Affiliations: Department of Psychiatry and Behavioral Neurosciences, Loyola University Medical Center, Maywood, IL 60153, USA | Lightning Data Center, St. Anthony Hospital, 4231 W. 16th Avenue, Denver, CO 80204, USA. Tel.: +1 303 629 4258; Fax: +1 303 629 4438; E-mail: Lightningdatacenter@Centura.org
Correspondence:
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Address for correspondence: Margaret Primeau, PhD, ABPP/CN, Associate Professor, Department of Psychiatry and Behavioral Neurosciences, Loyola University Medical Center, 2160 S. First Ave., Bl. 105, Maywood, IL 60153, USA. Tel.: +1 708 216 3276; Fax: +1 708 216 5885; E-mail: mprimea@lumc.edu
Abstract: Neurobehavioral problems after lightning and electrical injuries are diverse. Commonly reported are decreased cognitive function, pain syndromes, depression, posttraumatic stress disorder, and significant alterations in social and work roles. While the problems resemble those following other kinds of accidents, the injury scenarios for lightning and electrical trauma are unique, and seem to invite more skepticism and controversy in medical and legal realms when the survivors seek help. Studies of lightning and electrical injuries have identified disabling neuropsychiatric changes for some survivors, often persistent and occasionally progressive, that appear weakly related to litigation status, inconsistently related to injury scenarios, and likely influenced by individual premorbid emotional and coping patterns. Standards of care in the fields of brain injury, behavioral medicine, and psychotherapy can inform rehabilitation strategies. Proper assessment is important, as well as an individualized approach to treatment. Multidisciplinary intervention focuses on managing symptoms, learning compensatory skills, providing psychosocial support, and preventing maladaptive behaviors. It has been therapeutic for some patients to become activists for better awareness and prevention.
