Yu Z, Zhang H, Zhang Q, Wu QE. Analysis of anxiety and depression symptoms in adolescents with facial burns. World J Psychiatry 2025; 15(10): 106679 [DOI: 10.5498/wjp.v15.i10.106679]
Corresponding Author of This Article
Qi-Er Wu, PhD, Department of Plastic and Reconstructive Surgery, Baoji Central Hospital, No. 8 Jiangtan Road, Baoji 721000, Shaanxi Province, China. wuqier77@163.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Psychiatry. Oct 19, 2025; 15(10): 106679 Published online Oct 19, 2025. doi: 10.5498/wjp.v15.i10.106679
Analysis of anxiety and depression symptoms in adolescents with facial burns
Zhen Yu, Han Zhang, Qian Zhang, Qi-Er Wu
Zhen Yu, Han Zhang, Department of Plastic and Reconstructive Surgery, Xi’an People’s Hospital (Xi’an Fourth Hospital), Xi’an 710004, Shaanxi Province, China
Qian Zhang, Department of Psychiatry, Baoji Central Hospital, Baoji 721000, Shaanxi Province, China
Qi-Er Wu, Department of Plastic and Reconstructive Surgery, Baoji Central Hospital, Baoji 721000, Shaanxi Province, China
Author contributions: Yu Z designed the research study; Yu Z, Zhang H, Zhang Q, and Wu QE performed the primary literature and data extraction; Zhang H, Zhang Q analyzed the data and wrote the manuscript; Wu QE was responsible for revising the manuscript for important intellectual content; and all authors read and approved the final version.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Baoji Central Hospital, approval No. BZYL2022-49.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at <wuqier77@163.com>. Participants gave informed consent for data sharing.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qi-Er Wu, PhD, Department of Plastic and Reconstructive Surgery, Baoji Central Hospital, No. 8 Jiangtan Road, Baoji 721000, Shaanxi Province, China. wuqier77@163.com
Received: May 16, 2025 Revised: June 17, 2025 Accepted: August 4, 2025 Published online: October 19, 2025 Processing time: 132 Days and 23.7 Hours
Abstract
BACKGROUND
Anxiety and depression are common psychological reactions in teenagers with facial burns and have a significant impact on their rehabilitation and quality of life.
AIM
To analyze anxiety and depressive symptoms in teenagers with facial burns.
METHODS
We selected 50 young patients with facial burns who were treated at our hospital between October 2023 and October 2024. The Hamilton Anxiety Scale and Beck Depression Inventory were used to evaluate anxiety and depressive symptoms. Additionally, we evaluated patients’ social support levels and self-esteem. Pearson’s correlation analysis was used to evaluate factors related to depression and anxiety.
RESULTS
The overall average Hamilton Anxiety Scale score was 23.4 ± 6.2, and 16 (32%) and 34 (68%) patients showed mild to moderate and moderate to severe anxiety, respectively. The overall average Beck Depression Inventory score was 18.7 ± 7.5, and 23 (46%) and 27 (54%) patients had mild to moderate and moderate to severe depression, respectively. Furthermore, Pearson’s correlation analysis showed a significant positive correlation between burn severity and anxiety (r = 0.48, P < 0.01) and depression (r = 0.42, P < 0.01) symptoms. Self-esteem scores and social support were significantly negatively correlated with anxiety (r = -0.55 and r = -0.40, respectively; P < 0.01) and depression (r = -0.60 and r = -0.38, respectively; P < 0.01 for both).
CONCLUSION
Adolescents with facial burns commonly experience anxiety and depressive symptoms, the severity of which is closely related to burn severity, social support, and self-esteem.
Core Tip: The aim of this study was to analyze the symptoms of anxiety and depression in adolescent facial burn patients and the factors affecting anxiety and depression to provide a reference for the psychological treatment of adolescent facial burns. Anxiety and depression are common psychological reactions in adolescents with facial burns. The severity of anxiety and depressive symptoms in adolescents with facial burns is strongly correlated with social support and self-esteem. These psychological problems have a significant impact on adolescent recovery and quality of life.
