Psychopathology and psychological problems in patients with burn scars: Epidemiology and management

American Journal of Clinical Dermatology

Volumn 4, Issue 4, 2003, Pages 245-272

  Van Loey, Nancy E E ^a   Van Son, Maarten J M ^b  

^a Dutch Burns Foundation   (Netherlands)

^b UTRECHT UNIVERSITY   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

SEROTONIN UPTAKE INHIBITOR; TRICYCLIC ANTIDEPRESSANT AGENT;

ANXIETY; BEHAVIOR THERAPY; BURN; BURN SCAR; CLINICAL TRIAL; COGNITIVE THERAPY; COPING BEHAVIOR; DEPRESSION; HUMAN; MENTAL DISEASE; PERSONALITY; POSTTRAUMATIC STRESS DISORDER; PRIORITY JOURNAL; PSYCHIATRIC TREATMENT; PSYCHOLOGICAL ASPECT; PSYCHOPATHY; PSYCHOPHARMACOTHERAPY; PSYCHOSOCIAL CARE; QUALITY OF LIFE; REVIEW; RISK FACTOR; SEXUAL DYSFUNCTION; SOCIAL ISOLATION; SOCIAL PROBLEM; SOCIAL SUPPORT;

BURNS; CICATRIX; DEPRESSION; HUMANS; PREVALENCE; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIALS; RISK FACTORS; SEROTONIN UPTAKE INHIBITORS; SEXUAL DYSFUNCTIONS, PSYCHOLOGICAL; STRESS DISORDERS, POST-TRAUMATIC;

EID: 0037279216     PISSN: 11750561     EISSN: None     Source Type: Journal    
DOI: 10.2165/00128071-200304040-00004     Document Type: Review

References (150)

