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Prevalence and course of posttraumatic stress disorder symptoms in partners of burn survivors
European Journal of Psychotraumatology ( IF 5.783 ) Pub Date : 2021-05-14 , DOI: 10.1080/20008198.2021.1909282
Elise Boersma-van Dam 1, 2 , Rens van de Schoot 3, 4 , Rinie Geenen 5 , Iris M Engelhard 1 , Nancy E Van Loey 1, 2
Affiliation  

ABSTRACT

Background: Partners of burn survivors may develop posttraumatic stress disorder (PTSD) symptoms in response to the potential life threatening nature of the burn event and the burn survivor’s medical treatment.

Objective: This longitudinal study examined the prevalence, course and potential predictors of partners’ PTSD symptoms up to 18 months post-burn.

Methods: Participants were 111 partners of adult burn survivors. In a multi-centre study, PTSD symptoms were assessed with the Impact of Event Scale-Revised during the acute phase and subsequently at 3, 6, 12 and 18 months post-burn. Partners’ appraisal of life threat, anger, guilt and level of rumination were assessed as potential predictors of PTSD symptoms in an exploratory piecewise latent growth model.

Results: Acute PTSD symptoms in the clinical range were reported by 30% of the partners, which decreased to 4% at 18 months post-burn. Higher acute PTSD symptoms were related to perceived life threat and higher levels of anger, guilt, and rumination. Over time, mean symptom levels decreased, especially in partners with high levels of acute PTSD symptoms, perceived life threat and rumination. From three months onward, PTSD symptoms decreased less in partners of more severely burned survivors. At 18 months post-burn, higher levels of PTSD symptoms were related to higher acute PTSD symptoms and more severe burns.

Conclusions: One in three partners reported clinical levels of acute PTSD symptoms, of which the majority recovered over time. Perceived life threat, feelings of anger and guilt, and rumination may indicate the presence of acute PTSD symptoms, whereas more severe burns predict long-term PTSD symptom levels. The results highlight the need to screen for acute PTSD symptoms and offer psychological help to partners to alleviate acute elevated stress levels if indicated.



中文翻译:

烧伤幸存者伴侣创伤后应激障碍症状的患病率和病程

摘要

背景:烧伤幸存者的伴侣可能会出现创伤后应激障碍 (PTSD) 症状,以响应烧伤事件的潜在生命威胁性质和烧伤幸存者的医疗。

目的:这项纵向研究检查了伴侣在烧伤后长达 18 个月的 PTSD 症状的患病率、病程和潜在预测因子。

方法:参与者是 111 名成年烧伤幸存者的伴侣。在一项多中心研究中,PTSD 症状在急性期以及随后在烧伤后 3、6、12 和 18 个月时使用修订版事件量表的影响进行评估。在探索性分段潜在增长模型中,合作伙伴对生命威胁、愤怒、内疚和沉思程度的评估被评估为 PTSD 症状的潜在预测因子。

结果:30% 的伴侣报告了临床范围内的急性 PTSD 症状,在烧伤后 18 个月时下降到 4%。较高的急性 PTSD 症状与感知到的生命威胁和较高水平的愤怒、内疚和沉思有关。随着时间的推移,平均症状水平下降,尤其是在具有高水平急性创伤后应激障碍症状、感知到生命威胁和沉思的伴侣中。从三个月开始,烧伤更严重的幸存者的伴侣的 PTSD 症状减轻得更少。在烧伤后 18 个月,更高水平的 PTSD 症状与更高的急性 PTSD 症状和更严重的烧伤有关。

结论:三分之一的合作伙伴报告了急性 PTSD 症状的临床水平,其中大多数随着时间的推移而恢复。感知到生命威胁、愤怒和内疚感以及沉思可能表明存在急性 PTSD 症状,而更严重的烧伤预示着长期 PTSD 症状水平。结果强调需要筛查急性 PTSD 症状,并为合作伙伴提供心理帮助,以在需要时缓解急性升高的压力水平。

更新日期:2021-05-14
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