J Korean Burn Soc.  2013 Jun;16(1):24-29.

Non-Adherence to Psychiatric Intervention in Work Related Burns

Affiliations
  • 1Department of Psychiatry, Kangdong Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea.
  • 2Department of Psychiatry, Hangang Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea.
  • 3Department of Psychiatry, Dongtan Sacred Heart Hospital, College of Medicine, Hallym University, Hwaseong, Korea.
  • 4Department of Burn Surgery, Hangang Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea.
  • 5Department of Psychiatry, Hangang Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea. woldyfig@me.com

Abstract

PURPOSE
Patients with work related burns suffer from anxiety, depression, insomnia and suicide ideation etc. Psychiatric symptoms could be reduced by treatment. Almost all patients are referred to psychiatric intervention in our hospital. However, a number of patients show non-adherence. The aim of this study is to figure out the reason of non-adherence and psychiatric symptoms of work related burns patients.
METHODS
123 patients participated in this study. Startle, Physiological arousal, Anger, and Numbness (SPAN), Feeling Suicide, Patient Health Questionnaire-2 (PHQ-2) were administered as screening tool. Questions about psychiatric intervention and reasons to refuse psychiatric intervention were asked.
RESULTS
32% patients were depressed, 34% patients had suicide ideation and 59% had PTSD after work related burns. However, 46% of burn patients had not been treated. Stigma of psychiatric intervention and concerns about dependency were major reasons for non-adherence.
CONCLUSION
There are gap between necessity and reality of psychiatric intervention on work related burn patients.

Keyword

Burns; Psychiatry; Stress disorder; Traumatic; Occupational injuries; Referral and consultation
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