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Gepubliceerd in: Journal of Behavioral Medicine 5/2014

01-10-2014

Quality of life and predictors of long-term outcome after severe burn injury

Auteurs: Babette Renneberg, Sabine Ripper, Julian Schulze, Annika Seehausen, Matthias Weiler, Gerhard Wind, Bernd Hartmann, Günter Germann, Alexandra Liedl

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2014

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Abstract

The aim of this study was to identify the long-term quality of life after severe burn injury. In a prospective longitudinal design, N = 265 burn patients were examined 6, 12, 24, and 36 months after burn injury. A multilevel approach was used to measure stability and change in self-reported health status. Besides injury-related variables, self-report instruments included measures of quality of life, psychological distress, personality, and specific burn outcome measures. Fitting of unconditional growth models indicated that there was significant intra- and inter-individual variation in self-reported physical and mental health short form-12. Over the course of 3 years, participants reported on average a slight improvement of physical quality of life. Physical health was mainly predicted by mobility and level of burn severity. Variance in mental health status was mainly predicted by gender, mobility, neuroticism, level of depression and posttraumatic stress disorder (PTSD)-related avoidance. Thus mobility (i.e., simple abilities) seems a crucial variable for overall quality of life. An early identification and treatment of patients with high levels of depression and PTSD-related avoidance may contribute to better mental health.
Literatuur
go back to reference Andrews, R. M., Browne, A. L., Drummond, P. D., & Wood, F. M. (2010). The impact of personality and coping on the development of depressive symptoms in adult burns survivors. Burns, 36, 29–37.PubMedCrossRef Andrews, R. M., Browne, A. L., Drummond, P. D., & Wood, F. M. (2010). The impact of personality and coping on the development of depressive symptoms in adult burns survivors. Burns, 36, 29–37.PubMedCrossRef
go back to reference Blades, B., Mellis, N., & Munster, A. M. (1982). A burn specific health scale. Journal of Trauma, 22, 872–875.PubMedCrossRef Blades, B., Mellis, N., & Munster, A. M. (1982). A burn specific health scale. Journal of Trauma, 22, 872–875.PubMedCrossRef
go back to reference Borkenau, P., & Ostendorf, F. (1993). The NEO five-factory-inventory (NEO-FFI) by Costa and McCrae. Göttingen: Hogrefe. Borkenau, P., & Ostendorf, F. (1993). The NEO five-factory-inventory (NEO-FFI) by Costa and McCrae. Göttingen: Hogrefe.
go back to reference Bradley, R., Greene, J., Russ, E., Dutra, L., & Westen, D. (2005). A multidimensional meta-analysis of psychotherapy for PTSD. American Journal of Psychiatry, 162, 214–227.PubMedCrossRef Bradley, R., Greene, J., Russ, E., Dutra, L., & Westen, D. (2005). A multidimensional meta-analysis of psychotherapy for PTSD. American Journal of Psychiatry, 162, 214–227.PubMedCrossRef
go back to reference Clark, D. E., Lowman, J. D., Griffin, R. L., Matthews, H. M., & Reiff, D. A. (2013). Effectiveness of an early mobilization protocol in a trauma and burns intensive care unit: A retrospective cohort study. Physical Therapy, 93, 186–196.PubMedCentralPubMedCrossRef Clark, D. E., Lowman, J. D., Griffin, R. L., Matthews, H. M., & Reiff, D. A. (2013). Effectiveness of an early mobilization protocol in a trauma and burns intensive care unit: A retrospective cohort study. Physical Therapy, 93, 186–196.PubMedCentralPubMedCrossRef
go back to reference Corry, N. H., Klick, B., & Fauerbach, J. A. (2010). Posttraumatic stress disorder and pain impact functioning and disability after major burn injury. Journal of Burn Care and Research, 31, 13–25.PubMedCrossRef Corry, N. H., Klick, B., & Fauerbach, J. A. (2010). Posttraumatic stress disorder and pain impact functioning and disability after major burn injury. Journal of Burn Care and Research, 31, 13–25.PubMedCrossRef
go back to reference Costa, P. T., Jr., & McCrae, R. R. (1985). The neo personality inventory manual. Odessa, FL: Psychological Assessment Resources. Costa, P. T., Jr., & McCrae, R. R. (1985). The neo personality inventory manual. Odessa, FL: Psychological Assessment Resources.
