TY - JOUR
T1 - Preburn psychiatric history affects posttrauma morbidity
AU - Fauerbach, James A
AU - Lawrence, John
AU - Haythornthwaite, Jennifer
AU - Richter, Daniel
AU - McGuire, Marsden H.
AU - Schmidt, Chester
AU - Munster, Andrew
PY - 1997
Y1 - 1997
N2 - A sample of inpatient, burn-injured adults (N = 95) were assessed upon discharge, and 4 and 12 months later with u structured interview and DSM- III-R criteria. The prevalence of disorder in this sample was contrasted with published data on a representative national community-dwelling comparison group in the National Comorbidity Study. The prevalence of lifetime affective, alcohol, and substance use disorders was significantly higher, and lifetime anxiety disorders significantly lower, in the burn-injured sample. The 12-month postburn prevalences of alcohol, and substance use disorders were significantly greater in the burn-injured sample. The risk of postburn disorder was significantly greater for the subjects who had a preburn history of affective, alcohol, or substance use disorder: The risk for developing posttraumatic stress disorder (PTSD) was elevated in the subjects with a preburn affective disorder but not preburn anxiety disorder Finally, postburn PTSD was associated with a greater length of stay, and greater preburn comorbidity predicted preburn employment status and tended to lengthen hospitalization.
AB - A sample of inpatient, burn-injured adults (N = 95) were assessed upon discharge, and 4 and 12 months later with u structured interview and DSM- III-R criteria. The prevalence of disorder in this sample was contrasted with published data on a representative national community-dwelling comparison group in the National Comorbidity Study. The prevalence of lifetime affective, alcohol, and substance use disorders was significantly higher, and lifetime anxiety disorders significantly lower, in the burn-injured sample. The 12-month postburn prevalences of alcohol, and substance use disorders were significantly greater in the burn-injured sample. The risk of postburn disorder was significantly greater for the subjects who had a preburn history of affective, alcohol, or substance use disorder: The risk for developing posttraumatic stress disorder (PTSD) was elevated in the subjects with a preburn affective disorder but not preburn anxiety disorder Finally, postburn PTSD was associated with a greater length of stay, and greater preburn comorbidity predicted preburn employment status and tended to lengthen hospitalization.
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U2 - 10.1016/S0033-3182(97)71445-2
DO - 10.1016/S0033-3182(97)71445-2
M3 - Article
C2 - 9217408
AN - SCOPUS:0030927422
SN - 0033-3182
VL - 38
SP - 374
EP - 385
JO - Psychosomatics
JF - Psychosomatics
IS - 4
ER -