Neuroscience Research Center, Statistics and Epidemiology Department, School of Health and Nutrition.
Neuropsychiatr Dis Treat. 2011;7:425-9. doi: 10.2147/NDT.S23041. Epub 2011 Jul 13.
A burn injury can be a traumatic experience with tremendous social, physical, and psychological consequences. The aim of this study was to investigate the existence of post-traumatic stress disorder (PTSD) and predictors of PTSD Checklist score initially and 3 months after injury in burns victims admitted to the Sina Burn Center in north-west Iran.
This prospective study examined adult patients aged 16-65 years with unintentional burns. The PTSD Checklist was used to screen for PTSD.
Flame burns constituted 49.4% of all burns. Mean PTSD score was 23.8 ± 14.7 early in the hospitalization period and increased to 24.2 ± 14.3, 3 months after the burn injury. Twenty percent of victims 2 weeks into treatment had a positive PTSD screening test, and this figure increased to 31.5% after 3 months. The likelihood of developing a positive PTSD screening test increased significantly after 3 months (P < 0.01). Using multivariate regression analysis, factors independently predicting PTSD score were found to be age, gender, and percentage of total body surface area burned.
PTSD was a problem in the population studied and should be managed appropriately after hospital admission due to burn injury. Male gender, younger age, and higher total body surface area burned may predict a higher PTSD score after burn injury.
烧伤是一种创伤性经历，会带来巨大的社会、身体和心理后果。本研究旨在调查在伊朗西北部 Sina 烧伤中心接受治疗的烧伤患者在受伤后最初和 3 个月时是否存在创伤后应激障碍（PTSD）以及 PTSD 检查表评分的预测因素。
这项前瞻性研究检查了年龄在 16-65 岁之间的意外烧伤的成年患者。使用 PTSD 检查表筛查 PTSD。
火焰烧伤占所有烧伤的 49.4%。在住院期间早期，平均 PTSD 得分为 23.8 ± 14.7，在烧伤后 3 个月增加到 24.2 ± 14.3。治疗 2 周后，有 20%的受害者 PTSD 筛查呈阳性，3 个月后这一数字增加到 31.5%。3 个月后，出现阳性 PTSD 筛查测试的可能性显著增加（P < 0.01）。使用多元回归分析，发现独立预测 PTSD 评分的因素是年龄、性别和全身烧伤面积百分比。
在研究人群中，PTSD 是一个问题，由于烧伤后住院，应适当管理。男性、年龄较小和全身烧伤面积较大可能预示着烧伤后 PTSD 评分较高。
