Pruritus, personality traits, and coping in long-term follow-up of burn injured patients
2004 (English)In: Acta Dermato-Venereologica, ISSN 0001-5555, Vol. 84, 375-380 p.Article in journal (Refereed) Published
Background Pruritus is a health problem after severe burn injury. In general, chronic pruritus is associated with psychological variables such as personality and coping. These associations have not been explored in burn patients, and long-term follow-ups are lacking.
Objectives To assess frequency of pruritus and the role of personality traits and coping in pruritus long after a burn injury.
Patients and methods The participants were recovered burn victims treated at the Burn Unit of Uppsala University Hospital 1-18 (mean 9.3) years earlier. Pruritus was assessed with one item in the Burn Specific Health Scale, personality was assessed with the Swedish universities Scales of Personality, and coping was assessed with the Coping with Burns Questionnaire.
Results Almost 60% of the participants had pruritus at follow-up. In stepwise logistic regressions, the personality trait Psychic trait anxiety and extent of burn (TBSA) explained 14 % of occasional pruritus. Further, 39 % of persistent pruritus was explained by the trait Lack of assertiveness, and the coping styles Instrumental action and Emotional Support, TBSA, and time since injury.
Conclusion The majority of recovered burn patients reported chronic post-burn pruritus. Besides recency and extent of injury, maladaptive personality traits and coping styles were associated with the rating of pruritus. Psychological or psychiatric assessments may therefore be useful in the clinical follow-up of burn patients with chronic pruritus.
Place, publisher, year, edition, pages
2004. Vol. 84, 375-380 p.
Anxiety, burn injury, coping, personality, pruritus, trauma
IdentifiersURN: urn:nbn:se:liu:diva-23901Local ID: 3446OAI: oai:DiVA.org:liu-23901DiVA: diva2:244216