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Psychiatric disorders and their association with burn-related factors in children with burn injury
Gül Karaçetin1, Türkay Demir2, Semih Baghaki3
1Department of Child and Adolescent Psychiatry, Bakırköy Training and Research Hospital For Psychiatry, Neurology and Neurosurgery, İstanbul, Turkey. drgul21@yahoo.com.
Insights
Pediatric burn patients frequently experience psychiatric disorders, particularly acute stress disorder. Greater burn severity, indicated by Total Body Surface Area (TBSA) percentage and number of affected regions, correlates with increased psychopathology risk.
Area of Science:
- Pediatric Burn Care
- Child Psychiatry
- Trauma Psychology
Background:
- Burn injuries in children can lead to significant psychological distress.
- Assessing psychiatric comorbidities in pediatric burn patients is crucial for comprehensive care.
Purpose of the Study:
- To investigate the prevalence of psychiatric disorders in Turkish children with burns.
- To determine the association between burn-related factors and psychiatric conditions in this population.
Main Methods:
- Retrospective analysis of 31 pediatric burn patients admitted to a specialized unit.
- Psychiatric assessments were conducted by a child psychiatrist for referred patients.
Main Results:
- 61.3% of patients received a psychiatric diagnosis, including acute stress disorder (ASD), depression, and delirium.
- Higher percentage of Total Body Surface Area (TBSA) burns and more affected body regions were linked to increased psychopathology and ASD.
- Comorbid depression was noted in two patients with posttraumatic stress disorder.
Conclusions:
- Pediatric burn survivors are at high risk for developing psychopathology.
- Early identification and intervention by surgeons are vital for preventing psychiatric disorders in burn-injured children.
- Burn severity is a key factor influencing the risk of developing psychological issues.
Background:
The aim of this study was to assess psychiatric disorders and their association with burn-related factors in a population of Turkish children with burns.
Methods:
Thirty-one children admitted to the Cerrahpasa Medical Faculty Burn Unit between January 2013 and August 2013 were first assessed by the plastic surgeon, and then those with psychological symptoms were referred to a child psychiatrist, and the records were analyzed retrospectively.
Results:
The percentage of burned area to Total Body Surface Area (TBSA) ranged between 2-60% (mean, 17.3%). Nineteen patients (61.3%) had a psychiatric diagnosis, which included acute stress disorder (ASD) (n=15), depression (n=3), posttraumatic stress disorder (n=2, comorbid with depression), and delirium (n=1). The percentage of burned area to TBSA was associated with the presence of psychopathology and ASD. Further, psychopathology was associated with the number of burned major body regions.
Conclusion:
Pediatric burn patients are at risk of developing psychopathology. The children with a greater percentage of burned area to TBSA and more burned body regions have the greatest risk of psychopathology. Surgeons have an important role in patient referral for psychiatric interventions, so that psychiatric disorders can be prevented as early as possible.
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