ผู้วิจัย/Authors: Wongpakaran N,

ชื่อเรื่อง/Title: Psychiatric Disorders in burn patients.

แหล่งที่มา/Source: Journal of the Psychiatric Association of Thailand, Vol. 148, No. 4, October-December 2003, Page 223-229.

รายละเอียด / Details:

Objective : To study psychiatric disorder in burn patients and to determine the factors associated with the occurrence Methods : Thirty-eight hospitalized patients in adult unit in Maharaj Nakorn Chiang Mai Hospital during the same six-month period were studied to elicit data regarding demographic characteristics, causes and types of burn depth and total body surface area (TBSA), amputation, pain, length of stay, number of operations and psychiatric disorder during the admissions. The participants were divided into two groups, psychiatric group (PG) and non-psychiatric group (NG). The frequency of visits from the patients' relatives, the time spent of the visits, and the patients' satisfaction with the visits were observed. Moreover, the impact of image and the patients' understanding about the burn illness was recorded. Finally, the factors correlated with PG were studied. Results: Of the total number of subjects, 18 patients 47.4% had psychiatric disorders. Fifty-five percent of the participants in PG were diagnosed with adjustment disorder, 33.3% with delirium, and 11.1% with major depressive disorder. Of these, 33.3% were drug users, mainly alcohol, 11.1% had narcissistic personality disorder, and 11.1% had acute stress disorder (ASD). Actors correlated with PG were 1) TBSA, 2) burn area, 3) number of operation, 4) pain magnitude, and 5) patient' dissatisfaction with relatives' visits. Besides, the length of stay of PG was longer than that of NG for about weeks. Conclusions: This study found the emergence of psychiatric disorder in nearly half of the burn patients. Thus, the prevention and early detection are deemed very crucial. However, the small simply size used in this study might have brought about inaccurate prevalence rate, so a longitudinal study should be conducted to follow up or detect some other psychiatric disorders.

Keywords: burn, psychiatric disorder, mental illness, psychiatry, depressive, depress, acute stress, personality disorder

ปีที่เผยแพร่/Year: 2003

Address: Department of Psychiatry, Faculty of Medicine, Chiang Mai University

Code: 20050000146

ISSN/ISBN: 0125-6985

Country of publication: Thailand.

Language: English.

Category: Abstract: Journal.

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