Preburn Psychiatric History Affects Posttrauma Morbidity
A sample of inpatient, burn-injured adults (N = 95) were assessed upon discharge, and 4 and 12 months later with a structured interview and DSM-III-R criteria. The prevalence of disorder in this sample was contrasted with published data on a representative national community-dwelling comparison grou...
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| Veröffentlicht in: | Psychosomatics (Washington, D.C.) D.C.), 1997-07, Vol.38 (4), p.374-385 |
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| container_title | Psychosomatics (Washington, D.C.) |
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| creator | Fauerbach, James A. Lawrence, John Haythornthwaite, Jennifer Richter, Daniel McGuire, Marsden Schmidt, Chester Munster, Andrew |
| description | A sample of inpatient, burn-injured adults (N
=
95) were assessed upon discharge, and 4 and 12 months later with a structured interview and DSM-III-R criteria. The prevalence of disorder in this sample was contrasted with published data on a representative national community-dwelling comparison group in the National Comorbidity Study.The prevalence oflifetime affective, alcohol, and substance use disorders was significantly higher, and lifetime anxiety disorders significantly lower, in the burn-injured sample. The 12-month postburn prevalences of alcohol, and substance use disorders were significantly greater in the burn-injured sample. The risk of postburn disorder was significantly greater for the subjects who had a preburn history of affective, alcohol, or substance use disorder. The risk for developing posttraumatic stress disorder (PTSD) was elevated in the subjects with a preburn affective disorder but not preburn anxiety disorder. Finally, postburn PTSD was associated with a greater length of stay, and greater preburn comorbidity predicted preburn employment status and tended to lengthen hospitalization. |
| doi_str_mv | 10.1016/S0033-3182(97)71445-2 |
| format | Article |
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95) were assessed upon discharge, and 4 and 12 months later with a structured interview and DSM-III-R criteria. The prevalence of disorder in this sample was contrasted with published data on a representative national community-dwelling comparison group in the National Comorbidity Study.The prevalence oflifetime affective, alcohol, and substance use disorders was significantly higher, and lifetime anxiety disorders significantly lower, in the burn-injured sample. The 12-month postburn prevalences of alcohol, and substance use disorders were significantly greater in the burn-injured sample. The risk of postburn disorder was significantly greater for the subjects who had a preburn history of affective, alcohol, or substance use disorder. The risk for developing posttraumatic stress disorder (PTSD) was elevated in the subjects with a preburn affective disorder but not preburn anxiety disorder. Finally, postburn PTSD was associated with a greater length of stay, and greater preburn comorbidity predicted preburn employment status and tended to lengthen hospitalization.</description><identifier>ISSN: 0033-3182</identifier><identifier>EISSN: 1545-7206</identifier><identifier>DOI: 10.1016/S0033-3182(97)71445-2</identifier><identifier>PMID: 9217408</identifier><language>eng</language><publisher>Washington, DC: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Aged ; Anxiety disorders. Neuroses ; Biological and medical sciences ; Burns - psychology ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Post-traumatic stress disorder ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Severity of Illness Index ; Stress Disorders, Post-Traumatic - psychology ; Stress Disorders, Post-Traumatic - therapy</subject><ispartof>Psychosomatics (Washington, D.C.), 1997-07, Vol.38 (4), p.374-385</ispartof><rights>2011 The Academy of Psychosomatic Medicine</rights><rights>1997 INIST-CNRS</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c467t-6b654643ce1768c930fc38b38746bea443a42420fbf310b1d2a30a82904eaefe3</citedby><cites>FETCH-LOGICAL-c467t-6b654643ce1768c930fc38b38746bea443a42420fbf310b1d2a30a82904eaefe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0033318297714452$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,3537,23909,23910,25118,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2750382$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9217408$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fauerbach, James A.</creatorcontrib><creatorcontrib>Lawrence, John</creatorcontrib><creatorcontrib>Haythornthwaite, Jennifer</creatorcontrib><creatorcontrib>Richter, Daniel</creatorcontrib><creatorcontrib>McGuire, Marsden</creatorcontrib><creatorcontrib>Schmidt, Chester</creatorcontrib><creatorcontrib>Munster, Andrew</creatorcontrib><title>Preburn Psychiatric History Affects Posttrauma Morbidity</title><title>Psychosomatics (Washington, D.C.)</title><addtitle>Psychosomatics</addtitle><description>A sample of inpatient, burn-injured adults (N
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95) were assessed upon discharge, and 4 and 12 months later with a structured interview and DSM-III-R criteria. The prevalence of disorder in this sample was contrasted with published data on a representative national community-dwelling comparison group in the National Comorbidity Study.The prevalence oflifetime affective, alcohol, and substance use disorders was significantly higher, and lifetime anxiety disorders significantly lower, in the burn-injured sample. The 12-month postburn prevalences of alcohol, and substance use disorders were significantly greater in the burn-injured sample. The risk of postburn disorder was significantly greater for the subjects who had a preburn history of affective, alcohol, or substance use disorder. The risk for developing posttraumatic stress disorder (PTSD) was elevated in the subjects with a preburn affective disorder but not preburn anxiety disorder. Finally, postburn PTSD was associated with a greater length of stay, and greater preburn comorbidity predicted preburn employment status and tended to lengthen hospitalization.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Anxiety disorders. Neuroses</subject><subject>Biological and medical sciences</subject><subject>Burns - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Post-traumatic stress disorder</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. 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95) were assessed upon discharge, and 4 and 12 months later with a structured interview and DSM-III-R criteria. The prevalence of disorder in this sample was contrasted with published data on a representative national community-dwelling comparison group in the National Comorbidity Study.The prevalence oflifetime affective, alcohol, and substance use disorders was significantly higher, and lifetime anxiety disorders significantly lower, in the burn-injured sample. The 12-month postburn prevalences of alcohol, and substance use disorders were significantly greater in the burn-injured sample. The risk of postburn disorder was significantly greater for the subjects who had a preburn history of affective, alcohol, or substance use disorder. The risk for developing posttraumatic stress disorder (PTSD) was elevated in the subjects with a preburn affective disorder but not preburn anxiety disorder. Finally, postburn PTSD was associated with a greater length of stay, and greater preburn comorbidity predicted preburn employment status and tended to lengthen hospitalization.</abstract><cop>Washington, DC</cop><pub>Elsevier Inc</pub><pmid>9217408</pmid><doi>10.1016/S0033-3182(97)71445-2</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Psychosomatics (Washington, D.C.), 1997-07, Vol.38 (4), p.374-385 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Adult and adolescent clinical studies Aged Anxiety disorders. Neuroses Biological and medical sciences Burns - psychology Female Humans Male Medical sciences Middle Aged Post-traumatic stress disorder Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Severity of Illness Index Stress Disorders, Post-Traumatic - psychology Stress Disorders, Post-Traumatic - therapy |
| title | Preburn Psychiatric History Affects Posttrauma Morbidity |
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