Abstract

Given the high rates of psychological distress after burn injury, thorough screening and assessment for psychosocial factors and psychiatric pathology should be routinely completed for individuals with burn injuries. Burn survivors experience unique psychosocial changes and injury sequelae, such as body image concerns, trauma-related pathology, and itching. Screening for these factors is integral to understanding how these may be contributing to psychological distress. Proactively identifying distress and psychiatric pathology is important to optimize physical and emotional outcomes. The aim of this manuscript is to summarize information about the available screening and assessment tools for psychological distress among burn survivors.

Highlights

  • Between 2009 and 2018, there were 221,519 individuals who were admitted to hospitals in the US for burn injuries

  • In patients who are not able to respond to questionnaires, the Hamilton rating scale for depression (HAM-D) or quick inventory of depressive symptomatology (QIDS) may be preferred, as there are forms for clinicians to rate depressive symptoms based on observation, and the HAM-D has more supporting literature than the QIDS, making it the preferred scale in those cases

  • The SWAP was correlated with the physical appearance state and trait anxiety scale (PASTAS, [171]; (r = 0.63, p < 0.01) and demonstrated good discriminant validity, as the SWAP was not related to the measures of either physical functioning (r = −0.03, ns) or bodily pain (r = −0.07, ns) of the SF-36

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Summary

Introduction

Between 2009 and 2018, there were 221,519 individuals who were admitted to hospitals in the US for burn injuries. Burn trauma can affect and worsen the physical and mental health of survivors and present significant social challenges, especially for those who experience larger burns

Pre- and Post-Burn Psychopathology
Delirium
Psychosocial Factors Unique to Burn
Aim
Depression Scales
Beck Depression Inventory-II
Hamilton Rating Scale for Depression
Center for Epidemiological Studies Depression Scale
Patient Health Questionnaire
Quick Inventory of Depressive Symptomatology
Summary of Depression Scales
Anxiety Scales
Beck Anxiety Inventory
Hospital Anxiety and Depression Scale
Generalized Anxiety Disorder Assessment
Summary of Anxiety Scales
Trauma Scales
Post-Traumatic Stress Disorder Checklist for DSM-5
Child PTSD Symptom Scale for DSM-5
Clinician-Administered PTSD Scale for DSM-5
Primary Care PTSD Screen for DSM-5
Suicide Scales
Ask Suicide-Screening Questions
Columbia-Suicide Severity Rating Scale
Beck Hopelessness Scale
Summary of Suicide Scales
Delirium Screener
Confusion Assessment Method
Intensive Care Delirium Screening Checklist
Summary of Delirium Scales
Patient-Reported Outcomes Measurement Information System
Brief Version of the Burn Specific Health Scale
Body Image Satisfaction with Appearance Scale
Community Integration
2.10. Pain Assessment
2.10.1. Numeric Rating Scale and Visual Analog Scale
2.10.3. Wong–Baker FACES Pain Scale and the OUCHER Scale
2.10.4. Pain Assessment in Advanced Dementia Scale
2.11. Pruritus Assessments
2.11.3. Itch Man Scale
2.12. Quality of Life Measures
2.12.3. SF-10TM Health Survey for Children
2.12.4. Life Impact Burn Recovery Evaluation Profile
Findings
Conclusions
Full Text
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