1. Monafo WW. Then and now: 50 years of burn treatment. Burns 1992; 18 Suppl. 2: S7-10
2. Yarbrough III DR. Improving survival in the burned patient. J S C Med Assoc 1990; 86: 347-9
3. Constable JD. The state of burn care: past, present and future. Burns 1994; 20: 316-24
4. Hurren JS. Rehabilitation of the burned patient: James Laing Memorial Essay for 1993. Burns 1995; 21: 116-26
5. Choiniere M, Melzack R, Rondeau J, et al. The pain of burns: characteristics and correlates. J Trauma 1989; 29: 1531-9
6. Ulmer JF. An exploratory study of pain, coping, and depressed mood following burn injury. J Pain Symptom Manage 1997; 13: 148-57
7. Taal LA, Faber AW. Burn injuries, pain and distress: exploring the role of stress symptomatology. Burns 1997; 23: 288-90
8. Byers JF, Bridges S, Kijek J, et al. Burn patients' pain and anxiety experiences. J Burn Care Rehabil 2001; 22: 144-9
9. Menzies V. Depression and burn wounds. Arch Psychiatr Nurs 2000; 14: 199-206
10. Bernstein NR, Breslau AJ, Graham JA, Coping strategies for burn survivors and their families. New York: Praeger Publishers, 1988
11. Cash TF. The psychology of physical appearance: aesthetics, attributes and images. In: Cash TF, Pruzinsky T, editors. Body images: development, deviance and change. New York: The Guilford Press, 1990: 51-79
12. MacGregor FC. A response to 'The Quasimodo complex'. J Clin Ethics 1990; 1: 224-6
13. Gilboa D, Friedman M, Tsur H. The burn as a continuous traumatic stress: implications for emotional treatment during hospitalization. J Burn Care Rehabil 1994; 15: 86-91
14. Arturson G. Pathophysiology of the burn wound and pharmacological treatment: The Rudi Hermans Lecture, 1995. Burns 1996; 22: 255-74
15. Williams WG, Philips L.G. Pathophysiology of the burn wound. In: Herndon DN, editor. Total burn care. London: WB Saunders, 1996: 63-80
16. Leung KS, Sher A, Clark JA, et al. Microcirculation in hypertrophic scars after burn injury. J Burn Care Rehabil 1989; 10: 436-44
17. Helm PA. Burn rehabilitation: dimensions of the problem. Clin Plast Surg 1992; 19: 551-9
18. Staley MJ, Richard RL. Use of pressure to treat hypertrophic burn scars. Adv Wound Care 1997; 10: 44-6
19. Van den Kerckhove E, Stappaerts K, Boeckx W, et al. Silicones in the rehabilitation of burns: a review and overview. Burns 2001; 27: 205-14
20. Fleming MD, Hunt JL, Purdue GF, et al. Marjolin's ulcer: a review and reevaluation of a difficult problem. J Burn Care Rehabil 1990; 11: 460-9
21. Blumenfield M, Schoeps M. Reintegrating the healed burned adult into society: psychological problems and solutions. Clin Plast Surg 1992; 19: 599-605
22. Ward HW, Moss RL, Darko DF, et al. Prevalence of postburn depression following burn injury. J Burn Care Rehabil 1987; 8: 294-8
23. Patterson DR, Everett JJ, Bombardier CH, et al. Psychological effects of severe burn injuries. Psychol Bull 1993; 113: 362-78
24. Malt U. Psychosocial follow-up studies of burned adults: review of the literature. Burns 1980; 6: 190-7
25. Adler A. Neuropsychiatric complications in victims of Boston's Cocoanut Grove Disaster. J Am Med Assoc 1943; 123: 1098-101
26. Tedstone JE, Tarrier N. An investigation of the prevalence of psychological morbidity in burn-injured patients. Burns 1997; 23: 550-4
27. Ptacek JT, Patterson DR, Heimbach DM. Inpatient depression in persons with burns. J Burn Care Rehabil 2002; 23: 1-9
28. Madianos MG, Papaghelis M, Ioannovich J. et al. Psychiatric disorders in burn patients: a follow-up study. Psychother Psychosom 2001; 70: 30-7
29. Fauerbach JA, Lawrence J, Haythornthwaite J, et al. Preburn psychiatric history affects posttrauma morbidity. Psychosomatics 1997; 38: 374-85
30. Wiechman SA, Ptacek JT, Patterson DR, et al. Rates, trends, and severity of depression after burn injuries. J Burn Care Rehabil 2001; 22: 417-24
31. Fukunishi I. Relationship of cosmetic disfigurement to the severity of posttraumatic stress disorder in burn injury or digital amputation. Psychother Psychosom 1999; 68: 82-6
32. Maes M, Mylle J, Delmeire L, et al. Psychiatric morbidity and comorbidity following accidental man-made traumatic events: incidence and risk factors. Eur Arch Psychiatry Clin Neurosci 2000; 250: 156-62
33. Williams EE, Griffiths TA. Psychological consequences of burn injury. Burns 1991; 17: 478-80
