ANXIETY AND DEPRESSION IN BURN PATIENTS

Tabassum Alvi, Fatima Assad, Aurang zeb, M A Nasir Malik

Abstract


Background: The psychological aspects of burn injury have been researched in different parts of
world producing different outcomes. Therefore objective of this research is to determine the
frequency of Anxiety and Depression in burn patients. To assess the socio-demographic distribution
of patients developing Anxiety and Depression and to determine the effects of burn related factors on
development of Anxiety and Depression. Methods: A Case series was conducted at the Department
of Burn, Pakistan Ordinance Factory Hospital, Wah Cantt. for a duration of 12 months commencing
from June 2007 and concluded in May 2008. The study population comprised of hospitalized
patients with 1% to 50%, selected through non probable sampling technique who were assessed for
Anxiety and Depression on fifteen day after burn injury. Testing protocol comprised of questionnaire
having socio-demographic variables and burn related variables. Beck Depression Inventory and Beck
Anxiety Inventory was applied to evaluate Anxiety and Depression in Burn patients. Descriptive
statistics like mean with Standard Deviation was calculated for age. Frequencies along with
percentages were calculated for socio-demographic variables. The frequencies and proportions were
also calculated for presence and extent of severity of depression and anxiety in burn patients.
Results: Fifty patients were included in the study, thirty patients (60%) were male and 20 (40%)
were females. The mean age of participants was 33.64±19 years. Majority of participants, 38 (76%)
had sustained burn injury up to 25%. Flame was found to be most common agent of burn injuries
affecting 19 (38%) patients. Depression was seen amongst 29 (58%) patients. Thirteen (26 %)
patients had mild, 7 (14%) had moderate and 9 (18%) had severe Depressive symptoms. Anxiety
was seen among 41 (82%) patients, thirteen (26%) patients had mild, 11 (22%) had moderate and 17
(34%) had severe Anxiety symptoms. Conclusion: Anxiety was present in 41 (82%) and Depression
was present in 29 (58%) patients following burn injury. This study highlights the importance of the
simultaneous evaluation and management of Anxiety and Depression in burn injured patients.
Keywords: Anxiety, Depression, Burn

References


Loncar Z, Bras M, Mickovic V. The relationships between burn

pain, anxiety and depression. Coll Antropol 2006;2:319–25.

Menzies V. Depression and burn wounds. Arch Psychiatr Nurs

;14(4):199–206.

Madianos MG, Papaghelis M, Ioannovich J, Dafni R. Psychiatric

Disorders in Burn Patients: A Follow-Up Study. Psychother

Psychosom 2001;70:30–7.

Tedstone JE, Tarrier N. An investigation of the prevalence of

psychological morbidity in burn-injured patients. Burns

;23(7–8):550–4.

Van Loey NE, Van Son MJ. Psychopathology and psychological

problems in patients with burn scars: epidemiology and

management. Am J Clin Dermatol 2003;4(4):245–72.

Tedstone JE, Tarrier N, Faragher EB. An investigation of the

factors associated with an increased risk of psychological

morbidity in burn injured patients. Burns 1998;24:407–15.

Thomas BD, Bresnick GM, Magyar-Russell G, Lawrence JW,

McCann UD, Fauerbach JA. Symptoms of depression predict

change in physical health after burn injury. Burns

;33(3):292–8.

Thomas BD, Bresnick GM, Magyar-Russell G, Lawrence

JW, McCann UD, Fauerbach JA. Depression in survivors of

burn injury: A systematic review. Gen Hosp Psychiatry

;28:494–502.

Tsirigotou S. Acute and Chronic Pain resulting From Burn

Injuries. Ann Mediterr Burns Club 1993;6:11–4.

Edwards RR, Smith MT, Klick B, Magyar-Russell G,

Hythornthwaite JA, Holavanhalli R, et al. Symptoms of depression

and anxiety as unique predictors of pain related out comes

following burn injury. Ann Behav Med 2007;34(3):313–22.

Properties of Beck Depression Inventory [online] 1996 [cited

June 1]. Available from: http://www.cps.nova.edu/

~cpphelp/BDI2.html

Properties of Beck Anxiety Inventory [online] 1993 [cited 2008

June 1]. Available from: http://www.cps.nova.edu/~cpphelp/

BAI.html

Khan N, Malik N. Presentation of burn injuries and their

management outcome. J Pak Med Assoc 2006;56(9):394–7.

Ahmad M., Shahid Hussain S, Ibrahim Khan M, Malik SA.

Experience of Burn Injuries at the Pakistan Institute of Medical

Science, Islamabad, Pakistan. Ann Burns Fire Disasters

;20(1). Available from: http://www.medbc.com/annals/

review/vol_20/num_1/text/vol20n1p7.asp

Özbek S, Özcan M, Kahveci R, Akin S, Özgenel Y, Ercan I,

Karaca K. A retrospective epidemiological study of 385 burn

patients hospitalized during 6 years in Bursa. Eur J Plast Surg

;28(2):86–90.

Lal P, Rahi M, Jain T, Ingle GK. Epidemiological study of Burn

Injuries in a Slum Community of Delhi. Indian J Community

Med 2006;31(2):96–7.

Tejerina C, Reig A, Codina J, Safont J, Baena P, Mirabet V. An

epidemiological study of burn patients hospitalized in Valencia,

Spain during 1989. Burns 1992;18(1):15–8.

Attia AF, Sherif AA, Mandil AM, Massoud MN, Abou-Nazel

MW, Arafa MA. Epidemiological and sociocultural study of burn

patients in Alexandria, Egypt. Eastern Mediterranean Health

Journal 1997;3(3):452–61.

Iqbal T, Rashid R, Ibrahim M. Incidence of burn injury

admission at PIMS, Islamabad. Ann Pak Inst Med Sci

;1(4):194–5.

Thombs BD, Hanies JM, Bresnick MG, Magyar-Russell G,

Fauerbach JA, Spence RJ. Depression in burn reconstruction

patients: symptoms prevalence and association with body image

dissatisfaction and physical function. Gen Hosp Psychiatry

;29(1):14–20.

Byers JF, Bridges S, Kijek J, La Borde P. Burn patients' pain and

anxiety experiences. J Burn Care Rehabil 2001;22(2):144–9.

Ptacek JT, Patterson DR, Heimbach DM .Inpatient depression in

persons with burns. J Burn Care Rehabil 2002;23(1):1–9.

Clarke MA. Burns in childhood. World J Surg 1978;2:175–83.

Landolt MA, Grubenmann S, Meuli M. Family impact greatest:

Predictors of quality of life and psychological adjustment in

pediatric burn survivors. J Trauma Injury Infect Critical Care

;53:1146–51.

Wiechman SA, Ptacek JT, Patterson DR, Gibran NS, Engrav LE,

Heimbach DM. Rates, Trends, and Severity of Depression after

Burn Injuries. J Burn Care Rehabil 200;22:417–24.


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