go back to reference Disseldorp, L. M., Nieuwenhuis, M. K., Van Baar, M. E., & Mouton, L. J. (2011). Physical fitness in people after burn injury: A systematic review. Archives of Physical Medicine and Rehabilitation, 92, 1501–1510.PubMedCrossRef Disseldorp, L. M., Nieuwenhuis, M. K., Van Baar, M. E., & Mouton, L. J. (2011). Physical fitness in people after burn injury: A systematic review. Archives of Physical Medicine and Rehabilitation, 92, 1501–1510.PubMedCrossRef
go back to reference Ehde, D. M., Patterson, D. R., Wiechman, S. A., & Wilson, L. G. (2000). Post-traumatic stress symptoms and distress 1 year after burn injury. Journal of Burn Care and Rehabilitation, 21, 105–111.PubMedCrossRef Ehde, D. M., Patterson, D. R., Wiechman, S. A., & Wilson, L. G. (2000). Post-traumatic stress symptoms and distress 1 year after burn injury. Journal of Burn Care and Rehabilitation, 21, 105–111.PubMedCrossRef
go back to reference Esselman, P. C., Thombs, B. D., Magyar-Russell, G., & Fauerbach, J. A. (2006). Burn rehabilitation—State of the science. American Journal of Physical Medicine and Rehabilitation, 85, 383–413.PubMedCrossRef Esselman, P. C., Thombs, B. D., Magyar-Russell, G., & Fauerbach, J. A. (2006). Burn rehabilitation—State of the science. American Journal of Physical Medicine and Rehabilitation, 85, 383–413.PubMedCrossRef
go back to reference Eysenck, H. J. (1967). The biological basis of personality. Springfield, IL: Thomas. Eysenck, H. J. (1967). The biological basis of personality. Springfield, IL: Thomas.
go back to reference Fauerbach, J. A., Lezotte, D., Hills, R. A., Cromes, G. F., Kowalske, K., & de Lateur, B. J. (2005). Burden of burn: A norm-based inquiry into the influence of burn size and distress on recovery of physical and psychosocial function. Journal of Burn Care and Rehabilitation, 26, 21–32.PubMedCrossRef Fauerbach, J. A., Lezotte, D., Hills, R. A., Cromes, G. F., Kowalske, K., & de Lateur, B. J. (2005). Burden of burn: A norm-based inquiry into the influence of burn size and distress on recovery of physical and psychosocial function. Journal of Burn Care and Rehabilitation, 26, 21–32.PubMedCrossRef
go back to reference Fauerbach, J. A., McKibben, J., Bienvenu, O. J., Magyar-Russell, G., Smith, M. T., & Holavanahalli, R. (2007). Psychological distress after major burn injury. Psychosomatic Medicine, 69, 473–482.PubMedCrossRef Fauerbach, J. A., McKibben, J., Bienvenu, O. J., Magyar-Russell, G., Smith, M. T., & Holavanahalli, R. (2007). Psychological distress after major burn injury. Psychosomatic Medicine, 69, 473–482.PubMedCrossRef
go back to reference Foa, E. B., Riggs, D. S., Dancu, C. V., & Rothbaum, B. O. (1993). Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. Journal of Traumatic Stress, 6, 459–473.CrossRef Foa, E. B., Riggs, D. S., Dancu, C. V., & Rothbaum, B. O. (1993). Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. Journal of Traumatic Stress, 6, 459–473.CrossRef
go back to reference Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., & Brazier, J. E. (1998). Cross-validation of item selection and scoring for the SF-12 health survey in nine countries: Results from the IQOLA project. International quality of life assessment. Journal of Clinical Epidemiology, 51, 1171–1178.PubMedCrossRef Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., & Brazier, J. E. (1998). Cross-validation of item selection and scoring for the SF-12 health survey in nine countries: Results from the IQOLA project. International quality of life assessment. Journal of Clinical Epidemiology, 51, 1171–1178.PubMedCrossRef
