Effect of Early Body Image Dissatisfaction on Subsequent Psychological and Physical Adjustment After Disfiguring Injury

Fauerbach, James A.; Heinberg, Leslie J.; Lawrence, John W.; Munster, Andrew M.; Palombo, Debra A.; Richter, Daniel; Spence, Robert; Stevens, Sandra; Ware, Linda; Muehlberger, Thomas

doi:10.1097/00006842-200007000-00017

Cited by 136 publications

(79 citation statements)

References 22 publications

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“…Previous studies showed that clinically significant body image dissatisfaction was associated with lower scores in both the mental and the physical subscales of SF-36 [32] and predicted psycho-social functioning at 12 months post-discharge, mediating the effect of gender, TBSA, and pre-burn quality of life [33].…”

Section: Discussionmentioning

confidence: 94%

Validation of the Italian version of the Burn Specific Health Scale-Brief

Sideli

Pasquale

Prestifilippo

et al. 2014

Burns

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Section: Discussionmentioning

confidence: 94%

Validation of the Italian version of the Burn Specific Health Scale-Brief

Sideli

Pasquale

Prestifilippo

et al. 2014

Burns

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“…Factors related with the treatment experience, including painful procedures experienced while in hospital, involvement in self-care and unreal expectations in the rehabilitation phase, are shown in Figure 3 and were mentioned in four studies. E-VI Meanings attributed to procedure experience during hospitalization (9,29) ; self-care encouragement (31) E-VII Unreal expectations during rehabilitation (45) E-VI Post-traumatic stress (6,10,46) anguish (30,33,47) ; psychological vulnerability and feelings of threat (30) ; anxiety (12,31) ; dissatisfaction with body image (48)(49) ; depressão (25,34) E-VII Post-traumatic stress (45) Factors related with burn trauma and severity…”

Section: Psychological Factorsmentioning

confidence: 99%

“…E-V Burn location (40) E-VI Burned body surface (3)(4)6,30,34,38,42,48,(50)(51)(52)(53) ; burns on hands (27,34,38) , on feet (27) , in the face (27,34,48) ; burn location (8,42) ; burn severity (3)(4)6,11,20,22,24,42) ; scars (39) ; facial disfigurement(46); limb amputation (11,46) ; time after injury (30,54) , intolerance to cold (55) , to heat (49,55) ; to sunlight (12,55) , itching (55) , numbness (55) , disfigurement (21,55) , sleeping problems (55) , care dependence (55) ; pain (24,(27)(28)33) ; weakness …”

Section: Psychological Factorsmentioning

confidence: 99%

Biopsychosocial factors that interfere in the rehabilitation of burn victims: integrative literature review

Gonçalves

Echevarría-Guanilo

Carvalho

et al. 2011

Rev. Latino-Am. Enfermagem

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were searched in databases Scielo, Pubmed and Lilacs, resulting in 982 articles, of which 45 were selected, after the analysis and categorization processes. Most studies were descriptive and qualitative. The most frequently associated factors to the rehabilitation process were: mental health state before the accident, coping strategies and family support, besides the severity of the burn and the total body surface area burned. The quality of the selected studies, most classified as evidence level VI, shows the scarce production of strong evidences in this knowledge area, which needs more investment, considering the important implications of the sequelae of burns in the social reintegration of these people. Factores biopsicosociales que interfieren en la rehabilitación de víctimas de quemaduras: revisión integradora de la literaturaEste estudio tuvo como objetivo identificar los factores biopsicosociales que influyen en la rehabilitación de víctimas de quemaduras, por medio de una revisión integradora de la literatura, en el período de enero de 1.987 a enero de 2.007. A partir de la búsqueda de los artículos en las bases de datos Scielo, Pubmed y Lilacs, se obtuvieron 982 artículos, de los cuales 45 fueron seleccionados. La mayor parte de los estudios era del tipo descriptivo y cualitativo. Los factores más frecuentemente asociados al proceso de rehabilitación fueron: estado de salud mental previo al accidente, estrategias de enfrentamiento y apoyo de la familia, además de la gravedad de la quemadura y de la superficie corporal quemada. La calidad de los estudios, en la mayoría clasificados con nivel de evidencia VI, llaman la atención para la escasa producción de evidencias fuertes en esta área del conocimiento, que necesita mayores inversiones, considerando las importantes implicaciones de las secuelas de la quemadura en la reintegración social de esas personas.

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“…Fauerbach et al found that pre-burn affective disorder, but not anxiety disorders, increased the risk of post-burn PTSD. 16 In another study, cosmetic disfigurement was related to the manifestation of PTSD symptoms of avoidance and emotional numbing in females injured by burn. Furthermore, personality traits have been related to PTSD after burn.…”

mentioning

confidence: 96%

“…A study by Fauerbach et al indicated that neuroticism was higher, and extraversion was lower in patients who developed PTSD compared with those who did not develop PTSD. 16 Scandinavian personality theorist, Henrik Sjöbring postulated three personality variants which he labelled Validity, Stability and Solidity. Partly based on the theories of Sjöbring, as well as on other theories on biologically based dimensions of personality, Daisy Schalling developed the Karolinska Scales of Personality (KSP).…”

mentioning

confidence: 99%

Analysis of psychiatric problems in burn patients in a tertiary burn unit: a prospective study

2017

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Background: Burn injuries in our part of the world generally occurs in the lower socio-economic groups. A large part of these patients suffers from underlying psychiatric disorders. This study is to see the prevalence rates and clinical diagnosis of psychiatric disorders and psychosocial problems as a predisposing factor to burns and squeal to burns in our population, hence necessitate the consultation with the psychiatric team management to improve the outcome from the time of critical phase recovery to the rehabilitation phase.Methods: 114 patients admitted with suicidal burns above the age of 15 years were included in the study at Dept. of Plastic, Reconstructive and Burn Surgery, Govt. Kilpauk Medical College and Hospital for a period of 2 years and evaluated.Results: The patients were mostly married females in the 2nd to 3rd decade of life. Most of them had some form of pre-morbid psychopathology. 60% of patients had >50% burns and only 17% were survivors. After 1 year of psychotherapy, most patients had returned to normalcy.Conclusions: In our study deformity related depression were more after recovery hence prevention of deformity with usage of appropriate splintage, wound management, early grafting and intense physiotherapy will produce a drastic change in their wellbeing and coping ability and help long term rehabilitation and return to normalcy.

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Effect of Early Body Image Dissatisfaction on Subsequent Psychological and Physical Adjustment After Disfiguring Injury

Abstract: Body image dissatisfaction affects quality of life after severe burn injury. Distress moderates this impact on aspects of physical but not psychosocial health.

Cited by 136 publications

References 22 publications

Validation of the Italian version of the Burn Specific Health Scale-Brief

Validation of the Italian version of the Burn Specific Health Scale-Brief

Biopsychosocial factors that interfere in the rehabilitation of burn victims: integrative literature review

Analysis of psychiatric problems in burn patients in a tertiary burn unit: a prospective study

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