Psychological Issues Interfere with Recovery in Patients with Burn
Keywords:
Conversion: Psychological Condition, Grafting: Surgical procedure, La belle indifference: feature of conversion disorder
Abstract
A 20 year old female presented with 32% burn having premorbid psychiatric conditions. She was having history of conversion disorder which complicated her recovery as she developed contracture and stiffness in her limbs which were not burnt, whenever she was asked to mobilize herself she started shouting and crying and her behavior did not let her family to make her exercise. On her readmission she was presented with graft lost from her chest and neck in addition to that contractures on knees and leg. The patient remained admitted for 65 days and as her psychological problem worsen her condition so at first stage her conversional issues were managed by applying extinction technique. Family was also counseled to with draw the whole secondary gains like undue attention and support. It took 30 days to make her mobilized and complied with treatment. She was grafted on neck, arm and chest and on her discharge she was completely mobilized and her grafts were stuck. So the study concludes that psychological problems complicate the recovery in patients with burn, so for the better recovery, attending psychological issues first particularly issues like conversion.References
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2. Conversion and somatic symptom disorders. 2015. Retrieved 11 April, 2018
3. Akagi H, House A O. The epidemiology of hysterical conversion". In P. Halligan, C. Bass, J. Marshall (Eds.) Hysterical Conversion: clinical and theoretical perspectives . 2001. 73–87.
4. Carson AJ, Ringbauer B, Stone J, McKenzie L, Warlow C, Sharpe M. Do medically unexplained symptoms matter? A prospective cohort study of 300 new referrals to neurology outpatient clinics. J. Neurol. Neurosurg. Psychiatry. 2000; 68 : 207–10.
5. Shelley A Wiechman, David R Patterson. Psychologial aspact of burn injuries. BMJ. 2004; 329: 391–393.
6. Stone J, Smyth R, Carson A, Warlow C, Sharpe M. La belle indifférence in conversion symptoms and hysteria: systematic review". Br J Psychiatry. 2006; 188: 204–9.
7. Diagnostic and Statistical Manual of Mental Disorders,fifth Edition, American Psychiatric Association
8. Conversion and somatic symptom disorders". Retrieved 25 November 2015.
9. Stone J, Carson A, Sharpe M. Functional symptoms and signs in neurology: assessment and diagnosis". J. Neurol. Neurosurg. Psychiatry. 2005; 1: 2–12.
10. Ruddy R, House A. Psychosocial interventions for conversion disorder .Cochrane Database Syst. 2005. Rev (4).
11. Patterson DR, Ford GR. Burn injuries. In: Frank RG, Elliott TT, eds. Handbook of rehabilitation psychology. Washington DC: American Psychological Association, 2000: 145-62
Published
2018-06-26
Issue
Section
Case Report
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