Dataset Information

Bio-Psychological Predictors of Acute and Protracted Fatigue After Burns: A Longitudinal Study.

ABSTRACT:

Objective

Fatigue after burns is often attributed to the hyperinflammatory and hypermetabolic response, while it may be best understood from a bio-psychological perspective, also involving the neuro-endocrine system. This longitudinal multi-center study examined the course of fatigue up to 18 months postburn. The contribution of bio-psychological factors, including burn severity, pain, and acute PTSD symptoms, to the course and persistence of fatigue was studied in a multifactorial model.

Methods

Participants were 247 adult burn survivors. Fatigue symptoms were assessed with the Multidimensional Fatigue Inventory during the acute phase and subsequently at 3, 6, 12, and 18 months postburn, and were compared to population norms. Age, gender, burn severity, acute PTSD symptoms and pain were assessed as potential predictors of fatigue over time in a latent growth model.

Results

At 18 months postburn, 46% of the burn survivors reported fatigue, including 18% with severe fatigue. In the acute phase, higher levels of fatigue were related to multiple surgeries, presence of pain, and higher levels of acute PTSD symptoms. Fatigue gradually decreased over time with minor individual differences in rate of decrease. At 18 months, pain and acute PTSD symptoms remained significant predictors of fatigue levels.

Conclusions

Protracted fatigue after burns was found in almost one out of five burn survivors and was associated with both pain and acute PTSD symptoms. Early detection of PTSD symptoms and early psychological interventions aimed at reducing PTSD symptoms and pain may be warranted to reduce later fatigue symptoms.

SUBMITTER: Boersma-van Dam E

PROVIDER: S-EPMC8818679 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature

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Publications

Bio-Psychological Predictors of Acute and Protracted Fatigue After Burns: A Longitudinal Study.

Boersma-van Dam Elise E Engelhard Iris M IM van de Schoot Rens R Van Loey Nancy E E NEE

Frontiers in psychology 20220124

<h4>Objective</h4>Fatigue after burns is often attributed to the hyperinflammatory and hypermetabolic response, while it may be best understood from a bio-psychological perspective, also involving the neuro-endocrine system. This longitudinal multi-center study examined the course of fatigue up to 18 months postburn. The contribution of bio-psychological factors, including burn severity, pain, and acute PTSD symptoms, to the course and persistence of fatigue was studied in a multifactorial model ...[more]

PMID: 35140660

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Dataset Information

Bio-Psychological Predictors of Acute and Protracted Fatigue After Burns: A Longitudinal Study.

Objective

Methods

Results

Conclusions

Publications

Bio-Psychological Predictors of Acute and Protracted Fatigue After Burns: A Longitudinal Study.

Similar Datasets

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