Berg Lea, Meyer Stefanie, Ipaktchi Ramin, Vogt Peter M, Müller Astrid, de Zwaan Martina
Klinik für Psychosomatik und Psychotherapie, Medizinische Hochschule Hannover.
Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover.
Psychother Psychosom Med Psychol. 2017 Jun;67(6):231-239. doi: 10.1055/s-0042-111006. Epub 2016 Sep 29.
Burn injuries can result in long-term mental and physical health problems. We investigated if patients at different time periods since the burn injury differed with regard to psychosocial impairment. Patients who were treated as inpatients because of burn injury between 2006 and 2012 were asked about quality of life (Burn Specific Health Scale - Brief; BSHS-B), anxiety and depression (Hospital Anxiety and Depression Scale - Deutsche Version; HADS-D), posttraumatic stress disorder (Impact of Event Scale - Revised; IES-R), stigmatization (Perceived Stigmatization Questionnaire; PSQ) and social support (Fragebogen zur sozialen Unterstützung; F-SozU-7). The sample (146 patients) was divided into 4 groups according to the time period elapsed since the burn injury. There were no significant differences in psychosocial distress between the 4 groups. The same applied to sociodemographic and burn specific variables. 18 (12.4%) patients had the cutoff of ≥11 for anxiety and 22 (15.2%) for depression on the HADS; 16 (11.1%) patients screened positive for posttraumatic stress disorder (PTSD). No differences were found for current psycho(pharmaco)therapy and the wish for psychotherapy. The results suggest persistence of psychosocial burden over time after burn injury. Psychosocial interventions might thus be indicated even many years after burn injuries.
烧伤会导致长期的身心健康问题。我们调查了烧伤后不同时间段的患者在心理社会功能损害方面是否存在差异。我们询问了2006年至2012年因烧伤而住院治疗的患者的生活质量（烧伤特异性健康量表简版；BSHS - B）、焦虑和抑郁情况（医院焦虑抑郁量表德文版；HADS - D）、创伤后应激障碍（事件影响量表修订版；IES - R）、污名化（感知污名化问卷；PSQ）以及社会支持情况（社会支持问卷；F - SozU - 7）。根据烧伤后经过的时间段，将样本（146名患者）分为4组。4组之间在心理社会困扰方面没有显著差异。社会人口统计学和烧伤特异性变量方面也是如此。18名（12.4%）患者在HADS上的焦虑得分≥11分，22名（15.2%）患者的抑郁得分≥11分；16名（11.1%）患者创伤后应激障碍（PTSD）筛查呈阳性。在当前的心理（药物）治疗和心理治疗意愿方面未发现差异。结果表明烧伤后心理社会负担会随着时间持续存在。因此，即使在烧伤多年后也可能需要进行心理社会干预。
