[The depressive disorder in burn patients].
The CES-D, HAMD and ABSH scales were used to assess the incidence of depressive disorder in 30 burn patients during hospitalization and in 26 patients after they re-entered the society. The results indicated that the occurrence of depressive symptoms (70%) and depression (40%) in hospitalized burn patients increased significantly as compared to the control group and a group of surgical patients. Furthermore, 30 burn patients were divided into three groups according to the extent and the site of their burns, and it was found that the incidence of depressive symptoms and the degree of depressive reaction both in group I (TBSA = 55.44 +/- 22.09%) and group III (TBSA = 6.03 +/- 6.03%, with electrical injury, facial burn, hot roller injury) were significantly higher than those in group II (TBSA = 5.49 +/- 4.19%), but there was no statistical difference between group I and group III. The incidence of depressive symptoms assessed by the CES-D scale in burn patients after they re-entered the society increased obviously as compared with normal control (46.15% vs. 10%). Furthermore, there was a negative correlation between CES-D scores andse. ABSH scorThe CES-D score was also found to be negatively correlated to the scores in four aspects (physical, mental, social and general) in ABSH scale. We conclude that burn injuries can complicate the depressive disorder. Cosmetic deformity and loss of function may be the main causes of the increase in the incidence of depressive disorder during hospitalization, while the occurrence of depressive disorder when they re-entered the society may be related to physical disabilities, mental status and social adaptability.
Lu
S L
SL
Shanghai Burn Institute, Rui Jin Hospital, Shanghai Second Medical University.
D000328:Adult; D002056:Burns / Q000150:complications / Q000523:psychology*; D003863:Depression / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales