Prevalence and co-morbidity of psychiatric disorders 1-4 years after burn

Mario H. ter Smitten; Ron de Graaf; Nancy E. Van Loey

doi:10.1016/j.burns.2010.12.018

Prevalence and co-morbidity of psychiatric disorders 1-4 years after burn

Mario H. ter Smitten, Ron de Graaf, Nancy E. Van Loey^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Objective: Currently, little is known about psychiatric disorders in the period following on the first year after burn. We examined the prevalence of DSM-IV Axis I disorders in burn patients 1-4 years after burn, using a standardized structured clinical interview and comparing findings with a representative general population sample.

Methods: Ninety patients admitted to five burn centres were assessed with the 12-month Composite International Diagnostic Interview. Results were compared to an age and gender matched nation based norm group.

Results: Twelve-month prevalence for any DSM-IV study disorder was 39%.

Prevalence for any after burn onset disorder was 28%. Most prevailing were major depression (10%), generalized anxiety disorder (10%), and PTSD (7%). The comorbidity-proportions for PTSD and generalized anxiety disorder where the highest. Fifty-seven percent of all burn onset disorders started within 1 year after the trauma and 21% within the next year. Burn patients had significantly higher prevalence rates for DSM-IV disorders than people from the general population sample.

Conclusion: Psychiatric morbidity among burn patients, 1-4 years after burn, is considerable and higher than what may be expected in the general population. A 2-year follow-up for anxiety and depression disorder is warranted. (C) 2011 Elsevier Ltd and ISBI. All rights reserved.

Original language	English
Pages (from-to)	753-761
Number of pages	9
Journal	Burns
Volume	37
Issue number	5
DOIs	https://doi.org/10.1016/j.burns.2010.12.018
Publication status	Published - Aug 2011
Externally published	Yes

Funding

This study was supported financially by the Dutch Burns Foundation (Grant 01.05). We would like to thank Ms. I. Ellis, Ms. I. Lemmens, Ms. C. Koele and Ms. S. van der Voort for their contribution in data collection. We would also like to thank the researchers of the burn centres from Antwerp, Beverwijk, Gent, Leuven, and Rotterdam for their cooperation in this study.

Keywords

Burns
Psychiatric morbidity
Psychological screening
Structured interview
POSTTRAUMATIC-STRESS-DISORDER
MENTAL-HEALTH SURVEY
INJURY
PREDICTORS
NEMESIS

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.burns.2010.12.018

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title = "Prevalence and co-morbidity of psychiatric disorders 1-4 years after burn",

abstract = "Objective: Currently, little is known about psychiatric disorders in the period following on the first year after burn. We examined the prevalence of DSM-IV Axis I disorders in burn patients 1-4 years after burn, using a standardized structured clinical interview and comparing findings with a representative general population sample.Methods: Ninety patients admitted to five burn centres were assessed with the 12-month Composite International Diagnostic Interview. Results were compared to an age and gender matched nation based norm group.Results: Twelve-month prevalence for any DSM-IV study disorder was 39%.Prevalence for any after burn onset disorder was 28%. Most prevailing were major depression (10%), generalized anxiety disorder (10%), and PTSD (7%). The comorbidity-proportions for PTSD and generalized anxiety disorder where the highest. Fifty-seven percent of all burn onset disorders started within 1 year after the trauma and 21% within the next year. Burn patients had significantly higher prevalence rates for DSM-IV disorders than people from the general population sample.Conclusion: Psychiatric morbidity among burn patients, 1-4 years after burn, is considerable and higher than what may be expected in the general population. A 2-year follow-up for anxiety and depression disorder is warranted. (C) 2011 Elsevier Ltd and ISBI. All rights reserved.",

keywords = "Burns, Psychiatric morbidity, Psychological screening, Structured interview, POSTTRAUMATIC-STRESS-DISORDER, MENTAL-HEALTH SURVEY, INJURY, PREDICTORS, NEMESIS",

author = "{ter Smitten}, {Mario H.} and {de Graaf}, Ron and {Van Loey}, {Nancy E.}",

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doi = "10.1016/j.burns.2010.12.018",

language = "English",

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issn = "0305-4179",

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AU - ter Smitten, Mario H.

AU - de Graaf, Ron

AU - Van Loey, Nancy E.

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N2 - Objective: Currently, little is known about psychiatric disorders in the period following on the first year after burn. We examined the prevalence of DSM-IV Axis I disorders in burn patients 1-4 years after burn, using a standardized structured clinical interview and comparing findings with a representative general population sample.Methods: Ninety patients admitted to five burn centres were assessed with the 12-month Composite International Diagnostic Interview. Results were compared to an age and gender matched nation based norm group.Results: Twelve-month prevalence for any DSM-IV study disorder was 39%.Prevalence for any after burn onset disorder was 28%. Most prevailing were major depression (10%), generalized anxiety disorder (10%), and PTSD (7%). The comorbidity-proportions for PTSD and generalized anxiety disorder where the highest. Fifty-seven percent of all burn onset disorders started within 1 year after the trauma and 21% within the next year. Burn patients had significantly higher prevalence rates for DSM-IV disorders than people from the general population sample.Conclusion: Psychiatric morbidity among burn patients, 1-4 years after burn, is considerable and higher than what may be expected in the general population. A 2-year follow-up for anxiety and depression disorder is warranted. (C) 2011 Elsevier Ltd and ISBI. All rights reserved.

AB - Objective: Currently, little is known about psychiatric disorders in the period following on the first year after burn. We examined the prevalence of DSM-IV Axis I disorders in burn patients 1-4 years after burn, using a standardized structured clinical interview and comparing findings with a representative general population sample.Methods: Ninety patients admitted to five burn centres were assessed with the 12-month Composite International Diagnostic Interview. Results were compared to an age and gender matched nation based norm group.Results: Twelve-month prevalence for any DSM-IV study disorder was 39%.Prevalence for any after burn onset disorder was 28%. Most prevailing were major depression (10%), generalized anxiety disorder (10%), and PTSD (7%). The comorbidity-proportions for PTSD and generalized anxiety disorder where the highest. Fifty-seven percent of all burn onset disorders started within 1 year after the trauma and 21% within the next year. Burn patients had significantly higher prevalence rates for DSM-IV disorders than people from the general population sample.Conclusion: Psychiatric morbidity among burn patients, 1-4 years after burn, is considerable and higher than what may be expected in the general population. A 2-year follow-up for anxiety and depression disorder is warranted. (C) 2011 Elsevier Ltd and ISBI. All rights reserved.

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KW - Psychological screening

KW - Structured interview

KW - POSTTRAUMATIC-STRESS-DISORDER

KW - MENTAL-HEALTH SURVEY

KW - INJURY

KW - PREDICTORS

KW - NEMESIS

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ER -

Prevalence and co-morbidity of psychiatric disorders 1-4 years after burn

Abstract

Funding

Keywords

UN SDGs

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