34. Tedstone JE, Tarrier N, Faragher EB. An investigation of the factors associated with an increased risk of psychological morbidity in burn injured patients. Burns 1998; 24: 407-15
35. Ehde DM, Patterson DR, Wiechman SA, et al. Post-traumatic stress symptoms and distress 1 year after burn injury. J Burn Care Rehabil 2000; 21: 105-11
36. Van Loey NE, Maas C, Faber AW, et al. Predictors of chronic post-traumatic stress symptoms following burn injury: results of a longitudinal study. J Trauma Stress. In press
37. Maes M, Delmeire L, Schotte C, et al. Epidemiologic and phenomenological aspects of post-traumatic stress disorder: DSM-III-R diagnosis and diagnostic criteria not validated. Psychiatry Res 1998; 81: 179-93
38. Taal LA, Faber AW. Posttraumatic stress and maladjustment among adult burn survivors 1-2 years postburn. Burns 1998; 24: 285-92
39. Fukunishi I, Sasaki K, Chishima Y, et al. Emotional disturbances in trauma patients during the rehabilitation phase: studies of posttraumatic stress disorder and alexithymia. Gen Hosp Psychiatry 1996; 18: 121-7
40. Lawrence JW, Fauerbach J, Munster A. Early avoidance of traumatic stimuli predicts chronicity of intrusive thoughts following burn injury. Behav Res Ther 1996; 34: 643-6
41. Difede J, Barocas D. Acute intrusive and avoidant PTSD symptoms as predictors of chronic PTSD following burn injury. J Trauma Stress 1999; 12: 363-9
42. Joseph S, Williams R, Yule W. Understanding post-traumatic stress disorder: a psychosocial perspective on PTSD and treatment. New York: John Wiley and Sons. 1997
43. Shalev AY, Freedman S, Peri T, et al. Prospective study of posttraumatic stress disorder and depression following trauma. Am J Psychiatry 1998; 155: 630-7
44. Bijl RV, van Zessen G, Ravelli A. [Psychiatric morbidity among adults in The Netherlands: the NEMESIS-Study: II. prevalence of psychiatric disorders. Netherlands Mental Health Survey and Incidence Study]. Ned Tijdschr Geneeskd 1997; 141: 2453-60
45. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Association, 1994
46. Baur KM, Hardy PE, Van Dorsten B. Posttraumatic stress disorder in burn populations: a critical review of the literature. J Burn Care Rehabil 1998; 19: 230-40
47. Breslau N. The epidemiology of posttraumatic stress disorder: what is the extent of the problem? J Clin Psychiatry 2001; 62 Suppl. 17: 16-22
48. Feller I, Tholen D, Cornell RG. Improvements in burn care, 1965 to 1979. JAMA 1980; 244: 2074-8
49. Breslau N, Davis GC, Andreski P. Risk factors for PTSD-related traumatic events: a prospective analysis. Am J Psychiatry 1995; 152: 529-35
50. Shalev AY, Peri T, Canetti L, et al. Predictors of PTSD in injured trauma survivors: a prospective study. Am J Psychiatry 1996; 153: 219-25
51. Melzack R, Wall PD. The challenge of pain. New York: Basic Books, 1982
52. Perry S, Heidrich G. Management of pain during debridement: a survey of US burn units. Pain 1982; 13: 267-80
53. Taal LA, Faber AW. Post-traumatic stress, pain and anxiety in adult burn victims. Burns 1997; 23: 545-9
54. Yu BH, Dimsdale JE. Posttraumatic stress disorder in patients with burn injuries. J Burn Care Rehabil 1999; 20: 426-33
55. Breslau N, Davis GC. Posttraumatic stress disorder in an urban population of young adults: risk factors for chronicity. Am J Psychiatry 1992; 149: 671-5
56. Seedat S, Stein DJ. Trauma and post-traumatic stress disorder in women: a review. Int Clin Psychopharmacol 2000; 15 Suppl. 3: S25-33
57. Brady KT, Killeen TK, Brewerton T, et al. Comorbidity of psychiatric disorders and posttraumatic stress disorder. J Clin Psychiatry 2000; 61 Suppl. 7: 22-32
58. Duff K, McCaffrey RJ. Electrical injury and lightning injury: a review of their mechanisms and neuropsychological, psychiatric, and neurological sequelae. Neuropsychol Rev 2001; 11: 101-16
59. Pliskin NH. Meyer GJ, Dolske MC, et al. Neuropsychiatric aspects of electrical injury: a review of neuropsychological research. Ann N Y Acad Sci 1994; 720: 219-23
60. Janus TJ, Barrash J. Neurologic and neurobehavioral effects of electric and lightning injuries. J Burn Care Rehabil 1996; 17: 409-15
61. Pliskin NH, Fink J, Malina A, et al. The neuropsychological effects of electrical injury: new insights. Ann N Y Acad Sci 1999; 888: 140-9
