title: The psychiatric sequelae of burn injury.
abstract: OBJECTIVE
  To examine factors predicting psychiatric morbidity, taking into account the full range of psychiatric disorders before and after burn injury.
  
  
  METHODS
  A cohort of 107 patients consecutively admitted to a Swedish national burn center was examined for lifetime psychiatric morbidity, as well as 94 patients at 1 year postinjury. Sixty-seven individuals, some from that same cohort, were interviewed at 2 to 7years postinjury. The predictive effects of psychiatric history, personality and other risk factors for psychiatric morbidity following burn were evaluated with multiple regression analyses.
  
  
  RESULTS
  The prevalence of having a psychiatric disorder preburn was 57%. One year postinjury 19% had minor or major depression and 23% had subsyndromal or full posttraumatic stress disorder. At 2 to 7years, 31% fulfilled the criteria for a psychiatric disorder. The strongest contributing factors were a history of psychiatric morbidity and neuroticism.
  
  
  CONCLUSIONS
  Two-thirds of the patients had a lifetime psychiatric disorder, and one-third had a psychiatric diagnosis 2 to 7years postburn. Mental health problems can have a major impact on daily life and functional abilities. Thus, identification and treatment of a range of psychiatric disorders, taking into account preburn psychiatric disorders and personality, is important for optimal adjustment after burn.
authors: Department of Neuroscience Psychiatry, Uppsala University, SE-751 85 Uppsala, Sweden.
authors: Caisa
authors: C
authors: Oster
authors: Department of Neuroscience Psychiatry, Uppsala University, SE-751 85 Uppsala, Sweden. Electronic address: Josefin.Sveen@neuro.uu.se.
authors: Josefin
authors: J
authors: Sveen
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000453:epidemiology; D001008:Anxiety Disorders / Q000453:epidemiology*; D002056:Burns / Q000453:epidemiology* / Q000523:psychology; D003865:Major Depressive Disorder / Q000453:epidemiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D000075384:Neuroticism; D015995:Prevalence; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology*; D013548:Sweden
keywords: Burn; Depression; Posttraumatic stress disorder; Psychiatric morbidity; Trauma