go back to reference Grisbrook, T. L., Stearne, S. M., Reid, S. L., Wood, F. M., Rea, S. M., & Elliott, C. M. (2012). Demonstration of the use of the ICF framework in detailing complex functional deficits after major burn. Burns, 38, 32–43.PubMedCrossRef Grisbrook, T. L., Stearne, S. M., Reid, S. L., Wood, F. M., Rea, S. M., & Elliott, C. M. (2012). Demonstration of the use of the ICF framework in detailing complex functional deficits after major burn. Burns, 38, 32–43.PubMedCrossRef
go back to reference Hinz, A., & Schwarz, R. (2001). Angst und Depression in der Allgemeinbevölkerung. [Anxiety and depression in the general population: Normal values in the Hospital Anxiety and Depression Scale]. Psychotherapie, Psychosomatik, Medizinische Psychologie, 51, 193–200.PubMedCrossRef Hinz, A., & Schwarz, R. (2001). Angst und Depression in der Allgemeinbevölkerung. [Anxiety and depression in the general population: Normal values in the Hospital Anxiety and Depression Scale]. Psychotherapie, Psychosomatik, Medizinische Psychologie, 51, 193–200.PubMedCrossRef
go back to reference Kildal, M., Andersson, G., & Gerdin, B. (2002). Health status in Swedish burn patients. Assessment utilising three variants of the Burn specific health scale. Burns, 28, 639–645.PubMedCrossRef Kildal, M., Andersson, G., & Gerdin, B. (2002). Health status in Swedish burn patients. Assessment utilising three variants of the Burn specific health scale. Burns, 28, 639–645.PubMedCrossRef
go back to reference Kildal, M., Willebrand, M., Andersson, G., Gerdin, B., & Ekselius, L. (2004). Personality characteristics and perceived health problems after burn injury. Journal of Burn Care and Rehabilitation, 25, 228–235.PubMedCrossRef Kildal, M., Willebrand, M., Andersson, G., Gerdin, B., & Ekselius, L. (2004). Personality characteristics and perceived health problems after burn injury. Journal of Burn Care and Rehabilitation, 25, 228–235.PubMedCrossRef
go back to reference Klinge, K., Chamberlain, D. J., Redden, M., & King, L. (2009). Psychological adjustments made by postburn injury patients: An integrative literature review. Journal of Advanced Nursing, 65, 2274–2292.PubMedCrossRef Klinge, K., Chamberlain, D. J., Redden, M., & King, L. (2009). Psychological adjustments made by postburn injury patients: An integrative literature review. Journal of Advanced Nursing, 65, 2274–2292.PubMedCrossRef
go back to reference Kohlmann, T., & Ehlers, J. (1996). Translation and psychometric validation of the Burn-specific-health scale (BSHQ) for patients with burn injury. Lübeck: Institut für Sozialmedizin, Medizinische Universität Lübeck. Kohlmann, T., & Ehlers, J. (1996). Translation and psychometric validation of the Burn-specific-health scale (BSHQ) for patients with burn injury. Lübeck: Institut für Sozialmedizin, Medizinische Universität Lübeck.
go back to reference Lawrence, J. W., & Fauerbach, J. A. (2003). Personality, coping, chronic stress, social support and PTSD symptoms among adult burn survivors: A path analysis. Journal of Burn Care and Rehabilitation, 24, 63–72.; discussion 62.PubMedCrossRef Lawrence, J. W., & Fauerbach, J. A. (2003). Personality, coping, chronic stress, social support and PTSD symptoms among adult burn survivors: A path analysis. Journal of Burn Care and Rehabilitation, 24, 63–72.; discussion 62.PubMedCrossRef
go back to reference McKibben, J. B. A., Bresnick, M. G., Askay, S. A. W., & Fauerbach, J. A. (2008). Acute stress disorder and posttraumatic stress disorder: A prospective study of prevalence, course, and predictors in a sample with major burn injuries. Journal of Burn Care & Research, 29, 22–35. McKibben, J. B. A., Bresnick, M. G., Askay, S. A. W., & Fauerbach, J. A. (2008). Acute stress disorder and posttraumatic stress disorder: A prospective study of prevalence, course, and predictors in a sample with major burn injuries. Journal of Burn Care & Research, 29, 22–35.