62. Muehlberger T, Vogt PM. Munster AM. The long-term consequences of lightning injuries. Burns 2001; 27: 829-33
63. Varney NR, Ju D, Smith Shepherd J, et al. Long-term neuropsychological sequelae of severe burns. Arch Clin Neuropsychol 1998; 13: 737-49
64. van Zomeren AH, ten Duis HJ, Minderhoud JM, et al. Lightning stroke and neuropsychological impairment: cases and questions. J Neurol Neurosurg Psychiatry 1998; 64: 763-9
65. Bogaerts F, Boeckx W. Burns and sexuality. J Burn Care Rehabil 1992; 13: 39-43
66. Whitehead TL. Sexual health promotion of the patient with burns. J Burn Care Rehabil 1993; 14: 221-6
67. de Rios MD, Novac A, Achauer BH. Sexual dysfunction and the patient with burns. J Burn Care Rehabil 1997; 18: 37-42
68. Tudahl LA, Blades BC, Munster AM. Sexual satisfaction in burn patients. J Burn Care Rehabil 1987; 8: 292-3
69. Bianchi TL. Aspects of sexuality after burn injury: outcomes in men. J Burn Care Rehabil 1997; 18: 183-6
70. Balakrishnan C, Imel LL. Effect of penile burns on sexual function. J Burn Care Rehabii 1995; 16: 508-10
71. Kimmo T, Jyrkl V, Sirpa AS. Health status after recovery from burn injury. Burns 1998; 24: 293-8
72. Kildal M, Andersson G, Fugl-Meyer AR, et al. Development of a brief version of the Burn Specific Health Scale (BSHS-B). J Trauma 2001; 51: 740-6
73. Solomon SE. On an island by myself: women of color with facial distinctions. J Burn Care Rehabil 1998; 19: 268-78
74. Jonsson CE, Schuldt K. Linder J, et al. Rehabilitative, psychiatric, functional and aesthetic problems in patients treated for burn injuries: a preliminary follow-up study. Acta Chir Plast 1997; 39: 3-8
75. Ye EM. Psychological morbidity in patients with facial and neck burns. Burns 1998; 24: 646-8
76. Taal L, Faber AW. Posttraumatic stress and maladjustment among adult burn survivors 1 to 2 years postburn: Part II: the interview data. Burns 1998; 24: 399-405
77. Goffman E. Stigma, notes on the management of spoiled identity. Englewood Cliffs (NY): Prentice-Hall, 1963
78. MacGregor FC. Transformation and identity: the face and plastic surgery. New York: Quadrangle, 1974
79. Partridge J. Changing faces: the challenge of facial disfigurement. London: Penguin Books, 1990
80. MacGregor FC. Facial disfigurement: problems and management of social interaction and implications for mental health. Aesthetic Plast Surg 1990; 14: 249-57
81. Robinson E, Rumsey N, Partridge J. An evaluation of the impact of social interaction skills training for facially disfigured people. Br J Plast Surg 1996; 49: 281-9
82. Houston V, Bull R. Do people avoid sitting next to someone who is facially disfigured? Eur J Soc Psychol 1994; 24: 279-84
83. Partridge J. Changing faces: taking up Macgregor's challenge. J Burn Care Rehabil 1998; 19: 174-80
84. MacGregor FC, Abel TM, Bryt A, et al. Facial deformities and plastic surgery: a psychosocial study. Springfield (IL): Charles C. Thomas, 1953
85. Cahners SS. Young women with breast burns: a self-help 'group by mail'. J Burn Care Rehabil 1992; 13: 44-7
86. Patterson DR, Ptacek JT. Cromes F, et al. The 2000 Clinical Research Award: describing and predicting distress and satisfaction with life for burn survivors. J Burn Care Rehabil 2000; 21: 490-8
87. Doctor JN, Patterson DR, Mann R. The 1997 Clinical Research Award: health outcome for burn survivors. J Burn Care Rehabil 1997; 18: 490-5
88. Salvador-Sanza JF, Sanchez-Paya J, Rodriguez-Marin J. Quality of life of the Spanish burn patient. Burns 1999; 25: 593-8
89. Riis A, Andersen M, Pedersen MB, et al. Long-term psychosocial adjustment in patients with severe burn injuries: a follow-up study. Burns 1992; 18: 121-6
90. Fauerbach JA, Lawrence JW, Munster AM, et al. Prolonged adjustment difficulties among those with acute posttrauma distress following burn injury. J Behav Med 1999; 22: 359-78
91. Boeve SA, Aaron LA, Martin-Herz SP, et al. Sleep disturbance after burn injury. J Burn Care Rehabil 2002; 23: 32-8
92. Lawrence JW. Fauerbach J, Eudell E, et al. The 1998 Clinical Research Award: sleep disturbance after burn injury: a frequent yet understudied complication. J Burn Care Rehabil 1998; 19: 480-6
93. Fauerbach JA, Heinberg LJ, Lawrence JW, et al. Effect of early body image dissatisfaction on subsequent psychological and physical adjustment after disfiguring injury. Psychosom Med 2000; 62: 576-82
