Predictors of Chronic Posttraumatic Stress Symptoms Following Burn Injury: Results of a Longitudinal Study

The authors' goal was to examine the course and predictors of posttraumatic stress symptoms among persons hospitalized for burns. A total of 301 participants completed self-report measures assessing peritraumatic mental state, anxiety related to pain, and posttraumatic stress symptoms. Twenty-six percent of the participants were suffering from posttraumatic stress symptoms at 2–3 weeks postburn and 15% of them at 12 months postburns. In general, a decrease in symptoms was observed over time, although a substantial part of the participants with acute stress symptoms suffers from chronic posttraumatic stress symptoms 1-year postburn. Symptoms were predicted by anxiety measures and objective factors, such as female gender, locus, and severity of injury.

[1]  A. Harvey,et al.  The relationship between acute stress disorder and posttraumatic stress disorder: a 2-year prospective evaluation. , 1999, Journal of consulting and clinical psychology.

[2]  K. Questad,et al.  Post-traumatic stress disorder in hospitalized patients with burn injuries. , 1990, The Journal of burn care & rehabilitation.

[3]  N. V. Van Loey,et al.  The abbreviated burn specific pain anxiety scale: a multicenter study. , 1999, Burns : journal of the International Society for Burn Injuries.

[4]  S. Joseph Psychometric Evaluation of Horowitz's Impact of Event Scale: A Review , 2000, Journal of traumatic stress.

[5]  M. L. Macklin,et al.  Prevalence of posttraumatic stress disorder in wounded Vietnam veterans. , 1989, The American journal of psychiatry.

[6]  J. Kijek,et al.  Burn patients' pain and anxiety experiences. , 2001, The Journal of burn care & rehabilitation.

[7]  M. Horowitz Stress response syndromes , 1976 .

[8]  R. Kessler,et al.  Posttraumatic stress disorder in the National Comorbidity Survey. , 1995, Archives of general psychiatry.

[9]  L. Taal,et al.  Burn injuries, pain and distress: exploring the role of stress symptomatology. , 1997, Burns : journal of the International Society for Burn Injuries.

[10]  J. Difede,et al.  Predictors of posttraumatic stress disorder after burn injury. , 1992, The American journal of psychiatry.

[11]  D. Heimbach,et al.  The utility of a burn specific measure of pain anxiety to prospectively predict pain and function: a comparative analysis. , 2001, Burns : journal of the International Society for Burn Injuries.

[12]  D. Brom,et al.  Coping with trauma: Theory, prevention and treatment. , 1992 .

[13]  J. Ioannovich,et al.  Psychiatric Disorders in Burn Patients: A Follow-Up Study , 2001, Psychotherapy and Psychosomatics.

[14]  B. Rothbaum,et al.  Uncontrollability and unpredictability in post-traumatic stress disorder: an animal model. , 1992, Psychological bulletin.

[15]  Timothy J. Robinson,et al.  Multilevel Analysis: Techniques and Applications , 2002 .

[16]  R Melzack,et al.  The pain of burns: characteristics and correlates. , 1989, The Journal of trauma.

[17]  L. Taal,et al.  Posttraumatic stress and maladjustment among adult burn survivors 1 to 2 years postburn. Part II: the interview data. , 1998, Burns : journal of the International Society for Burn Injuries.

[18]  R. Michels,et al.  Diagnostic and Statistical Manual of Mental Disorders, 3rd ed , 1981 .

[19]  P. Costa,et al.  Personality predictors of injury-related posttraumatic stress disorder. , 2000, The Journal of nervous and mental disease.

[20]  L. Taal,et al.  Posttraumatic stress and maladjustment among adult burn survivors 1-2 years postburn. , 1998, Burns : journal of the International Society for Burn Injuries.

[21]  R. Bryant,et al.  Predictors of post-traumatic stress disorder following burns injury. , 1996, Burns : journal of the International Society for Burn Injuries.

[22]  J. Haythornthwaite,et al.  Preburn psychiatric history affects posttrauma morbidity. , 1997, Psychosomatics.

[23]  M J Horowitz,et al.  Stress-response syndromes: a review of posttraumatic and adjustment disorders. , 1986, Hospital & community psychiatry.

[24]  D. Stein,et al.  Trauma and post-traumatic stress disorder in women: a review. , 2000, International clinical psychopharmacology.

[25]  J. Pérez‐Jiménez,et al.  Severe burn injuries and PTSD. , 1993, The American journal of psychiatry.

[26]  L. Taal,et al.  The burn specific pain anxiety scale: introduction of a reliable and valid measure. , 1997, Burns : journal of the International Society for Burn Injuries.

[27]  L. Canetti,et al.  Predictors of PTSD in injured trauma survivors: a prospective study. , 1996, The American journal of psychiatry.

[28]  M. Horowitz,et al.  Impact of Event Scale: A Measure of Subjective Stress , 1979, Psychosomatic medicine.

[29]  B. van Dorsten,et al.  Posttraumatic stress disorder in burn populations: a critical review of the literature. , 1998, The Journal of burn care & rehabilitation.

[30]  R. Spence,et al.  Posttraumatic adaptation and distress among adult burn survivors. , 1993, The American journal of psychiatry.

[31]  N. Breslau,et al.  Posttraumatic stress disorder in an urban population of young adults: risk factors for chronicity. , 1992, The American journal of psychiatry.

[32]  R. Heimberg,et al.  Social phobia and PTSD in vietnam veterans , 1996, Journal of traumatic stress.

[33]  R. Bryant,et al.  Panic symptoms during trauma and acute stress disorder. , 2001, Behaviour research and therapy.

[34]  D. Ehde,et al.  Post-traumatic stress symptoms and distress 1 year after burn injury. , 2000, The Journal of burn care & rehabilitation.

[35]  A. Ehlers,et al.  Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents. , 1998, Journal of abnormal psychology.

[36]  D. Patterson,et al.  Non-opioid-based approaches to burn pain. , 1995, The Journal of burn care & rehabilitation.