Post-traumatic Stress Symptoms and Distress 1 Year After Burn Injury

Ehde, Dawn M.; Patterson, David R.; Wiechman, Shelley A.; Wilson, Lawrence G.

doi:10.1097/00004630-200021020-00005

Cited by 105 publications

(44 citation statements)

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“…The relationship between acute arousal and re-experiencing symptoms, and later post-traumatic symptoms, was influenced by pain level and supported the mutual maintenance theory of chronic pain and PTSD 35 . In relation with acute stress symptoms, they appeared as important predictors of post-traumatic stress symptoms development 31,38 , but intrusive symptoms in particular had the strongest association 29,32 . response.…”

Section: Discussionmentioning

confidence: 97%

Prevalence and Predictors of Posttraumatic Stress Symptomatology Among Burn Survivors

Giannoni-Pastor

Eiroá-Orosa

Kinori

et al. 2016

Journal of Burn Care & Research

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Section: Discussionmentioning

confidence: 97%

Prevalence and Predictors of Posttraumatic Stress Symptomatology Among Burn Survivors

Giannoni-Pastor

Eiroá-Orosa

Kinori

et al. 2016

Journal of Burn Care & Research

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“…Una encuesta permite estimar la cuantía del segmento poblacional tratado en el hogar o que no consulta en un centro de salud, arriesgando secuelas estéticas o funcionales 3 . El impacto de la secuela a menudo está asociado con riesgo de desarrollar depresión o estrés post traumático [3][4][5] , afectar calidad de vida y agregar costos de rehabilitación posterior a la quemadura, que habitualmente se prolongan en el tiempo y suelen ser elevados [6][7][8] . Existen escasos datos sobre epidemiología de quemaduras en niños basado en encuesta poblacional para la Región Metropolitana (6.945.593 habitantes en 2011) 9 .…”

Section: Introductionunclassified

Epidemiología de las quemaduras en niños y adolescentes de Región Metropolitana de Chile

F¹,

C²,

O³

2014

Rev. chil. pediatr.

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epidemiology of burns in children and adolescents from Chile's metropolitan region objective: To determine demographic, clinical and health care factors associated to prevalence of burns in children less than 20 years of age in the districts of Cerro Navia, Lo Prado and Pudahuel, and their comparison with incidence in 2011. patients and method: Population survey based on probability and two-stage stratified complex sample of households, registering 4,968 households. In 302 of them randomly selected, the mother/ adult present at the time of the injury took a survey. A questionnaire of 50 questions (20 minutes), created by 6 experts and previously validated, was conducted by 10 interviewers and 3 supervisors. People were contacted by telephone before visiting them at their homes. The non-response rate was 6%, after up to 3 home visits. results: Regarding prevalence, the male-to-female ratio was 1.16:1. Main reasons were hot objects (42.4%) and liquids (41.5%). 84.1% of burns occurred inside the home and in the afternoon (50.7%). 93.3% of the burns took place with an adult present. Hands were the most affected areas (46.7%). 30.2% were left with scars the first time of the accident. 34.4% of the burn victims did not require health care and 8.4% of them required hospitalizations. Over 60% of respondents reported that they poured cold water on the burn as a first step. Conclusion: Relevant information was obtained to be used in burn prevention in children and adolescents. Recall bias is the main limitation of the study.

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“…Sleep disturbances occur frequently among in-patients with burns, e.g., nightmares in 39% and significant sleep problems in 75% (19)(20)(21). Furthermore, many adult Swedish (22) and US (23) burn survivors continue to report nightmares (30% to 43%) and insomnia (37%) between 1 and 11 years post burn. Sleep problems, PTSD symptoms, and scar-related problems were highly intercorrelated in a Dutch sample (24).…”

Section: Introductionmentioning

confidence: 99%

“…Prolonged functional impairment has been associated with sleep disturbance (25), subsyndromal PTSD (23,26,27), depression (16,28), body image dissatisfaction (29), and syndromal PTSD (11,30). The presence of such a wide range of symptoms and syndromes is not at all unexpected given the plethora of stressors for patients with burns (e.g., burn event, losses, pain, repeated painful procedures, disfiguring injury, unfamiliar surroundings).…”

Section: Introductionmentioning

confidence: 99%

Psychological Distress After Major Burn Injury

Fauerbach

McKibben

Bienvenu

et al. 2007

Psychosomatic Medicine

Self Cite

118

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Objective-To track the prevalence and stability of clinically significant psychological distress and to identify potentially modifiable inhospital symptoms predictive of long-term distress (physical, psychological, and social impairment).Method-We obtained data from the Burn Model Systems project, a prospective, multisite, cohort study of major burn injury survivors. The Brief Symptom Inventory (BSI) was used to assess symptoms in-hospital (n = 1232) and at 6 (n = 790), 12 (n = 645), and 24 (n = 433) months post burn. Distress was examined dimensionally (BSI's Global Severity Index (GSI)) and categorically (groups formed by dichotomizing GSI: T score ≥63). Attrition was unrelated to inhospital GSI score.Results-Significant in-hospital psychological distress occurred in 34% of the patients, and clinically significant and reliable change in symptom severity by follow-up visits occurred infrequently. Principal components analysis of in-hospital distress symptoms demonstrated "alienation" and "anxiety" factors that robustly predicted distress at 6, 12, and 24 months, controlling for correlates of baseline distress.Conclusions-This is the largest prospective, multisite, cohort study of patients with major burn injury. We found that clinically significant in-hospital psychological distress was common and tends to persist. Two structural components of in-hospital distress seemed particularly predictive of long-term distress. Research is needed to determine if early recognition and treatment of patients with in-hospital psychological distress can improve long-term outcomes.

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Post-traumatic Stress Symptoms and Distress 1 Year After Burn Injury

Cited by 105 publications

References 0 publications

Prevalence and Predictors of Posttraumatic Stress Symptomatology Among Burn Survivors

Prevalence and Predictors of Posttraumatic Stress Symptomatology Among Burn Survivors

Epidemiología de las quemaduras en niños y adolescentes de Región Metropolitana de Chile

Psychological Distress After Major Burn Injury

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