J Korean Burn Soc.  2013 Jun;16(1):24-29.

Non-Adherence to Psychiatric Intervention in Work Related Burns

• Jeon SB
• Han CH
• Yeon BK
• Ryu SG
• Kim SJ
• Park MJ
• Chun W
• Hur J
• Kim D
• Lee BC

Abstract

PURPOSE
Patients with work related burns suffer from anxiety, depression, insomnia and suicide ideation etc. Psychiatric symptoms could be reduced by treatment. Almost all patients are referred to psychiatric intervention in our hospital. However, a number of patients show non-adherence. The aim of this study is to figure out the reason of non-adherence and psychiatric symptoms of work related burns patients.
METHODS
123 patients participated in this study. Startle, Physiological arousal, Anger, and Numbness (SPAN), Feeling Suicide, Patient Health Questionnaire-2 (PHQ-2) were administered as screening tool. Questions about psychiatric intervention and reasons to refuse psychiatric intervention were asked.
RESULTS
32% patients were depressed, 34% patients had suicide ideation and 59% had PTSD after work related burns. However, 46% of burn patients had not been treated. Stigma of psychiatric intervention and concerns about dependency were major reasons for non-adherence.
CONCLUSION
There are gap between necessity and reality of psychiatric intervention on work related burn patients.

Keyword

Burns; Psychiatry; Stress disorder; Traumatic; Occupational injuries; Referral and consultation

MeSH Terms

Anger
Anxiety
Arousal
Burns
Dependency (Psychology)
Depression
Humans
Hypesthesia
Mass Screening
Occupational Injuries
Referral and Consultation
Sleep Initiation and Maintenance Disorders
Stress Disorders, Post-Traumatic
Suicide