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Titre : | The Posttraumatic Stress Disorder Checklist as a Screening Measure for Posttraumatic Stress Disorder in Rehabilitation After Burn Injuries (2012) |
Auteurs : | P.J. Gardner ; D. Knittel-Keren ; M. Gomez |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2012/4, 2012) |
Article en page(s) : | pp 623-628 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Brûlures ; Rééducation et réadaptation ; Troubles de stress post-traumatique |
Mots-clés: | Burns ; Stress disorders ; post-traumatic |
Résumé : |
Objectives To determine the profile of posttraumatic stress disorder (PTSD) among outpatients with burn injuries referred to psychology in a rehabilitation hospital, and the utility of the Posttraumatic Stress Disorder Checklist-Civilian Version (PCL-C) as a screening measure for PTSD. Design Retrospective psychological chart review. Setting Outpatient burn clinic of a rehabilitation hospital. Participants Outpatients (N=132) with burns referred to psychology between December 1999 and January 2010. Interventions Psychological evaluation and self-report questionnaires measuring PTSD and depression. Main Outcome Measures The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition to assess clinical diagnosis of disorders, PCL-C to measure PTSD, and the Beck Depression Inventory-II to measure depression. Results Of 132 outpatients, 127 (96%) had work-related injuries, 116 (88%) were men, and 16 (12%) were women. Mean age + SD at injury was 39.0+11.1 years. Mean time from injury to assessment was 15.7+42.7 months. Burn etiology included: electrical (46.2%), scald (28.0%), flame (16.7%), chemical (5.3%), and contact (3.8%). Most patients (75%) were diagnosed with PTSD, either clinical (39.4%) or subclinical (35.6%). PTSD (clinical or subclinical) was frequently diagnosed in the following etiology groups: scald (85.7%), flame (77.3%), and electrical (74.6%). There were significant relationships between PTSD and depression (P<.001 and between subclinical ptsd adjustment disorder pcl-c mean scores sd in the clinical groups were respectively. a total score of or higher had sensitivity specificity for diagnosis.> Conclusions There was a high prevalence of PTSD (clinical or subclinical) among outpatients with burns referred to psychology. Prospective screening of psychological symptoms, clinical assessment, and intervention is warranted, especially for patients with work-related burn injuries. Our results suggest that PCL-C is a useful screening measure for PTSD in patients with burns. |
Disponible en ligne : | Oui |
En ligne : | http://www.archives-pmr.org/article/S0003-9993%2811%2900981-6/abstract |