ABSTRACT
Analysis of medical and sociopsychological factors in 231 burn victims was provided during 4-year randomized study. Groups of burn-prone (working class males, alcohol abusers, burned drunk, violating safety measures, with concomitant somatic and brain disorders and maladjustment) and non-prone individuals were elucidated. Shifts in Spielberger's state and trait anxiety scores depend on the damage of their somatic and nervous "underground". Beck's depression and trait anxiety high scores in all subgroups were found.
Subject(s)
Burns/epidemiology , Adolescent , Adult , Aged , Burns/complications , Burns/etiology , Burns/psychology , Chronic Disease , Cluster Analysis , Disease Susceptibility , Female , Humans , Male , Middle Aged , Neurotic Disorders/complications , Neurotic Disorders/epidemiology , Neurotic Disorders/etiology , Neurotic Disorders/psychology , Risk Factors , USSR/epidemiologyABSTRACT
The efficacy of various types of psychotropic therapy was comparatively assessed in patients with burns and borderline neuro-psychic disorders. The efficacy of therapy was determined using standard uniform scales for the evaluation of the effect of psychotropic agents and by analysis of statistical indexes of the heart rhythm and respiratory pattern. Psychotropic therapy significantly reduced psychopathological symptoms and a more marked normalization of autonomous body functions was observed. It has been concluded that the most effective type of psychotropic therapy in patients with burns and borderline neuro-psychic disorders is combined use of phenazepam and amitriptyline.
Subject(s)
Anesthesia , Burns/therapy , Psychotropic Drugs/therapeutic use , Burns/psychology , HumansABSTRACT
A total of 130 patients were treated in a burn unit of a hospital. Three stages of neurosis-like disorders were noted: (1), acute stress reaction close in its structure to prodromal phase of exogenous psychoses and approximately coinciding with the burn shock; (2), formation and dissolution of psychopathologic syndromes (asthenic, depressive and asthenic-depressive), resembling the so-called "transitional" syndromes coinciding with toxemias and septic pyemias; (3), late psychogenesis (mobilization, pseudoeuphoric and hypochondriac).