PMID- 33304682
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201212
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 12
IP  - 11
DP  - 2020 Nov 5
TI  - Anxiety and Depression Among Non-Facial Burn Patients at a Tertiary Care Center 
      in Pakistan.
PG  - e11347
LID - 10.7759/cureus.11347 [doi]
LID - e11347
AB  - INTRODUCTION:  A patient who suffers from burn injuries can be subjected to 
      various mental and psychological conditions that can adversely affect their 
      health and wellbeing. MATERIAL AND METHODS:  A cross-sectional study was 
      conducted between 1st September 2019 and 30th March 2020 in a tertiary care 
      hospital in Pakistan. Patients were selected in the outpatient department and 
      follow-up was done at two and four weeks following definitive. Some 225 patients 
      in our study fulfilled the inclusion criteria. Patients were assessed using Urdu 
      translated scales. Hamilton Anxiety Rating Scale (HAM-A) and Hamilton Depression 
      Rating Scale (HAM-D) were used. Data were analyzed with the help of SSPS software 
      version 13.0. RESULT:  Out of 119 (52.8 %) male patients, the highest percentage 
      was of accidental injuries 106 (89%) followed by suicidal burns 9 (7.5%). A 
      similar trend was seen in females; out of n=106 females, 92 (86%) presented with 
      accidental burn injuries and only 11 (10%) patients have a history of suicidal 
      burns. A fraction of the sample had a history of homicidal burn injuries, with 4 
      (3%) male and 3 (2%) female patients. The variation of anxiety level and depth of 
      burn varied considerably. Among patients who suffered superficial thickness burns 
      (n=105, 47%), 69.5% of patients experienced mild anxiety symptoms. Only 28 
      (26.6%) patients had moderate anxiety and severe anxiety was the lowest, at only 
      3.8% (n=4). A similar trend was observed in deep burn patients, but the level of 
      severe anxiety was significantly higher at 26%. This was statistically 
      significant (p < 0.05). Deep burn patients had the highest percentage (n=54, 
      45.3%) of very severe depression compared to only 10% in superficial burns. The 
      variation between the two categories was statistically significant (p < 0.05). 
      The majority of (35.2%) patients experienced mild symptoms of depression and this 
      correlated with superficial burn injuries. CONCLUSION:  A burn injury can 
      seriously affect the mental wellbeing of patients. With the severity of burn 
      injury we saw that severe depression was prevalent. This aspect must be taken 
      into consideration when treating such patients and it warrants a 
      multidisciplinary team (MDT) strategy.
CI  - Copyright (c) 2020, Bhatti et al.
FAU - Bhatti, Dujanah S
AU  - Bhatti DS
AD  - Plastic Surgery, Aberdeen Royal Infirmary, Aberdeen, GBR.
FAU - Ul Ain, Nur
AU  - Ul Ain N
AD  - Plastic and Reconstructive Surgery, Holy Family Hospital, Rawalpindi, PAK.
FAU - Zulkiffal, Reesham
AU  - Zulkiffal R
AD  - Anatomy, Foundation University Medical College, Rawalpindi, PAK.
FAU - Al-Nabulsi, Zuhdi Sufian
AU  - Al-Nabulsi ZS
AD  - Urology, Belford Hospital, Fort William, GBR.
FAU - Faraz, Ahmad
AU  - Faraz A
AD  - Trauma and Orthopaedics, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.
FAU - Ahmad, Raheel
AU  - Ahmad R
AD  - Surgery, Holy Family Hospital, Rawalpindi, PAK.
LA  - eng
PT  - Journal Article
DEP - 20201105
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC7719504
OTO - NOTNLM
OT  - burn
OT  - clinical anxiety
OT  - depression
COIS- The authors have declared that no competing interests exist.
EDAT- 2020/12/12 06:00
MHDA- 2020/12/12 06:01
PMCR- 2020/11/05
CRDT- 2020/12/11 06:03
PHST- 2020/12/11 06:03 [entrez]
PHST- 2020/12/12 06:00 [pubmed]
PHST- 2020/12/12 06:01 [medline]
PHST- 2020/11/05 00:00 [pmc-release]
AID - 10.7759/cureus.11347 [doi]
PST - epublish
SO  - Cureus. 2020 Nov 5;12(11):e11347. doi: 10.7759/cureus.11347.