Abstract

GALLACH-SOLANO, E.; PEREZ DEL CAZ, M.D.  and  VIVO-BENLLOCH, C.. Psychological profile in severe burned patient: prevalence of psychopathologic and related variables. Cir. plást. iberolatinoam. [online]. 2015, vol.41, n.4, pp.427-436. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922015000400010.

Burns Unit of Hospital La Fe in Valencia (Spain), annually serves about 1.600 emergency burns. Patient in severe burn is a big challenge for health professionals because of the biopsychosocial approach required: health care for their survival, psychological care and risk of major alterations, physiotherapy and rehabilitative assistance to its functional activation and even social attention, because of the limitations that occur in these patients. We conducted a case-control observational transversal descriptive research, in severe burn hospitalized patients with prior mental disorders. The overall objective was to identify and describe the sociodemographic characteristics, type of trauma experienced, features and topography of the burn and comorbidity with mental disorders in severe burn patients. We found that 19.8 % of the patients had related severe mental disorders as anxious spectrum, psychotic spectrum, mood and toxic alcohol personality and cognitive changes prior to the injury. Those who appear to have lower prevalence are of the psychotic spectrum disorders associated with alcohol and toxic. No significant differences appeared between any of the sociodemographic and clinical variables, except for age, sex and living group. The results show that different psychiatric disorders may be directly involved in these patients. It is important to consider that the burn itself can also cause psychological disorders. Therefore, early psychological interventions to get a good adaptive adjustment are required.

Keywords : Burns; Mental disorders; Psychological profile; Mental illness prevalence; Anxiety; Depression; Post-traumatic stress.

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