Pre-existing psychiatric disorder in the burn patient is associated with worse outcomes

Hudson, Alexandra; Youha, Sarah Al; Samargandi, Osama A.; Paletz, Justin

doi:10.1016/j.burns.2017.01.022

Cited by 36 publications

(14 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Burn survivors with pre-existing mood or anxiety disorders had worse social and emotional outcomes at discharge compared to patients without, but these differences were not sustained over time after discharge [33]. Those with pre-existing psychiatric conditions also had a prolonged hospital length of stay following a burn injury [2], worse hospital course outcomes, and disposition barriers [34].…”

Section: Prevalence Of These Syndromes In Burn Survivorsmentioning

confidence: 99%

When Is Being Sad on the Burn Unit Pathological? Differential Diagnosis of Demoralization, Adjustment Disorder and Major Depressive Disorder in Burn Survivors

Beal

Lerman

Leppla

2022

EBJ

View full text Add to dashboard Cite

Many burn survivors have pre-existing psychiatric conditions or develop psychological or psychiatric symptoms over the course of their hospital stay. Patients often present with low mood and neurovegetative symptoms which can be conceptualized as demoralization, adjustment disorder, or major depressive disorder. We review the literature on these syndromes in burn survivors and present three cases that highlight the continuum of these syndromes for patients who present with symptoms of depression following a burn injury. We discuss the clinical challenges of differentiating these syndromes as well as psychotherapeutic and psychopharmacologic considerations and recommendations.

show abstract

Section: Prevalence Of These Syndromes In Burn Survivorsmentioning

confidence: 99%

When Is Being Sad on the Burn Unit Pathological? Differential Diagnosis of Demoralization, Adjustment Disorder and Major Depressive Disorder in Burn Survivors

Beal

Lerman

Leppla

2022

EBJ

View full text Add to dashboard Cite

show abstract

“…The prevalence of pre-existing mental health difficulties is well documented in previous resea rch, 6,8,17,18,50,51 and evidence suggests that premorbid mental health conditions (e.g. depression, schizophrenia and generalised anxiety disorder) 51 are related to greater burn total body surface area (TBSA) 51 and poorer psychosocial and general functioning at three months following initial injury. 50 Additionally, for these patients, cause of injury may be linked to symptoms of their pre-existing mental health condition(s) (e.g.…”

Section: Difficulties Providing Support For Patients With Preexistingmentioning

confidence: 99%

A qualitative exploration of psychosocial specialists’ experiences of providing support in UK burn care services

Guest

Griffiths

Harcourt

2018

Scars, Burns & Healing

View full text Add to dashboard Cite

Introduction:A burn can have a significant and long-lasting psychosocial impact on a patient and their family. The National Burn Care Standards (2013) recommend psychosocial support should be available in all UK burn services; however, little is known about how it is provided. The current study aimed to explore experiences of psychosocial specialists working in UK burn care, with a focus on the challenges they experience in their role.Methods:Semi-structured telephone interviews with eight psychosocial specialists (two psychotherapists and six clinical psychologists) who worked within UK burn care explored their experiences of providing support to patients and their families.Results and Discussion:Thematic analysis revealed two main themes: burn service-related experiences and challenges reflected health professionals having little time and resources to support all patients; reduced patient attendance due to them living large distances from service; psychosocial appointments being prioritised below wound-related treatments; and difficulties detecting patient needs with current outcome measures. Therapy-related experiences and challenges outlined the sociocultural and familial factors affecting engagement with support, difficulties treating patients with pre-existing mental health conditions within the burn service and individual differences in the stage at which patients are amenable to support.Conclusion:Findings provide an insight into the experiences of psychosocial specialists working in UK burn care and suggest a number of ways in which psychosocial provision in the NHS burn service could be developed.

show abstract

“…The presence of a pre-existing psychiatric disorder in burn patients is associated with worse outcomes in the treatment of burns and is an important predictor of morbidity. In addition, the development of psychiatric disorder after burn injury is reported to be a factor negatively affecting the quality of life (9)(10)(11) .In the burn injury process and during the treatment, mental illnesses can be seen in patients due to severe pain, prolongation of treatment process, being confined to bed, and changes in body image (12) . In this respect, it is important that patients are also evaluated from a psychiatric point of view after the initial emergency intervention in the burn unit, and psychiatrists should be included in the burn treatment team (13) .…”

Section: Introductionmentioning

confidence: 99%

Psychiatric Disorders, Delirium and Mortality in Patients Referred for Consultation in a Burn Center: A Four-Year Retrospective Study

Erdoğan¹,

Delibaş²

2020

BMJ

View full text Add to dashboard Cite

Objective: The aim of this study was to examine psychiatric disorders after burn trauma and burn-related features in adults. Method: The records of the cases who were hospitalized in the burn center between January 2015 and January 2019 and for whom psychiatric consultation was requested were retrospectively reviewed. Sociodemographic characteristics, burn-related features, psychiatric diagnoses, and treatments of the patients were examined. Results: The mean rate of psychiatric consultations requested in a burn center within a four-year period was 34.05% and 49 (28.5%) of these consulted cases had a work-related accident. Mean hospitalization time was 37.2±24 days and the most common burn type was a fire/flame injury. In the majority of the study sample (63.4%) the total body surface area burnt was more than 20%. Nineteen (11%) cases had a history of psychiatric disorder. The most common psychiatric diagnosis before burn injury was alcohol-drug addiction (n=14, 73.7%). The most common diagnosis after psychiatric consultation was adjustment disorder (31.9%). Among psychotropic drugs the initial treatment was started most frequently treatment with benzodiazepines (30.8%) and antipsychotics (58.1%). In 33 deceased cases, the most common psychiatric diagnosis was delirium with a rate of 42.4%. Conclusion: The incidence of psychiatric disorders before and after burn injury was found to be high in the individuals. Conditions with a high risk of morbidity and mortality, such as delirium, should be diagnosed and treated priorly. Due to the early and long-term effects of burn trauma, a multidisciplinary approach should be developed and psychiatrists should be included in the management of treatment.

show abstract

Pre-existing psychiatric disorder in the burn patient is associated with worse outcomes

Cited by 36 publications

References 26 publications

When Is Being Sad on the Burn Unit Pathological? Differential Diagnosis of Demoralization, Adjustment Disorder and Major Depressive Disorder in Burn Survivors

When Is Being Sad on the Burn Unit Pathological? Differential Diagnosis of Demoralization, Adjustment Disorder and Major Depressive Disorder in Burn Survivors

A qualitative exploration of psychosocial specialists’ experiences of providing support in UK burn care services

Psychiatric Disorders, Delirium and Mortality in Patients Referred for Consultation in a Burn Center: A Four-Year Retrospective Study

Contact Info

Product

Resources

About