J Korean Burn Soc.  2010 Jun;13(1):40-44.

Pathways Analysis for Depression in Hospitalized Acute Burn Patients

Affiliations
  • 1Department of Psychiatry, Kang Dong Sacred Heart Hospital, Seoul, Korea.
  • 2Department of Psychiatry, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. woldyfig@me.com
  • 3Department of General Surgery, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
  • 4Department of Rehabilitation, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

Abstract

PURPOSE
The goal of this study was to develop a model of risk factors for depression in hospitalized burned patients.
METHODS
Seventy-seven patients over 20 tears of age who were admitted to the Hangang Sacred Heart Hospital for burn injury, completed Structured Interview Post-traumatic stress disorder (PTSD), Beck Depression Inventory (BDI), Visual Analogue Scale (VAS) for pain and itching after 1 month from burn. A path analytic strategy was used to develop a model of risk factors for depression in burned patients.
RESULTS
Two pathways to depression were developed. 1) From sleep disturbance and then to depression 2) from burn pain to PTSD and then to depression. It was revealed that sleep disturbance and PTSD had a direct effect on depression, pain had both direct and indirect effect on depression.
CONCLUSION
Sleep disturbance and PTSD are associated with depression in burned patients. The identification of two developmental pathways suggests the importance of establishing preventive interventions for depression.

Keyword

Burn; Depression; PTSD; Pathway analysis
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