94. Blalock SJ, Bunker BJ, DeVellis RF. Measuring health status among survivors of burn injury: revisions of the Burn Specific Health Scale. J Trauma 1994; 36: 508-15
95. Pardo Mateu L, Chamorro Hernandez JJ. Emotional aspects in burn patients: usage of a health state classification system. Burns 1996; 22: 396-8
96. Blalock SJ, Bunker BJ, DeVellis RF. Psychological distress among survivors of burn injury: the role of outcome expectations and perceptions of importance. J Burn Care Rehabil 1994; 15: 421-7
97. Xiao J, Cai BR. Functional and occupational outcome in patients surviving massive burns. Burns 1995; 21: 415-21
98. Fong J. A study of self-monitoring processes and coping behaviour in burns victims. Burns 1997; 23 Suppl. 1: S8-11
99. Gilboa D, Bisk L, Montag I, et al. Personality traits and psychosocial adjustment of patients with burns. J Burn Care Rehabil 1999; 20: 340-6
100. Fauerbach JA, Lawrence JW, Schmidt Jr CW, et al. Personality predictors of injury-related posttraumatic stress disorder. J Nerv Ment Dis 2000; 188: 510-7
101. Willebrand M, Kildal M, Ekselius L, et al. Development of the coping with burns questionnaire. Pets Individ Diff 2001; 30: 1059-72
102. Calvert CT. A model of coping and psychological adjustment to a severe burn injury [thesis/dissertation]. North Carolina State University, 1995
103. Bryant RA. Predictors of post-traumatic stress disorder following burns injury. Burns 1996; 22: 89-92
104. Ptacek JT, Wiechman SA, Patterson DR, et al. Coping following burn injuries [abstract]. J Burn Care Rehabil 2001, 22 (2), S94
105. Perry S, Difede J, Musngi G, et al. Predictors of posttraumatic stress disorder after burn injury. Am J Psychiatry 1992; 149: 931-5
106. Wisely JA, Tarrier N. A survey of the need for psychological input in a follow-up service for adult burn-injured patients. Burns 2001; 27: 801-7
107. Holaday M, Yarbrough A. Results of a hospital survey to determine the extent and type of psychologic services offered to patients with severe burns. J Burn Care Rehabil 1996; 17: 280-4
108. Van Loey NE, Faber AW, Taal LA. A European hospital survey to determine the extent of psychological services offered to patients with severe burns. Burns 2001; 27: 23-31
109. Van Loey NE, Faber AW, Taal LA. Do burn patients need burn specific multidisciplinary outpatient aftercare: research results. Burns 2001; 27: 103-10
110. Patterson DR. Non-opioid-based approaches to burn pain. J Burn Care Rehabil 1995; 16 (3 Pt 2): 372-6
111. Patterson DR. Practical applications of psychological techniques in controlling burn pain. J Burn Care Rehabil 1992; 13 (1): 13-8
112. Patterson DR, Ptacek JT, Carrougher GJ, et al. Lorazepam as an adjunct to opioid analgesics in the treatment of burn pain. Pain 1997; 72 (3): 367-74
113. Choiniere M, Grenier R, Paquette C. Patient-controlled analgesia: a double-blind study in burn patients. Anaesthesia 1992; 47 (6): 467-72
114. Kiecolt-Glazer JK, Williams DA. Self-blame, compliance, and distress among burn patients. J Pers Soc Psychol 1987; 53: 187-93
115. Welch M. Clients' experiences of depression during recovery from traumatic injury. Clin Nurse Spec 1995; 9: 92-8
116. Hallon SD, Shelton RC. Treatment guidelines for major depression disorders. Behav Ther 2001; 32: 235-58
117. Kennedy SH, Lam RW, Cohen NL, et al. Clinical guidelines for the treatment of depressive disorders. IV. Medications and other biological treatments. Can J Psychiatry 2001; 46 Suppl. 1: 38S-58S
118. Brunello N, Davidson JR, Deahl M, et al. Posttraumatic stress disorder: diagnosis and epidemiology, comorbidity and social consequences, biology and treatment. Neuropsychobiology 2001; 43: 150-62
119. Bisson JI, Jenkins PL, Alexander J, et al. Randomised controlled trial of psychological debriefing for victims of acute burn trauma. Br J Psychiatry 1997; 171: 78-81
120. Deahl M. Psychological debriefing: controversy and challenge. Aust N Z J Psychiatry 2000; 34: 929-39
121. Lee C, Slade PLV. The influence of psychological debriefing on emotional adaptation in females following early miscarriage. Br J Med Psychol 1996; 69: 47-58
