지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한정신약물학회 Clinical Psychopharmacology and Neuroscience Clinical Psychopharmacology and Neuroscience 제14권 제3호
- 발행연도
- 2016.1
- 수록면
- 295 - 298 (4page)
이용수
초록· 키워드
오류제보하기
Objective: Major burn injuries are strongly associated with both psychological trauma and severe pain, and opioids are the mainstay analgesics for the treatment of severe burn pain. The objectives of this study are to find the complex relationship between opioid dose, depression, and post-traumatic stress disorder (PTSD) symptoms during the acute management of pain in burn patients.
Methods: The symptoms of depression and PTSD were assessed in 43 burn patients immediately following wound stabilization and 2 weeks after the initial evaluation.
Results: Total opioid doses and Hamilton Depression Scale (HAMD) scores obtained during the second evaluation were positively but weakly correlated after controlling for age and total burn surface area (R=0.33, p=0.03). Moreover, pain management with opioids was significantly more common in burn patients with low Clinician Administered PTSD Scale scores (evaluation 1) and high HAMD scores (evaluation 2) (F=6.66, p=0.001).
Conclusion: High opioid dose following acute burn trauma might have correlation with depressive symptoms. Monitoring of depressive symptoms may be important following acute burn trauma and consequent opioids pain management, particularly when PTSD symptoms appear minimal during the early stabilization of patients.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Bodkin JA / 1995 / Buprenorphine treatment of refractory depression / J Clin Psychopharmacol 15:49~57
Nyhuis PW / 2006 / Does the antidepressive response to opiate treatment describe a subtype of depression / Eur Neuropsychopharmacol 16(Suppl 4):S309
Stoll AL / 1999 / Treatment augmentation with opiates in severe and refractory major depression / Am J Psychiatry 156:2017
Braden JB / 2009 / Trends in long-term opioid therapy for noncancer pain among persons with a history of depression / Gen Hosp Psychiatry 31:564~570
Esfahlan AJ / 2010 / Burn pain and patients' responses / Burns 36:1129~1133
Nyhuis PW / 2006 / Does the antidepressive response to opiate treatment describe a subtype of depression / Eur Neuropsychopharmacol 16(Suppl 4):S309
Stoll AL / 1999 / Treatment augmentation with opiates in severe and refractory major depression / Am J Psychiatry 156:2017
Braden JB / 2009 / Trends in long-term opioid therapy for noncancer pain among persons with a history of depression / Gen Hosp Psychiatry 31:564~570
Esfahlan AJ / 2010 / Burn pain and patients' responses / Burns 36:1129~1133
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