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Attentional bias and symptoms of posttraumatic stress disorder one year after burn injury
Uppsala universitet.ORCID iD: 0000-0002-5523-8126
Uppsala universitet.
Uppsala universitet.
2009 (English)In: Journal of Nervous and Mental Disease, ISSN 0022-3018, E-ISSN 1539-736X, Vol. 197, no 11, 850-855 p.Article in journal (Refereed) Published
Abstract [en]

Trauma-related attentional bias is suggested to play a role in maintaining posttraumatic stress disorder (PTSD). Although being burn injured is a traumatic event for many patients, there are no prospective studies investigating attentional bias. The aims were to assess burn-specific attentional bias 1 year after burn, and its associations with risk factors for PTSD and symptoms of PTSD. A total of 38 adult patients with burns were assessed with a structured clinical interview and a Swedish version of the Impact of Event Scale-Revised up to 1-year after burn. The Emotional Stroop Task was used to assess attentional bias 1 year after burn. In total 29 participants displayed burn-specific attentional bias. This group had more previous life events, perceived life threat, larger burns, and higher PTSD symptom severity. In conclusion, the majority of the patients had burn-specific attentional bias 1 year after burn and this was related to symptoms of PTSD.

Place, publisher, year, edition, pages
2009. Vol. 197, no 11, 850-855 p.
Keyword [en]
Impact of event scale-revised, Physical trauma, Posttraumatic stress disorder, Selective attention, Stroop Task
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:esh:diva-6271DOI: 10.1097/NMD.0b013e3181bea555ISI: 000272020900009PubMedID: 19996724OAI: oai:DiVA.org:esh-6271DiVA: diva2:1136832
Available from: 2010-04-20 Created: 2017-08-29 Last updated: 2017-08-30
In thesis
1. Posttraumatic Stress and Cognitive Processes in Patients with Burns
Open this publication in new window or tab >>Posttraumatic Stress and Cognitive Processes in Patients with Burns
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

A severe burn is one of the most traumatic injuries a person can experience. Posttraumatic stress disorder (PTSD) is relatively common after burns, and can be devastating for the individual’s possibilities for recovery. The principal aims were to gain knowledge regarding posttraumatic stress symptoms and cognitive processes after burn and to evaluate methods for assessing symptoms of PTSD up to one year after burn.

The psychometric properties of a Swedish version of the Impact of Event Scale-Revised (IES-R) were examined. The results indicate that the IES-R is a valid screening instrument for measuring PTSD symptoms in patients with burns and it can be used during hospitalisation to identify resilient individuals.

The pattern of PTSD symptoms over time was also investigated. Four distinct trajectories of PTSD symptoms were identified, i.e. four groups of patients with significantly different onsets and courses. The trajectories differed in the expected direction regarding several risk factors associated with PTSD symptoms.

Several previously known risk factors for PTSD symptoms were also identified including burn severity, psychiatric history, previous life events, early psychological symptoms, neuroticism-related personality traits, avoidant coping and low social support. The risk factors correspond well with those reported in the international trauma literature, which strengthens the findings in this thesis.

Finally, using the emotional Stroop task at one year post burn it was found that burn-specific attentional bias was common and associated with more previous life events, more perceived life threat, larger burns and higher levels of PTSD symptoms.

In summary, there are individual differences in the development and course of PTSD symptoms after burn and attentional bias is a common cognitive phenomenon related to these symptoms. The findings also support the use of the IES-R as a screening instrument for PTSD symptoms in patients with burns.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2011. 58 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 639
Keyword
Burn, Posttraumatic stress disorder, Outcome Assessment, Injuries, Trauma, Psychological distress, Psychiatric Disorders
National Category
Psychiatry Psychology
Research subject
Psychiatry
Identifiers
urn:nbn:se:esh:diva-6268 (URN)978-91-554-7993-0 (ISBN)
Public defence
2011-03-11, Enghoffsalen, Entrance 50, Uppsala University Hospital, 13:15 (Swedish)
Opponent
Supervisors
Available from: 2017-08-29 Created: 2017-08-29 Last updated: 2017-08-29Bibliographically approved

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