Burns and Mental Disorder
Accidentes por quemadura y enfermedad mental
I. Vera
, E. Ferrando, I. Vidal, D. Gómez-Olmeda, J.C. González
Corresponding author
Servicio de Psiquiatría, Hospital Universitario de Getafe, Getafe, Madrid, Spain
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"apellidos" => "Vera" "email" => array:1 [ 0 => "ignacioveralopez@yahoo.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Ferrando" ] 2 => array:2 [ "nombre" => "I." "apellidos" => "Vidal" ] 3 => array:2 [ "nombre" => "D." "apellidos" => "Gómez-Olmeda" ] 4 => array:2 [ "nombre" => "J.C." "apellidos" => "González" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Psiquiatría, Hospital Universitario de Getafe, Getafe, Madrid, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Accidentes por quemadura y enfermedad mental" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-05-26" "fechaAceptado" => "2009-12-28" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec102086" "palabras" => array:4 [ 0 => "Burns" 1 => "Mental disorders" 2 => "Postraumatic stress disorder" 3 => "Adjustment disorder" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec102085" "palabras" => array:4 [ 0 => "Quemaduras" 1 => "Antecedentes psiquiátricos" 2 => "Trastorno adaptativo" 3 => "Trastorno por estrés postraumático" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The study aimed to explore the prevalence of previous mental disorder and the incidence of adjustment and posttraumatic stress disorder in 60 patients with burn injuries admitted to a major burn unit in the greater Madrid area.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A total of 57 patients were assessed for serious past and present mental illness by using a semi-structured clinical interview. Current DSM-IV adjustment and posttraumatic stress disorder were assessed 6 months post burn with the structured clinical interview SCID.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">60 patients were hospitalized for severe burns during the study period. 11 (17,9%) burns took place intentionally. 9 patients had tried to commit suicide. 33.5% of the participants had suffered any kind of mental disorder previously. 23 (52.3%) patients met criteria for adjustment disorder and 8 (18%) for posttraumatic stress disorder 6 months post burn.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The results demonstrate the importance of routine screenings of psychological symptons in burned patients. It is also necessary to promote specific psychopharmacological measures and specific psychotherapeutic interventions in this population in order to improve their medical and psychiatric prognosis and their quality of life a long-term basis.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">En España se producen unos 12.000 accidentes por quemaduras cada año. La Unidad de Grandes Quemados y el Servicio de Cirugía Plástica del Hospital Universitario de Getafe son de referencia nacional en el tratamiento de las quemaduras. En los últimos años, diversos autores han apuntado la estrecha relación entre enfermedades psiquiátricas y accidentes por quemadura. El objetivo del presente estudio es estimar la prevalencia de antecedentes psiquiátricos y la incidencia de trastorno adaptativo (TA) y trastorno por estrés postraumático (TEPT) en pacientes ingresados por quemaduras en el HUG entre el 1-1-2008 y el 31-6-2008.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se evaluó a los pacientes al ingreso mediante entrevista clínica semiestructurada, para determinar presencia y tipo de antecedentes psiquiátricos y a los 6 meses para determinar si tenían o no TEPT y/o TA mediante la entrevista clínica estructurada SCID.