Psychiatric consultation and post-traumatic stress disorder in burned patients

Jimenez, John P.; Bajo, Gregorio Jesús Gómez; Castillo, Julio; Robert, Mercè Salvador; Torres, V. Garcia

doi:10.1016/0305-4179(94)90015-9

Cited by 18 publications

(15 citation statements)

References 10 publications

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“…5,6 Five percent of patients with myocardial infarction 7 and 10%-22% of patients with cancer [8][9][10] have been shown to experience PTSD related to their diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Symptoms of Posttraumatic Stress and Death Anxiety in Persons with HIV and Medication Adherence Difficulties

Safren

Gershuny

Hendriksen

2003

AIDS Patient Care and STDs

127

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The present study examined the frequency and correlates of self-reported symptoms of posttraumatic stress among patients with HIV and medication adherence problems. Self-report data revealed that more than half of participants met diagnostic criteria for posttraumatic stress disorder (PTSD) according to the Posttraumatic Diagnostic Scale PDS. Death anxiety was associated with overall PTSD symptom severity scores as well as severity scores for reexperiencing, avoidance, and arousal symptoms. The association between death anxiety and total PTSD severity, reexperiencing and avoidance symptom scores remained after controlling for depression and satisfaction with social support. Anxiety, as manifested by PTSD symptoms should be routinely assessed among patients with HIV, and variables such as death anxiety, social support, and depression are appropriate targets for mental health interventions.

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“…5,6 Five percent of patients with myocardial infarction 7 and 10%-22% of patients with cancer [8][9][10] have been shown to experience PTSD related to their diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Symptoms of Posttraumatic Stress and Death Anxiety in Persons with HIV and Medication Adherence Difficulties

Safren

Gershuny

Hendriksen

2003

AIDS Patient Care and STDs

127

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“…Previous studies have shown that burn victims and/or amputated victims are prone to PTSD symptoms [1, 2, 3, 4, 5]. Several studies have indicated that the severity of PTSD and its prognosis depend on multiple factors including personality traits (i.e., neuroticism), level of physical function, and secondary stress (i.e., work-related stress due to the burn and/or amputation) [6].…”

Section: Introductionmentioning

confidence: 99%

Relationship of Cosmetic Disfigurement to the Severity of Posttraumatic Stress Disorder in Burn Injury or Digital Amputation

Fukunishi¹

1999

Psychother Psychosom

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Background: The purpose of this study was to examine the relationships of physical factors including physical functioning and cosmesis to posttraumatic stress disorder (PTSD) symptoms in patients with burn injury and in patients with digital amputation. Methods: Subjects were 56 patients with burn injury and 26 patients with digital amputation. In addition to assessments of physical factors, psychiatric interviews were administered to examine mental disorders including PTSD and major depression. Results: The prevalence rates of PTSD and major depression were 33.9 and 7.1% in burn-injured patients and 18.5 and 7.4% in patients with digital amputation respectively. Multivariate analysis of variance (MANOVA) revealed that, regardless of the severity of burn injury such as percentage of total body surface burned, female victims with cosmetic disfigurement (i.e., facial burn) exhibited PTSD symptoms, in particular PTSD symptoms of avoidance and emotional numbing. For subjects with digital amputation, MANOVA indicated that, regardless of the degree of physical functioning after replantation, female victims with cosmetic disfigurement exhibited PTSD symptoms. Discussion: These findings suggest that, in female victims with burn injury and/or digital amputation, the degree of cosmetic disfigurement is related to the manifestation of PTSD symptoms of avoidance and emotional numbing.

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“…Burn team requested psychiatric consultations within the first week in 54.6% of the patients and the most frequent diagnosis based on psychiatric evaluation was adjustment disorder (31.4%). In a similar study, the rate of adjustment disorder was found to be 61.5% (38) . Adjustment disorder is among the most common psychiatric diagnoses in patients hospitalized for medical and surgical reasons, and its prevalence in patients receiving palliative care in hematology and oncology clinics was reported to be 15.4% and 19.4% respectively (39,40) .…”

Section: Discussionmentioning

confidence: 72%

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

Erdoğan¹,

Delibaş²

2020

BMJ

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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.

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Psychiatric consultation and post-traumatic stress disorder in burned patients

Cited by 18 publications

References 10 publications

Symptoms of Posttraumatic Stress and Death Anxiety in Persons with HIV and Medication Adherence Difficulties

Symptoms of Posttraumatic Stress and Death Anxiety in Persons with HIV and Medication Adherence Difficulties

Relationship of Cosmetic Disfigurement to the Severity of Posttraumatic Stress Disorder in Burn Injury or Digital Amputation

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

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