Psychosocial adjustment of burn survivors

Browne, Gina; Byrne, Carolyn; Brown, Barbara; Pennock, M.; Streiner, David L.; Roberts, Robin W.; Eyles, Paula; Truscott, D. E.; Dabbs, R.

doi:10.1016/0305-4179(85)90180-9

Cited by 102 publications

(52 citation statements)

References 15 publications

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“…The PAIS-SR Total was calculated by summating the domain raw scores and this total was considered in relation to categories of good, fair and poor psychosocial adjustment as developed previously [12,13]. PAIS-SR Total scores were analysed using one-way ANOVAs where it was of interest to see how the scores differed with gender, age and medication status.…”

Section: (3) Pais-sr Total Scorementioning

confidence: 99%

The impact of narcolepsy on psychological health and role behaviours: negative effects and comparisons with other illness groups

Bruck

2001

Sleep Medicine

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Adjustment to an illness can be conceptualised in terms of people's ability to adequately function in their life roles (eg worker, spouse, parent and friend). The PAIS-SR questionnaire assesses psychosocial adjustment across seven domains and was investigated in a sample of people with narcolepsy in relation to age, gender, the disruptive effects of symptoms and medication status. Participants (n=129) were recruited via the Australian narcolepsy support group and questionnaires were distributed and received by post. Males were found to be more vulnerable than females in terms of adjustment, and younger narcoleptics may have particular problems in the vocational environment. Those patients taking no medication for narcolepsy were least inclined to participate in social and leisure activities. The level of disruption reported due to symptoms was strongly associated with both psychological distress and overall psychosocial adjustment and was most notable in those taking both stimulants and tricyclic antidepressants. Narcoleptics reported more adjustment problems in comparison to three other illness groups (cardiac, mixed cancer and diabetes), with particular differences in health care orientation and psychological distress. A table of normative PAIS-SR values for narcolepsy was developed from this sample. The high levels of psychological distress found in this study are of particular concern, suggesting there is an urgent need for health professionals to provide support for adjustment problems experienced in narcolepsy across a variety of life roles. The need for action in several areas is discussed.

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Section: (3) Pais-sr Total Scorementioning

confidence: 99%

The impact of narcolepsy on psychological health and role behaviours: negative effects and comparisons with other illness groups

Bruck

2001

Sleep Medicine

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“…However, there is no concensus in the literature. [9][10][11][12] Previous research has often assessed scar visibility subjectively and measured psychometric constructs only indirectly associated with psychosocial distress. Furthermore, any measures of objective scar severity used have not been validated and collection of patient-rated subjective severity data often neglected, despite its postulated importance in body image cognition.…”

Section: Introductionmentioning

confidence: 99%

Skin scar preconceptions must be challenged: Importance of self-perception in skin scarring

Brown

Moss

McGrouther

et al. 2010

Journal of Plastic, Reconstructive & Aesthetic Surgery

112

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“…The majority of the studies in this area indicated that a significant number of patients with burn injuries are exhibiting increased levels of postburn depressed mood, [1]phenomena of psychological regression [3], feelings of despair and grief [4], as well as moderate levels of neuroticism and anxiety or even a postburn impairment in sexual performance [5]. In another study, 40% of the burned patients expressed a high level of psychopathologic symptoms of distress [16]. …”

Section: Introductionmentioning

confidence: 99%

Psychiatric Disorders in Burn Patients: A Follow-Up Study

Madianos

Papaghelis

Ioannovich

et al. 2001

Psychother Psychosom

106

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Background: We report on a prospective study of 45 patients with burn injuries admitted to a major burn unit in the greater Athens area. The study aimed to explore the prevalence of psychological and psychiatric disorders among burn survivors. Methods: The sample comprised all consecutive cases of adult burn patients in a 6-month period. Personal interviews were conducted by the administration of the Langner scale and the DSM-III-R Structured Clinical Interview. Twelve months later, 30 patients of the baseline sample were reexamined. Results: Psychological impairment was found to be 45.5 and 40% at the baseline and follow-up assessments, respectively. The extent of burns was found to be associated with psychological impairment. The prevalence of psychiatric disorders (any DSM-III nosological entity) reached 46.6% at both baseline and follow-up examinations. Posttraumatic stress disorder was diagnosed in 17.8 and 20.0% of burn survivors at the baseline and the 12-month follow-up assessments, respectively. Logistic regression analysis revealed that face disfigurement was the only burn characteristic significantly associated with the presence of psychiatric morbidity. Conclusions: The results of the study suggest that the extent of burns is not so important when compared to the possibility of disfigurement from the point of risk of developing a psychiatric disorder.

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Psychosocial adjustment of burn survivors

Cited by 102 publications

References 15 publications

The impact of narcolepsy on psychological health and role behaviours: negative effects and comparisons with other illness groups

The impact of narcolepsy on psychological health and role behaviours: negative effects and comparisons with other illness groups

Skin scar preconceptions must be challenged: Importance of self-perception in skin scarring

Psychiatric Disorders in Burn Patients: A Follow-Up Study

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