title: A clinical update on posttraumatic stress disorder in burn injury survivors.
abstract: OBJECTIVE
  Burn injuries are complex traumatic events carrying high risks of acute physical and psychosocial morbidity. With greater survival, clinical and research attention has turned to psychosocial recovery outcomes and risk factors. It is timely to summarise current issues in posttraumatic disorders after burn injury for mental health and integrative care clinicians. Posttraumatic stress disorder (PTSD) is a common outcome of severe burn injury. There are difficulties in delivering current best practice treatments to many survivors especially those in rural and remote areas and those with comorbidities. Vicarious traumatization of clinicians, families and carers requires attention and internationally there are moves to psychosocial screening and outcome tracking.
  
  
  CONCLUSIONS
  The role of the multidisciplinary treatment, integrated and trauma-informed care is essential. While level 1 evidence for PTSD treatments theoretically applies, adaptations that consider comorbidities and treatment contexts are often essential with further research required.
authors.affiliation: Senior Staff Psychiatrist, Westmead Psychotherapy Program, WSLHD, Parramatta, NSW, and; A/Prof Course Coordinator, Brain and Mind Centre, University of Sydney, Sydney, NSW, Australia.
authors.forename: Loyola
authors.initials: L
authors.lastname: McLean
authors.affiliation: Psychologist and Student Brain and Mind Centre, University of Sydney, Sydney, NSW, Australia.
authors.forename: Runsen
authors.initials: R
authors.lastname: Chen
authors.affiliation: Senior Social Worker, Severe Burn Injury Unit, Royal North Shore Hospital, St Leonards, NSW, Australia.
authors.forename: Julia
authors.initials: J
authors.lastname: Kwiet
authors.affiliation: Senior Staff Specialist Psychiatrist and Director of Consultation-Liaison Psychiatry, Royal North Shore Hospital, St Leonards, NSW, Australia.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Streimer
authors.affiliation: Senior Surgeon, Severe Burn Injury Unit, Royal North Shore Hospital, St Leonards, NSW, Australia.
authors.forename: John
authors.initials: J
authors.lastname: Vandervord
authors.affiliation: Lecturer in Nursing, Rozelle Campus, University of Tasmania, Hobart, TAS, Australia.
authors.forename: Rachel
authors.initials: R
authors.lastname: Kornhaber
mesh_terms: D002056:Burns / Q000150:complications / Q000523:psychology; D006801:Humans; D008403:Mass Screening; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D017741:Survivors
keywords: posttraumatic growth; posttraumatic stress disorder (PTSD); psychosocial treatments; resilience; severe burn injury