ABSTRACT
Burn patients basically go through the sequential stages of physiological, psychological and social emergency after the burn injury. In the present study, 88 burn patients were classified into three groups according to the stages as mentioned above. Then, we observed the states of anxiety, depression, inward activities, various psychological responses measured by SCL-90-R, and body image changes in each stage. The study results were as follows: 1) We found that depressive symptoms increased as the stage advanced. They were correlated with family conflicts and low level of education. The state of anxiety was not correlated with the staging. 2) There were differences between stages I and III in ANX, DEP, SOM, PHOB axes of SCL-90-R. 3) The mood of burn patients and the patients' cooperation to the treatment observed by the nurse was partially correlated with depression and anxiety, while the patients' relation to others and interpersonal relationship were not. 4) Variables such as the size of burned area, duration of hospitalization and darkening skin affected the patients' body image. 5) We found that burn patients have psychological difficulties. Therefore, the treatment of burn injury should be done in parallel with the psychological treatment by professionals.
Subject(s)
Humans , Anxiety , Body Image , Burns , Depression , Education , Emergencies , Family Conflict , Hospitalization , SkinABSTRACT
The authors performed this preliminary study to investigate the effect of softening E.C.T. and propofol was compared to pentothal for induction of anaesthesia for E.C.T on seizure duration. The results were follows ' 1) E.C.T. was performed in 60 psychiatric inpatients who were admitted during the study period. Of them 51.7% were diagnosed as schizophrenia, 21.6% as major depressive disorder, 16.7% as bipolar I disorder, manic and 10% of others. 2) Mean number of E.C.T. was 12.2 times a patient. 3) The most common target symptoms were persecutory delusion in schizophrenia, psychomotor retardation or agitation in major depressive disorder, and violent aggressive behavior in bipolar I disorder, manic. 4) Pre-ECT medication usually used were atropine 0.0093mg kg(-1), pentothal 2.76mg kg(-1) or propofol 1.42mg kg(-1). 5) The duration of seizure, as measured clinically, was reduced with propofol(20.5 sec) in comparison with pentothal(35.7 sec)(p<0.001). This suggest the possibility that additional treatment may be needed for the same clinical effect in psychiatric illness when propofol is used as the induction agent.
Subject(s)
Humans , Atropine , Bipolar Disorder , Delusions , Depressive Disorder, Major , Dihydroergotamine , Electroconvulsive Therapy , Inpatients , Propofol , Schizophrenia , Seizures , ThiopentalABSTRACT
No abstract available.
Subject(s)
Humans , Clonidine , Depression , Growth Hormone , Panic Disorder , PanicABSTRACT
No abstract available.
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No abstract available.
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No abstract available.