go back to reference Noronha, D. O., & Faust, J. (2007). Identifying the variables impacting post-burn psychological adjustment: A meta-analysis. Journal of Pediatric Psychology, 32, 380–391.PubMedCrossRef Noronha, D. O., & Faust, J. (2007). Identifying the variables impacting post-burn psychological adjustment: A meta-analysis. Journal of Pediatric Psychology, 32, 380–391.PubMedCrossRef
go back to reference Pineles, S. L., Mostoufi, S. M., Ready, C. B., Street, A. E., Griffin, M. G., & Resick, P. A. (2011). Trauma reactivity, avoidant coping, and PTSD symptoms: A moderating relationship? Journal of Abnormal Psychology, 120, 240–246.PubMedCentralPubMedCrossRef Pineles, S. L., Mostoufi, S. M., Ready, C. B., Street, A. E., Griffin, M. G., & Resick, P. A. (2011). Trauma reactivity, avoidant coping, and PTSD symptoms: A moderating relationship? Journal of Abnormal Psychology, 120, 240–246.PubMedCentralPubMedCrossRef
go back to reference Ponniah, K., & Hollon, S. D. (2009). Empirically supported psychological treatments for adult acute stress disorder and posttraumatic stress disorder: A review. Depression and Anxiety, 26, 1086–1109.PubMedCrossRef Ponniah, K., & Hollon, S. D. (2009). Empirically supported psychological treatments for adult acute stress disorder and posttraumatic stress disorder: A review. Depression and Anxiety, 26, 1086–1109.PubMedCrossRef
go back to reference Ripper, S., Stolle, A., Seehausen, A., Klinkenberg, M., Germann, G., Hartmann, B., et al. (2010). Psychische Folgen schwerer Brandverletzungen: Belastungen und Ressourcen berufsgenossenschaftlich vs. nicht berufsgenossenschaftlich Versicherter ein Jahr nach der Brandverletzung [Psychiatric sequelae of severe burn injuries: Emotional distress and resources of occupationally versus non occupationally insured patients one year after burn injury]. Unfallchirurg, 113, 915–922.PubMedCrossRef Ripper, S., Stolle, A., Seehausen, A., Klinkenberg, M., Germann, G., Hartmann, B., et al. (2010). Psychische Folgen schwerer Brandverletzungen: Belastungen und Ressourcen berufsgenossenschaftlich vs. nicht berufsgenossenschaftlich Versicherter ein Jahr nach der Brandverletzung [Psychiatric sequelae of severe burn injuries: Emotional distress and resources of occupationally versus non occupationally insured patients one year after burn injury]. Unfallchirurg, 113, 915–922.PubMedCrossRef
go back to reference Seehausen, A., & Renneberg, B. (2012). Ein Gruppenbehandlungsprogramm zur Bewältigung von schweren Brandverletzungen [Behavioral group treatment for burn injury victims]. Zeitschrift für Klinische Psychologie und Psychotherapie, 41, 201–210.CrossRef Seehausen, A., & Renneberg, B. (2012). Ein Gruppenbehandlungsprogramm zur Bewältigung von schweren Brandverletzungen [Behavioral group treatment for burn injury victims]. Zeitschrift für Klinische Psychologie und Psychotherapie, 41, 201–210.CrossRef
go back to reference Seehausen, A., Ripper, S., Germann, G., Hartmann, B., Wind, G., & Renneberg, B. (2013). Efficacy of a burn-specific cognitive behavior group therapy (submitted). Seehausen, A., Ripper, S., Germann, G., Hartmann, B., Wind, G., & Renneberg, B. (2013). Efficacy of a burn-specific cognitive behavior group therapy (submitted).
go back to reference Singer, J., & Willett, J. (2003). Applied longitudinal data analysis: Modeling change and event occurrence. New York: Oxford University Press.CrossRef Singer, J., & Willett, J. (2003). Applied longitudinal data analysis: Modeling change and event occurrence. New York: Oxford University Press.CrossRef
go back to reference Ter Smitten, M. H., de Graaf, R., & Van Loey, N. E. (2011). Prevalence and co-morbidity of psychiatric disorders 1–4 years after burn. Burns, 37, 753–761.PubMedCrossRef Ter Smitten, M. H., de Graaf, R., & Van Loey, N. E. (2011). Prevalence and co-morbidity of psychiatric disorders 1–4 years after burn. Burns, 37, 753–761.PubMedCrossRef
go back to reference Tobiasen, J., Hiebert, J. M., & Edlich, R. F. (1982). The abbreviated burn severity index. Annals of Emergency Medicine, 11, 260–262.PubMedCrossRef Tobiasen, J., Hiebert, J. M., & Edlich, R. F. (1982). The abbreviated burn severity index. Annals of Emergency Medicine, 11, 260–262.PubMedCrossRef
go back to reference Van Loey, N. E., Van Beeck, E. F., Faber, B. W., Van de Schoot, R., & Bremer, M. (2012). Health-related quality of life after burns: A prospective multicentre cohort study with 18 months follow-up. Journal of Trauma and Acute Care Surgery, 72, 513–520.PubMed Van Loey, N. E., Van Beeck, E. F., Faber, B. W., Van de Schoot, R., & Bremer, M. (2012). Health-related quality of life after burns: A prospective multicentre cohort study with 18 months follow-up. Journal of Trauma and Acute Care Surgery, 72, 513–520.PubMed
