TY - JOUR PY - 2018// TI - Correlation between depression, posttraumatic stress disorder, and inflammatory factors in patients with severe burn injury JO - American surgeon A1 - Jiang, Donglin A1 - Jiang, Shengyang A1 - Gong, Fang A1 - Yuan, Fenglai A1 - Zhao, Peng A1 - He, Xinglong A1 - Lv, Guozhong A1 - Chu, Xing SP - 1350 EP - 1354 VL - 84 IS - 8 N2 - We aim to investigate the relation between depression, posttraumatic stress disorder (PTSD), and inflammatory factors in patients with severe burn injury. Psychological assessment was carried out using PTSD checklist (PCL) involving a 17-item self-report questionnaire (PCL-17) and the Hamilton Rating Scale for depression (HAMD-24). The serum IL-1β, IL-6, IL-8, and tumor necrosis factor-α (TNF-α) were determined using enzyme-linked immunosorbent assay. Correlation analysis was performed to analyze the correlation between the factors and scores of PTSD and depression. Compared with the PCL-17 score, HAMD-24 score, and inflammatory factors at month 3, a significant decrease was noticed in the PCL-17 score, HAMD-24 score, and inflammatory factors at months 6 and 9 (P < 0.01). For the HAMD-24 score, significant improvements were noticed in the anxiety/somatization, cognitive disorder, blocking, sleep disorders, and depression at months 3, 6, and 9. The levels of IL-1β, IL-8, and TNF-α were positively correlated with the PCL-17 score (P < 0.05). The levels of IL-1β, IL-6, IL-8, and TNF-α were positively correlated with the HAMD-24 score (P < 0.05). Patients with severe burn injury showed obvious stress alternation displaying specific depression-related characteristics, and inflammation may involve in the pathogenesis of PTSD and depression in burn patients.
Language: en
LA - en SN - 0003-1348 UR - http://dx.doi.org/ ID - ref1 ER -