title: Prevalence and Predictors of Posttraumatic Stress Symptomatology Among Burn Survivors: A Systematic Review and Meta-Analysis.
abstract: Burns can be a traumatic and stressful experience, although each patient may respond in very different ways. The aim of this study was to explore the variability on posttraumatic stress disorder (PTSD) and acute stress disorder (ASD) prevalence and evaluate the specific weight of different variables on PTSD development among adult burn patients. A systematic review was carried out to explore the prevalence of ASD and PTSD and identify their predictors. Meta-analytical methods were used to explore the strength of association between PTSD and the latter. From an initial pool of 190 studies, 24 were used in the systematic review, and only 19 studies could be used for the meta-analysis because of different methodological limitations. The prevalence of ASD at baseline ranged from 2 to 30% and prevalence of PTSD ranged from 3 to 35% at 1 month, 2 to 40% between 3 and 6 months, 9 to 45% in the year postinjury and ranged 7 to 25% more than 2 years later. Life threat perception was the strongest predictor for PTSD occurrence, followed by acute intrusive symptoms and pain associated with burn injuries. Predictive variables identified in this research may be useful in targeting burn patients who are at risk for developing posttraumatic stress symptoms and stress-related psychological symptoms.
authors.affiliation: From the *Servei de Psiquiatria, Hospital Universitari Vall d'Hebron, CIBERSAM, Department of Psychiatry, Universitat Autònoma de Barcelona; †Departament de Psicologia Clínica i de la Salut, Universitat Autònoma de Barcelona, Catalonia, Spain; ‡School of Psychology, University of East London, United Kingdom; and §Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Catalonia, Spain.
authors.forename: Anna
authors.initials: A
authors.lastname: Giannoni-Pastor
authors.forename: Francisco Jose
authors.initials: FJ
authors.lastname: Eiroa-Orosa
authors.forename: Sara Guila
authors.initials: SG
authors.lastname: Fidel Kinori
authors.forename: Jose Maria
authors.initials: JM
authors.lastname: Arguello
authors.forename: Miguel
authors.initials: M
authors.lastname: Casas
mesh_terms: D000328:Adult; D002056:Burns / Q000523:psychology*; D006801:Humans; D015995:Prevalence; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000453:epidemiology*; D040701:Stress Disorders, Traumatic, Acute / Q000175:diagnosis / Q000453:epidemiology*