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Stability in personality after physical trauma
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital.ORCID iD: 0000-0003-2506-6527
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital.
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Background: Although personality traits are considered stable during adult life, the clinical impression is that some persons exposed to severe physical trauma report that they feel different than before the injury. Our aim was therefore to assess the extent of stability in personality in burn patients the first year after injury. 

Method: Eighty-four former burn patients, admitted to a national burn center, were assessed with the Swedish universities Scales of Personality (SSP) during acute care and at 12 months post-burn. Psychiatric disorders were assessed with the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I).  

Results: Burn patients scored lower on the trait Stress Susceptibility during the acute care and higher on the traits Somatic Trait AnxietyEmbittermentImpulsiveness and Social Desirability at 12 months post-burn, compared with norm values. While personality domain scores remained stable between acute care and 12 months post-burn, on the trait level there was an increase, and normalization, of Stress Susceptibility scores. 

Conclusion: Personality traits remained relatively stable the first year after trauma. The multidisciplinary burn care during hospitalization might exert a potential stress reducing effect. This effect may however fade with time and the long, stressful load after a physical trauma can have a persisting effect on an individual’s susceptibility to stress.

National Category
Medical and Health Sciences
Research subject
Psychiatry
Identifiers
URN: urn:nbn:se:uu:diva-381161OAI: oai:DiVA.org:uu-381161DiVA, id: diva2:1302516
Funder
Swedish Research CouncilStiftelsen Söderström - Königska sjukhemmetFredrik och Ingrid Thurings StiftelseVårdal FoundationAvailable from: 2019-04-04 Created: 2019-04-04 Last updated: 2019-04-24
In thesis
1. Long-term outcome after burn: Pruritus, pain, personality and perceived health
Open this publication in new window or tab >>Long-term outcome after burn: Pruritus, pain, personality and perceived health
2019 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis investigated the role of burn-specific and individual-related factors for long-term outcome after burn with emphasis on pruritus, pain, personality and perceived health.

Consecutive adult patients, admitted to the Uppsala University Burn Center between 2000 and 2009, were included. Patients were assessed during hospitalization, at 3, 6, 12 and 24 months and finally at 2-7 and 10-17 years post-burn.

Pruritus was prevalent in half of the patients 2-7 years post-burn. Of the patients with pruritus, half had severe pruritus, which was independently related to full thickness burn and health-related quality of life (HRQoL) at 3 months post-burn. One third scratched to the point of bleeding. Such scratching was independently related to full thickness burns and the personality trait Impulsiveness, but did not necessarily imply more severe pruritus. Results suggest that many patients lack adequate treatment.

 Pain was prevalent in one third of the patients 2-7 years post-burn. Severity levels generally decreased over time and was at follow-up mostly regarded as mild to moderate. Post-burn pain has a negative effect on HRQoL and at 3 months post-burn, HRQoL was independently related to the reporting of post-burn pain at 2-7 years.

Personality trait scores in burn patients deviated little from norm values. Personality traits remained largely stable the first year after burn injury, except for an increase in the trait Stress Susceptibility, which was scored lower during the acute care phase but normalized at 12 months post-burn.

In qualitative interviews 10-17 years post-burn, participants reported living a near normal life. The subscales of the burn-specific health scale brief were in general still applicable at this time point. Additional areas playing an important role for post-burn health and outcome were skin-related problems, morphine de-escalation, the importance of work, stress and avoidance, mentality and the healthcare system.

Certain subgroups of burn patients are more vulnerable and likely to develop post-burn sequalae and this is dependent on both burn severity and individual characteristics. In general, however, many former burn patients recover well in the long run.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2019. p. 65
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 1569
Keywords
Burns, Pruritus, Pain, Personality, Quality of Life, Health Status, Wounds and injuries, Patient Reported Outcome Measures, Rehabilitation
National Category
Medical and Health Sciences
Research subject
Psychiatry; Surgery
Identifiers
urn:nbn:se:uu:diva-381618 (URN)978-91-513-0643-8 (ISBN)
Public defence
2019-06-05, Gunnesalen, Entrance 10, Akademiska sjukhuset, Uppsala, 13:00 (English)
Opponent
Supervisors
Available from: 2019-05-15 Created: 2019-04-12 Last updated: 2019-06-17

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Gauffin, EmelieWillebrand, MimmieEkselius, LisaÖster, Caisa

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