title: Association between depression, patient scar assessment and burn-specific health in hospitalized burn patients.
abstract: BACKGROUND
  Depression is one of the most common psychological problems arising after a burn, but its relationship with patient scar assessment and burn-specific health are poorly understood. The aim of this study was to identify the incidence of in-hospital symptoms of depression, compare level of patient scar assessment, and burn-specific health by depression cutoff point, and identify the relationship between depression and these variables.
  
  
  METHODS
  In a cross-sectional descriptive study, 113 burn patients from two inpatient burn centers were divided into two groups based on the cutoff point of the Korean Center for Epidemiologic Studies Depression Scale (Korean CES-D): ≥25 or <25. Patient Scar Assessment Scale and Korean Burn-Specific Health Scale-Brief (BSHS-B-K) were used to identify associations with depression.
  
  
  RESULTS
  Incidence of severe, definite depression as assessed by a score of 25 or above on the Korean CES-D was approximately 50% on an average at 60.9 days after injury. Burn patients with the Korean CES-D≥25 had significantly higher total mean patient scar assessment scores (43.34±11.49 vs. 36.84±9.56, t=3.265, p=.001), and lower burn-specific health subscale scores compared to patients with Korean CES-D<25. Depression was positively correlated with all subscales of the Patient Scar Assessment, ranging from r=.196 to .335 except scar color. Depression was significantly correlated with all subscales of the BSHS-B-K, range from r=-.320 to -.725.
  
  
  CONCLUSIONS
  Results indicate that incidence of symptoms of depression is relatively high, and depressed burn patients report worse burn scar or sensation and lower levels of burn-specific health. Early, timely recognition and management of depression in these patients are warranted.
authors.affiliation: Red Cross College of Nursing, Chung-Ang University (CAU), CAU Healthcare system, South Korea.
authors.forename: Young Sook
authors.initials: YS
authors.lastname: Roh
authors.forename: Hyun Soo
authors.initials: HS
authors.lastname: Chung
authors.forename: Boeun
authors.initials: B
authors.lastname: Kwon
authors.forename: Giyon
authors.initials: G
authors.lastname: Kim
mesh_terms: D000328:Adult; D002056:Burns / Q000523:psychology*; D002921:Cicatrix / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology*; D005260:Female; D006304:Health Status; D006305:Health Status Indicators; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D056910:Republic of Korea / Q000453:epidemiology