go back to reference Van Loey, N. E., & Van Son, M. J. (2003). Psychopathology and psychological problems in patients with burn scars: Epidemiology and management. American Journal of Clinical Dermatology, 4, 245–272.PubMedCrossRef Van Loey, N. E., & Van Son, M. J. (2003). Psychopathology and psychological problems in patients with burn scars: Epidemiology and management. American Journal of Clinical Dermatology, 4, 245–272.PubMedCrossRef
go back to reference Wallis, H., Renneberg, B., Ripper, S., Germann, G., Wind, G., & Jester, A. (2006). Emotional distress and psychosocial resources in patients recovering from severe burn injury. Journal of Burn Care & Research, 27, 734–741.CrossRef Wallis, H., Renneberg, B., Ripper, S., Germann, G., Wind, G., & Jester, A. (2006). Emotional distress and psychosocial resources in patients recovering from severe burn injury. Journal of Burn Care & Research, 27, 734–741.CrossRef
go back to reference Ware, J. E., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey, construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220–233.PubMedCrossRef Ware, J. E., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey, construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220–233.PubMedCrossRef
go back to reference Wikehult, B., Willebrand, M., Kildal, M., Lannerstam, K., Fugl-Meyer, A. R., Ekselius, L., et al. (2005). Use of healthcare a long time after severe burn injury; relation to perceived health and personality characteristics. Disability and Rehabilitation, 27, 863–870.PubMedCrossRef Wikehult, B., Willebrand, M., Kildal, M., Lannerstam, K., Fugl-Meyer, A. R., Ekselius, L., et al. (2005). Use of healthcare a long time after severe burn injury; relation to perceived health and personality characteristics. Disability and Rehabilitation, 27, 863–870.PubMedCrossRef
go back to reference Willebrand, M., Andersson, G., & Ekselius, L. (2004). Prediction of psychological health after an accidental burn. Journal of Trauma-Injury Infection and Critical Care, 57, 367–374.CrossRef Willebrand, M., Andersson, G., & Ekselius, L. (2004). Prediction of psychological health after an accidental burn. Journal of Trauma-Injury Infection and Critical Care, 57, 367–374.CrossRef
go back to reference Willebrand, M., Andersson, G., Kildal, M., Gerdin, B., & Ekselius, L. (2006). Injury-related fear-avoidance, neuroticism and burn-specific health. Burns, 32, 408–415.PubMedCrossRef Willebrand, M., Andersson, G., Kildal, M., Gerdin, B., & Ekselius, L. (2006). Injury-related fear-avoidance, neuroticism and burn-specific health. Burns, 32, 408–415.PubMedCrossRef
go back to reference Willebrand, M., & Kildal, M. (2011). Burn specific health up to 24 months after the burn—A prospective validation of the simplified model of the Burn specific health scale-brief. Journal of Trauma, 71, 78–84.PubMedCrossRef Willebrand, M., & Kildal, M. (2011). Burn specific health up to 24 months after the burn—A prospective validation of the simplified model of the Burn specific health scale-brief. Journal of Trauma, 71, 78–84.PubMedCrossRef
go back to reference Willebrand, M., Kildal, M., Ekselius, L., Gerdin, B., & Andersson, G. (2001). Development of the coping with burns questionnaire. Personality and Individual Differences, 30, 1059–1072.CrossRef Willebrand, M., Kildal, M., Ekselius, L., Gerdin, B., & Andersson, G. (2001). Development of the coping with burns questionnaire. Personality and Individual Differences, 30, 1059–1072.CrossRef
go back to reference World Health Organization. (2001). International classification of functioning, disability and health: ICF. Geneva: WHO. World Health Organization. (2001). International classification of functioning, disability and health: ICF. Geneva: WHO.
go back to reference Zigmond, A., & Snaith, R. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavia, 67, 361–370.CrossRef Zigmond, A., & Snaith, R. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavia, 67, 361–370.CrossRef
Metagegevens
Titel
Quality of life and predictors of long-term outcome after severe burn injury
Auteurs
Babette Renneberg
Sabine Ripper
Julian Schulze
Annika Seehausen
Matthias Weiler
Gerhard Wind
Bernd Hartmann
Günter Germann
Alexandra Liedl
Publicatiedatum
01-10-2014
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 5/2014
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-013-9541-6

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