title: Mental health outcomes of burn: A longitudinal population-based study of adults hospitalized for burns.
abstract: OBJECTIVE
  This study investigates the increased risk of mental health outcomes and health care utilization associated with burn with two year of follow-up using a longitudinal population-based matched cohort design.
  
  
  METHODS
  Adult burn survivors (n=157) were identified from a provincial burn registry and matched 1:5 with non-burn control subjects from the general population (matching variables age and gender). The prevalence of mental health outcomes and the rates of health care utilization between the groups were compared for the 2years pre and post index date using anonymously linked population-based administrative health care data. Rates were adjusted for age, gender and sociodemographic characteristics.
  
  
  RESULTS
  While the burn cohort had an increased prevalence of mental health problems after burn compared to the control cohort, the burn group also had an increased prevalence of pre-burn depression (16.6% vs 7.8%; p=0.0005) and substance use disorders (8.9% vs 3.2%; p=0.001) when compared to controls. Once the pre-existing prevalence of mental illness was taken into account there was no significant change in the prevalence of mental health problems when comparing the burn group to controls over time.
  
  
  CONCLUSIONS
  Although burns may not increase rates of mental health issues and health care utilization, burn survivors are a vulnerable group who already demonstrate increased rates of psychopathology and need for care. The present study highlights the importance of assessment and treatment of mental health outcomes in this population.
authors.affiliation: Manitoba Firefighters' Burn Unit, Winnipeg, Manitoba, Canada; Department of Surgery, Sections of General and Plastic Surgery, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: logsetty@umanitoba.ca.
authors.forename: Sarvesh
authors.initials: S
authors.lastname: Logsetty
authors.affiliation: Department of Psychiatry, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: amir.h.shamlou@gmail.com.
authors.forename: Amir
authors.initials: A
authors.lastname: Shamlou
authors.affiliation: Manitoba Firefighters' Burn Unit, Winnipeg, Manitoba, Canada; Department of Surgery, Sections of General and Plastic Surgery, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: jgawaziuk@live.com.
authors.forename: Justin P
authors.initials: JP
authors.lastname: Gawaziuk
authors.affiliation: Department of Physical Medicine & Rehabilitation, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: justin.march16@gmail.com.
authors.forename: Justin
authors.initials: J
authors.lastname: March
authors.affiliation: Department of Community Health Sciences & Manitoba Centre for Health Policy, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: malcolm_doupe@cpe.umanitoba.ca.
authors.forename: Malcolm
authors.initials: M
authors.lastname: Doupe
authors.affiliation: Department of Community Health Sciences & Manitoba Centre for Health Policy, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: dan_chateau@cpe.umanitoba.cam.
authors.forename: Dan
authors.initials: D
authors.lastname: Chateau
authors.affiliation: Department of Surgery, Section of General Surgery, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: mhoppensack@exchange.hsc.mb.ca.
authors.forename: Mike
authors.initials: M
authors.lastname: Hoppensack
authors.affiliation: Department of Community Health Sciences & Manitoba Centre for Health Policy, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: sazzadul_khan@cpe.umanitoba.ca.
authors.forename: Sazzadul
authors.initials: S
authors.lastname: Khan
authors.affiliation: Department of Psychology, Faculty of Arts, University of Manitoba, Winnipeg, Canada; Department of Psychology, American University of Paris, Paris, France. Electronic address: medved@cc.umanitoba.ca.
authors.forename: Maria
authors.initials: M
authors.lastname: Medved
authors.affiliation: Departments of Radiology and Internal Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: bleslie@sbgh.mb.ca.
authors.forename: William D
authors.initials: WD
authors.lastname: Leslie
authors.affiliation: Department of Psychiatry, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada; Department of Community Health Sciences, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: menns@exchange.hsc.mb.ca.
authors.forename: Murray W
authors.initials: MW
authors.lastname: Enns
authors.affiliation: VA San Diego Healthcare System, CA, USA; University of California, San Diego, CA, USA. Electronic address: mstein@ucsd.edu.
authors.forename: Murray B
authors.initials: MB
authors.lastname: Stein
authors.affiliation: Department of Psychology, University of Regina, Regina, Saskatchewan, Canada. Electronic address: gordon.asmundson@uregina.ca.
authors.forename: Gordon J G
authors.initials: GJ
authors.lastname: Asmundson
authors.affiliation: Department of Psychiatry, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada; Department of Community Health Sciences, Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada. Electronic address: sareen@cc.umanitoba.ca.
authors.forename: Jitender
authors.initials: J
authors.lastname: Sareen
mesh_terms: D000328:Adult; D001007:Anxiety / Q000453:epidemiology / Q000523:psychology*; D001008:Anxiety Disorders / Q000453:epidemiology / Q000523:psychology; D002056:Burns / Q000453:epidemiology / Q000523:psychology*; D015331:Cohort Studies; D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D003866:Depressive Disorder / Q000453:epidemiology / Q000523:psychology; D005260:Female; D006760:Hospitalization; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008350:Manitoba / Q000453:epidemiology; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology*; D008603:Mental Health; D015995:Prevalence; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology
keywords: Anxiety; Burns; Depression; Epidemiology; Mental illness