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Psychosomatic Medicine 34:517-526 (1972)
© 1972 American Psychosomatic Society

Factors Influencing Adjustment of Burn Patients During Hospitalization

N.J. C. ANDREASEN MD, PhD1, RUSSELL NOYES Jr MD1, and C.E. HARTFORD MD1

1 Departments of Psychiatry and Surgery, College of Medicine, University of Iowa, 500 Newton Road, Iowa City, Iowa 52240

Address for reprint requests: Dr. N. J. C. Andreasen, State Psychopathic Hospital, 500 Newton Road, Iowa City, Iowa 52240.

The relationship of a variety of premorbid emotional and physical factors to the adjustment of burn patients during hospitalization is examined. Patients were considered to have adjusted poorly if they developed marked regression, severe depression, delirium or unmanageable behavior. Prior physical problems and premorbid psychopathology were found to be significantly more frequent among those who adjusted poorly than those who adjusted well, while greater severity of burn appeared to contribute to development of psychiatric complications less significantly. Further, the group who adjusted poorly tended to have a greater frequency of changes or stresses in their life situation prior to injury, suggesting that recent experience may also contribute to psychiatric morbidity during hospitalization.

Submitted on October 26, 1971
Revised on April 7, 1972




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