@article{ref1,
title="Early assessment and identification of posttraumatic stress disorder, satisfaction with appearance and coping in patients with burns",
journal="Burns: journal of the International Society for Burn Injuries",
year="2016",
author="Dahl, Oili and Wickman, Marie and Björnhagen, Viveca and Friberg, Mona and Wengström, Yvonne",
volume="42",
number="8",
pages="1678-1685",
abstract="BACKGROUND: The first year after severe burn is a psychologically challenging period for the patient. Patients may still struggle with burn-related physical and psychological problems such as posttraumatic stress disorder (PTSD) and body image dissatisfaction (BID). <br><br>AIM: This study investigates the presence of PTSD, BID and coping, at three, six and twelve months after discharge for early identification of patients in need of focused support during rehabilitation. <br><br>METHODS: Fifty-two adult patients with different degrees of burns were followed at three, six and twelve months after discharge and 36 patients completed all assessment points. A standardized clinical protocol was used for systematic assessment of PTSD (IES-R), BID (SWAP-Swe) and Coping (CBQ). The follow-up included an intervention with a burn nurse as a complement to the existing program. <br><br>RESULTS: Approximately half of the patients had a risk of developing PTSD three months after discharge from hospital, and body image dissatisfaction was found to potentially predict risk of PTSD during follow-up. <br><br>CONCLUSIONS: The findings suggest that it is important to include patients with less extensive burns in follow-up as this group is at risk of development of PTSD. Using standardized questionnaires in early follow-up along with assessment of body image dissatisfaction may facilitate detection of psychological problems.<br><br>Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0305-4179",
doi="10.1016/j.burns.2016.09.012",
url="http://dx.doi.org/10.1016/j.burns.2016.09.012"
}