The Fenix II Study: A longitudinal study of psychopathology among burn patients

Article


Fidel-Kinori, Sara Guila, Eiroá-Orosa, F., Giannoni-Pastor, Anna, Tasqué-Cebrián, Ruth, Arguello, Jose Maria and Casas, Miguel 2016. The Fenix II Study: A longitudinal study of psychopathology among burn patients. Burns. 42 (6), pp. 1201-1211.
AuthorsFidel-Kinori, Sara Guila, Eiroá-Orosa, F., Giannoni-Pastor, Anna, Tasqué-Cebrián, Ruth, Arguello, Jose Maria and Casas, Miguel
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 burn injuries 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 monitored 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 measured 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 Accident, risk of social exclusion, low body-image adjustment, anterior trunk location of the burn injury 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 burn injuries.

JournalBurns
Journal citation42 (6), pp. 1201-1211
ISSN0305-4179
Year2016
PublisherElsevier
Accepted author manuscript
License
CC BY-NC-ND
Digital Object Identifier (DOI)doi:10.1016/j.burns.2016.01.026
Publication dates
Print24 May 2016
Publication process dates
Deposited25 Jan 2016
Accepted22 Jan 2016
FunderResearch Institute of the University Hospital Vall d’Hebron
Department of Health, Government of Catalonia, Spain
Research Institute of the University Hospital Vall d’Hebron
Department of Health, Government of Catalonia, Spain
Copyright information© 2016 Elsevier
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