创伤后应激障碍(PTSD)与严重烧伤后皮肤症状负担增加有关:多中心前瞻性队列的亚组分析

IF 1.2 Q4 CRITICAL CARE MEDICINE
Felix J Klimitz, Martin Aman, Hubert Neubauer, Annette Stolle, Hans Ziegenthaler, Tobias Niederegger, Adriana C Panayi, Gabriel Hundeshagen, Ulrich Kneser, Leila Harhaus
{"title":"创伤后应激障碍(PTSD)与严重烧伤后皮肤症状负担增加有关:多中心前瞻性队列的亚组分析","authors":"Felix J Klimitz, Martin Aman, Hubert Neubauer, Annette Stolle, Hans Ziegenthaler, Tobias Niederegger, Adriana C Panayi, Gabriel Hundeshagen, Ulrich Kneser, Leila Harhaus","doi":"10.3390/ebj6030043","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Severe burn injuries often lead to lasting physical and psychological consequences. Post-traumatic stress disorder (PTSD) is common among burn survivors and may be influenced by persistent somatic complaints. This study examined whether PTSD is associated with a higher burden of physical symptoms during and after inpatient rehabilitation.</p><p><strong>Methods: </strong>We conducted a subgroup analysis of a multicenter prospective cohort study involving 103 adult burn patients in inpatient rehabilitation. Based on Impact of Event Scale-Revised (IES-R) scores and clinical evaluation, patients were grouped as PTSD (n = 43) or No PTSD (n = 60). Physical symptoms assessed included skin dryness (xerosis), temperature sensitivity (cold/heat), numbness, skin tightness, and increased sweating.</p><p><strong>Results: </strong>Patients with PTSD reported significantly more physical symptoms at follow-up than those without PTSD: xerosis (74% vs. 50%, <i>p</i> = 0.03), cold sensitivity (61% vs. 35%, <i>p</i> = 0.02), heat sensitivity (63% vs. 39%, <i>p</i> = 0.03), numbness (63% vs. 33%, <i>p</i> = 0.006), skin tightness (82% vs. 52%, <i>p</i> = 0.004), and sweating (45% vs. 19%, <i>p</i> = 0.01). PTSD patients also had more severe burns, reflected in higher full-thickness TBSA (2% vs. 0%, <i>p</i> = 0.03) and elevated ABSI scores (median 6 vs. 5, <i>p</i> = 0.04).</p><p><strong>Conclusion: </strong>PTSD is associated with a higher and more persistent burden of physical skin symptoms after severe burns. These findings underscore the importance of early PTSD screening and integrated psychological-somatic rehabilitation to improve long-term recovery and quality of life.</p>","PeriodicalId":72961,"journal":{"name":"European burn journal","volume":"6 3","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372007/pdf/","citationCount":"0","resultStr":"{\"title\":\"Post-Traumatic Stress Disorder (PTSD) Is Associated with Increased Physical Skin Symptom Burden Following Severe Burn Injuries: Subgroup Analysis of a Multicenter Prospective Cohort.\",\"authors\":\"Felix J Klimitz, Martin Aman, Hubert Neubauer, Annette Stolle, Hans Ziegenthaler, Tobias Niederegger, Adriana C Panayi, Gabriel Hundeshagen, Ulrich Kneser, Leila Harhaus\",\"doi\":\"10.3390/ebj6030043\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Severe burn injuries often lead to lasting physical and psychological consequences. Post-traumatic stress disorder (PTSD) is common among burn survivors and may be influenced by persistent somatic complaints. This study examined whether PTSD is associated with a higher burden of physical symptoms during and after inpatient rehabilitation.</p><p><strong>Methods: </strong>We conducted a subgroup analysis of a multicenter prospective cohort study involving 103 adult burn patients in inpatient rehabilitation. Based on Impact of Event Scale-Revised (IES-R) scores and clinical evaluation, patients were grouped as PTSD (n = 43) or No PTSD (n = 60). Physical symptoms assessed included skin dryness (xerosis), temperature sensitivity (cold/heat), numbness, skin tightness, and increased sweating.</p><p><strong>Results: </strong>Patients with PTSD reported significantly more physical symptoms at follow-up than those without PTSD: xerosis (74% vs. 50%, <i>p</i> = 0.03), cold sensitivity (61% vs. 35%, <i>p</i> = 0.02), heat sensitivity (63% vs. 39%, <i>p</i> = 0.03), numbness (63% vs. 33%, <i>p</i> = 0.006), skin tightness (82% vs. 52%, <i>p</i> = 0.004), and sweating (45% vs. 19%, <i>p</i> = 0.01). PTSD patients also had more severe burns, reflected in higher full-thickness TBSA (2% vs. 0%, <i>p</i> = 0.03) and elevated ABSI scores (median 6 vs. 5, <i>p</i> = 0.04).</p><p><strong>Conclusion: </strong>PTSD is associated with a higher and more persistent burden of physical skin symptoms after severe burns. These findings underscore the importance of early PTSD screening and integrated psychological-somatic rehabilitation to improve long-term recovery and quality of life.</p>\",\"PeriodicalId\":72961,\"journal\":{\"name\":\"European burn journal\",\"volume\":\"6 3\",\"pages\":\"\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-08-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372007/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European burn journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3390/ebj6030043\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"CRITICAL CARE MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European burn journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3390/ebj6030043","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}
引用次数: 0

