychotropic drugs use increase | at inclusion (1 month of internship) | 
| Psychotropic drugs use | assessement of the psychotropic drugs use increase | at 5 months (6 months of internship) | 
| Psychotropic drugs use | assessement of the psychotropic drugs use increase | at 2 months (3 months of internship) | 
| Tobacco consumption | assessement of the tobacco consumption increase | at 2 months (3 months of internship) | 
| Tobacco consumption | assessement of the tobacco consumption increase | at inclusion (1 month of internship) | 
| Tobacco consumption | assessement of the tobacco consumption increase | at 5 months (6 months of internship) | 
| Alcohol consumption | assessement of the alcohol consumption increase | at 2 months (3 months of internship) | 
| Alcohol consumption | assessement of the alcohol consumption increase | at inclusion (1 month of internship) | 
| Alcohol consumption | assessement of the alcohol consumption increase | at 5 months (6 months of internship) | 
| Illicit substances use | assessement of the illicit substances use increase | at inclusion (1 month of internship) | 
| Illicit substances use | assessement of the illicit substances use increase | at 2 months (3 months of internship) | 
| Illicit substances use | assessement of the illicit substances use increase | at 5 months (6 months of internship) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Hospital interns