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Sesenta pacientes estuvieron ingresados por quemaduras en el período de estudio. El 17,9% de las quemaduras se produjeron de manera intencional (9 autoagresiones y 2 heteroagresiones). El 33,5% de los pacientes presentaban antecedentes psiquiátricos. El 52,3% de los pacientes cumplían criterios de TA y el 18% de TEPT a los 6 meses del accidente.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Los resultados señalan la importancia de promover el cribado de los síntomas psicológicos de todo paciente que ingrese por quemaduras. Es necesario poner en marcha programas de apoyo psicoterapéutico y medidas de apoyo farmacológico adecuadas para cada paciente para poder mejorar la evolución médica y psiquiátrica y favorecer una adecuada integración familiar, laboral y social.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Sanz Jiménez-Rico JR. 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| 2024 June | 9 | 7 | 16 |
| 2024 May | 7 | 2 | 9 |
| 2024 April | 8 | 7 | 15 |
| 2024 March | 11 | 4 | 15 |
| 2024 February | 6 | 6 | 12 |
| 2024 January | 8 | 3 | 11 |
| 2023 December | 5 | 5 | 10 |
| 2023 November | 6 | 3 | 9 |
| 2023 October | 14 | 20 | 34 |
| 2023 September | 23 | 10 | 33 |
| 2023 August | 45 | 3 | 48 |
| 2023 July | 33 | 3 | 36 |
| 2023 June | 24 | 8 | 32 |
| 2023 May | 28 | 14 | 42 |
| 2023 April | 20 | 11 | 31 |
| 2023 March | 11 | 9 | 20 |
| 2023 February | 17 | 15 | 32 |
| 2023 January | 12 | 9 | 21 |
| 2022 December | 3 | 10 | 13 |
| 2022 November | 12 | 11 | 23 |
| 2022 October | 10 | 8 | 18 |
| 2022 September | 10 | 15 | 25 |
| 2022 August | 5 | 9 | 14 |
| 2022 July | 7 | 12 | 19 |
| 2022 June | 9 | 20 | 29 |
| 2022 May | 13 | 11 | 24 |
| 2022 April | 13 | 14 | 27 |
| 2022 March | 9 | 12 | 21 |
| 2022 February | 6 | 9 | 15 |
| 2022 January | 9 | 12 | 21 |
| 2021 December | 11 | 22 | 33 |
| 2021 November | 5 | 27 | 32 |
| 2021 October | 7 | 29 | 36 |
| 2021 September | 5 | 23 | 28 |
| 2021 August | 7 | 20 | 27 |
| 2021 July | 6 | 27 | 33 |
| 2021 June | 9 | 17 | 26 |
| 2021 May | 7 | 34 | 41 |
| 2021 April | 17 | 51 | 68 |
| 2021 March | 7 | 41 | 48 |
| 2021 February | 12 | 24 | 36 |
| 2021 January | 5 | 36 | 41 |
| 2020 December | 7 | 35 | 42 |
| 2020 November | 3 | 27 | 30 |
| 2020 October | 3 | 29 | 32 |
| 2020 September | 5 | 12 | 17 |
| 2020 August | 3 | 13 | 16 |
| 2020 July | 6 | 11 | 17 |
| 2020 June | 7 | 18 | 25 |
| 2020 May | 0 | 14 | 14 |
| 2020 April | 4 | 8 | 12 |
| 2020 March | 4 | 11 | 15 |
| 2020 February | 1 | 15 | 16 |
| 2020 January | 6 | 6 | 12 |
| 2019 December | 9 | 20 | 29 |
| 2019 November | 5 | 11 | 16 |
| 2019 October | 0 | 9 | 9 |
| 2019 September | 3 | 15 | 18 |
| 2019 August | 2 | 4 | 6 |
| 2019 July | 3 | 13 | 16 |
| 2019 June | 5 | 34 | 39 |
| 2019 May | 7 | 59 | 66 |
| 2019 April | 8 | 27 | 35 |
| 2019 March | 3 | 8 | 11 |
| 2019 February | 2 | 37 | 39 |
| 2019 January | 0 | 1 | 1 |
| 2018 December | 1 | 5 | 6 |
| 2018 November | 1 | 3 | 4 |
| 2018 October | 11 | 11 | 22 |
| 2018 September | 7 | 4 | 11 |
| 2018 August | 0 | 1 | 1 |
| 2018 July | 1 | 6 | 7 |
| 2018 June | 1 | 0 | 1 |
| 2018 May | 2 | 2 | 4 |
| 2018 April | 2 | 0 | 2 |
| 2018 March | 1 | 0 | 1 |
| 2018 February | 4 | 0 | 4 |
| 2018 January | 4 | 1 | 5 |
| 2017 December | 2 | 0 | 2 |
| 2017 November | 1 | 0 | 1 |
| 2017 October | 4 | 5 | 9 |
| 2017 September | 2 | 1 | 3 |
| 2017 August | 1 | 3 | 4 |
| 2017 July | 1 | 1 | 2 |
| 2017 June | 11 | 1 | 12 |
| 2017 May | 9 | 4 | 13 |
| 2017 April | 7 | 48 | 55 |
| 2017 March | 7 | 3 | 10 |
| 2017 February | 7 | 1 | 8 |
| 2017 January | 6 | 1 | 7 |
| 2016 December | 18 | 1 | 19 |
| 2016 November | 13 | 0 | 13 |
| 2016 October | 14 | 1 | 15 |
| 2016 September | 14 | 3 | 17 |
| 2016 August | 8 | 0 | 8 |
| 2016 July | 3 | 0 | 3 |
Show all