摘要

背景:严重的烧伤往往导致持久的生理和心理后果。创伤后应激障碍(PTSD)在烧伤幸存者中很常见,可能受到持续躯体症状的影响。本研究探讨了PTSD是否与住院康复期间和康复后较高的身体症状负担相关。方法:我们对103例住院康复的成人烧伤患者进行了一项多中心前瞻性队列研究的亚组分析。根据事件影响量表(Impact of Event Scale-Revised, IES-R)评分和临床评估,将患者分为PTSD组(n = 43)和non - PTSD组(n = 60)。评估的身体症状包括皮肤干燥(干燥症)、温度敏感性(冷/热)、麻木、皮肤紧绷和出汗增加。结果:PTSD患者在随访时报告的躯体症状明显多于无PTSD患者:干燥(74%对50%,p = 0.03)、冷敏感性(61%对35%,p = 0.02)、热敏性(63%对39%,p = 0.03)、麻木(63%对33%,p = 0.006)、皮肤紧绷(82%对52%,p = 0.004)和出汗(45%对19%,p = 0.01)。PTSD患者也有更严重的烧伤,反映在更高的全层TBSA(2%比0%,p = 0.03)和更高的ABSI评分(中位数6比5,p = 0.04)。结论:创伤后应激障碍与严重烧伤后更高和更持久的身体皮肤症状负担有关。这些发现强调了早期创伤后应激障碍筛查和综合身心康复对改善长期恢复和生活质量的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Post-Traumatic Stress Disorder (PTSD) Is Associated with Increased Physical Skin Symptom Burden Following Severe Burn Injuries: Subgroup Analysis of a Multicenter Prospective Cohort.

Post-Traumatic Stress Disorder (PTSD) Is Associated with Increased Physical Skin Symptom Burden Following Severe Burn Injuries: Subgroup Analysis of a Multicenter Prospective Cohort.

Background: Severe burn injuries often lead to lasting physical and psychological consequences. Post-traumatic stress disorder (PTSD) is common among burn survivors and may be influenced by persistent somatic complaints. This study examined whether PTSD is associated with a higher burden of physical symptoms during and after inpatient rehabilitation.

Methods: We conducted a subgroup analysis of a multicenter prospective cohort study involving 103 adult burn patients in inpatient rehabilitation. Based on Impact of Event Scale-Revised (IES-R) scores and clinical evaluation, patients were grouped as PTSD (n = 43) or No PTSD (n = 60). Physical symptoms assessed included skin dryness (xerosis), temperature sensitivity (cold/heat), numbness, skin tightness, and increased sweating.

Results: Patients with PTSD reported significantly more physical symptoms at follow-up than those without PTSD: xerosis (74% vs. 50%, p = 0.03), cold sensitivity (61% vs. 35%, p = 0.02), heat sensitivity (63% vs. 39%, p = 0.03), numbness (63% vs. 33%, p = 0.006), skin tightness (82% vs. 52%, p = 0.004), and sweating (45% vs. 19%, p = 0.01). PTSD patients also had more severe burns, reflected in higher full-thickness TBSA (2% vs. 0%, p = 0.03) and elevated ABSI scores (median 6 vs. 5, p = 0.04).

Conclusion: PTSD is associated with a higher and more persistent burden of physical skin symptoms after severe burns. These findings underscore the importance of early PTSD screening and integrated psychological-somatic rehabilitation to improve long-term recovery and quality of life.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信