Department of Surgery, Division of Burns, University of Texas Medical Branch, Shriners Hospital for Children, Galveston, Texas 77550, USA.
Int Rev Psychiatry. 2009 Dec;21(6):549-58. doi: 10.3109/09540260903343984.
Advances in critical care and surgical management during the last 20 years have decreased mortality rates among children with severe burn injuries. This improved survival rate has prompted researchers to study the psychological aspects of recovering from a burn injury. Initially research focused primarily on epidemiology, prevention and descriptions of the psychological phenomenon experienced by the children and adolescents. Whereas previously interventions were often utilized during the acute phases of burn injury without knowledge of the long-term effects, more recently, priorities have shifted to include long-term treatment outcome studies. The purpose of this paper is to review and discuss the current evidence-based techniques and their efficacy in the treatment of common psychological and psychiatric conditions among children and adolescents during the three major phases of burn injury.
在过去的 20 年中,重症监护和外科手术管理方面的进展降低了严重烧伤儿童的死亡率。这种生存率的提高促使研究人员研究烧伤康复的心理方面。最初的研究主要集中在流行病学、预防以及儿童和青少年经历的心理现象的描述上。虽然以前的干预措施通常在烧伤的急性期使用,而不知道其长期影响,但最近,重点已转移到包括长期治疗结果研究。本文的目的是回顾和讨论在烧伤的三个主要阶段中,治疗儿童和青少年常见心理和精神疾病的当前基于证据的技术及其疗效。