122. McFarlane AC. The longitudinal course of posttraumatic morbidity: the range of outcomes and their predictors. J Nerv Ment Dis 1988; 176: 30-9
123. Robinson RC, Mitchell JT. Evaluation of psychological debriefings. J Trauma Stress 1993; 6: 367-82
124. Foa EB. Psychosocial treatment of posttraumatic stress disorder. J Clin Psychiatry 2000; 61 Suppl. 5: 43-8
125. Shapiro F. Eye movement desensitization: a new treatment for posttraumatic stress disorder. J Behav Ther Exp Psychiatry 1989; 20: 211-7
126. Van Etten ML, Taylor S. Comparative efficacy of treatments for posttraumatic stress disorder. Clin Psychol Psychother 1998; 5: 126-44
127. Shepherd J, Stein K, Milne R. Eye movement desensitization and reprocessing in the treatment of post-traumatic stress disorder: a review of an emerging therapy. Psychol Med 2000; 30: 863-71
128. Davidson PR, Parker KC. Eye movement desensitization and reprocessing (EMDR): a meta-analysis. J Consult Clin Psychol 2001; 69: 305-16
129. McCann DL. Post-traumatic stress disorder due to devastating burns overcome by a single session of eye movement desensitization. J Behav Ther Exp Psychiatry 1992; 23: 319-23
130. Blaha J, Svobodova K, Kapounkova Z. Therapeutical aspects of using citalopram in burns. Acta Chir Plast 1999; 41: 25-32
131. Davidson JR, Rothbaum BO, van der Kolk BA. et al. Multicenter, double-blind comparison of sertraline and placebo in the treatment of posttraumatic stress disorder. Arch Gen Psychiatry 2001; 58: 485-92
132. van der Kolk BA, Dreyfuss D, Michaels M, et al. Fluoxetine in posttraumatic stress disorder. J Clin Psychiatry 1994; 55: 517-22
133. Pearlstein T. Antidepressant treatment of posttraumatic stress disorder. J Clin Psychiatry 2000; 61 Suppl. 7: 40-3
134. Thompson A, Kent G. Adjusting to disfigurement: processes involved in dealing with being visibly different. Clin Psychol Rev 2001; 21: 663-82
135. Partridge J. Then and now: reflections on burn care past, present and future: towards a new paradigm of language and care. Burns 1999; 25: 739-44
136. Cash TF, Grant JR. The cognitive-behavioral treatment of body image disturbances. In: Van Hassalt C, Hersen M, editors. Sourcebook of psychological treatment manuals for adult disorders. New York: Plenum, 1995: 567-614
137. Papadopoulos L, Bor R, Legg C. Coping with the disfiguring effects of vitiligo: a preliminary investigation into the effects of cognitive-behavioural therapy. Br J Med Psychol 1999; 72: 385-96
138. Willis-Helmich JJ. Reclaiming body image: the hidden burn. J Burn Care Rehabil 1992; 13: 64-7
139. Rumsey N, Bull R, Gahagan D. A preliminary study of the potential of social skills for improving the quality of social interaction for the facially disfigured. Soc Behav 1986; 1: 143-5
140. Rose M, Meyer W, Thomas C, et al. Effects of group dynamic in facilitating social skills learning amongst adolescent burn survivors [abstract]. J Burn Care Rehabil 2001; 22: S153
141. Blakeney P. School reintegration. J Burn Care Rehabil 1995; 16: 180-7
142. Bishop B, Gilinsky V. School reentry for the patient with burn injuries: video and/or on-site intervention. J Burn Care Rehabil 1995; 16: 455-7
143. Blakeney P, Moore P, Meyer III W, et al. Efficacy of school reentry programs. J Burn Care Rehabil 1995; 16: 469-72
144. Aiello D. Sexuality: counseling for the disabled by the disabled. In: Bernstein NR, Breslau AJ, Graham JA, editors. Coping strategies for burn survivors and their families. New York: Praeger Publishers, 1988: 67-70
145. Davidson JRT, Hughes D, Blazer DG. Post-traumatic stress disorder in the community: an epidemiological study. Psychol Med 1991; 21: 713-21
146. Breslau N, Davis GC, Andreski P, et al. Traumatic events and posttraumatic stress disorder in an urban population of young adults. Arch Gen Psychiatry 1991; 48: 216-22
147. Orsillo SM, Heimberg RG, Juster HR, et al. Social phobia and PTSD in Vietnam veterans. J Trauma Stress 1996; 9: 235-52
148. Davies F, Norman RM, Cortese,. et al. The relationship between types of anxiety and depression. J Nerv Ment Dis 1995; 183: 31-5
149. Adshead G. Psychological therapies for post-traumatic stress disorder. Br J Psychiatry 2000; 177: 144-8
150. Pruzinsky T, Rice LD, Himel HN, et al. Psychometric assessment of psychologic factors influencing adult burn rehabilitation. J Burn Care Rehabil 1992; 13: 79-88