Emotional distress and its predictors in burn patients

Journal of Injury and Violence Research Pub Date : 2019-08-01 DOI:10.5249/jivr.v11i2.1315

H. Sadeghi-Bazargani, Z. Zare, F. Ranjbar

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引用次数: 0

Abstract

Abstract: Background: Burn injuries are most certainly stressful events, particularly when permanent disfigurement is a result. Survivors of burn events are even more susceptible to psychological disorders compared to other groups. Purposes Present study was conducted to assess predictors of emotional distress and possible psychiatric morbidity in burn patients. Methods: This cross-sectional study was carried out on a total of 255 burn patients. In order to assess emotional distress and irrational beliefs, General Health Questionnaire (GHQ) and Scale for Irrational Thoughts after Burning (SITB) was used. To identify predictors of emotional distress, both bivariate and multivariate analysis method were conducted. In multivariate linear regression, forward strategy was used for building the model. Preliminary variable selection for model design was based on a P<0.2 and final decision for keeping the variables in the model was based on a P< 0.05. Results: The results of bivariate analysis showed that gender, occupation, history of referral to psychiatrist, history of consumption depression drugs, percentage of Total Body Surface Area (TBSA) burned history of special disease; and also irrational beliefs and geographical areas had significant relationships with emotional distress. (P< 0.05) Using forward linear regression, gender, irrational beliefs, history of referral to psychiatrist, geographical areas, etiology of burning, environment, duration of burn, history of special disease, body location burned (face only, head and neck, private exposed) and intent of injury were significant predictors of the emotional distress. The models predicted 29 percent (p< 0.001) of emotional distress. Conclusions: Considering to possible psychiatric morbidity and development of facilities for screening is necessary. Moreover, consultation with mental health experts after burn injuries is highly recommended. Keywords: Burn, Injuries, GHQ28, Psychological disorders, Disfigurement

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烧伤患者的情绪困扰及其预测因素

摘要：背景：烧伤无疑是压力事件，尤其是当永久性毁容的结果。与其他群体相比，烧伤事件的幸存者更容易受到心理障碍的影响。目的本研究旨在评估烧伤患者情绪困扰和可能的精神病发病率的预测因素。方法：对255例烧伤患者进行横断面研究。为了评估情绪困扰和非理性信念，使用了一般健康问卷（GHQ）和燃烧后非理性思维量表（SITB）。为了确定情绪困扰的预测因素，采用了双变量和多变量分析方法。在多元线性回归中，模型的建立采用了正向策略。模型设计的初步变量选择基于P＜0.2，保留模型中变量的最终决定基于P＜0.05。结果：双变量分析结果显示：性别、职业、转诊精神科医生史、服用抑郁症药物史、全身表面积百分比（TBSA）烧伤特殊疾病史；非理性信仰和地理区域也与情绪困扰有显著关系。（P＜0.05）采用正向线性回归分析，性别、非理性信念、转诊精神科病史、地理区域、烧伤病因、环境、烧伤持续时间、特殊疾病史、烧伤部位（仅面部、头颈部、私人暴露）和受伤意图是情绪困扰的重要预测因素。这些模型预测了29%（p＜0.001）的情绪困扰。结论：考虑到可能的精神病发病率，有必要开发筛查设施。此外，强烈建议烧伤后咨询心理健康专家。关键词：烧伤，损伤，GHQ28，心理障碍，畸形

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来源期刊

Journal of Injury and Violence Research

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： The Journal of Injury and Violence Research (JIVR) is a peer-reviewed open-access medical journal covering all aspects of traumatology includes quantitative and qualitative studies in the field of clinical and basic sciences about trauma, burns, drowning, falls, occupational/road/ sport safety, youth violence, child/elder abuse, child/elder injuries, intimate partner abuse/sexual violence, self-harm, suicide, patient safety, safe communities, consumer safety, disaster management, terrorism, surveillance/burden of injury and all other intentional and unintentional injuries.