Long-term adjustment in burn victims: a matched-control study

Altier, Nadège; Malenfant, Annie; Forget, Robert; Choinière, Manon

doi:10.1017/s0033291702005354

Cited by 48 publications

(23 citation statements)

References 29 publications

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“…Adult burn survivors evaluated roughly 5 years postburn, relative to a matched unburned, healthy control group, reported a quality of life that was comparable with controls. 18 However, approximately 25% of burn patients present clinically significant psychological disturbances compared with only 12% of control participants. Burn survivors experiencing abnormal sensations in their healed wounds, relative to burn patients with normal sensation, report more somatizing and obsessive-compulsive behaviors.…”

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confidence: 99%

“…However, many previous studies have been limited by cross-sectional designs, 13,16,18 without prospective assessment, 17,18 limited geographic distribution, 13,16,18 lack of preinjury measures of quality of life, 16 -18 small sample size with short-term followup, 6 -8 and lack of reference to normative data. 16,17 The best (well-designed) study to date reported only on one dimension of quality of life (ie, life satisfaction), 14 leaving unanswered questions regarding how other dimensions (eg, health and function) are affected by a major burn injury.…”

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confidence: 99%

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Burden of Burn: A Norm-Based Inquiry into the Influence of Burn Size and Distress on Recovery of Physical and Psychosocial Function

Fauerbach¹,

Lezotte²,

Hills³

et al. 2005

Journal of Burn Care & Rehabilitation

115

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This prospective, longitudinal study examined the influence of baseline physical and psychological burden on serial assessments of health-related quality of life among adults with major burns from three regional burn centers (n = 162). Physical burden groups were defined by % TBSA burned: <10%, 10% to 30%, or >30%. Psychological burden groups were defined by in-hospital distress using the Brief Symptom Inventory Global Severity Index T-score with scores of < 63 or > or = 63. Analyses compared groups across level of burden and with published normative data. Assessments reflected health and function (Short Form 36) during the month before burn, at discharge, and at 6 and 12 months after burn. Physical functioning was significantly more impaired and the rate of physical recovery slower among those with either large physical burden or large psychological burden. Notably, psychosocial functioning also was more impaired and the rate of psychosocial recovery slower among those with greater psychological burden. These results suggest that, in addition to aggressive wound closure, interventions that reduce in-hospital distress may accelerate both physical and psychosocial recovery.

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confidence: 99%

mentioning

confidence: 99%

Burden of Burn: A Norm-Based Inquiry into the Influence of Burn Size and Distress on Recovery of Physical and Psychosocial Function

Fauerbach¹,

Lezotte²,

Hills³

et al. 2005

Journal of Burn Care & Rehabilitation

115

View full text Add to dashboard Cite

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“…These provocative findings came from a number of case studies of patients who developed OCD after combat exposure, sexual assault, personal violence, and serious road traffic accidents [1][2][3][4], from phenomenological descriptions [5][6][7][8][9][10] and neuroimaging studies [11,12] showing important similarities between OCD and post-traumatic stress disorder (PTSD), and from epidemiologic findings suggesting the presence of a significant link between victimization and the development of OCD in the general population [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

“…Several significant findings support the existence an important phenomenological overlap between OCD and PTSD [5][6][7][8][9][10]. For example, while both OCD obsessive imagery and PTSD flashbacks may be characterized by their unpleasant, vivid, repetitive and intrusive qualities [7], compulsive rituals and severe avoidant behaviors may provide and increased sense of safety to patients suffering from both disorders [5].…”

Section: Introductionmentioning

confidence: 99%

History of trauma and dissociative symptoms among patients with obsessive-compulsive disorder and social anxiety disorder

et al. 2007

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We aimed to compare the history of trauma and the profile and severity of dissociative symptoms of patients with obsessive-compulsive disorder (OCD) to those of patients with social anxiety disorder (SAD). Patients with OCD (n = 34) and patients with SAD (n = 30) were examined with the following instruments: Trauma History Questionnaire (THQ), Dissociative Experience Scale (DES), Obsessive-Compulsive Inventory (OCI), Liebowitz Social Anxiety Scale (LSAS), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI). Patients with OCD reported significantly lower rates of exposure to traumatic events. Nevertheless, the severity of dissociative symptoms was not significantly different between the groups. Regression analyses showed that, while the OCI scores better predicted the variance on DES scores in the OCD sample, the LSAS and the BAI better predicted the variance on the DES among patients with SAD. Patients with OCD are probably less vulnerable to some types of traumatic experiences. Dissociative symptoms may cut across different anxiety disorders.

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“…in pediatric burn survivors is estimated to be between 25% and 30% (Meyer et al 1995;Altier et al 2002). Many of these children develop acute stress disorder (ASD) (Stoddard 1990), which was first defined as a separate entity from posttraumatic stress disorder (PTSD) in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) (American Psychiatric Association 1994).…”

Section: Introduction T He Prevalence Of Psychological Sequelaementioning

confidence: 99%

Risperidone Treatment of Preschool Children with Thermal Burns and Acute Stress Disorder

Meighen

Hines

Lagges

2007

Journal of Child and Adolescent Psychopharmacology

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Pharmacologic treatment of acute stress disorder (ASD) is a novel area of investigation across all age groups. Very few clinical drug trials have been reported in children and adolescents diagnosed with ASD. Most of the available, potentially relevant, data are from studies of adults with posttraumatic stress disorder (PTSD). The atypical antipsychotic agents have been reported to be effective as an adjunctive treatment for adults with PTSD. There have been a limited number of studies published regarding atypical antipsychotic treatment of PTSD in children and adolescents, and there is no current literature available on the use of these agents for children with ASD. This report describes the successful treatment of three preschool-aged children with serious thermal burns as a result of physical abuse or neglect. Each of these children was hospitalized in a tertiary-care children's hospital and was diagnosed with ASD. In all cases, risperidone provided rapid and sustained improvement across all symptom clusters of ASD at moderate dosages. Minimal to no adverse effects were reported. These cases present preliminary evidence for the potential use of risperidone in the treatment of ASD in childhood.

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Long-term adjustment in burn victims: a matched-control study

Cited by 48 publications

References 29 publications

Burden of Burn: A Norm-Based Inquiry into the Influence of Burn Size and Distress on Recovery of Physical and Psychosocial Function

Burden of Burn: A Norm-Based Inquiry into the Influence of Burn Size and Distress on Recovery of Physical and Psychosocial Function

History of trauma and dissociative symptoms among patients with obsessive-compulsive disorder and social anxiety disorder

Risperidone Treatment of Preschool Children with Thermal Burns and Acute Stress Disorder

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