Tedstone J E, Tarrier N, Faragher E B
Department of Clinical Psychology, Central Nottinghamshire Healthcare Trust Headquarters, Mansfield, UK.
Burns. 1998 Aug;24(5):407-15. doi: 10.1016/s0305-4179(98)00049-7.
Previous research aimed at identifying factors that increase the risk of major burns patients experiencing psychological problems post-burn has generally ignored the potential role of psychological factors. In a prospective study, patients with burn injuries ranging from < 1 per cent up to 40 per cent were interviewed within 2 weeks of sustaining the burn and followed up at ca 3 months post-burn in order to assess the effects of both non-psychological and psychological factors on their subsequent mental health. The factors investigated included burn related information, demographic information, previous psychiatric history, levels of psychological morbidity at 2 weeks post-burn, responsibility for the injury, previous life events, compensation claims and factors from the coping literature including appraisal, coping strategies and coping efficacy. Forward stepwise multiple regression analyses were used to investigate the relationships between these factors and subsequent mental health. Post-burn psychological morbidity was strongly associated with psychological factors including levels of psychological morbidity in the first 2 weeks of sustaining the injury and factors from the coping literature.
以往旨在确定增加重度烧伤患者烧伤后出现心理问题风险因素的研究，通常忽视了心理因素的潜在作用。在一项前瞻性研究中，对烧伤面积从小于1%到40%的患者在烧伤后2周内进行访谈，并在烧伤后约3个月进行随访，以评估非心理因素和心理因素对其后续心理健康的影响。所调查的因素包括烧伤相关信息、人口统计学信息、既往精神病史、烧伤后2周时的心理疾病水平、受伤责任、既往生活事件、赔偿要求以及来自应对文献的因素，包括评估、应对策略和应对效能。采用向前逐步多元回归分析来研究这些因素与后续心理健康之间的关系。烧伤后心理疾病与心理因素密切相关，包括受伤后前2周的心理疾病水平以及来自应对文献的因素。
