title: The Fenix II study: A longitudinal study of psychopathology among burn patients.
abstract: Psychological symptoms are common among burn survivors. However, knowledge about epidemiology and predictors of psychopathology has shown great heterogeneity in this population. The Fenix-II Project was the first epidemiological study on the psychopathological consequences of burns developed in Spain, providing a detailed analysis of the progression of psychological symptoms during the first six months after injury. Three hundred and thirty-three patients were screened and 183 were included in this study. Posttraumatic, depression and anxiety symptoms showed a general decreasing tendency across time. At 6 months, 34 patients showed clinically significant Posttraumatic Stress Disorder (PTSD) symptoms (20.5% of 166 patients reached at 6 months) as assessed with the MINI Neuropsychiatric Interview. Within this group of patients, anxiety, depression and hyperarousal increased at 30 days, and avoidance 90 days after injury. The most accurate predictors of PTSD were found to be being burned in a Motor Vehicle Crash, risk of social exclusion, low body-image adjustment, anterior trunk location of the burn and life threat perception during the burn-shock period. Considering these factors, clinicians may identify patients at risk of PTSD development, allowing an adequate follow up and preventive interventions which may minimize the psychological consequences of burns.
authors.affiliation: Department of Psychiatry, University Hospital Vall d'Hebron, CIBERSAM, Universitat Autònoma de Barcelona, Catalonia, Spain.
authors.forename: Sara Guila
authors.initials: SG
authors.lastname: Fidel-Kinori
authors.affiliation: School of Psychology, University of East London, United Kingdom. Electronic address: f.eiroa-orosa@uel.ac.uk.
authors.forename: Francisco Jose
authors.initials: FJ
authors.lastname: Eiroa-Orosa
authors.affiliation: Department of Psychiatry, University Hospital Vall d'Hebron, CIBERSAM, Universitat Autònoma de Barcelona, Catalonia, Spain.
authors.forename: Anna
authors.initials: A
authors.lastname: Giannoni-Pastor
authors.affiliation: Department of Psychiatry, University Hospital Vall d'Hebron, CIBERSAM, Universitat Autònoma de Barcelona, Catalonia, Spain.
authors.forename: Ruth
authors.initials: R
authors.lastname: Tasqué-Cebrián
authors.affiliation: Department of Psychiatry, University Hospital Vall d'Hebron, CIBERSAM, Universitat Autònoma de Barcelona, Catalonia, Spain.
authors.forename: Jose Maria
authors.initials: JM
authors.lastname: Arguello
authors.affiliation: Department of Psychiatry, University Hospital Vall d'Hebron, CIBERSAM, Universitat Autònoma de Barcelona, Catalonia, Spain.
authors.forename: Miguel
authors.initials: M
authors.lastname: Casas
mesh_terms: D000063:Accidents, Traffic / Q000523:psychology; D000328:Adult; D001007:Anxiety / Q000453:epidemiology / Q000523:psychology*; D001828:Body Image / Q000523:psychology; D002056:Burns / Q000453:epidemiology / Q000209:etiology / Q000523:psychology*; D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D012929:Psychological Distance; D012944:Social Support; D013030:Spain / Q000453:epidemiology; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000523:psychology*
keywords: Acute stress; Burn patients; Epidemiology; PTSD; Psychopathology