ANXIETY AND DEPRESSION IN BURN PATIENTS
Abstract
Background: The psychological aspects of burn injury have been researched in different parts ofworld producing different outcomes. Therefore objective of this research is to determine thefrequency of Anxiety and Depression in burn patients. To assess the socio-demographic distributionof patients developing Anxiety and Depression and to determine the effects of burn related factors ondevelopment of Anxiety and Depression. Methods: A Case series was conducted at the Departmentof Burn, Pakistan Ordinance Factory Hospital, Wah Cantt. for a duration of 12 months commencingfrom June 2007 and concluded in May 2008. The study population comprised of hospitalizedpatients with 1% to 50%, selected through non probable sampling technique who were assessed forAnxiety and Depression on fifteen day after burn injury. Testing protocol comprised of questionnairehaving socio-demographic variables and burn related variables. Beck Depression Inventory and BeckAnxiety Inventory was applied to evaluate Anxiety and Depression in Burn patients. Descriptivestatistics like mean with Standard Deviation was calculated for age. Frequencies along withpercentages were calculated for socio-demographic variables. The frequencies and proportions werealso 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 injuriesaffecting 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. Anxietywas 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 Depressionwas present in 29 (58%) patients following burn injury. This study highlights the importance of thesimultaneous evaluation and management of Anxiety and Depression in burn injured patients.Keywords: Anxiety, Depression, BurnReferences
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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