Study of the Effect of the Time of Diagnosis (Antenatal vs. Postnatal) on the Post-traumatic Reactions of Parents of Children Undergoing Oesophageal Atresia Surgery 

Study Overview
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Brief Summary
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This is an observational, national multicentre (34 centres involved), cross-sectional study in psychology whose objective is to describe and compare the levels of post-traumatic reactions of mothers to the announcement of their child's EA diagnosis. An ancillary study will be carried out among the fathers present who agree to participate in the study.

Official Title
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Study of the Effect of the Time of Diagnosis (Antenatal vs. Postnatal) on the Post-traumatic Reactions of Parents of Children Undergoing Oesophageal Atresia Surgery 

Conditions
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Atresia, Esophageal

Intervention / Treatment
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* Other: Questionnaires


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Be the mother and/or a father of a living child aged 12 to 24 months who has undergone neonatal surgery following the diagnosis of type 1 or type 3 EA; Not to have objected to participating in the study (information and non-objection form signed by the investigator); To be socially insured. Exclusion Criteria: Woman or man whose child with AO has a chromosomal abnormality; Woman or man whose child with AO has a polymalformative syndrome; Female or male minor ; Pregnant woman; Woman or man who does not speak French; Woman or man unable to consent, or benefiting from a legal protection regime (guardianship or curatorship); Woman or man deprived of liberty.

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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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Mothers and/or fathers with an antenatal diagnosis<br> | Other: Questionnaires<br>* Perinatal PTSD Questionnaire State Trait Anxiety Inventory-forme Y-B Early Support Questionnaire Socio-demographic questionnaire<br>|
| Mothers and/or fathers with a postnatal diagnosis<br> | Other: Questionnaires<br>* Perinatal PTSD Questionnaire State Trait Anxiety Inventory-forme Y-B Early Support Questionnaire Socio-demographic questionnaire<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Perinatal Posttraumatic Stress Disorder Questionnaire (score PPQ) | The score PPQ derived from this instrument corresponds to the number of items (there are 14) to which the parent responded positively (theoretical spread: 0-14 points) | at 2 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of mothers with Score PPQ >5 |  | at 2 months | 
| Questionnaire on early support | This is a questionnaire co-constructed with the Association Française de l'Atresie de l'œsophage (AFAO) to collect information on the perception of support available or received upon suspicion of an abnormality in the child. It consists of 15 questions. The first eight explore satisfaction with various aspects of early support (information, support, professionals met...). The next seven address parental perceptions regarding information and support. Most of the questions are to be answered on a 5-point Likert scale (e.g., from Not at all satisfied to Very satisfied or Never to Almost always), the other questions are closed-ended. Time to complete the test: 5 to 10 minutes. | at 2 months | 
| Correlation between STAI-Trait, Questionnaire on early support and Score PPQ evaluated to mothers | State-Trait Anxiety Inventory (STAI-TRAIT) SCORE: 20 items in the form of a 4-response Likert scale (from 1 : low anxiety to 4 : highest anxiety). The score goes from 20 to 80 depending of the degree of anxiety. | at 2 months | 
| Correlation between STAI-Trait, Questionnaire on early support and Score PPQ evaluated to fathers |  | at 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Esophageal atresia, post-traumatic reactions, early accompaniment, Perinatal Posttraumatic Stress Disorder Questionnaire, cross-sectional study in psychology