Tucker P
Burns Incl Therm Inj. 1987 Feb;13(1):7-14. doi: 10.1016/0305-4179(87)90249-x.
The following tentative conclusions may be drawn from this pilot study: Depression and anxiety are moderately elevated in pre-discharge burn patients, and drop to normal or low levels with the passage of time. There is a significant incidence of post-traumatic stress disorder among recently burned patients, and the prevalence actually increases with time. This increase may be due to the incidence of the 'delayed' form of the disorder. Personality factors which may predict post-burn psychosocial outcome are neuroticism, trait anxiety and hypochondriasis. Burn severity does not usefully predict psychosocial outcome. The presence of compensation issues is associated with post-burn psychosocial difficulties, particularly in intimate family relationships. However there is no association with depression or anxiety. Pre-burn psychiatric morbidity is associated with poor post-burn psychosocial adjustment.
烧伤患者出院前的抑郁和焦虑程度有所中度升高，并会随着时间推移降至正常或低水平。近期烧伤患者中创伤后应激障碍的发生率较高，且患病率实际上会随着时间增加。这种增加可能是由于该障碍“延迟”形式的发生率所致。可能预测烧伤后心理社会结局的人格因素包括神经质、特质焦虑和疑病症。烧伤严重程度并不能有效预测心理社会结局。赔偿问题的存在与烧伤后的心理社会困难相关，尤其是在亲密的家庭关系中。然而，这与抑郁或焦虑并无关联。烧伤前的精神疾病发病率与烧伤后心理社会适应不良相关。
